Kaszel
Leczenie

Kaszel jest odruchem obronnym służącym oczyszczeniu dróg oddechowych z wydzieliny i czynników drażniących. Wyróżnia się kaszel suchy, mokry (produktywny), przewlekły (>8 tygodni u dorosłych, >4 tygodni u dzieci) oraz napadowy, z których każdy wymaga odmiennego podejścia terapeutycznego. Kaszel suchy leczy się głównie lekami przeciwkaszlowymi (dekstrometorfan, kodeina, benzonatat, lewodropopizyna, moguisteina) oraz metodami domowymi, takimi jak nawilżanie powietrza, picie dużej ilości płynów i stosowanie miodu (łyżeczka, u dzieci >1 roku). Kaszel mokry wymaga natomiast stosowania leków wykrztuśnych (guajfenezyna) i mukolitycznych (bromheksyna, acetylocysteina) oraz fizjoterapii oddechowej, a tłumienie kaszlu jest przeciwwskazane. W leczeniu kaszlu przewlekłego kluczowa jest diagnostyka przyczynowa (RTG, spirometria, gastroskopia, laryngoskopia) i terapia ukierunkowana na podstawową chorobę, np. wziewne kortykosteroidy i leki rozszerzające oskrzela w astmie, inhibitory pompy protonowej w GERD, leki przeciwhistaminowe i kortykosteroidy donosowe w zespole kaszlu górnych dróg oddechowych.

Kaszel – definicja i mechanizm

Kaszel to odruch obronny organizmu, który pomaga oczyścić drogi oddechowe z wydzieliny, dymu, kurzu i innych substancji drażniących. Jest to nagły i często gwałtowny wyrzut powietrza przez duże drogi oddechowe, który pomaga usunąć z nich płyny, substancje drażniące, cząstki obce i mikroby.1 Chociaż kaszel może być uciążliwy, stanowi ważny mechanizm ochronny dla płuc i dróg oddechowych.23

Rodzaje kaszlu

Rozróżniamy kilka podstawowych rodzajów kaszlu, które wymagają różnych podejść terapeutycznych:12

Kaszel suchy

Kaszel suchy nie produkuje wydzieliny ani plwociny. Ten rodzaj kaszlu często pojawia się w przebiegu infekcji wirusowych, alergii lub jako skutek uboczny niektórych leków. Charakteryzuje się drażniącym uczuciem w gardle i często pogarsza się w nocy.12

Kaszel mokry (produktywny)

Kaszel mokry lub produktywny charakteryzuje się odkrztuszaniem wydzieliny lub plwociny. Może być spowodowany infekcjami bakteryjnymi, zapaleniem oskrzeli lub innymi schorzeniami układu oddechowego. Celem leczenia nie jest jego tłumienie, ale raczej zwiększenie efektywności odkrztuszania i oczyszczenia dróg oddechowych.12

Kaszel przewlekły

Kaszel przewlekły to kaszel trwający ponad 8 tygodni u dorosłych i ponad 4 tygodnie u dzieci. Może być objawem różnych schorzeń, takich jak astma, refluks żołądkowo-przełykowy (GERD), przewlekłe zapalenie oskrzeli, czy zespół kaszlu górnych dróg oddechowych (postnasal drip).12

Kaszel napadowy

Kaszel napadowy charakteryzuje się nagłymi, intensywnymi atakami kaszlu, które mogą prowadzić do wymiotów lub trudności w oddychaniu. Ten rodzaj kaszlu często występuje w przebiegu krztuśca lub innych infekcji dróg oddechowych.1

Leczenie kaszlu suchego

W przypadku kaszlu suchego, leczenie koncentruje się głównie na łagodzeniu objawów i zmniejszeniu częstotliwości kaszlu.1

Domowe sposoby na kaszel suchy

Domowe metody leczenia kaszlu suchego mogą obejmować:123

  • Picie dużej ilości płynów, zwłaszcza wody, aby nawilżyć gardło
  • Stosowanie miodu (łyżeczka miodu) dla osób powyżej 1 roku życia
  • Ssanie pastylki na kaszel lub twarde cukierki
  • Używanie nawilżacza powietrza lub inhalacje parą
  • Picie herbat ziołowych (tymianek, rumianek, mięta, lukrecja)
  • Unikanie substancji drażniących (dym, perfumy, silne zapachy)

Leki na kaszel suchy

W leczeniu kaszlu suchego mogą być stosowane leki przeciwkaszlowe (antytusyczne), które hamują ośrodek kaszlu w mózgu i zmniejszają odruch kaszlowy:123

  • Dekstrometorfan – dostępny w preparatach OTC, działa na ośrodek kaszlu w mózgu (np. Delsym, Robitussin)
  • Kodeina – silniejszy lek przeciwkaszlowy dostępny na receptę, może powodować senność i zaparcia
  • Benzonatate (Tessalon Perles) – lek na receptę, który znieczula receptory w płucach i drogach oddechowych
  • Lewodropopizyna i moguisteina – leki o działaniu obwodowym, zalecane szczególnie u dzieci12

Należy pamiętać, że leki przeciwkaszlowe nie są zalecane dla dzieci poniżej 6 roku życia ze względu na potencjalne poważne skutki uboczne.12

Leczenie kaszlu mokrego

W przypadku kaszlu mokrego (produktywnego), celem leczenia jest ułatwienie odkrztuszania wydzieliny, a nie tłumienie kaszlu.1

Domowe sposoby na kaszel mokry

Zalecane domowe metody leczenia kaszlu mokrego to:12

  • Gorący prysznic lub inhalacje parą – pomagają rozluźnić wydzielinę
  • Picie dużej ilości płynów – rozrzedza śluz i ułatwia jego odkrztuszanie
  • Odpoczynek i odpowiednia ilość snu
  • Ssanie ziołowych pastylek o smaku eukaliptusa lub mentolu
  • Fizjoterapia oddechowa – techniki oddychania pomagające usunąć wydzielinę

Leki na kaszel mokry

W leczeniu kaszlu mokrego stosuje się leki wykrztuśne i mukolityczne:12

  • Leki wykrztuśne (ekspektoranty) – pomagają rozluźnić i usunąć śluz z płuc, np. guajfenezyna (Mucinex)
  • Leki mukolityczne – rozrzedzają gęsty śluz, ułatwiając jego odkrztuszanie, np. bromheksyna, acetylocysteina
  • Kombinacje leków wykrztuśnych i mukolitycznych – dostępne są preparaty zawierające oba składniki

Ważne jest, aby nie stosować leków przeciwkaszlowych przy mokrym kaszlu, ponieważ mogą one utrudniać usuwanie wydzieliny z płuc i zwiększać ryzyko infekcji.1

Leczenie kaszlu przewlekłego

Leczenie kaszlu przewlekłego wymaga określenia i leczenia przyczyny podstawowej.1

Diagnostyka kaszlu przewlekłego

Przed rozpoczęciem leczenia kaszlu przewlekłego konieczne jest przeprowadzenie dokładnej diagnostyki w celu określenia przyczyny:123

  • Wywiad medyczny i badanie fizykalne
  • Badania obrazowe (RTG klatki piersiowej, tomografia komputerowa)
  • Badania czynnościowe płuc (spirometria, test prowokacji metachinoliną)
  • Badania laboratoryjne (analiza plwociny, badanie krwi)
  • Gastroskopia (w przypadku podejrzenia refluksu)
  • Laryngoskopia (badanie krtani i gardła)

Leczenie w zależności od przyczyny

Leczenie kaszlu przewlekłego zależy od jego przyczyny:123

  • Zespół kaszlu górnych dróg oddechowych (postnasal drip):
  • Astma:
    • Wziewne kortykosteroidy (flutykazon, budezonid, beklometazon)
    • Leki rozszerzające oskrzela (salbutamol, formoterol)
    • W ciężkich przypadkach – krótki kurs doustnych kortykosteroidów (prednizon)
  • Refluks żołądkowo-przełykowy (GERD):
  • Przewlekłe zapalenie oskrzeli:
    • Zaprzestanie palenia tytoniu
    • Leki rozszerzające oskrzela
    • Wziewne kortykosteroidy
  • Kaszel wywołany lekami (np. inhibitorami ACE):
    • Zmiana leku na inny, który nie powoduje kaszlu
  • Nieastmatyczne eozynofilowe zapalenie oskrzeli:
    • Wziewne kortykosteroidy

Leczenie opornego kaszlu przewlekłego

W przypadku kaszlu przewlekłego opornego na standardowe leczenie można zastosować:1234

  • Neuromodulatory:
  • Terapię behawioralną tłumienia kaszlu (cough suppression therapy):
    • Prowadzona przez logopedów lub fizjoterapeutów
    • Techniki oddychania i strategie tłumienia kaszlu
    • Zmniejsza nadwrażliwość odruchu kaszlowego12
  • Blokady nerwu krtaniowego górnego – zabieg wykonywany w gabinecie
  • Iniekcje toksyny botulinowej typu A do fałdów głosowych
  • Opioidy (kodeina, morfina) – w opornych przypadkach, z uwzględnieniem ryzyka uzależnienia

Leczenie kaszlu u dzieci

Leczenie kaszlu u dzieci wymaga szczególnej ostrożności, ponieważ wiele leków przeciwkaszlowych nie jest zalecanych dla młodszych pacjentów.1

