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Treating collapsing trachea in dogs can be a daunting prospect for owners. Tracheal collapse occurs when the windpipe becomes flattened and the airflow in and out of the lungs is obstructed.
With collapsing trachea, coughing becomes such a chronic condition that we try to manage it, but it rarely just goes away completely.
Dextromethorphan, sold under the brand name Robitussin among others, is a cough suppressant used in many cough and cold medicines. [6] In 2022, the US Food and Drug Administration (FDA) approved the combination dextromethorphan/bupropion to serve as a rapid-acting antidepressant in people with major depressive disorder .
Symptoms include a cough (often called a "goose honk cough" due to its sound), especially when the dog is excited. This cough is usually paroxysmal in nature. Other symptoms include exercise intolerance, respiratory distress, and gagging while eating or drinking. Tracheal collapse is easily seen on a radiograph as a narrowing of the tracheal lumen.
Cough medicines usually contain mucoactive agents. Mucoactive agents are a class of chemical agents that aid in the clearance of mucus or sputum from the upper and lower airways, including the lungs, bronchi, and trachea. Mucoactive drugs include expectorants, mucolytics, mucoregulators, and mucokinetics.
Tracheomalacia occurs when the walls of the trachea collapse. This can happen because the walls of the windpipe are weak, or it can happen because something is pressing on it. This may include hypotonia of the trachealis muscle. [3] The whole windpipe can be affected, or only a short piece of it.