I started lisinopril about a month ago for high blood pressure, and have developed a dry cough I can hardly sleep at night and I'm driving my co-workers crazy coughing all day its usually worse in the morning. I take the medication at night.
How can I get rid of cough caused by lisinopril for high BP?
Question posted by 82801dc on 28 May 2013
Last updated on 25 April 2023 by Witchdoctor1947
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30 Answers
Adding Iron supplements has shown favorable results for reducing coughs from ACE inhibitors.
I had the cough for over 2 years and still have the cough, but amitriptyline is the answer, start out with 10 mg at night, and over time you might need more, I went all the way up to 100 mg. But, it will calm It down during the day. You need to keep it in your system. It does make me tired the next day. But, not coughing 24/7. I was taking benicar, for 10 years.
Amitriptyline is like a sledge-hammer, and comes with its own set of (sometimes debilitating) side-effects. I suggest you try an iron supplement first, and keep the amitriptyline in reserve if it doesn't work.
I have had a dry cough from the time that I started taking lisenapril
Try taking iron supplements, but not at the same time as you take the lisinopril. There is some evidence that iron supplements do stop a lisinopril cough, but most doctors aren't aware of this. Maybe worth trying?
Please don't knock the nurse who pointed out that the cough was a side effect and not an allergy. I don't think she was trying to show off or "one-up" anyone. The distinction is an important one. I appreciate the mini-education. it will help to better understand this problem as well as other things in different contexts.
Try taking L-Arginine, an amino acid, instead. My mother-in-law is 56 with moderate to severe hypertension. Lisinopril and Losartan gave her a dry cough, but a holistic healer told her to take L- Arginine instead and within 2-3 weeks the cough cleared up and b.p.stayed down, within normal range. She's been taking it ever since and swears by it.
A cough is a bad reaction to lisinopril and the only way to get rid of the cough is to discontinue the medication. Your doctor should take you off of it without any problems and give you another beta blocker.
beta blockers relax your arteries, that sounds very scarey to me - i'd swear by lisiniprol but then I don't get a dry cough and it works extremely well for me, i take lisiniprol hctz, lowest dose and it keeps my bp about 105/70 - that I can live with
Lisinopril is not a beta blocker, it's an ace inhibitor
I too have a cough from lisinopril. It was pretty bad so I asked my doctor to change to a different high blood pressure medicine. The side effects of the other medications were horrible so I went back to Lisinopril and just deal with the cough. At night I take Benadryl and that helps a lot.
Try an iron supplement. There is some evidence that it can suppress the cough caused by Lisinopril. Take the supplement at a different time of day from the med.
I had the same problem which developed almost immediately after starting Lisinopril. I went to doc a month in, not connecting the cough to the medication. Nurse practitioner is the one who recognized it as a side effect and took me off the medication. One week later I still have the cough along with an extremely painful sore throat. Drinking and swallowing are very painful. I went back to the nurse who prescribed me cough syrup with codeine. Didn't remotely work. Only thing that has helped is taking two extra strength Tylenol religiously every six hours. I can swallow much easier and the throat pain is not so bad. Cough is still there though. I'm going to try the iron supplement and the raw, unpressed honey. I already suffer from RA and have a terminally sick dog and now this racking cough has completely disrupted my life. And now the nurse said it could last up to three months. Wha?? . I think doctors should ask patients whether they want to take this medication given this terrible side effect. I would have opted for an alternative.
Try the honey you won't regret it. I came back from the dead on the operating table to fix my 100% blocked iliac artery two weeks after I found the raw honey cure and I bottomed out 0/0 blood pressure for a minute. But I made it through surgery and I still take all my blood pressure meds and the raw honey. Never have a tickle since that first week of medicine nearly teo years ago. I think I would have died from anxiety if that cough had persisted. But my blood pressure is about 136/70 constantly. I tried going off lisinopril early the first year, but my substitute pill (name escspes me) pushed me back to malignant hypertension levels 170/100. Went back to lisinopril and been gold ever since. Probably have eaten 30 jars of raw honey in 20 months at $14 a jar so it's not inexpensive, but I have not had the cough in 17 months. Worth every penny. Probably has other benefits.
I have been on lisinipril for over 6 months and had the miserable dry cough. I coughed constantly, day and night, but didn’t realize it was the lisinipril. I researched the drug and found it causes proteins to be released in the esophagus and down into the lungs. I was exhausted from the constant cough and lack of sleep.
I read DH’ comment about using raw, unfiltered honey daily and IT WORKED! Within days, no more cough. The problem is I do not like honey and gagged it down. While I took the honey I did not cough, at all! The days I didn’t take the honey I used Manuka Honey & Propolis lozenges which was very soothing for my throat. However, they are expensive.
I decided to go off the lisinipril and felt terrific for 3-4 weeks, no cough, lots of energy and NO lethargy! About the 4th week my BP spiked to 180/110. I immediately went back on lisinipril. Not only did the cough start within days, I now have a constant tickle in my throat and have developed a phlegm which I can’t get rid of. I’m going back on the raw honey and will use it religiously!
Lisinopril is notorious for causing a hacking, dry cough... It is a common side effect & havent heard of any real solution, except switching med.s... Even then the cough doesnt always resolve...