Domowe sposoby leczenia kaszlu u dzieci

Zalecane domowe metody leczenia kaszlu u dzieci obejmują:123

  • Zachęcanie do picia dużej ilości płynów
  • Stosowanie nawilżacza powietrza z chłodną mgłą w pokoju dziecka
  • Inhalacje parą (ciepła kąpiel lub prysznic)
  • Miód dla dzieci powyżej 1 roku życia (łyżeczka miodu)
  • Płukanie gardła słoną wodą (dla starszych dzieci)
  • Uniesienie głowy dziecka dodatkowymi poduszkami podczas snu
  • Zapewnienie odpowiedniej ilości odpoczynku i snu

Leki na kaszel dla dzieci

FDA i inne organy regulacyjne odradzają stosowanie leków przeciwkaszlowych bez recepty u dzieci poniżej 6 roku życia ze względu na potencjalne poważne skutki uboczne, w tym śmiertelne przedawkowanie u dzieci poniżej 2 lat.1234

U dzieci powyżej 6 lat leki przeciwkaszlowe powinny być stosowane tylko po konsultacji z lekarzem i zgodnie z zaleceniami na opakowaniu.1 Miód okazał się skuteczniejszy niż niektóre leki przeciwkaszlowe w łagodzeniu nocnego kaszlu u dzieci.1

Leczenie kaszlu w szczególnych przypadkach

Krztusiec

Krztusiec (koklusz) jest wysoce zakaźną chorobą bakteryjną wymagającą specyficznego leczenia:1

  • Antybiotyki (azytromycyna, klarytromycyna, erytromycyna) – najskuteczniejsze, gdy podane we wczesnym stadium choroby
  • Odpoczynek i nawodnienie
  • Unikanie leków przeciwkaszlowych, szczególnie u dzieci poniżej 4 lat
  • Hospitalizacja w ciężkich przypadkach, zwłaszcza u niemowląt

Infekcje wirusowe

Większość ostrych kaszli jest spowodowana infekcjami wirusowymi, które zazwyczaj ustępują samoistnie w ciągu 1-3 tygodni:12

  • Odpoczynek i nawodnienie
  • Ciepłe płyny (rosół, herbata)
  • Miód z cytryną
  • Leki przeciwkaszlowe (tylko u dorosłych i dzieci powyżej 6 lat)
  • Leki przeciwgorączkowe i przeciwbólowe (paracetamol, ibuprofen)

Antybiotyki nie są skuteczne w leczeniu infekcji wirusowych i nie powinny być stosowane, chyba że występuje współistniejąca infekcja bakteryjna.1

Kaszel pozapalny

Kaszel pozapalny (postinfekkcyjny) może utrzymywać się przez kilka tygodni po ustąpieniu infekcji:1

  • Leki dostępne bez recepty i domowe środki (pastylki, miód)
  • Sauna lub nawilżacz powietrza – łagodzą skurcz dróg oddechowych
  • Uniesienie górnej części ciała dodatkowymi poduszkami w nocy

Kaszel w przebiegu włóknienia płuc

Leczenie kaszlu w przebiegu włóknienia płuc jest szczególnie trudne, ponieważ często nie reaguje na standardowe leki:12

  • Leki mukolityczne – jeśli kaszel jest produktywny
  • Techniki tłumienia kaszlu prowadzone przez fizjoterapeutę oddechowego lub logopedę
  • Techniki oddychania (np. Aktywny Cykl Oddychania) – pomagają efektywnie odkrztuszać wydzielinę

Leki biologiczne i nowe terapie

W leczeniu opornego kaszlu przewlekłego coraz większą rolę odgrywają nowe terapie:12

  • Kombinacja terapii logopedycznej i pregabaliny – wykazała znaczną poprawę w porównaniu z samą terapią logopedyczną
  • Fizjoterapia w połączeniu z terapią logopedyczną – zmniejsza częstotliwość kaszlu i poprawia jakość życia związaną ze zdrowiem
  • Leki biologiczne – badane są nowe preparaty ukierunkowane na konkretne mechanizmy kaszlu

Podejście kompleksowe do leczenia kaszlu

Najskuteczniejsze leczenie kaszlu wymaga kompleksowego podejścia, które może obejmować:1234

  • Dokładną diagnostykę i leczenie przyczyny podstawowej
  • Leczenie farmakologiczne odpowiednie dla rodzaju kaszlu
  • Fizjoterapię oddechową
  • Terapię behawioralną
  • Zmiany stylu życia (np. rzucenie palenia, modyfikacje diety)
  • Regularne wizyty kontrolne i dostosowywanie leczenia

Kiedy skonsultować się z lekarzem

Należy skonsultować się z lekarzem, jeśli kaszel:123

  • Trwa dłużej niż 3 tygodnie
  • Jest bardzo intensywny lub uniemożliwia normalne funkcjonowanie
  • Występuje z krwiopluciem
  • Towarzyszy mu gorączka powyżej 38°C, świszczący oddech lub trudności w oddychaniu
  • Powoduje ból w klatce piersiowej
  • Pojawia się u osoby z chorobami przewlekłymi (astma, POChP)
  • Nie reaguje na dotychczasowe leczenie domowe

Zapobieganie kaszlowi

Aby zmniejszyć ryzyko wystąpienia kaszlu, można stosować następujące strategie profilaktyczne:123

  • Unikanie znanych alergenów i substancji drażniących
  • Zaprzestanie palenia tytoniu i unikanie dymu papierosowego
  • Szczepienia przeciwko grypie, COVID-19 i pneumokokom
  • Regularne mycie rąk, zwłaszcza w sezonie infekcyjnym
  • Odpowiednie nawilżanie pomieszczeń
  • Unikanie kontaktu z osobami chorymi
  • Dbanie o odpowiednie nawodnienie organizmu
Rodzaj kaszlu Charakterystyka Zalecane leki Domowe metody leczenia
Kaszel suchy Nie produkuje wydzieliny, drażniący, często pogarsza się w nocy Leki przeciwkaszlowe (dekstrometorfan, kodeina), lewodropopizyna, moguisteina Miód, nawilżacz powietrza, pastylki na kaszel, picie dużej ilości płynów
Kaszel mokry Produktywny, z odkrztuszaniem wydzieliny Leki wykrztuśne (guajfenezyna), leki mukolityczne (bromheksyna, acetylocysteina) Inhalacje parą, picie dużej ilości płynów, fizjoterapia oddechowa
Kaszel przewlekły (> 8 tyg. u dorosłych) Długotrwały, może mieć różne przyczyny Zależne od przyczyny: leki przeciwhistaminowe, kortykosteroidy, inhibitory pompy protonowej, neuromodulatory Zależne od przyczyny, zmiany stylu życia, terapia behawioralna
Kaszel u dzieci Wymaga szczególnej ostrożności w leczeniu Ograniczone stosowanie leków, unikanie leków OTC u dzieci <6 lat Miód (>1 roku życia), nawilżacz powietrza, picie płynów, uniesienie głowy

Podsumowanie efektywności metod leczenia kaszlu

Skuteczne leczenie kaszlu wymaga przede wszystkim właściwej identyfikacji jego rodzaju i przyczyny.12 Dla większości ostrych kaszli, zwłaszcza tych spowodowanych infekcjami wirusowymi, wystarczające są metody domowe i leki dostępne bez recepty.1

W przypadku kaszlu przewlekłego kluczowe jest leczenie przyczyny podstawowej, a nie tylko objawów.1 Nowe podejścia terapeutyczne, takie jak terapia behawioralna tłumienia kaszlu i neuromodulatory, oferują obiecujące rezultaty dla pacjentów z opornym kaszlem przewlekłym.12

Leczenie kaszlu powinno być zawsze dostosowane do indywidualnych potrzeb pacjenta, z uwzględnieniem jego wieku, chorób współistniejących i preferencji.1 Współpraca między różnymi specjalistami (pulmonologami, laryngologami, fizjoterapeutami, logopedami) może być niezbędna do osiągnięcia optymalnych wyników leczenia.1

