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Having been on ramipril for a year, I developed a dreadful cough - so bad it felt as though my throat was swelling up and choking me so I was 'gulping' for breath and somtimes retching. After a few weeks I went to my GP who said it was a post viral sensitivity cough (I had just had a viral upper respiratory tract infection, which I suspect triggered it). Two months later it was still there so another GP suggested silent reflux or asthma and put me on antacids which didn't help. It then got to the stage that the minute I started to cough I would vomit, so back to the GP for an inhaler for asthma which didn't help.
I then read about whooping couch - paroxysmal coughing, occasional whooping, vomiting - so back I went asking for a test, which came back negative. I was then referred to an ENT consultant to have a nasopharyngeal camera investigation.
Luckily before I had this I stumbled across something on the internet which said ACE inhibitors could cause a cough so severe it induces vomiting. I stopped taking the ramipril and my cough - which by this time had lasted for six months - went completely within three days. My GP said 'oh yes, it can cause a bad cough'! So why in heaven's name had not one of the five GPs I saw suggested this!
I was drug free (and cough free) for three weeks then started on Losartan, an ARB which has a much lower incidence of the cough. However, within a day or two the cough had started again although nowhere near as bad as before, so I could probably tolerate it if necessary. It's definitely the same type of cough - it feels like a dry patch in the back of my throat which gets bigger and bigger until I have a coughing attacck.
I'm not sure whether to put up with it or go back to my GP, who will probably just say it's psychological. Has anyone else had a coughing problem with losartan?
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