Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5845785 | Pulmonary Pharmacology & Therapeutics | 2013 | 4 Pages |
Abstract
Cough can persist despite exhaustive diagnostic and therapeutic effort and has been termed 'idiopathic' or 'unexplained' but perhaps 'difficult to treat' cough is a more appropriate description. In this article the reasons for poor treatment response are discussed. These include a lack of physician fidelity to management guidelines, patient non-adherence and the lack of effective medicines. A number of randomized controlled trials have been undertaken including low dose opiate therapy, the use of a speech pathology intervention, oral antibiotics and antidepressants. The success or otherwise of such interventions will be discussed. A number of approaches to deal with the problem of 'difficult to treat cough' will be considered.
Keywords
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Pulmonary and Respiratory Medicine
Authors
Lorcan McGarvey,