Ever have a patient with a chronic cough unresponsive to anti-reflux, allergic rhinitis, and asthma treatment? Sensory Neuropathy might be the problem and Amitriptyline the answer.
Sensory neuropathic cough: A common and treatable cause of chronic cough
Robert W. Bastian,MD, Abhay M. Vaidya, MD, and
Kathelijne G. Delsupehe, MD
Otolaryngology–Head and Neck Surgery (2006) 135, 17-21
12 cases – 40% reduction chronic cough with 10 mg Amitriptyline.
Comment – I try Singulair 10 mg hs. to see if the chronic cough is helped by that as it seems to help both rhinitis and asthma based cough – some patients have been pleasantly surprised.