Pearls coughing

By numbing these nerves, benzonatate stops the cough reflex at its very source. Standard dosage for symptomatic cough: 100–200 mg taken three times per day as needed. Maximum dosage for symptomatic cough: 600 mg per day. Tessalon Perles dosage for children. Tessalon is FDA-approved to treat symptomatic cough in children 10 years of age and older.

Pearls coughing. Pearls and Other Issues. Vasovagal syncope is the most common type of syncope. Mostly benign but can be life-threatening in patients with underlying cardiac arrhythmia. ECG is the most useful test in syncope, but its diagnostic yield is only 5%, leaving careful history and physical examination as the most valuable tools in evaluating …

Coughing is your body’s way of clearing airways of mucus as well as dust and other irritants. By itself, a cough probably isn’t a sign of a more serious health problem and will lik...

Here are 10 things you need to know about Tessalon: 1. Do not chew or break open! You must swallow these liquid-filled capsules intact for cough suppression. Fun fact: Chewing or dissolving two 100-mg liquid-filled capsules in the mouth is used to numb the mouth and throat for anesthesia for conscious intubation. DO NOT use it this way.Answers. Is they are a similar drug to Tessalon he perked 100mg. In my opinion Muscinex works just as well. Best wishes to you. Mucinex does NOT work anything like Benzonatate /Tessalon! You need to understand WHAT is making you cough before deciding what to take. TESSALON actually numbs the lining of your throat & lungs, which …Hydrocodone is a narcotic cough suppressant. It affects the signals in the brain that trigger cough reflex. Tussionex PennKinetic is used to treat runny nose, sneezing, itching, watery eyes, and cough caused by allergies, the common cold, or the flu. Warnings. MISUSE OF Tussionex PennKinetic CAN CAUSE ADDICTION, …Chronic obstructive pulmonary disease (COPD) is a common and treatable disease characterized by progressive airflow limitation and tissue destruction. It is associated with structural lung changes due to chronic inflammation from prolonged exposure to noxious particles or gases most commonly cigarette smoke. Chronic inflammation causes airway narrowing and decreased lung recoil. The disease ...Asthma is a common pathology, affecting around 15% to 20% of people in developed countries and around 2% to 4% in less developed countries. It is significantly more common in children. Up to 40% of children will have a wheeze at some point, which, if reversible by beta-2 agonists, is termed asthma, regardless of lung function tests.The constant buildup of mucus triggers the body into a series of coughing fits. Restrictive: Many diseases can result in stiffness of the lungs that limits the body's ability to fully expand and breathe in oxygen. This restriction in movement can lead to coughing fits because the body is not receiving enough oxygen.Tessalon Perles ( benzonatate) is a nonnarcotic antitussive (anti- cough) medication used to suppress coughs. It has an anesthetic (numbing) action similar to that of benzocaine and …

Asthma is a common pathology, affecting around 15% to 20% of people in developed countries and around 2% to 4% in less developed countries. It is significantly more common in children. Up to 40% of children will have a wheeze at some point, which, if reversible by beta-2 agonists, is termed asthma, regardless of lung function tests.Other Cough Medications With Benzonatate. Dextromethorphan is one of the only FDA approved cough suppressants available over the counter. Nevertheless, additional options that can be safely combined with benzonatate are: Menthol-containing cough drops; Analgesic-containing cough drops (e.g. dyclonine, benzocaine) Honey …Chronic obstructive pulmonary disease (COPD) is a common and treatable disease characterized by progressive airflow limitation and tissue destruction. It is associated with structural lung changes due to chronic inflammation from prolonged exposure to noxious particles or gases most commonly cigarette smoke. Chronic inflammation causes airway narrowing and decreased lung recoil. The disease ...Micro-organisms (flora) are naturally found in the stomach / intestines / vagina. Some conditions (such as antibiotic use, travel) can change the normal balance of bacteria/yeast. Probiotics are ...If necessary to control cough, up to 600 mg daily in three divided doses may be given. TESSALON should be swallowed whole. TESSALON Perles are not to be broken, chewed, dissolved, cut or crushed. How is Tessalon supplied. Perles, 100 mg (yellow); bottles of 100 NDC 0069 0122 01Tessalon Perles ( benzonatate) is an oral non- narcotic oral antitussive medication used for suppressing cough. A generic version of Tessalon Perles is …

