For allergic cough, besides taking montelukast, is it necessary to take anti-inflammatory drugs and cough suppressants?

Allergic cough does not require routine use of anti-inflammatory drugs (antibiotics) besides taking montelukast, and cough suppressants should only be used as needed and with caution depending on the severity of the cough. Montelukast targets airway inflammation caused by allergies, whereas anti-inflammatory drugs are ineffective against allergic reactions. Indiscriminate use of medications may lead to side effects. If cough persists or worsens, or is accompanied by symptoms such as fever or phlegm production, prompt medical consultation is advised.

The cause of allergic cough is airway hyperresponsiveness, not bacterial infection. Antibiotics are effective only against bacteria and have no effect on inflammation triggered by allergies. Misuse can disrupt gut flora and increase antibiotic resistance; therefore, they are not needed routinely.

Montelukast helps suppress allergic airway responses and alleviate coughing. For mild cough, montelukast alone may be sufficient. For severe cough that interferes with rest, short-term use of central or peripheral cough suppressants under a doctor’s guidance may be considered. However, prolonged use should be avoided to prevent masking underlying conditions.

In daily life, avoid allergens such as pollen and dust mites, maintain indoor ventilation and dryness, and minimize exposure to cold air and irritant gases. Maintain regular作息 (sleep patterns), strengthen physical health, drink plenty of warm water during coughing episodes, and avoid intense physical activity to help relieve symptoms.