Value of montelukast as a potential treatment of post-COVID-19 persistent cough: a non-randomized controlled pilot study
Aliae A R Mohamed Hussein, Mohamed Eltaher A A Ibrahim, Hoda A Makhlouf, Nahed A Makhlouf, Howaida K Abd-Elaal, Karima M S Kholief, Islam G Sayed
The Egyptian Journal of Bronchology, doi:10.1186/s43168-022-00154-6
Background: This pilot study included 68 cases with post-COVID-19 persistent cough (> 8 weeks), randomly allocated into two groups; intervention group (32 patients) received standard cough therapy, and montelukast 10 mg/ day for 14 days and control group (36 patients) received only cough sedatives.
Results: We found a significant improvement in the number of cough paroxysms/day, cough severity visual analog scale, cough severity index and cough quality of life, shorter duration improvement, and minimal side effects in the interventional group.
Conclusions: We suggest that montelukast may be effective to reduce the duration and severity of the persistent post-COVID-19 cough and further improve quality of life.
Abbreviations VAS: Cough visual analog scale; RSV: Respiratory syncytial virus; ACE: Angiotensin-converting enzyme.
Authors' contributions IG was the principal investigator, formulated the idea, and wrote the first draft of discussion. AMH, MEI, and HM collected the data, formulated the results, and edited the final draft and revision. NM was responsible for methodology and statistical analysis. HA and KK were responsible for data acquisition, review search, and writing the primary draft. The authors read and approved the final manuscript.
Declarations Ethics approval and consent to participate The Research Ethics Committee at the Faculty of Medicine, Aswan University, has approved the study (IRB number: aswu/469/7/2020), and all patients provided written informed consent before participation.
Consent for publication The manuscript has been read and approved by all the authors.
Competing interests The authors declare that they have no competing interests.
Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
Assaf, Davis, Mccorkell, An analysis of the prolonged COVID-19 symptoms survey by patient-led research team, Patient Led Res
Barré, Sabatier, Annweiler, Montelukast drug may improve COVID-19 prognosis: a review of evidence, Front Pharmacol
Bisgaard, Flores-Nunez, Goh, Azimi, Halkas et al., Study of montelukast for the treatment of respiratory symptoms of post-respiratory syncytial virus bronchiolitis in children, Am J Respir Crit Care Med
Carfì, Bernabei, Landi, For the gemelli against COVID-19 post-acute care study group. Persistent symptoms in patients after acute COVID-19, JAMA,
doi:10.1001/jama.2020.12603
Chen, Li, Wang, Zou, Montelukast, an anti-asthmatic drug, inhibits Zika virus infection by disrupting viral integrity, Front Microbiol
French, Irwin, Fletcher, Evaluation of a cough-specific quality-of-life questionnaire, Chest
Galal, Hussein, Amin, Saad, Zayan et al., Determinants of persistent post-COVID-19 symptoms: value of a novel COVID-19 symptom score, Egypt J Bronchol
Huynh, Wang, Luan, In silico exploration of the molecular mechanism of clinically oriented drugs for possibly inhibiting SARS-CoV-2's main protease, J Phys Chem Lett
Peroni, Pescollderungg, Sandri, Chinellato, Boner et al., Time-effect of montelukast on protection against exerciseinduced bronchoconstriction, Respir Med
Ponsioen, Hop, Vermue, Dekhuijzen, Bohnen, Efficacy of fluticasone on cough: a randomised controlled trial, Eur Respir J
Ruiz, Nevers, Hernández, Ahnou, Brillet et al., & Ahmed-Belkacem A (2020) MK-571, a cysteinyl leukotriene receptor 1 antagonist, inhibits hepatitis C virus replication, Antimicrob Agents Chemother
Shembel, Rosen, Zullo, Gartner-Schmidt, Development and validation of the cough severity index: a severity index for chronic cough related to the upper airway, Laryngoscope,
doi:10.1002/lary.23916
Spector, Tan, Effectiveness of montelukast in the treatment of cough variant asthma, Ann Allergy Asthma Immunol
Wang, Birring, Taylor, Fry, Hay et al., Montelukast for postinfectious Mohamed Hussein et al. The Egyptian Journal of Bronchology (2022) 16:52 cough in adults: a double-blind randomised placebo-controlled trial. The lancet, Respir Med
Woodcock, Mcleod, Sadeh, Smith, The efficacy of a NOP1 agonist (SCH486757) in subacute cough, Lung
Zhu, Kuang, Deng, Clinical analysis of montelukast in the treatment of post-infectious cough, China Pharmacy
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"abstract": "<jats:title>Abstract</jats:title><jats:sec>\n <jats:title>Background</jats:title>\n <jats:p>This pilot study included 68 cases with post-COVID-19 persistent cough (> 8 weeks), randomly allocated into two groups; intervention group (32 patients) received standard cough therapy, and montelukast 10 mg/day for 14 days and control group (36 patients) received only cough sedatives.</jats:p>\n </jats:sec><jats:sec>\n <jats:title>Results</jats:title>\n <jats:p>We found a significant improvement in the number of cough paroxysms/day, cough severity visual analog scale, cough severity index and cough quality of life, shorter duration improvement, and minimal side effects in the interventional group.</jats:p>\n </jats:sec><jats:sec>\n <jats:title>Conclusions</jats:title>\n <jats:p>We suggest that montelukast may be effective to reduce the duration and severity of the persistent post-COVID-19 cough and further improve quality of life.</jats:p>\n </jats:sec>",
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