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Cough – Wikipedia
    https://en.wikipedia.org/wiki/Cough
    A cough is a sudden expulsion of air through the large breathing passages which can help clear them of fluids, irritants, foreign particles and microbes. […] Treatment should target the cause; for example, smoking cessation or discontinuing ACE inhibitors. Cough suppressants such as codeine or dextromethorphan are frequently prescribed, but are not recommended for children. Other treatment options may target airway inflammation or may promote mucus expectoration. […] The treatment of a cough in children is based on the underlying cause. In children half of cases go away without treatment in 10 days and 90% in 25 days. According to the American Academy of Pediatrics the use of cough medicine to relieve cough symptoms is supported by little evidence and thus not recommended for treating cough symptoms in children. There is tentative evidence that the use of honey is better than no treatment or diphenhydramine in decreasing coughing. […] Because coughing can spread disease through infectious aerosol droplets, it is recommended to cover one’s mouth and nose with the forearm, the inside of the elbow, a tissue or a handkerchief while coughing.
  • #1 Types of coughs: Causes and how to treat them
    https://www.medicalnewstoday.com/articles/327142
    Most people experience a cough at some point in their lives. […] The simplest way to determine what is causing them and the best treatment is to pay attention to how they sound and how they affect the body. […] This article identifies the different types of coughs, what causes them, how to treat them, and when to see a doctor. […] A person can typically ease the tickling sensation of a dry cough by drinking liquids, taking a cough drop, or using cough syrup. […] Staying hydrated can help a wet cough stay productive and ease the symptoms of a cold. Some people also find relief from over-the-counter (OTC) cough remedies, such as cough drops, chest rubs, and pain relievers. […] Treatment for chronic conditions like asthma and COPD includes medications to manage symptoms and lifestyle changes, such as quitting smoking.
  • #1
    https://www.allinahealth.org/healthysetgo/heal/4-types-of-coughs-and-when-to-seek-treatment
    Coughing is your bodys way to clear an irritant from your throat, airway and lungs. […] Most coughs do go away on their own. Home remedies and over-the-counter cough medicines can help relieve symptoms. […] When to seek treatment: Most wet coughs do go away on their own. Home remedies and over-the-counter cough medicines can help relieve symptoms. Contact your provider if the cough lasts longer than three weeks or you are: […] When to seek treatment: Most dry coughs do go away on their own. Home remedies and over-the-counter cough medicines can help relieve symptoms. […] When to seek treatment: Pertussis (whooping cough) is contagious but can be difficult to diagnose early on when symptoms are similar to a cold. If your symptoms get worse after one to two weeks, and you develop a painful and exhausting cough, you should contact a health care provider. You can treat pertussis with prescribed antibiotics.
  • #1 Cough: productive or 'wet’ cough treatments – myDr.com.au
    https://mydr.com.au/symptoms/cough-productive-or-wet-cough-treatments/
    A productive (wet or chesty) cough is a cough that produces mucus or phlegm. When you have a productive cough, the aim of treatment is not to suppress the cough (which is an important way of clearing infected secretions from the lungs), but to improve the efficiency of the cough to help clear the airways. Specific treatment of productive coughs depends on the cause and duration of the cough. […] Medicines that can be used to treat productive coughs include expectorants and mucolytics. […] Expectorants are substances that help to loosen and expel mucus from the lungs. […] Mucolytics, such as bromhexine and acetylcysteine, help break down thick, sticky chest phlegm, making it easier to cough up. […] Cough medicines that contain both an expectorant and a mucolytic are available. […] Steam can also help break down mucus causing a chesty cough and help you to cough it up, but care should be taken to avoid burning yourself with hot water or steam.
  • #1 Chronic Cough: Causes & Treatment
    https://my.clevelandclinic.org/health/symptoms/15048-chronic-cough-overview
    Chronic cough is a cough that lasts more than eight weeks in adults and four weeks in children. Treatment for chronic cough depends on the associated health condition. Your healthcare provider will discuss a tailored treatment plan based on your unique needs. […] Possible chronic cough treatments may include: Decongestants to relieve postnasal drip. Nasal sprays to alleviate sneezing, runny nose and other allergy symptoms. Steroids or inhaled bronchodilators to reduce asthma-induced airway inflammation. Antibiotics for infections like bacterial pneumonia, sinusitis or bronchitis. Changing certain medications or dosages. Avoiding certain foods to reduce your risk of GERD. […] If coughing is having a negative impact on your life, contact a healthcare provider to find the cause. Finding the cause will help your healthcare provider determine a treatment, so you can go back to sleeping, eating, moving and feeling well.
  • #1 The Four Types Of Cough And Their Treatment | OneWelbeck
    https://onewelbeck.com/news/what-are-the-four-main-types-of-cough-and-how-are-they-treated/
    Home remedies for a wet cough can include: Taking a hot shower the steam can loosen the mucus on your chest, Eat herbal cough drops flavours such as eucalyptus and other menthols can help, Staying hydrated, A spoonful of honey. […] Common treatments for paroxysmal coughing include: Staying hydrated, Antibiotics, Decongestants to help remove the mucus, Antihistamines to reduce any allergy symptoms that might make the coughing worse, Inhalers or nebulisers, Breathing exercises. […] Treatment for croup cough can normally be done at home and can include: Drinking plenty of fluids, Resting, Taking a steamy shower or placing the child in the bathroom filled with steam. […] If any type of cough is lasting longer than three weeks, its always best to seek a doctor’s advice. […] The four types of cough are quite easy to distinguish between, which means that treating them at home is fairly simple.
  • #1 Dry Cough: Symptoms, Causes & Treatment | Benylin® UK
    https://www.benylin.co.uk/types-of-cough/dry
    If your dry cough lasts more than three weeks, this is usually considered a persistent dry cough. […] If you want to alleviate your dry cough symptoms, you can try some simple at-home dry cough remedies and treatments. […] Medicines for dry coughs that contain dextromethorphan, such as Benylin Dry Coughs medicine, can help suppress the cough mechanism and reduce your urge to cough. […] For dry coughs at night, a cough medicine like Benylin Dry Coughs Night Syrup that contains dextromethorphan, diphenhydramine and levomenthol offers a three-prong approach suppressing your cough. […] If a persistent dry cough is caused by smoking or acid reflux, you may want to consider making dietary and lifestyle changes to help reduce your symptoms, such as, stopping smoking and cutting out acidic foods. […] Similarly, dry coughs resulting from asthma or allergic reactions may be alleviated by managing the underlying condition.
  • #1 The Four Types Of Cough And Their Treatment | OneWelbeck
    https://onewelbeck.com/news/what-are-the-four-main-types-of-cough-and-how-are-they-treated/
    Coughs are hard to deal with but knowing the type of cough you have can make it easier to treat. […] There are a few commonly known treatments out there that can provide some relief, but they dont always work. […] The type of cough that you have can be classified into one of the above categories. It can also help doctors to determine the type of treatment that you need. […] Typically, dry coughs clear up without medical intervention, and home remedies are enough to help treat them. […] Home remedies for dry coughs include: Drinking plenty of fluids water is best as it will lubricate and hydrate the throat, Sucking on throat lozenges, Eating a spoonful of honey, Use a humidifier to add some moisture to the room. […] Wet coughs will typically go away on their own accord but you still might want to find relief with some home remedies.
  • #1 Best Cough Medicine: A Complete Guide
    https://www.verywellhealth.com/choosing-over-the-counter-cough-medications-770663
    The „best” cough medicine is ultimately based on the type of cough you have, as well as an evaluation of possible side effects. […] The three main types of over-the-counter (OTC) medicines adults can use to treat a cough include cough suppressants, expectorants, and combination medications. […] Cough suppressants containing dextromethorphan are a great choice for treating a dry cough, whereas expectorants containing guaifenesin are a better choice when treating a wet, productive cough. […] Cough suppressants, also known as antitussives, are a class of drugs that act on the brain to suppress the cough reflex. […] Dextromethorphan is the active ingredient in single-symptom medications such as: Delsym (syrup), Buckley’s Mixture Cough Suppressant (syrup), Vicks 44 Custom Care Dry Cough (syrup), Robitussin Long-Acting CoughGels (capsules), Sucrets DM Cough Formula (lozenges), Dextromethorphan (generic).
  • #1 Cough management: a practical approach
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3205006/
    Cough is one of the most common symptoms for which patients seek medical attention from primary care physicians and pulmonologists. […] Therapeutic suppression of cough may be either disease-specific or symptom related. […] The potential benefits of an early treatment of cough could include the prevention of the vicious cycle of cough. […] According to the current guidelines of the American College of Chest Physician on „Cough Suppressants and Pharmacologic Protussive Therapy” and additional clinical trials on the most frequent anti-tussive drugs, it should be possible to diagnose and treat cough successfully in a majority of cases. […] Among drugs used for the symptomatic treatment of cough, peripherally acting anti-tussives such as levodropropizine and moguisteine show the highest level of benefit and should be recommended especially in children.
  • #1 Chronic cough – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chronic-cough/diagnosis-treatment/drc-20351580
    Your healthcare professional works to find the cause of your cough and the best treatment for you. During that time, your healthcare professional also may prescribe a medicine to reduce coughing, called a cough suppressant. Cough suppressants are not recommended for children. […] Cough and cold medicines available without a prescription treat the symptoms of coughs and colds not the underlying disease. Research suggests that these medicines don’t work any better than no medicine at all. These medicines are not recommended for children because of potentially serious side effects, including fatal overdoses in children younger than 2 years old. […] Don’t use over-the-counter cough and cold medicines, except for fever reducers and pain relievers, to treat coughs and colds in children younger than 6 years old. Also, avoid use of these medicines for children younger than 12 years old. Check with your healthcare professional for guidance.