Never heard of beta blocker causing a cough... Not a common side effect at all...
Unfortunately, I cannot take beta blockers because of side effects - irregular heart beats! Other BP meds give me other unpleasant side effects.
Lisinopril gives me good control over my BP, and the cough is easily controlled using a low dose iron supplement. I only need to take the supplement for about a week and it suppresses the cough for about 3 months. If you're like me and unable to tolerate most of the alternative BP meds then this is worth a try.
Thank u certainly worth a try
Lisinopril is in the class of medications known as ace inhibitors. These drugs are notorious for causing a dry cough and cough suppressants do not help the cough associated with taking these. The physician can change you to another ace inhibitor and hope you don't get the cough or change you to a similiar class of drugs called angiotenson receptor blockers. Avapro is just one of the many and these drugs do not cause cough commonly.
I also developed the cough,no sleep,boxes of kleenex etc,try zyrtec.it wont affect your meds and cough stopped in one day
I've had a terrible cough ever since I started this med. It got really bad with some hoarseness at one time, and I went to my Dr. and she dx. me with bronchitis? I was put on a nebulizer, levaquin, plus I was already taking Advair and Proair for pulmonary fibrosis. Needless to say, I still have a cough and I'm not sick! We decided to write it off as bad sinus drainage that NEVER GETS BETTER! He advised me to take Allegra but cough is not phased. Thanks for putting this question on here... I think I may have found my problem! I hope !!!
Iron Supplementation has been shown to reduce or alleviate this problem.
This was shown in this study: http://www.ncbi.nlm.nih.gov/pubmed/11509470
In the study, participants who had Ace Inhibitor related cough were given 256mg ferrous sulfate tablets daily. Within a week most reported that their cough symptoms were signficantly reduced. Others, who were given a placebo, did not report significantly reduced cough.
You can find Ferrous Sulfate (iron) supplements at the drug store. I see them in 325mg doses. You should probably talk to your doctor about it though. It is possible to overdose on Iron (it's fat soluble so it doesn't leave the system very quickly and tends to get stored in the liver). But at the doses found in over the counter supplements should be assumed to be safe, right?
University of Maryland Medical Center
http://umm.edu/health/medical/altmed/supplement/iron
"Cough associated with ACE inhibitor use
One side effect of taking ACE inhibitors to treat high blood pressure and heart failure is an irritating dry cough. The cough leads some people to stop taking their medications. One preliminary clinical study suggested that iron supplementation may soothe and even prevent cough associated with ACE inhibitors, including enalapril (Vasotec), captopril (Capoten), and lisinopril (Zestril or Prinivil). However, the evidence is too premature to know whether taking iron with ACE inhibitors to reduce dry cough is safe or effective.
Plus, it is important to note that taking ACE inhibitors at the same time as iron may lower the amount of iron absorbed by the body. If used together, the two should be taken at least 2 hours apart. Also, iron is associated with a risk for heart disease. For this reason, you should not take iron to combat an ACE inhibitor associated cough without the consent and supervision of your doctor."
I started on Listopril and had a cough one week later. Lucky for me the pharmacy let me know it was the Listopril and alerted my doctor.
I can see all the damage if it was years of coughing.
I really don't get why doctors still prescribe it since this side effect is so common.
Good luck to all with medication changes
It's caused by a mutation of the BRADYKIN receptor gene. About 50 percent of people have this mutation. The other 50 percent don't have any trouble with it.
It's a very good medication if you don't have that mutation.
I have been taking this med. for three months and today i went to my dr to get a refill and to find out why i have been coughing for three months straight without a full nights sleep the whole time cause cough gets worse at night and i also loss my voice twice Within these 3 months from this violent cough. Much to my relief he informs me that it was a side effect from meds.and switched me to hydrochlorothiazide 12.5 mg. I am a little peeved with myself for never drawing that conclusion and SUFFERING this whole time due to my own ignorance. Can't wait for this cough to GO AWAY. Hope u find a speedy solution for your cough
I suffer from malignant hypertension (the worst blood pressure disease possible) and take 6 different pills (Lisinopril among them) in the morning. 2 more every evening. I had a totally blocked iliac artery grafted a year ago. Been on the meds over a year. I had the terrible cough first ten days. I researched it after the know-it-all nurse at the cardiologist office indignantly denied I could blame the 50-year-old drug so quickly. Aha! Not so fast my skeptic Luddite! A careful search indicates a volume of evidence that Linsinopril drops protein contaminants into the bronchial tissues. Your infuriating tickle monster has a name... kinins. There is a natural cure and it works for me. Buy raw unpressed honey... the yellow pasty kind from Brazil is the kind I buy from health food stores. About $14 for a big jar. Put a tablespoon or more in your hot drink every morning. Farewell cough forever! Unless you stop using honey for about a week. Try it... what do you have to lose except an intolerable cough.
Do yourself a life saving favor! Change your diet completely to a whole foods plant based diet and your malignant hypertension will go away within 2 months, maybe sooner. Watch "Folks Over Knives", it will change your life.
Related topics
high blood pressure, cough, lisinopril, sleep, blood pressure
Further information
- Lisinopril uses and safety info
- Lisinopril prescribing info & package insert (for Health Professionals)
- Side effects of Lisinopril (detailed)
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