It's easy to dismiss your relatives' advice to gargle with salt water as an old-time cure left behind by science. But the Mayo Clinic, among others, found a bit of salt in warm wat...Paroxysmal coughing is the second stage of whooping cough. According to the CDC , this stage comes about 2 weeks into the infection. A typical case of paroxysmal coughing lasts from 1 to 6 weeks ...A study led by researchers at the Alan Turing Institute finds that algorithms designed to diagnose COVID-19 from coughs perform poorly. Early in the pandemic, a number of researche...Pneumonia is an umbrella term for a group of syndromes caused by a variety of organisms that result in infection of the lung parenchyma. Classification schemata have helped establish the common organisms responsible for each type of pneumonia and helped to formulate treatment guidelines for efficient management, in both inpatient and outpatient ...The constant buildup of mucus triggers the body into a series of coughing fits. Restrictive: Many diseases can result in stiffness of the lungs that limits the body's ability to fully expand and breathe in oxygen. This restriction in movement can lead to coughing fits because the body is not receiving enough oxygen.

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Benzonatate (brand name Tessalon) is a non-narcotic medication, most commonly used for cough symptoms associated with colds and acute respiratory infections. At normal dosages, benzonatate is not associated with respiratory depression or significant CNS (central nervous system) depression, unlike opioid cough suppressants like …Cough; Drug Interaction Classification. These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication. Major:There’s nothing quite like taking a cruise and experiencing the beauty of the ocean. If you’re looking for an unforgettable vacation, Pearl Sea Cruises might just be what you’re lo...Croup is characterized by a "seal-like barking" cough, stridor, hoarseness, and difficulty breathing, which typically becomes worse at night. Agitation worsens the stridor, and it can be heard at rest. Other symptoms include fever and dyspnea, but the absence of fever should not reduce suspicion for croup.Benz Pearls Capsule is a non-narcotic medicine used to relieve a cough caused by the common cold or other breathing problems. This medicine is not recommended for use in patients aged below 10 years. Buy Benz Pearls Capsule Online. Know uses, side effects, dosage, contraindications, substitutes, benefit, interactions, …

As far as the cough- I had a mild one when I stopped my allergy meds for the first trimester. I was told to resume my Zyrtec during the second trimester with the hope it would also remedy the cough (thinking it was post nasal drip). My hubby brought a cold home from work, and I caught it-- which made my cough very violent.Honey: Alleviate a nagging cough by sipping lemon water with honey throughout the day or swallowing a spoonful of honey before bed.Honey coats the lining of your throat to soothe and protect its tissues from irritation, which may reduce coughing. Hot tea: Drink hot tea to loosen up mucus in your throat so that it can drain better.Herbal teas …Benzonatate is used to relieve coughing. Benzonatate is a non-narcotic cough medicine that numbs the throat and lungs, making the cough reflex less active. Benzonatate may also be used for ...A cough is one of the most common medical complaints accounting for as many as 30 million clinical visits per year. Up to 40% of these complaints result in referral to a pulmonologist. A cough is an innate primitive reflex and acts as part of the body’s immune system to protect against foreign materials. Coughing is associated with a wide assortment of clinical associations and etiologies ...Benzonatate Capsules. Benzonatate is a cough suppressant that relieves cough. It works by calming your cough reflex. Common brand names for this medication include …Hydrocodone is a narcotic cough suppressant. It affects the signals in the brain that trigger cough reflex. Tussionex PennKinetic is used to treat runny nose, sneezing, itching, watery eyes, and cough caused by allergies, the common cold, or the flu. Warnings. MISUSE OF Tussionex PennKinetic CAN CAUSE ADDICTION, …If you’re planning a cruise aboard the NCL Pearl, it’s important to familiarize yourself with the ship’s deck plans. Understanding the layout of the ship can help you make informed...Indication: Cough suppressant and antihistamine to lower the frequency and intensity of coughing. Insight: Could be used for either wet or dry cough, as well as for itchy and sore throat, and chest tightness.Nov 14, 2022 ... Poison control centers in the U.S. have seen an increase in reports of kids taking benzonatate, a cough medicine, either accidentally or ...Pulmonary function tests (PFTs) allow physicians to evaluate the respiratory function of their patients in many clinical situations and when there are risk factors for lung disease, occupational exposures, and pulmonary toxicity. National guidelines for the measurements and interpretation of PFT are regularly updated, and the most …

By numbing the stretch receptors, benzonatate inhibits their action and reduces your cough reflex. It begins to work within 15 to 20 minutes of taking the medication and generally lasts for 3 to 8 hours.