  • #1 Cough: productive or 'wet’ cough treatments – myDr.com.au
    https://mydr.com.au/symptoms/cough-productive-or-wet-cough-treatments/
    Physiotherapists can help in the treatment of chesty coughs, especially in people with chronic (ongoing) productive coughs. […] Chest physiotherapy can help loosen mucus and make it easier to cough up. […] If you have a productive cough, try the following self-help measures: drink plenty of fluids, which can help thin the mucus and make it easier to cough up; take a hot, steamy shower to help break down the mucus (phlegm) and make it easier to cough up; and get plenty of rest. […] Do not take a cough suppressant as this suppresses the cough, causing a build-up of mucus (phlegm) in the lungs and increasing the risk of infection.
  • #1 Patient education: Chronic cough in adults (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/chronic-cough-in-adults-beyond-the-basics/print
    Coughing from time to time helps clear particles and secretions from the lungs and helps to prevent infection. However, sometimes a cough can become a chronic condition. A chronic cough is usually defined as a cough that lasts for eight weeks or longer. […] This article discusses the possible causes and treatments of chronic cough in adults. […] Treatment of chronic cough aims to eliminate the underlying cause. Most of the time, each type of treatment is tried separately, one after another, instead of all at the same time. […] Here are some examples of treatment choices for different causes of cough. […] A cough related to postnasal drip may improve with the use of a decongestant, nasal or oral antihistamine, nasal glucocorticoid, or a nasal spray that contains ipratropium. […] If your cough is due to asthma, you will be given the standard treatment for asthma, which includes an inhaled glucocorticoid such as fluticasone (Flovent), budesonide (Pulmicort), or beclomethasone (QVAR).
  • #1 Chronic Cough: Evaluation and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/1101/p575.html
    In patients with refractory chronic cough, referral to a pulmonologist or otolaryngologist should be considered, as well as a trial of gabapentin (Neurontin), pregabalin (Lyrica), or speech therapy. […] The diagnostic approach should focus on detection and treatment of the four most common causes of chronic cough in adults: upper airway cough syndrome (UACS), asthma, nonasthmatic eosinophilic bronchitis, and gastroesophageal reflux disease (GERD)/laryngopharyngeal reflux disease. […] If a specific cause is identified, therapy should be started; otherwise, initial treatment includes a decongestant combined with a first-generation antihistamine. […] Treatment usually includes an inhaled bronchodilator and high-dose inhaled corticosteroid. […] For severe or refractory cough, a five- to 10-day course of prednisone, 40 to 60 mg, or equivalent oral corticosteroid can be considered if asthma is strongly suspected.
  • #1 Dr Laurie Slovarp Outlines the Benefits of Behavioral Cough Suppression Therapy
    https://www.ajmc.com/view/dr-laurie-slovarp-outlines-the-benefits-of-behavioral-cough-suppression-therapy
    Behavioral cough suppression therapy can be used to help patients with chronic cough manage their cough, prevent a cough, and even trigger their cough less often, explained Laurie Slovarp, PhD, CCC-SLP, associate professor in the School of Speech, Language, Hearing, and Occupational Sciences at University of Montana. […] So, as a speech therapist, we provide what we call behavioral therapy, or I call it behavioral cough suppression therapy. And the main thing that we do is we teach patients how to do different breathing strategies, and a couple of other ways that they can suppress their cough. […] So, the therapy that I do, which is this cough suppression therapy, involves helping them find strategies that allow them to suppress their cough. […] But ultimately, what we’re trying to do is for their hypersensitivity to be reduced.
  • #1 Coughs: Meds or Home Remedies?
    https://www.seattlechildrens.org/conditions/a-z/coughs-meds-or-home-remedies/
    Over-the-Counter (OTC) cough and cold medicines can cause side effects. These side effects can be serious in young children. The risks of using these medicines outweigh any benefits. The Food and Drug Administration (FDA) recommends these medicines never be used in young children. After age 6, the medicines are safe to use, if you follow the package instructions. But, it’s easy to treat coughs and colds without these medicines. […] A good home remedy is safe, cheap, and as helpful as OTC medicines. They are also found in nearly every home. Here are some simple but helpful home treatments. […] Use homemade cough medicines. Age 1 year and older. Use honey to 1 teaspoon (2 to 5 mL) as needed. It thins the secretions and loosens the cough. Research shows that honey works better than cough syrups to reduce nighttime coughing. Can also offer warm apple juice or herbal tea. […] If coughs or colds need treatment, home remedies may work better than medicines.
  • #1
    https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/Coughs-and-Colds-Medicines-or-Home-Remedies.aspx
    When it comes to treating coughs and colds, home remedies may sometimes work better than medicines. […] Oral over-the-counter (OTC) cough and cold medicines can cause serious harm to young children. The risks of using these medicines is more than any help the medicines might have in reducing cold symptoms. […] Luckily, you can easily treat coughs and colds in young children without these cough and cold medicines. […] A good home remedy is safe, does not cost a lot, and can help your child feel better. […] Here is how you can treat your child’s symptoms with home remedies: […] For coughing: […] For children 1 year and older: Consider using honey, 2 to 5 mL, as needed. The honey thins the mucus and loosens the cough. […] Research has shown that honey is better than store-bought cough syrups at reducing how often coughing happens and how bad coughing is at night. […] If cold symptoms are not bothering your child, they likely don’t need medicine or home remedies. […] Only treat symptoms if they make your child uncomfortable, have trouble sleeping, or the cough is really bothersome (such as a hacking cough).
  • #1 Treatment of Whooping Cough | Pertussis (Whooping Cough) | CDC
    https://www.cdc.gov/pertussis/treatment/index.html
    Early antibiotic treatment for pertussis (whooping cough) may make the infection less serious. […] Healthcare providers generally treat whooping cough with antibiotics. There are several antibiotics available for treatment. […] It’s very important to treat whooping cough early, before coughing fits begin. […] Treating whooping cough early can make the illness less serious. […] Whooping cough can sometimes be very serious and can cause complications, especially for babies. People with serious illness or complications need care in the hospital. […] Most people with whooping cough can manage their symptoms at home. […] Don’t take cough medicine unless your healthcare provider recommends it. Giving cough medicine probably won’t help and isn’t usually recommended for children younger than 4 years old.
  • #1 7 ways to combat coughs and colds – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/7-ways-to-combat-coughs-and-colds
    The next time you see your health care team for an upper respiratory illness, such as a common cold or cough, antibiotics may not be part of the treatment plan. Antibiotics are used to treat bacterial infections, such as pneumonia, and won’t help viral illnesses like colds, flu and most sore throats. […] Some at-home remedies can ease your symptoms. With the common cold, you can expect to experience symptoms for one to two weeks. […] To make yourself as comfortable as possible when you have a cough or cold, try to: Drink plenty of fluids. Stay hydrated with water, juice, clear broth or warm lemon water with honey. Avoid caffeine and alcohol, which can dehydrate you. […] Eat chicken soup. Chicken soup and other warm fluids, such as warm apple juice or tea, can be soothing and loosen congestion. […] Rest. Stay home from work or school if you have a fever or bad cough, or are drowsy after taking medications. This will give you a chance to rest and reduce the chances you’ll infect others. […] Adjust your room’s
  • #1 Post-infectious cough usually treated with home remedies | UCLA Health
    https://www.uclahealth.org/news/article/post-infectious-cough-usually-treated-with-home-remedies
    You’re dealing with a condition known as a post-infectious cough. This can occur in someone recovering from infection with a respiratory virus. Sometimes also referred to as a post-viral cough, the persistent symptoms are as you have described. […] A post-infectious cough often runs its course within a few weeks. It can be irritating, but it is not usually dangerous. The symptoms can be managed with over-the-counter medications and home remedies. These include sucking on a hard candy or cough drop to keep the throat moist and lubricated. Menthol varieties, which cause the mucus membranes to shrink, will briefly slow mucus production. Honey mixed into a warm beverage also has a soothing effect on irritated throat tissues. […] Studies have shown that the warm air of a sauna can ease the constriction associated with a persistent cough. Using a sauna as you recover may bring some relief, as can using a humidifier. The moisture it adds to the air can gives the irritated tissues of the airways a much-needed break. Elevating your upper body with extra pillows at night can keep mucus flowing down the throat rather than into the airways.
  • #1 Managing a pulmonary fibrosis cough | Action for Pulmonary Fibrosis
    https://www.actionpf.org/information-support/managing-a-cough
    Cough is a natural reflex which protects the lungs from irritants and inhalation of foreign matter/particles. […] With pulmonary fibrosis your cough may be dry and tickly, or it can be productive of mucus. Some people with pulmonary fibrosis will have a combination of both dry and productive cough. […] There are currently no approved or licensed treatments for pulmonary fibrosis cough. Your ILD consultant or nurse can take a detailed history of your cough and consider further investigations which may lead to trialling some treatments. […] If your pulmonary fibrosis cough is mucus productive, your doctor may suggest a mucolytic therapy. These treatments help to break up mucus, making it runnier and easier to cough up and clear from the lungs. […] Treating persistent cough in pulmonary fibrosis can be a challenge because cough associated with this condition often doesn’t respond to medication.
