To evaluate the efficacy and safety of gabapentin in the treatment of chronic refractory cough by Meta-Analysis. Literatures were retrieved from PubMed, Embase (OvidIP), Cochrane Library, CNKI, VIP, Wanfang Database and China Biomedical Management Despite recent clinical guidelines, the optimal therapeutic strategy for the management of refractory chronic cough is still a challenge. The present systematic review was designed to assess the evidence for efficacy and safety of gabapentin in the Gabapentin, an anticonvulsant medication, has demonstrated effectiveness in managing chronic cough by targeting neuropathic pain. This medication's mechanism involves modulating calcium channel activity, which subsequently reduces the release of excitatory neurotransmitters, thus mitigating nerve pain. The effectiveness of neuromodulating medications such as gabapentin and pregabalin in the treatment of cough has been supported primarily through case series, case reports, prospective reviews and a double blind randomised controlled trial. Gabapentin results in a reduction in cough frequency and cough severity. It improves cough related quality of life. The effect is greatest in patients with Patients with refractory chronic cough may warrant referral to a pulmonologist or otolaryngologist in addi-tion to a trial of gabapentin, pregabalin, and/or speech therapy. Gabapentin treatment of patients with chronic cough showed superior efficacy and a good safety record compared with placebo or standard medications. Additional randomized and controlled trials are needed. Abstract Background: Refractory chronic cough causes substantial symptoms and quality-of-life impairment. Similarities between central reflex sensitisation in refractory chronic cough and neuropathic pain suggest that neuromodulators such as gabapentin might be effective for refractory chronic cough. The results of prospective case-series showed that the rate of overall improvement of cough and sensory neuropathy with gabapentin was 68%. Gabapentin treatment of patients with chronic cough showed superior efficacy and a good safety record compared with placebo or standard medications. Additional randomized and controlled trials are needed. Cough is a common respiratory symptom that is considered to be chronic when it lasts more than eight weeks. When severe, chronic cough may significantly impact an individual's quality of life, and such patients are frequently referred for specialist Chronic Neurogenic (“Sick-Nerve Syndrome”) Cough Is Persistent, Daytime Cough, and It’s Often Due to Vagus Nerve Damage Following a Viral Upper Respiratory Infection. Refractory chronic cough causes substantial symptoms and quality-of-life impairment. Similarities between central reflex sensitisation in refractory chronic cough and neuropathic pain suggest that neuromodulators such as gabapentin might be effective for refractory chronic cough. We established the efficacy of gabapentin in patients with refractory chronic cough. Chronic cough that remains refractory to usual medical treatment causes significant quality of life impairment. Methods: Recent developments in the treatment of cough include the use of speech pathology and pharmacotherapy with gabapentin. The evaluation of chronic cough should address the possibilities of asthma, gastroesophageal reflux disease, and postnasal drip and may require more specialized investigations. For patients with re As such, gabapentin is an effective and well-tolerated treatment in chronic cough, and several prospective case series and cohort studies support its efficacy. 21, 22 Chronic cough, defined as cough lasting for > 8 weeks, is one of the most common symptoms of medical importance, and the prevalence in the community is 9–33%. 1 A subgroup of patients suffer from the debilitating and distressing disorder of cough syncope, which is difficult to effectively manage and treat. The approach in clinic is to determine an underlying etiology for cough syncope and to Although gabapentin and morphine exhibited positive effects on cough-related quality of life, only gabapentin was supported as a treatment recommendation. Studies of inhaled corticosteroids (ICS) were affected by intervention delity bias; when this factor was fi addressed, ICS were found to be ineffective for UCC. Effective treatments for refractory chronic cough that target these areas include behavioural treatment such as speech pathology and pharmaceutical treatment with neuromodulating medications such as gabapentin. Conclusion: In patients with chronic cough seen in a tertiary care esophageal clinic, low dose gabapentin improved symptoms in a majority of patients, regardless of the results of reflux testing. These results suggest a novel approach to the treatment of chronic cough and merit additional study in a prospective trial. Introduction Gabapentin, a neurotransmitter modulator, is thought to treat refractory cough associated with interstitial lung disease by improving cough hypersensitivity. Methods/design This is a single-center, prospective, randomized, double-blind, placebo-controlled trial. The trial will investigate the effect of a 10-week course of oral gabapentin 900 mg/day on refractory cough associated Gabapentin, a neurotransmitter modulator, is thought to treat refractory cough associated with interstitial lung disease by improving cough hypersensitivity. This is a single-center, prospective, randomized, double-blind, placebo-controlled trial.
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