In this week’s Pearl, we review the available evidence and guidelines for measuring oestradiol. 15th February 2024. Red Whale Pearls - free primary care clinical updates on key topics. Articles & ready-made practice protocols released weekly, covering the latest evidence and guidelines to support your practice.Benzonatate is used to relieve coughs due to colds or influenza (flu). It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm with the cough. Benzonatate relieves cough by acting directly on the lungs and the breathing passages.Gastroesophageal reflux disease (GERD) is a chronic gastrointestinal disorder characterized by the regurgitation of gastric contents into the esophagus. It is one of the most commonly diagnosed digestive disorders in the US with a prevalence of 20%, resulting in a significant economic burden in direct and indirect costs and adversely affects the …More about Mucinex ( guaifenesin ) Ratings & Reviews. Tessalon Perles has an average rating of 5.1 out of 10 from a total of 179 ratings on Drugs.com. 42% of reviewers reported a positive effect, while 48% reported a negative effect. Benzonatate has an average rating of 4.0 out of 10 from a total of 775 ratings on Drugs.com. 30% of reviewers ...If necessary to control cough, up to 600 mg daily in three divided doses may be given. TESSALON should be swallowed whole. TESSALON Perles are not to be broken, chewed, dissolved, cut or crushed. How is Tessalon supplied. Perles, 100 mg (yellow); bottles of 100 NDC 0069 0122 01OTC/Lifestyle Pearl of the Day: Delsym. Indication: Delsym is a cough suppressant that is used to treat cough caused by the common cold or flu. Insight: The main ingredient in Delsym is dextromethorphan. This medication is only intended for short-term use. Dosing is based on age and starts from 2.5 ml every 12 hours, 5 ml to 10 ml every …Chlorpheniramine is an antihistamine that helps to relieve watery eyes, itchy eyes/nose/throat, runny nose, and sneezing.Opioid cough suppressants should not be used by children younger than 18 years.May 23, 2023 · Benzonatate is indicated for the symptomatic relief of cough. Dosage for Benzonatate. Adults and Children over 10 years of age: Usual dose is one 100 mg or 200 mg capsule three times a day as needed for cough. If necessary to control cough, up to 600 mg daily in three divided doses may be given. Benzonatate should be swallowed whole. Prescribed for Cough. Tessalon Perles may also be used for purposes not listed in this medication guide. Benzonatate has an average rating of 4.0 out of 10 from a total of 776 ratings on Drugs.com. 30% of reviewers reported a positive effect, while …