  • #1
    https://www.thoracic.org/professionals/career-development/residents-medical-students/ats-reading-list/adult/cough.php
    Gibson P, Wang G, McGarvey L, et al. Treatment of unexplained chronic cough: CHEST guideline and expert panel report. Chest; 2016:149:27-44. This guideline aims to clarify the best evidence for assessment and treatment of unexplained chronic cough (UCC). It highlights the significant morbidity of the condition and the limited evidence available to guide management. PMID: 26426314 Free Full Text […] Vertigan AE, Kapela SL, Ryan NM, et al. Pregabalin and speech pathology combination therapy for refractory chronic cough: a randomized controlled trial. CHEST. 2016; 149:639-48. This RCT of speech therapy with or without pregabalin in 40 patients with chronic refractory cough found improved cough severity, frequency, and quality of life in both groups. However, cough severity and quality of life were significantly better in the combined treatment group. The small sample size and stringent eligibility criteria may limit the generalizability of these findings. PMID: 26447687
  • #1 Chronic Cough Treatment | The University of Kansas Health System
    https://www.kansashealthsystem.com/care/conditions/chronic-cough
    A chronic cough isnt related to specific illness or health concern. […] With the help of our skilled team at The University of Kansas Health System, we can identify the underlying cause of your chronic cough and help you get your life back on track. […] Refractory chronic cough isnt caused by another health condition. Symptoms persist even after having tried multiple treatments. […] Symptomatic chronic cough is when the coughing symptoms are caused by an underlying condition, and the symptoms resolve when that condition is properly treated. […] The treatment to help get rid of your chronic cough will depend on the cause for your coughing. […] Your doctor may recommend different treatments and medications to eliminate your chronic cough: […] Your doctor may also suggest a cough suppressant to help control persistent coughing. However, its important to understand that a cough suppressant will only address the symptom of the cough and wont improve the underlying cause. […] If environmental triggers are a possible cause for your chronic coughing, your doctor may recommend making some lifestyle changes.
  • #1 Types of coughs: Causes and how to treat them
    https://www.medicalnewstoday.com/articles/327142
    Taking antibiotics early can decrease the severity of whooping cough, so an unvaccinated person should contact a healthcare professional as soon as possible if symptoms develop. […] Treatment for chronic cough depends on the underlying cause. However, a person can help manage the cough in the following ways: keeping hydrated, avoiding irritants, such as allergens and tobacco smoke, use a humidifier to moisturize the air, use cough drops to soothe the throat. […] The symptoms of croup are often worse at night, and treatment at home includes: using a humidifier, drinking plenty of warm fluids, getting plenty of rest, taking OTC medication, such as acetaminophen. […] Speaking with a healthcare professional is advisable if: a person with a cough cannot breathe or catch their breath, a chronic cough lasts several weeks, a person with a chronic illness, such as COPD, does not get relief with their usual cough treatment, a person coughs up blood. […] In most cases, a cough will clear on its own, although chronic coughs and coughs in young children or unwell seniors warrant prompt treatment. […] If a person has a cough lasting more than a couple of weeks, they should contact a healthcare professional.
  • #1 Cough: Causes, Diagnosis, Treatment & Conditions
    https://my.clevelandclinic.org/health/symptoms/17755-cough
    You can prevent some kinds of cough by avoiding irritants that you know cause you to cough. […] You can help prevent coughs caused by infections by getting vaccinated for influenza, COVID-19 and pneumonia. […] If you or your child have a chronic disease you should call your healthcare provider for specific advice. […] In general, call your healthcare provider if you have a cough that will not go away and these symptoms: Wheezing (noise when you breathe out). […] Cough is a symptom of COVID-19. It can also be part of a post-COVID syndrome (or long COVID). […] As part of long COVID, a cough can continue for weeks or months after you’ve been infected.
  • #1 Cough suppression therapy: does it work? – PubMed
    https://pubmed.ncbi.nlm.nih.gov/23524013/
    Cough suppression therapy (CST), also known as cough suppression physiotherapy and speech pathology management is a promising non-pharmacological therapeutic option for patients with refractory chronic cough. CST may consist of education, improving laryngeal hygiene and hydration, cough suppression techniques, breathing exercises and counselling. […] There is evidence to support the efficacy of CST: a randomised controlled trial reported a significant reduction in cough symptoms and other studies have reported improved cough related quality of life, reduced cough reflex hypersensitivity and cough frequency. […] The mechanism of action of CST is not clear, but it has been shown to reduce cough reflex sensitivity, paradoxical vocal fold movement (PVFM) and extrathoracic hyperresponsiveness. Further research is needed to determine the optimal components of CST, the characteristics of patients in whom it is most effective and to increase the understanding of its mechanisms of action. The effectiveness of CST in other respiratory conditions such as asthma, pulmonary fibrosis, chronic obstructive pulmonary disease and sarcoidosis should also be investigated.
  • #1 Cough | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/lungs-and-airways/cough/
    A cough is a reflex action to clear your airways of phlegm and irritants such as dust or smoke. Its rarely a sign of anything serious. […] Most coughs clear up within 3 weeks and dont need any treatment. […] Treatment isnt always necessary for short-term coughs because its likely to be a viral infection that will get better on its own within a few weeks. […] You can speak to a pharmacist for advice about coughs and cough treatments. […] Theres no evidence that cough medicines work. […] Over-the-counter cough and cold medicines shouldnt be given to children under the age of 6. […] A homemade remedy containing honey and lemon is likely to be just as useful and safer to take. […] If your cough has a specific cause, treating this may help. […] asthma can be treated with inhaled steroids to reduce inflammation in your airways
  • #1 Cough – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/lung-center/diseases-and-conditions/cough
    Physicians and surgeons who provide cough services at the Brigham and Womens Hospital (BWH) Lung Center provide comprehensive care for patients experiencing a cough. […] Our specialists will provide you with a tailored treatment plan for your cough based on its cause and your medical history. […] Should your cough require medical treatment, your physician may prescribe: […] A multidisciplinary team will work with you every step of the way, from diagnosis through evaluation, to create a cohesive and comprehensive treatment plan. […] Chronic cough patients benefit from the wide range of specialists at The Lung Center, including thoracic surgeons, oncologists, pulmonologists and clinicians from the Voice Program. […] Any recommended surgery or procedure will be performed by an experienced, board-certified surgeon, in collaboration with the treatment team including nurses and physician assistants, all of whom specialize in taking care of patients with name of the disease or condition.
  • #1 Chronic Cough | Mount Sinai – New York
    https://www.mountsinai.org/locations/grabscheid-voice-swallowing-center/conditions/chronic-cough
    Chronic cough is defined as any cough that persists for eight weeks or longer in adults, and it ranks as one of the most common reasons for visiting a physician. […] Our SLP’s have developed a novel cognitive behavioral therapy (CBT)-like treatment to help significantly reduce or, in many cases, eviscerate chronic cough from their lifestyle. […] Our philosophy at the Grabscheid Voice and Swallowing Center is to first treat chronic cough with behavioral intervention. This approach through cognitive behavioral-like therapies is highly effective in the majority of our patients. […] However, some patients are unable to maintain these therapeutic techniques. For example, this can occur if patients are too far from our hospital or are treating more coexisting medical conditions such as degenerative neurological disorders or cancer). In these instances, prescribed medications, ones that are similar and effective in other neurogenic hypersensitivity disorders, may be given to this small percentage of patients to manage symptoms of their chronic cough. […] Our experts realize this is a disruption to patients’ lives and our goal is to redefine direct treatment and eradicate chronic cough once and for all.
  • #2 Cough: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/003072.htm
    Coughing is an important way to keep your throat and airways clear. But too much coughing may mean you have a disease or disorder. […] Here are some tips to help ease your cough: […] Medicines you can buy on your own include: […] Treatment depends on the cause of the cough.
  • #2 Types of coughs: Causes and how to treat them
    https://www.medicalnewstoday.com/articles/327142
    Taking antibiotics early can decrease the severity of whooping cough, so an unvaccinated person should contact a healthcare professional as soon as possible if symptoms develop. […] Treatment for chronic cough depends on the underlying cause. However, a person can help manage the cough in the following ways: keeping hydrated, avoiding irritants, such as allergens and tobacco smoke, use a humidifier to moisturize the air, use cough drops to soothe the throat. […] The symptoms of croup are often worse at night, and treatment at home includes: using a humidifier, drinking plenty of warm fluids, getting plenty of rest, taking OTC medication, such as acetaminophen. […] Speaking with a healthcare professional is advisable if: a person with a cough cannot breathe or catch their breath, a chronic cough lasts several weeks, a person with a chronic illness, such as COPD, does not get relief with their usual cough treatment, a person coughs up blood. […] In most cases, a cough will clear on its own, although chronic coughs and coughs in young children or unwell seniors warrant prompt treatment. […] If a person has a cough lasting more than a couple of weeks, they should contact a healthcare professional.
  • #2 The Four Types Of Cough And Their Treatment | OneWelbeck
    https://onewelbeck.com/news/what-are-the-four-main-types-of-cough-and-how-are-they-treated/
