Cough, dry

ADMINISTERING ACE INHIBITORS. The nurse administers captopril and moexipril 1 hour before or 2 hours after meals to enhance absorption. Some patients taking an ACE inhibitor experience a dry cough that does not subside until the drug therapy is discontinued. This reaction may need to be tolerated. If the cough becomes too bothersome, the primary care provider may discontinue use of the drug. 

Patients may have end-expiratory wheezing and dry cough. Laboratory Tests... 

A 39-year-old male with chronic steroid-dependent asthma who recently relocated to Phoenix, Arizona presents with a 4-week history of increasing fever, dry cough, and pain upon deep inspiration. He also reports arthralgias and night sweats over the last 3 weeks. A chest radiograph reveals a small area of consolidation in the left lower lobe and some hilar adenopathy. Otherwise, all other routine tests and cultures appear negative. 

Shortness of breath, dry cough, chest pressure (patients with mediastinal mass)... 

Treatment with these doses of radiotherapy involves toxicity. Both acute and late effects of radiotherapy occur. Acute effects of mantle-field irradiation include nausea, vomiting, anorexia, xerostomia, dysguesia, pharyngitis, dry cough, fatigue, diarrhea,... 

The answer is d. (Hardman, p 7502) The most consistent of the toxicides of ACT inhibitors is impairment of renal function, as evidenced by proteinuria. Elevations of blood urea nitrogen (BUN) and creatinine occur frequently, especially when stenosis of the renal artery or severe heart failure exists Hyperkalemia also may occur These drugs are to be used very cautiously where prior renal failure is present and in the elderly Other toxicides include persistent dry cough, neutropenia, and angioedema. Hepatic toxicity has not been reported... 

Signs and Symptoms Diagnosis of psittacosis can be difficult. There is a variable clinical presentation but may include fever, headache, muscle pain (myalgia), chills and upper or lower respiratory tract disease, and dry cough. Pneumonia is often evident in chest x-rays. 

A persistent dry cough occurs in up to 20% of patients and is thought to be due to inhibition of bradykinin breakdown. 

ARBs appear to have the lowest incidence of side effects compared with other antihypertensive agents. Because they do not affect bradykinin, they do not cause a dry cough like ACE inhibitors. Like ACE inhibitors, they may cause renal insufficiency, hyperkalemia, and orthostatic hypotension. Angioedema is less likely to occur than with ACE inhibitors, but crossreactivity has been reported. ARBs should not be used in pregnancy. 

In AIDS patients, the infection is often insidious, and the patient may be unaware of the seriousness of his illness. A dry cough is common, and a progressive shortness of breath indicates poor lung function. 

Codeine, dextromethorphan and pholcodine are opioid cough suppressants indicated for dry cough. Sedating antihistamines, such as diphenhydramine, tend to have an antitussive action as well. Vitamin C is not used in the management of cough but may be used as a prophylaxis against colds. 

Undesired effects. The magnitude of the antihypertensive effect of ACE inhibitors depends on the functional state of the RAA system. When the latter has been activated by loss of electrolytes and water (resulting from treatment with diuretic drugs), cardiac failure, or renal arterial stenosis, administration of ACE inhibitors may initially cause an excessive fall in blood pressure. In renal arterial stenosis, the RAA system may be needed for maintaining renal function and ACE inhibitors may precipitate renal failure. Dry cough is a fairly frequent side effect, possibly caused by reduced inactivation of kinins in the bronchial mucosa. Rarely, disturbances of taste sensation, exanthema, neutropenia, proteinuria, and angioneurotic edema may occur. In most cases, ACE inhibitors are well tolerated and effective. Newer analogues include lisinopril, perindo-pril, ramipril, quinapril, fosinopril, benazepril, cilazapril, and trandolapril. 

A man accidentally exposed to residual spray of undetermined concentration had dry cough, and his nasal and pharyngeal mucosa were red and edematous. ... 

Anthrax A (Bacillus anfhracis) Animals— herbivores 1-5 days No Standa d (invasive procedures should be avoided) Inhalation— fever, dry cough,resp distress, meningitis cutaneous-skin ulcer Dea h may occur about 24-36 h post exposure Ciprofloxacin, doxycycline A vaccine is available... 

Hypotension, in particular in combination with diuretics, is a well-known adverse reaction to ACE-inhibitors when used in patients with heart failure. Dry cough, possibly mediated by the accumulation of bradykinin, is also a well-known side-effect in 5-15% of the patients treated with an ACE-inhibitor. Impaired renal function may be worsened by ACE-inhibitors. Allergic reactions, sometimes rather intense, may be observed occasionally. In rare cases angioneurotic edema has been described. ACE inhibitors should be avoided in women who are likely... 

Cough may be dry or productive. A centrally acting cough suppressant can be tried in dry cough first choice treatment is noscapine which is safer and has less adverse reactions than codeine and ethyl morh-pine. 

A. Although many drugs can evoke a reaction such as a rash, a rash and a dry cough are well-recognized side effects of angiotensin converting enzyme... 

May cause allered lasle perceplion or cough persislenl dry cough usually does nol subside unless medicalion is slopped... 

Pharyngitis, rhinitis, headache, fatigue, diarrhea, nausea, dry cough, peripheral... 

May cause altered taste percept ion or cough persistent dry cough usually does not subside unless medication is stopped notify clinician if these symptoms persist... 

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