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Descriptions. Benzonatate is used to relieve coughs due to colds or influenza (flu). It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm with the cough. Benzonatate relieves cough by acting directly on the lungs and the breathing passages.Pulmonary embolism (PE) occurs when there is a disruption to the flow of blood in the pulmonary artery or its branches by a thrombus that originated somewhere else. In deep vein thrombosis (DVT), a thrombus develops within the deep veins, most commonly in the lower extremities. PE usually occurs when a part of this thrombus breaks off and …Aug 29, 2023 · Non-narcotic cough suppressants. Consider benzonatate (Tessalon) capsules. Benzonatate is a prescription, non-narcotic antitussive medication. It numbs the airways, the air sacs in the lungs, and the lining of the lungs. It’s FDA-approved for adults and children over 10 years old. Pneumonia is an umbrella term for a group of syndromes caused by a variety of organisms that result in infection of the lung parenchyma. Classification schemata have helped establish the common organisms responsible for each type of pneumonia and helped to formulate treatment guidelines for efficient management, in both inpatient and outpatient ...TESSALON is indicated for the symptomatic relief of cough. Dosage for Tessalon. Adults and Children over 10 years of age: Usual dose is one 100 mg capsule three times a day as needed for cough. If necessary to control cough, up to 600 mg daily in three divided doses may be given. TESSALON should be swallowed whole.Pulmonary function tests (PFTs) allow physicians to evaluate the respiratory function of their patients in many clinical situations and when there are risk factors for lung disease, occupational exposures, and pulmonary toxicity. National guidelines for the measurements and interpretation of PFT are regularly updated, and the most recent guidelines developed by the international joint Task ...A study led by researchers at the Alan Turing Institute finds that algorithms designed to diagnose COVID-19 from coughs perform poorly. Early in the pandemic, a number of researche...This medication is used to treat coughs caused by the common cold and other breathing problems (such as pneumonia, bronchitis, emphysema, asthma). It works by reducing the reflex in the lungs that causes the urge to cough. Use of this medication is not recommended in children younger than 10 years. Discuss the risks and benefits with …What are the side effects of benzonatate? The most frequent adverse reactions of benzonatate include: Sedation. Headache. Mild dizziness. Constipation. Nausea. Vomiting. Other side effects that have been reported include: Nasal congestion. Hallucinations. Itching skin. Rash. Indigestion. Confusion. Numbness in the chest.Benzonatate is used to relieve coughs due to colds or influenza (flu). It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an …Coughing is your body’s way of clearing airways of mucus as well as dust and other irritants. By itself, a cough probably isn’t a sign of a more serious health problem and will lik...PEARLS. Cough headache is a rare condition, but its presence should prompt thorough evaluation for intracranial pathology, given a high prevalence of secondary causes of headache in this population. Chiari malformation type 1 is a common diagnosis in which many patients are asymptomatic, though headache is the most common … ….

