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Good Morning. I Live In Geneva-Switzerland.At Present In XXXXXXX In

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Posted on Sun, 31 May 2020
Question: Good Morning. I live in Geneva-Switzerland.At present in XXXXXXX in XXXXXXX since Decemeber 2019
I am having very frequently dry cough some times continuously and some times with short Intervals. My doctors in Geneva advised me some time back this is due to the acidity and advised me to take Pantoprazol 40 one capsule daily. When it it was more I was advised to take Tavanic 500 for 5days and XXXXXXX Levoday 500 for days. I am continuing the Pantoprazol daily. Now a days I am getting the cough frequently. Cough syrups have not much effect. Kindly advise
doctor
Answered by Dr. Indranil Ghosh (3 minutes later)
Brief Answer:
Adding some other meds may help

Detailed Answer:
Hi
Thanks for your query.

Actually it depends upon the exact cause of cough. If we accept the diagnosis of due to acidity and pantoprazole is not helping, we often add a prokinetic tablet like domperidone 10 mg before meals. This helps to keep the reflux at bay.

Now, if there is mild asthma associated with it then specific treatment like inhaled steroids (eg. budamate 200 mcg 2 puffs twice daily) are usually added with good relief.

Also I think at least a chest radiograph should be done.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Indranil Ghosh (46 hours later)
Dear Dr XXXXXXX
Many thanks for your advise.

I am not having Asthma or Bronchitis. How long I have to continue taking Domperidone 10 mg. and what is the dosage. For the last one week I am taking Pantoprazole 40 mg twice daily 1-0-1. Shall I continue the same. with Domperidone. Still I have frequent coughing. Can you advise a VERY effective Cough Syrup I will also use Budamet 200 mg as advised by you.
Chest Radiograph was done in December 2019 in Geneva. Normal. No problem

Kindly advise
doctor
Answered by Dr. Indranil Ghosh (1 hour later)
Brief Answer:
Domperdione trial may be given for 2 weeks

Detailed Answer:
Usual dose of domepridone is 1 tablet thrice daily before meals. Pantoprazole is continued along with it.

Any levocloperastine containing syrup 5 ml thrice daily usually controls dry cough without sedation.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indranil Ghosh

Oncologist

Practicing since :2004

Answered : 1712 Questions

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Good Morning. I Live In Geneva-Switzerland.At Present In XXXXXXX In

Brief Answer: Adding some other meds may help Detailed Answer: Hi Thanks for your query. Actually it depends upon the exact cause of cough. If we accept the diagnosis of due to acidity and pantoprazole is not helping, we often add a prokinetic tablet like domperidone 10 mg before meals. This helps to keep the reflux at bay. Now, if there is mild asthma associated with it then specific treatment like inhaled steroids (eg. budamate 200 mcg 2 puffs twice daily) are usually added with good relief. Also I think at least a chest radiograph should be done. Hope this helps. Regards