    Coughs are hard to deal with but knowing the type of cough you have can make it easier to treat. […] There are a few commonly known treatments out there that can provide some relief, but they dont always work. […] The type of cough that you have can be classified into one of the above categories. It can also help doctors to determine the type of treatment that you need. […] Typically, dry coughs clear up without medical intervention, and home remedies are enough to help treat them. […] Home remedies for dry coughs include: Drinking plenty of fluids water is best as it will lubricate and hydrate the throat, Sucking on throat lozenges, Eating a spoonful of honey, Use a humidifier to add some moisture to the room. […] Wet coughs will typically go away on their own accord but you still might want to find relief with some home remedies.
  • #2 Cough: productive or 'wet’ cough treatments – myDr.com.au
    https://mydr.com.au/symptoms/cough-productive-or-wet-cough-treatments/
    Physiotherapists can help in the treatment of chesty coughs, especially in people with chronic (ongoing) productive coughs. […] Chest physiotherapy can help loosen mucus and make it easier to cough up. […] If you have a productive cough, try the following self-help measures: drink plenty of fluids, which can help thin the mucus and make it easier to cough up; take a hot, steamy shower to help break down the mucus (phlegm) and make it easier to cough up; and get plenty of rest. […] Do not take a cough suppressant as this suppresses the cough, causing a build-up of mucus (phlegm) in the lungs and increasing the risk of infection.
  • #2 Patient education: Chronic cough in adults (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/chronic-cough-in-adults-beyond-the-basics/print
    Coughing from time to time helps clear particles and secretions from the lungs and helps to prevent infection. However, sometimes a cough can become a chronic condition. A chronic cough is usually defined as a cough that lasts for eight weeks or longer. […] This article discusses the possible causes and treatments of chronic cough in adults. […] Treatment of chronic cough aims to eliminate the underlying cause. Most of the time, each type of treatment is tried separately, one after another, instead of all at the same time. […] Here are some examples of treatment choices for different causes of cough. […] A cough related to postnasal drip may improve with the use of a decongestant, nasal or oral antihistamine, nasal glucocorticoid, or a nasal spray that contains ipratropium. […] If your cough is due to asthma, you will be given the standard treatment for asthma, which includes an inhaled glucocorticoid such as fluticasone (Flovent), budesonide (Pulmicort), or beclomethasone (QVAR).
  • #2 Home Remedies for Dry Cough: 13 Remedies and When to See a Doctor
    https://www.healthline.com/health/cold-flu/home-remedies-for-dry-cough
    Turmeric contains curcumin, a compound that may have anti-inflammatory, antiviral, and antibacterial properties. It may also be beneficial for several conditions, including a dry cough. […] Ginger has antibacterial and anti-inflammatory properties. […] Marshmallow root is a type of herb. Its used in cough syrup and in lozenges to soothe dry cough. […] Peppermint contains menthol, which helps to numb nerve endings in the throat that become irritated by coughing. This may provide pain relief and reduce the urge to cough. […] Aromatherapy is the practice of using essential oils to soothe and heal. […] Eucalyptus essential oil may help ease dry cough by working as a decongestant. […] Dry air can aggravate a dry cough. Humidifiers put moisture into the air, which can provide relief.
  • #2 Best Cough Medicine: A Complete Guide
    https://www.verywellhealth.com/choosing-over-the-counter-cough-medications-770663
    Despite their popularity, a growing body of research suggests that cough suppressants aren’t particularly effective, especially in children’s medications. […] If you have a productive (’wet”) cough, it is usually more beneficial to cough mucus out of your lungs rather than trying to suppress a cough. […] An expectorant is a type of drug that breaks up and thins respiratory mucus so that it is easier to cough up. […] Guaifenesin is the only expectorant approved for use in the United States. […] Dextromethorphan and guaifenesin are often combined into multi-symptom cough formulas, most often as syrups or capsules. […] Cough medicines are generally safe but aren’t appropriate for everyone. […] Dextromethorphan should generally be avoided in people with severe asthma, chronic obstructive pulmonary disease (COPD), or pneumonia.
  • #2 Cough management: a practical approach
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3205006/
    Among these peripherally acting anti-tussives, such as levodropropizine and moguisteine, have been recommended when symptomatic relief of a chronic or persistent cough is indicated. […] The American College of Chest Physicians (ACCP) issued their evidence based „Guidelines on Cough” in 2006, which state that anti-tussive drugs related with therapy of acute or chronic bronchitis showing the highest level of benefit were levodropropizine and moguisteine, that act through a peripheral mechanism, while the central antitussive drugs such as codeine and dextromethorphan showed a lower level of benefit.
  • #2 Cold and Cough Medicines: MedlinePlus
    https://medlineplus.gov/coldandcoughmedicines.html
    Do not give cold or cough medicines to children under two, and don’t give aspirin to children. […] If you decide that you don’t want to take cold and cough medicines, there are other ways to feel better: Drink lots of fluids, Get plenty of rest, Use a cool mist humidifier, Use saline nose drops or sprays, Use nasal suctioning with a bulb syringe, which can be very helpful in children under a year old.
  • #2 List of 183 Cough Medicines & Tablets Compared
    https://www.drugs.com/condition/cough.html
    There are four main classes of cough medicines: cough suppressants, expectorants, mucolytics, and natural remedies. These may be available in syrups, lozenges, tablets, or capsules, and in combination with other ingredients or by themselves. […] Cough suppressants may help with a dry cough, and are thought to act on the cough reflex but there is not much evidence to show that they actually work. […] Expectorants may help with a productive, chesty cough and lubricate the airway to help loosen up mucus and make it easier to cough up. […] Mucolytics thin mucus and can help with a chesty or productive cough by making it easier to cough the mucus out and they may also reduce cough frequency. […] Most cough preparations contain medicines that are not recommended for use in children aged under six years.
  • #2 Chronic Cough Treatment | The University of Kansas Health System
    https://www.kansashealthsystem.com/care/conditions/chronic-cough
    A chronic cough isnt related to specific illness or health concern. […] With the help of our skilled team at The University of Kansas Health System, we can identify the underlying cause of your chronic cough and help you get your life back on track. […] Refractory chronic cough isnt caused by another health condition. Symptoms persist even after having tried multiple treatments. […] Symptomatic chronic cough is when the coughing symptoms are caused by an underlying condition, and the symptoms resolve when that condition is properly treated. […] The treatment to help get rid of your chronic cough will depend on the cause for your coughing. […] Your doctor may recommend different treatments and medications to eliminate your chronic cough: […] Your doctor may also suggest a cough suppressant to help control persistent coughing. However, its important to understand that a cough suppressant will only address the symptom of the cough and wont improve the underlying cause. […] If environmental triggers are a possible cause for your chronic coughing, your doctor may recommend making some lifestyle changes.
  • #2 Chronic Cough: Evaluation and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/1101/p575.html
    Although chronic cough in adults (cough lasting longer than eight weeks) can be caused by many etiologies, four conditions account for most cases: upper airway cough syndrome, gastroesophageal reflux disease/laryngopharyngeal reflux disease, asthma, and nonasthmatic eosinophilic bronchitis. […] Patients with refractory chronic cough may warrant referral to a pulmonologist or otolaryngologist in addition to a trial of gabapentin, pregabalin, and/or speech therapy. […] In adults with chronic cough, initial evaluation should focus on the most common causes: upper airway cough syndrome, gastroesophageal or laryngopharyngeal reflux disease, asthma, and nonasthmatic eosinophilic bronchitis. Other causes to consider include angiotensin-converting enzyme inhibitor use, environmental triggers, tobacco use, and chronic obstructive pulmonary disease.
  • #2 Chronic Cough: Evaluation and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/1101/p575.html
    Nonasthmatic eosinophilic bronchitis is characterized by chronic cough in patients with no symptoms or objective evidence of variable airflow obstruction, normal airway responsiveness on a methacholine inhalation test, and sputum eosinophilia. […] It does not respond to inhaled bronchodilators, but should respond to inhaled corticosteroids. […] Consensus guidelines recommend empiric therapy for at least eight weeks in conjunction with lifestyle changes such as dietary changes and weight loss. […] Patients with unexplained chronic cough after evaluation and treatment of common causes should be referred to a pulmonologist or otolaryngologist. […] Therapies included gabapentin (Neurontin, 1,800 mg per day), which improved symptoms within four weeks; pregabalin (Lyrica, 300 mg per day) in conjunction with speech therapy, which showed greater improvement vs. placebo with speech therapy; and speech and language therapy alone. […] Chronic cough in children younger than 15 years is defined as cough lasting more than four weeks. […] Treatment consists of a two-week course of an appropriate antibiotic, such as amoxicillin/clavulanate (Augmentin).
  • #2 Dr Laurie Slovarp Outlines the Benefits of Behavioral Cough Suppression Therapy
    https://www.ajmc.com/view/dr-laurie-slovarp-outlines-the-benefits-of-behavioral-cough-suppression-therapy
    And what we find is that, particularly patients who are pretty effective at suppressing their cough, within sometimes even just a few days, they’re being triggered less often. […] So the goal of the therapy is to stimulate their own nervous system to change and to become less sensitive, so that they’re not being triggered to cough so often. […] So, we also in therapy address the tension in the voice, because that also tends to calm down the problem with the cough.
  • #2 Home Remedies for Cough in Kids – Children’s Health
    https://www.childrens.com/health-wellness/home-remedies-for-cough-in-kids-infographic