The constant buildup of mucus triggers the body into a series of coughing fits. Restrictive: Many diseases can result in stiffness of the lungs that limits the body's ability to fully expand and breathe in oxygen. This restriction in movement can lead to coughing fits because the body is not receiving enough oxygen.Oct 2, 2023 · Adults and Children over 10 years of age. Usual dose is one 100 mg capsule three times a day as needed for cough. If necessary to control cough, up to 600 mg daily in three divided doses may be given. TESSALON should be swallowed whole. TESSALON Perles are not to be broken, chewed, dissolved, cut or crushed. A pneumothorax is a collection of air outside the lung but within the pleural cavity. It occurs when air accumulates between the parietal and visceral pleurae inside the chest. The air accumulation can apply pressure on the lung and make it collapse. The degree of collapse determines the clinical presentation of pneumothorax. Air can enter …Cover the cup, steep for 10 minutes, and strain. 7. Saltwater gargle. While the remedy may seem relatively simple, a salt and water gargle may help soothe a scratchy throat and break up mucus that ...The value of a pearl can vary from only a few dollars to millions of dollars. Some of the factors that influence a pearl’s worth are its type, size, shape, luster and color. Most p...Cough: 98%, sputum: 78% (sputum is typically mucoid and relatively odorless), dyspnea: 62%, haemoptysis: 56% to 92%, and pleuritic chest pain: 20% (secondary to chronic coughing). ... Pearls and Other Issues. Bronchiectasis complications include pneumonia, lung abscess, empyema, septicemia, cor pulmonale, …Chlorpheniramine is an antihistamine that helps to relieve watery eyes, itchy eyes/nose/throat, runny nose, and sneezing.Opioid cough suppressants should not be used by children younger than 18 years.Nov 13, 2023 · Benzonatate (Tessalon) is a prescription medication for managing a cough. While it is usually well tolerated, it has a few potential side effects. Common benzonatate side effects include dizziness, drowsiness, and headache. Constipation and nausea can happen, too. Most side effects are generally mild, can be managed at home, and go away when ... I have had a terrible cough for about 6 weeks, to the extent I have very painful ribs and trouble sleeping because of the cough and sore ribs.  The doctor (obgyn) told me to try Delsym, and I did for about 4 days and it barely took the edge off the cough.  He said I could try Benzonatate... Pearls coughing, Otalgia (ear pain) divides into two broad categories: primary and secondary otalgia. Primary otalgia is ear pain that arises directly from pathology within the inner, middle, or external ear. Secondary or referred otalgia is ear pain that occurs from pathology located outside the ear. A complex neural network innervates the ear as a result of …, Gastroesophageal reflux disease (GERD) is a chronic gastrointestinal disorder characterized by the regurgitation of gastric contents into the esophagus. It is one of the most commonly diagnosed digestive disorders in the US with a prevalence of 20%, resulting in a significant economic burden in direct and indirect costs and adversely affects the …, This medication is used to treat coughs caused by the common cold and other breathing problems (such as pneumonia, bronchitis, emphysema, asthma). It works by reducing the reflex in the lungs that causes the urge to cough. Use of this medication is not recommended in children younger than 10 years. Discuss the risks and benefits with …, A dry cough, also known as non-productive cough, is a cough where no phlegm or mucus is produced. This is irritating, usually associated with a tickly throat and may be caused due to cold, flu, allergies or throat irritants. Benz Pearls Lupin's Benz Pearls Capsule suppresses dry, hacking coughs., Chronic obstructive pulmonary disease (COPD) is a common and treatable disease characterized by progressive airflow limitation and tissue destruction. It is associated with structural lung changes due to chronic inflammation from prolonged exposure to noxious particles or gases most commonly cigarette smoke. Chronic inflammation causes airway narrowing and decreased lung recoil. The disease ..., Tessalon Perles (benzonatate) is a nonnarcotic antitussive (anti-cough) medication used to suppress coughs. Its numbing effect is similar to that of benzocaine and numbs the stretch sensors in the lungs to relieve coughing. Common Tessalon Perles side effects include sedation, headache, mild dizziness, constipation, nausea, vomiting, nasal congestion, hallucinations, itching skin, rash ... , The cough has kept me up all night for the past week. Dr. prescribed the Tessalon Perles and magic mouthwash. The magic mouthwash works wonderfully, but the Tessalon does not well, it works for about 30 minutes and I am right back to coughing. Called Dr. to see if there was something else he could prescribe., Tuberculosis (TB) is an ancient human disease caused by Mycobacterium tuberculosis which mainly affects the lungs, making pulmonary disease the most common presentation (K Zaman, 2010) [1]. However, TB is a multi-systemic disease with a protean presentation. The organ system most commonly affected includes the respiratory system, the gastrointestinal (GI) system, the lymphoreticular system ..., Benzonatate is used to relieve coughing. Benzonatate is a non-narcotic cough medicine that numbs the throat and lungs, making the cough reflex less active., Benzonatate is used to relieve coughs due to colds or influenza (flu). It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm with the cough. Benzonatate relieves cough by acting directly on the lungs and the breathing passages., Pneumonia is an umbrella term for a group of syndromes caused by a variety of organisms that result in infection of the lung parenchyma. Classification schemata