Chronic Persistent Cough in Adults - Treatment

Authored by Dr Mary Harding, 11 May 2017

Patient is a certified member of
The Information Standard

Reviewed by:
Prof Cathy Jackson, 11 May 2017

This will entirely depend on the cause. It is important to try to work this out first, in order to get you on the right treatment. For example, if it turns out to be an infection, such as TB, you would be put on a special antibiotic regime. If it turns out to be asthma or COPD, you will be given inhalers, and these adjusted until the cough improves. If you have reflux, you might be given anti-reflux medicines such as proton pump inhibitors (PPIs) or ranitidine. If you have congestion in your nose, you may be given a steroid nasal spray. Or you may be referred to an ear, nose and throat (ENT) specialist for further examination of the inside of your nose and sinuses. If you are on a medicine which has caused the cough, this can be stopped.

If you smoke, you will be advised strongly to stop smoking.

This is more difficult but there are a number of options which may be tried. These include:

  • Soothing preparations. These don't cure the cough but may help to soothe it a little. Examples include simple linctus and cough sweets available from pharmacies.
  • Cough suppressing treatments. There are no magical treatments for suppressing cough but there are some which might be helpful, such as pholcodine or codeine.
  • Medicines which may make it easier to cough up the phlegm. These medicines are called mucolytics. These are only useful in people who have coughs which are not dry.
  • Steroid inhalers. These are usually used for people with asthma or COPD, but sometimes help reduce inflammation in the airways and improve a cough. They often help if your airways have persisting irritation after an infection which has settled.
  • Medicines which work to make the nerves less sensitive. These include amitriptyline, gabapentin and pregabalin.
  • Speech therapy.

Further reading and references

  • Cough; NICE CKS, June 2015 (UK access only)

  • Barraclough K; Chronic cough in adults. BMJ. 2009 Apr 24338:b1218. doi: 10.1136/bmj.b1218.

  • Johnstone KJ, Chang AB, Fong KM, et al; Inhaled corticosteroids for subacute and chronic cough in adults. Cochrane Database Syst Rev. 2013 Mar 28(3):CD009305. doi: 10.1002/14651858.CD009305.pub2.

  • Gibson PG, Vertigan AE; Management of chronic refractory cough. BMJ. 2015 Dec 14351:h5590. doi: 10.1136/bmj.h5590.

  • Faruqi S, Murdoch RD, Allum F, et al; On the definition of chronic cough and current treatment pathways: an international qualitative study. Cough. 2014 May 2910:5. doi: 10.1186/1745-9974-10-5. eCollection 2014.

Hi, for the last month I have been waking up in the morning with a lot of irritating mucus in my throat, I have to hack it up and too my big surprise it's brown.... Almost dark brown! Shock! it's...

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