I am interested in treatment with Tramadol and voice therapy. I spent the last 2 years being tested at National Jewish Health in Denver. Believe me National Jewish doesn't leave any stone unturned! Everything has been ruled out for my chronic cough. No GERD, pulmonary problems, or sinus problems. My pulmonologist at National Jewish will not admit I have a nuerogenic cough, she says there is always something underlying a neurogenic cough. After all of my pleading she agreed for me to try amitritypline and later gabapentin. The gabapentin worked for about 3 months, then the cough was back. I'm taking amitritypline now but it's not helping much. I've yet to find a doctor that will work with dosage of these drugs. They prescribe 10mg of amitritypline even though I've heard it could be anything from 10 to 80 mg to help. I've been coughing for 20 years...the last 5 have been the worst. I read about Tramadol in this conversation and I would like to know if anyone is successfully treating a neurogenic cough with it.