    Over-the-counter cough and cold medicines are not recommended for young children. […] Nazima Zakhidova, M.D., pediatrician at Children’s Health, shares nine home remedies for cough in babies and young children. […] Encourage your child to drink plenty of fluids. Staying well-hydrated can help children fight off colds. Drinking warm liquids such as caffeine-free tea, broth or hot water with lemon can help relieve a cough by loosening up mucus and soothing a sore throat. […] Consider placing a cool-mist humidifier in your child’s room, near where they sleep. This can help ease their cough by moisturizing the throat, reducing throat irritation and making your child more comfortable. […] Let your child breathe in water vapors from a warm bath or shower. This can help loosen mucus and, as a bonus, calm your child before bed.
  • #2 Cough
    https://www.rch.org.au/kidsinfo/fact_sheets/cough/
    Cough is a very common problem for children. The most common cause of cough is a respiratory tract infection, such as a cold. Young children usually have six to 12 respiratory tract infections per year, usually caused by viruses. […] Antibiotics don’t help with coughs caused by viruses. Sometimes, children may cough for many weeks after a viral infection this is called a post-viral cough and, again, antibiotics are usually no help. […] Occasionally a cough may be caused by a bacterial infection in the throat or chest. In these cases, antibiotics may be prescribed by your doctor to treat a bacterial infection. […] Cough medicines are not useful in treating cough in children; in fact, recent studies suggest that some cough medicines may be harmful to younger children. Cough medicines should not be used in children younger than six years old.
  • #2 Cough: Causes, Emergency Symptoms, Treatment, Prevention
    https://www.healthline.com/health/cough
    A cough can be treated in a variety of ways, depending on the cause. Healthy adults will mostly be able to treat their coughs with home remedies and self-care. […] A cough that results from a virus cant be treated with antibiotics. You can soothe it in the following ways instead: Keep hydrated by drinking plenty of water. Elevate your head with extra pillows when sleeping. Use cough drops to soothe your throat. Gargle with warm salt water regularly to remove mucus and soothe your throat. Avoid irritants, including smoke and dust. Add honey or ginger to hot tea to relieve your cough and clear your airway. Use decongestant sprays to unblock your nose and ease breathing. […] Typically, medical care will involve a doctor looking down your throat, listening to your cough, and asking about any other symptoms. If your cough is likely due to a bacterial infection, the doctor will prescribe oral antibiotics. They may also prescribe either cough suppressants that contain codeine or expectorant cough syrups.
  • #2 Managing a pulmonary fibrosis cough | Action for Pulmonary Fibrosis
    https://www.actionpf.org/information-support/managing-a-cough
    If your cough is dry, unproductive and persistent a respiratory physiotherapist /speech and language therapist will be able to advise on additional cough suppression techniques which may be helpful in controlling it. […] If your cough produces regular mucus/phlegm which is difficult to manage, it would be helpful for you to learn how to clear this effectively and in a controlled manner. Techniques such as Active Cycle of Breathing can be helpful in achieving this.
  • #2
    https://www.thoracic.org/professionals/career-development/residents-medical-students/ats-reading-list/adult/cough.php
    Chamberlain Mitchell, Garrod R, Clark L, et al. Physiotherapy, and speech and language therapy intervention for patients with refractory chronic cough: a multicentre randomised control trial. Thorax. 2017; 72:129-136. RCT of 34 patients with refractory cough found the combination of physiotherapy, speech and language therapy reduced cough frequency and improved health related quality of life. This trial highlights the potential benefit of non-pharmacologic therapy for refractory chronic cough. PMID: 27682331
  • #2 Cough – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/lung-center/diseases-and-conditions/cough
    Physicians and surgeons who provide cough services at the Brigham and Womens Hospital (BWH) Lung Center provide comprehensive care for patients experiencing a cough. […] Our specialists will provide you with a tailored treatment plan for your cough based on its cause and your medical history. […] Should your cough require medical treatment, your physician may prescribe: […] A multidisciplinary team will work with you every step of the way, from diagnosis through evaluation, to create a cohesive and comprehensive treatment plan. […] Chronic cough patients benefit from the wide range of specialists at The Lung Center, including thoracic surgeons, oncologists, pulmonologists and clinicians from the Voice Program. […] Any recommended surgery or procedure will be performed by an experienced, board-certified surgeon, in collaboration with the treatment team including nurses and physician assistants, all of whom specialize in taking care of patients with name of the disease or condition.
  • #2 10 Tips for Calming Your Cough
    https://www.webmd.com/cold-and-flu/ss/slideshow-cough-treatments
    An antihistamine medicine may help. […] If you light up, chances are you cough, especially in the morning. […] If yours lasts longer than 8 weeks, a number of things could be to blame. […] For a long-lasting cough, call your doctor if: You have a deep cough with lots of mucus. […] Youre still coughing after 7 days without getting better.
  • #2 Top Natural Cough Remedies You Must Try for Fast Relief! | Medanta | Medanta
    https://www.medanta.org/patient-education-blog/the-best-natural-cough-remedies
    Before you choose the natural cough remedy, it is essential to know the causes of the cough and whether the cough is due to some serious illness. […] Here are some tips and remedies for treating cough at home: […] Ginger is a well-known spice and is commonly used in food for its unique flavour. It helps to widen your airways and eases breathing. Add ginger to hot tea or simply boil it with cinnamon, anise, and tulsi to make a decoction. Sip it when it’s hot, and relax. It is a relaxing and rejuvenating experience, and also helps to cure cough due to indigestion. […] Honey is a traditional medicine that helps in reducing mucus production. It contains antioxidants that help soothe the inflamed throat and control coughing. […] Turmeric is natures gift as a spice due to its medicinal value and strong antioxidant and antiseptic actions. A pinch of turmeric powder added to warm milk at night can control mucus production, soothe the sore throat, and control cough.
  • #2 Treating and Managing Chronic Cough | American Lung Association
    https://www.lung.org/lung-health-diseases/lung-disease-lookup/chronic-cough/treating-and-managing
    A diagnosis of chronic cough can be both confirming and frustrating. […] If your cough is identified as being caused by a specific medical condition such as asthma, COPD, pulmonary fibrosis, sinus drainage issues, nasal polyps, gastroesophageal reflux (GERD) there may be specific treatments prescribed by your healthcare provider that can be helpful in getting rid of the cough or at least making it more manageable. […] Lifestyle changes are not a cure for your chronic cough but may help in managing your cough. […] While a chronic cough can feel isolating, you are not alone. […] You may qualify to participate in a clinical trial, a regulated research study in which people volunteer to test new treatments or therapies. […] Better Breathers Clubs teach you ways to cope with lung disease and provide support from others who share in your struggles.
  • #2 A cough that won’t go away: Evaluation and treatment in 2 patients | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/87/2/83
    Neuromodulators are most often the first-line treatment for unexplained chronic cough. […] Behavioral cough suppression therapy is a good option for patients with unexplained chronic cough and is recommended by current guidelines. […] Superior laryngeal nerve block is an emerging office-based treatment, but it is unknown how many injections are needed for cough suppression. […] Botulinum toxin type A is another agent thought to lessen laryngeal hypersensitivity and hyperactivity. […] Morphine and codeine have a long history of use as centrally acting cough suppressants. […] After discussing treatment options with the patient, we decide to start a trial of gabapentin. […] If the patient does not respond to neuromodulators or wishes to pursue other options, it may be beneficial to recommend a trial of an opioid, behavioral cough suppression therapy, laryngeal botulinum toxin injections, or superior laryngeal nerve block. […] Numerous alternative therapies have shown promise in treating unexplained chronic cough. More research is warranted toward developing the ideal treatment.
  • #3 Diagnosing and Treating Cough | American Lung Association
    https://www.lung.org/lung-health-diseases/warning-signs-of-lung-disease/cough/diagnosing-treating
    Coughing is very common. Most of us have and will have episodes of lingering cough through our lives. But it can also be a symptom of many different medical conditions. It is important to take note of the duration, type and features of your cough as well as any other symptoms of illness. […] The treatment of your cough depends on its cause. Luckily, the vast majority of coughs are caused by mild upper respiratory tract infections such as the common cold, and so they will go away on their own. If a cough doesn’t go away though, the cause may be more serious and a doctor should be consulted. […] Over-the-counter medication can help decrease symptoms of an upper respiratory infection, while more serious conditions such as COPD or asthma exacerbations usually require inhalers and other treatment. The use of cough drops, hard candy or honey can help soothe dry cough and sore throat. A vaporizer or a steamy shower can help decrease nasal congestion and soothe the throat and airway that are chronically irritated from persistent coughing. […] If your cough is caused by allergies or a specific irritant, avoid or reduce your exposure to it. Smoking can also be an irritant so avoid secondhand smoke and quit smoking if you are a smoker.
  • #3 Home Remedies for Dry Cough: 13 Remedies and When to See a Doctor
    https://www.healthline.com/health/cold-flu/home-remedies-for-dry-cough
    Antitussive cough medications work by diminishing the cough reflex. This alleviates the desire to cough, making them especially beneficial for dry coughs. […] Cough drops are medicated lozenges designed to lubricate and soothe irritated throat tissues. […] Dry coughs usually stop on their own. However, if your cough is accompanied by other symptoms, see your doctor. […] If home remedies dont help, you may need to see a doctor for stronger medication. […] There are several highly effective at-home treatments that can alleviate your cough.
  • #3 Best Cough Medicine: A Complete Guide
    https://www.verywellhealth.com/choosing-over-the-counter-cough-medications-770663
