@jenniferhunter I'm sorry for the delay in responding. To answer a couple questions, my chronic cough does not get better when I am up north. I'm with you on the question of, if there is something dripping down my throat and a nerve is cut, how would I know to clear it so it doesn't end up in my lungs causing pneumonia. It just doesn't seem like an ideal option. @johnbishop one thing to consider about the study "Altering cough reflex sensitivity with aerosolized capsaicin paired with behavioral cough suppression" is that my chronic cough can make my throat so raw that I can taste blood. Salsa will burn my throat badly enough it caused tears to fall, so I'm not sure how eager I'd be to try the sprayed capsaicin. Has anyone tried Lyrica successfully? I came off the gabapentin and am back on the amitriptyline, have been for months now. Still coughing. It's not touching it. So far the only thing that quiets this down is Tramadol, which I'm blowing through now a lot fast than when I just used it for my RLS - but when you're exhausted and your throat is raw, you just break down and take it just to get it to stop. It's crazy how something works for one person but not for someone else. On top of everything, the Amitriptyline has caused a 20 lb weight gain after I had just lost all of that. I read one person said they no longer try to sing. I, too, absolutely loved to sing and was going to audition for a band once upon a time. Now, I don't even try anymore because it will trigger coughing fits. I find I don't really want to talk to anyone who calls my office phone because I can't NOT cough while I'm on the call. When I leave work, I don't want to talk at all, just sit quietly so I can try to get it to settle down. There's no quality of life when you're exhausted by the time you get home because of it. I just wish DOCTOR'S and people who don't suffer from this could really grasp that it's not "just a cough". @tkubby I'm with you on the "I can't imagine living the rest of my life like this." I'm 49 years old.