Constant cough can cause headache, insomnia, vomiting and exhaustion.

Exclude potentially reversible causes of cough – infection/aspiration, GE reflux, obstruction/compression of bronchus, heart failure, COPD exacerbation, medications

Non-pharmacologic: saline via nebulizer reduces dryness and irritation of airways


  • opioids. No opioid better than another. If on regular opioid increase dose by 20-25%. If not on opioid initiate as for dyspnea
  • refractory chronic cough: gabapentin/pregabalin start low and titrate to effect