To those with chronic coughing, diagnosed with mild GERD, and taking Lisinopril

January 10, 2019, 10:35 PM

We cardiologists have known about cough from ACE inhibitors (lisinopril and others in this class) for probably 25 years; there's no real excuse for a primary care physician not to know that this perhaps most widely used antihypertensive medication has as its primary and very common adverse effect a nagging dry cough.
Yes in almost all cases it is improved by switching an angiotensin receptor blocker (ARB) such as losartan or candesartan.

Sorry it took so long for that problem--which, again, should have been easily recognized--to be discovered.

And yes, GERD can also cause a cough, also clearing of the throat; but that's often worse when lying down.

January 10, 2019, 10:41 PM

Rey HRH

quote:
Originally posted by msfzoe:
Has your gastroenterologist performed an EGD?

If you're talking to me, I went to an ENT who stuck some camera pipe down my throat via my nose. It wasn't but a few minutes; I was surprised he billed and got paid $300 for that.

He saw some irritation and came up with that explanation. I think the irritation was from my coughing. And my coughing was pretty bad, I would choke up until i got a ricola in my mouth. water didn't work, working up spit didn't work.

"It did not really matter what we expected from life, but rather what life expected from us. We needed to stop asking about the meaning of life, and instead to think of ourselves as those who were being questioned by life – daily and hourly. Our answer must consist not in talk and meditation, but in right action and in right conduct. Life ultimately means taking the responsibility to find the right answer to its problems and to fulfill the tasks which it constantly sets for each individual." Viktor Frankl, Man's Search for Meaning, 1946.

January 10, 2019, 10:45 PM

Rey HRH

quote:
Originally posted by sjtill:
We cardiologists have known about cough from ACE inhibitors (lisinopril and others in this class) for probably 25 years; there's no real excuse for a primary care physician not to know that this perhaps most widely used antihypertensive medication has as its primary and very common adverse effect a nagging dry cough.
Yes in almost all cases it is improved by switching an angiotensin receptor blocker (ARB) such as losartan or candesartan.

Sorry it took so long for that problem--which, again, should have been easily recognized--to be discovered.

And yes, GERD can also cause a cough, also clearing of the throat; but that's often worse when lying down.

I like my doctor but sh*t!. I went to her specifically because I was coughing. She's the one who prescribed the lisinopril. I don't know if she recommended it or I decided to go see an ENT instead for the wrong diagnosis of chronic mild acid reflux.

I suppose that's why it's called a practice.

January 10, 2019, 10:55 PM

KMitch200

quote:
Originally posted by Rey HRH:
I like my doctor but sh*t!. I went to her specifically because I was coughing.

It really pays to have a doc that has functioning ears!

January 11, 2019, 12:21 PM

Oz_Shadow

Some of those BP meds, or add-on meds will also lease you with problems with your performance in other areas. Meds like those thiazides

January 11, 2019, 12:49 PM

quote:
Originally posted by Oz_Shadow:
Some of those BP meds, or add-on meds will also lease you with problems with your performance in other areas. Meds like those thiazides

.

That’s why you have to educate yourself BEFORE you walk into the doctor’s office.