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Review
. 2020 Mar 27;69(Suppl 1):S81-S92.
doi: 10.33549/physiolres.934406.

Drug-Induced Cough

Affiliations
Review

Drug-Induced Cough

J-S Shim et al. Physiol Res. .

Abstract

Since the recognition of angiotensin-converting enzyme inhibitors (ACEIs)-induced cough, drug has been considered as a potential cause of chronic cough. This review presents recent knowledge on drug-induced coughs in patients with chronic cough. The focus is placed on ACEIs, for which there are a multitude of studies documenting their associations with cough. Additional drugs are discussed for which there are reports of cough as a side effect of treatment, and the potential mechanisms of these effects are discussed.

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Conflict of interest statement

Conflict of Interest

There is no conflict of interest.

Figures

Fig. 1
Fig. 1
Schematic presentation of drug-induced cough reflex hypersensitivity
Fig. 2
Fig. 2
Effects of angiotensin converting enzyme inhibitors on blood pressure and cough. Angiotensin-converting enzyme (ACE) mediates the conversion of angiotensin I to angiotensin II, but also it is involved in the degradation of bradykinin and substance P; thus, the inhibition of ACE may lead to undesired respiratory tract sensitivity including cough.

References

    1. AGARWAL A, AZIM A, AMBESH S, BOSE N, DHIRAJ S, SAHU D, SINGH U. Salbutamol, beclomethasone or sodium chromoglycate suppress coughing induced by iv fentanyl. Can J Anaesth. 2003;50:297–300. doi: 10.1007/BF03017801. - DOI - PubMed
    1. AHREN B, JOHNSON SL, STEWART M, CIRKEL DT, YANG F, PERRY C, FEINGLOS MN HARMONY STUDY GROUP. HARMONY 3: 104-week randomized, double-blind, placebo- and active-controlled trial assessing the efficacy and safety of albiglutide compared with placebo, sitagliptin, and glimepiride in patients with type 2 diabetes taking metformin. Diabetes Care. 2014;37:2141–2148. doi: 10.2337/dc14-0024. - DOI - PubMed
    1. AI Q, HU Y, WANG Y, WU S, QIN Z, WANG J, WANG G, ZHANG J, AN M. Pentazocine pretreatment suppresses fentanyl-induced cough. Pharmacol Rep. 2010;62:747–750. doi: 10.1016/S1734-1140(10)70333-9. - DOI - PubMed
    1. ALHARBI FF, KHOLOD AAV, SOUVEREIN PC, MEYBOOM RH, DE GROOT MCH, DE BOER A, KLUNGEL OH. The impact of age and sex on the reporting of cough and angioedema with renin-angiotensin system inhibitors, a case/noncase study in VigiBase. Fundam Clin Pharmacol. 2017;31:676–684. doi: 10.1111/fcp.12313. - DOI - PubMed
    1. ARJONA FERREIRA JC, CORRY D, MOGENSEN CE, SLOAN L, XU L, GOLM GT, GONZALEZ EJ, DAVIES MJ, KAUFMAN KD, GOLDSTEIN BJ. Efficacy and safety of sitagliptin in patients with type 2 diabetes and ESRD receiving dialysis: a 54-week randomized trial. Am J Kidney Dis. 2013;61:579–587. doi: 10.1053/j.ajkd.2012.11.043. - DOI - PubMed