    Guaifenesin should also be used with caution in people with severe asthma or COPD unless under the supervision of a healthcare provider. […] The American Academy of Family Physicians advises against OTC cough medicines for children under 6 due to the risk of accidental poisoning. […] Cough medicines for adults include cough suppressants, expectorants, and multi-symptom cough formula. […] Dextromethorphan is the suppressant used in OTC remedies that acts on the brain to suppress the cough reflex. […] Guaifenesin is the OTC expectorant that thins mucus so you can cough it up. […] These drugs can be co-formulated in multi-symptom remedies along with antihistamines, decongestants, and pain relievers. […] Cough medicines should not be used in children under 6 years.
  • #3 How to Stop Coughing: Home Remedies and Tips
    https://www.medicinenet.com/how_to_stop_coughing/article.htm
    If your dry cough lasts longer than a few weeks or is followed by other symptoms such as fever, shortness of breath, or chest pain, you should contact your health care provider. […] Cough often is not serious, but in some situations, you should see a doctor and not try to treat the cough on your own. If you have a cough and the following symptoms, see your doctor: […] To determine the underlying cause of your persistent cough, your doctor may recommend multiple tests, including: […] Each of these tests provides valuable information about the possible reasons for the cough, enabling the health care provider to tailor treatment accordingly.
  • #3 Chronic Cough: Evaluation and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2017/1101/p575.html
    In patients with refractory chronic cough, referral to a pulmonologist or otolaryngologist should be considered, as well as a trial of gabapentin (Neurontin), pregabalin (Lyrica), or speech therapy. […] The diagnostic approach should focus on detection and treatment of the four most common causes of chronic cough in adults: upper airway cough syndrome (UACS), asthma, nonasthmatic eosinophilic bronchitis, and gastroesophageal reflux disease (GERD)/laryngopharyngeal reflux disease. […] If a specific cause is identified, therapy should be started; otherwise, initial treatment includes a decongestant combined with a first-generation antihistamine. […] Treatment usually includes an inhaled bronchodilator and high-dose inhaled corticosteroid. […] For severe or refractory cough, a five- to 10-day course of prednisone, 40 to 60 mg, or equivalent oral corticosteroid can be considered if asthma is strongly suspected.
  • #3 A cough that won’t go away: Evaluation and treatment in 2 patients | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/87/2/83
    A 65-year-old man presents with a dry, nonproductive cough, which he has had for 10 months. He describes it as very intrusive, as it limits his effectiveness in his work. […] A second patient, a 48-year-old woman, presents with a similar history of nonproductive cough for 8 months. […] While all of the above are important in the diagnosis of chronic cough, collecting an extensive history is a crucial first step to rule out the most common causes of chronic cough and should always be done. […] These drugs are a common treatment for hypertension and are well known to cause a persistent dry cough. […] Cough from postnasal drip, otherwise known as upper airway cough syndrome (UACS), is the most common cause of chronic cough seen in respiratory clinics, contributing to 26% to 87% of US cases.
  • #3 Home Remedies for Cough in Kids – Children’s Health
    https://www.childrens.com/health-wellness/home-remedies-for-cough-in-kids-infographic
    A child may breathe through their mouth when they have a stuffy nose, which can irritate their throat and lead to coughing. […] Reducing your child’s nasal congestion may help reduce their cough. […] A teaspoon of honey can help combat coughing and soothe your child’s throat. This cough remedy is only recommended for children over age 1. […] Gargling salt water can help relieve a sore throat and reduce mucus and congestion. […] Propping up your child’s head with an extra pillow or two may help reduce their cough at night. […] Encourage your child to get plenty of rest and sleep to promote healing. […] If your child’s cough lingers, is accompanied by symptoms such as a high fever or difficulty breathing, or you are concerned that it may be a sign of a more serious illness, contact your child’s pediatrician as soon as possible.
  • #3 Cough
    https://www.rch.org.au/kidsinfo/fact_sheets/cough/
    Children older than six should only take cough medicines on the advice of a health professional. However, there is no scientific evidence that cough medicines will be helpful. […] There is some evidence that honey may reduce the severity and duration of a cough. As a short-term solution, one to two teaspoons of honey taken 30 minutes before bedtime may be helpful for children older than 12 months. Honey should be avoided in children less than 12 months old, because there may be a risk of a rare condition called botulism, which causes muscle weakness. […] Most coughs don’t require treatment, and will not respond to antibiotics. […] Cough medicines are of no proven benefit and may be harmful to children under the age of six years. […] Honey may be helpful, but should only be used in children over 12 months old.
  • #3 Quick Relief with Cough Treatment Near Me – Intercoastal Medical Group
    https://www.intercoastalmedical.com/2025/03/28/quick-relief-with-cough-treatment-near-me/
    This comprehensive approach allows your doctor to identify the root cause of your cough, ensuring you receive the appropriate treatment. […] Family doctors take a personalized and comprehensive approach to treating persistent coughs, focusing on identifying and addressing the root cause. […] Treatment options can range from medication therapy to simple lifestyle changes. […] Medication therapy for cough treatment involves using targeted options to address specific causes and symptoms. […] Cough suppressants, like dextromethorphan, help block the cough reflex and relieve dry, irritating coughs. […] For allergy or postnasal drip-related causes, antihistamines and decongestants are often recommended. […] Asthma-related coughs may also require inhaled corticosteroids or bronchodilators to reduce airway inflammation and improve breathing.
  • #3 How to Stop a Bad Cough, Day or Night
    https://www.everydayhealth.com/cold-and-flu/cough-relief/
    Elevating your head can help counteract the problem. […] To start the night off with a clear throat, try gargling with a warm saltwater solution. This can lessen coughing by calming throat irritation, loosening thick mucus, and removing irritants from the throat. […] If you just cant shake your cough after a few weeks or youre experiencing wheezing, fever, shortness of breath, or persistent pain or pressure in your chest, see your doctor, says Dr. Carrasquillo.
  • #3 Chronic Cough | Canadian Lung Association
    https://www.lung.ca/lung-health/lung-diseases/chronic-cough
    Behaviour modification therapy, typically delivered by speech and language therapists, involves teaching people to have more control over their cough symptoms. […] If you smoke, the best thing you can do is quit. […] There is help available for you. […] You should do what you can to keep yourself from getting infections that can make your cough worse. […] Even if you smoke, a chronic cough is not normal. […] Speak to your healthcare provider. […] Your healthcare team should include your primary care provider and your pharmacist. […] If a child has a cough that lasts more than four weeks, they may be diagnosed with a chronic cough.
  • #4 A cough that won’t go away: Evaluation and treatment in 2 patients | Cleveland Clinic Journal of Medicine
    https://www.ccjm.org/content/87/2/83
    Neuromodulators are most often the first-line treatment for unexplained chronic cough. […] Behavioral cough suppression therapy is a good option for patients with unexplained chronic cough and is recommended by current guidelines. […] Superior laryngeal nerve block is an emerging office-based treatment, but it is unknown how many injections are needed for cough suppression. […] Botulinum toxin type A is another agent thought to lessen laryngeal hypersensitivity and hyperactivity. […] Morphine and codeine have a long history of use as centrally acting cough suppressants. […] After discussing treatment options with the patient, we decide to start a trial of gabapentin. […] If the patient does not respond to neuromodulators or wishes to pursue other options, it may be beneficial to recommend a trial of an opioid, behavioral cough suppression therapy, laryngeal botulinum toxin injections, or superior laryngeal nerve block. […] Numerous alternative therapies have shown promise in treating unexplained chronic cough. More research is warranted toward developing the ideal treatment.
  • #4 Cough | Home Care Advice | Patient Resources | Post Road Pediatrics | Practices | Alliance | Boston Children’s Hospital
    https://www.childrenshospital.org/alliance/practices/post-road-pediatrics/patient-resources/home-care-advice/cough
    A Cough is produced when the body suddenly forces air and secretions from the lungs. It is very important in protecting the lungs against pneumonia. This means we want to encourage a productive cough, not turn it off. […] OTC cough medicines are not recommended. They have no proven benefit for children, and are not approved by the FDA in children under 6 years old. […] Honey has been shown to work better, but may only be used in patients ages 1 Year Old and up. […] Encourage your child to drink adequate fluids to prevent dehydration. This will also thin out the nasal secretions and loosen the phlegm in the airway. […] Viral coughs usually last for 2 to 3 weeks. In cases of viral infection, antibiotics are not helpful. Your child may cough up lots of phlegm (mucus). The mucus will normally be gray, yellow, or green.
  • #4 Quick Relief with Cough Treatment Near Me – Intercoastal Medical Group
    https://www.intercoastalmedical.com/2025/03/28/quick-relief-with-cough-treatment-near-me/
    Breathing treatments are an effective method for relieving cough symptoms and improving respiratory health. […] Options such as nebulizers and inhalers deliver medication directly to the lungs to reduce inflammation and relax tight airways. […] Lifestyle changes play a crucial role in managing a persistent cough and supporting overall respiratory health. […] Preventive care plays a vital role in reducing the risk of a persistent cough and promoting long-term respiratory health. […] Intercoastal Medical Group is dedicated to providing exceptional care for patients dealing with persistent coughs. […] With a comprehensive approach, our team of experienced medical professionals focuses on not only alleviating symptoms but also identifying and treating the underlying causes to ensure long-term relief. […] Whether it is through medication therapy, breathing treatments, or lifestyle recommendations, our goal is to restore respiratory health and enhance overall quality of life.