have helped establish the common organisms responsible for each type of pneumonia and helped to formulate treatment guidelines for efficient management, in both inpatient and …, Share this article: If you’re coughing up clear jelly balls of clear mucus, there are several varied reasons for this excess mucus formation. Our lungs, mouth, throat, nose, intestine, and even our eyes produce mucus. For example, the nose produces about 1 liter of mucus every day. The throat and lungs also secrete mucus, keeping the airways ..., For a cough, it is not recommended for a breastfeeding mother to take. Tessalon Perles (Benzonatate) or. Codeine. Dextromethorphan (Babee. Cof Syrup, Hold DM ..., Benz Pearls. Generic Name, Benzonatate. Product Description. Uses: This medication is a non-narcotic cough suppressant, prescribed for cough. It works by ..., Asthma is a common pathology, affecting around 15% to 20% of people in developed countries and around 2% to 4% in less developed countries. It is significantly more common in children. Up to 40% of children will have a wheeze at some point, which, if reversible by beta-2 agonists, is termed asthma, regardless of lung function tests., Side Effects of Benz Pearls are Vomiting, Nausea, Constipation, Dizziness, Breathlessness, Worsening of a pre-existing breathing problem, Loss of appetite, Rash. How Benz Pearls Products work Benzonatate is an antitussive (cough suppressants)., Answers. Is they are a similar drug to Tessalon he perked 100mg. In my opinion Muscinex works just as well. Best wishes to you. Mucinex does NOT work anything like Benzonatate /Tessalon! You need to understand WHAT is making you cough before deciding what to take. TESSALON actually numbs the lining of your throat & lungs, which …, Known for its natural beauty, the Philippines is often called the “Pearl of the Orient,” although this title has also referred to Hong Kong and Saigon. The Philippines is more spec..., Shop robitussin cough gels at Walgreens. Find robitussin cough gels coupons and weekly deals. Pickup & Same Day Delivery available on most store items., Allergic rhinitis (AR) is an atopic disease characterized by symptoms of nasal congestion, clear rhinorrhea, sneezing, postnasal drip, and nasal pruritis. It affects one in six individuals and is associated with significant morbidity, loss of productivity, and healthcare costs. Historically, AR was thought to be a disease process of the nasal …, Asthma is a common pathology, affecting around 15% to 20% of people in developed countries and around 2% to 4% in less developed countries. It is significantly more common in children. Up to 40% of children will have a wheeze at some point, which, if reversible by beta-2 agonists, is termed asthma, regardless of lung function tests., Used for Cough. Benzonatate (Tessalon Perles) is a cough suppressant. It's used to relieve cough in people ages 10 years and older. Benzonatate (Tessalon …, Here are 10 things you need to know about Tessalon: 1. Do not chew or break open! You must swallow these liquid-filled capsules intact for cough suppression. Fun fact: Chewing or dissolving two 100-mg liquid-filled capsules in the mouth is used to numb the mouth and throat for anesthesia for conscious intubation. DO NOT use it this way., Aug 3, 2021 · Tessalon Perles dosage for children. Tessalon is FDA-approved to treat symptomatic cough in children 10 years of age and older. The children’s recommended and maximum dosage is identical to the adult dose. Children younger than the age of 10 should not be given Tessalon. Tessalon should be administered to children over 10 under careful ... , Hydrocodone is a narcotic cough suppressant. It affects the signals in the brain that trigger cough reflex. Tussionex PennKinetic is used to treat runny nose, sneezing, itching, watery eyes, and cough caused by allergies, the common cold, or the flu. Warnings. MISUSE OF Tussionex PennKinetic CAN CAUSE ADDICTION, …, What are the side effects of benzonatate? The most frequent adverse reactions of benzonatate include: Sedation. Headache. Mild dizziness. Constipation. Nausea. Vomiting. Other side effects that have been reported include: Nasal congestion. Hallucinations. Itching skin. Rash. Indigestion. Confusion. Numbness in the chest., For Cough "I grew into lung issues. Walking pneumonia, asthma, bronchitis, continual coughing. Someone suggested I ask the doctor for the coughing pearls. I had zero negative side effects. Instead by cough nearly stopped. When I did start to cough again it was because it was time to take another dose., Benzonatate, sold under the brand name Tessalon among others, is a medication that is used for the symptomatic relief of cough. [7] [8] A 2023 systematic review found that there is inadequate evidence to support the …, Ans : Benz Pearls Capsule is a medication which has Benzonatate as an active element present in it. This medicine performs its action by decreasing the cough reflex. Ques : What are the uses of Benz Pearls 100Mg Capsule? Ans : Benz Capsule is used for the treatment and prevention from conditions such as Cough and Cold., Nov 28, 2023 · Four types of coughs and when to seek treatment. Coughing is your body’s way to clear an irritant from your throat, airway and lungs. The four main types of coughs are: wet, dry, paroxysmal and croup. Most coughs do go away on their own. Home remedies and over-the-counter cough medicines can help relieve symptoms. Coughing is your body’s ... , Pneumonia is an umbrella term for a group of syndromes caused by a variety of organisms that result in infection of the lung parenchyma. Classification schemata have helped establish the common organisms responsible for each type of pneumonia and helped to formulate treatment guidelines for efficient management, in both inpatient and outpatient ..., You can see these while looking inside your mouth in a mirror. You can also cough these tonsil stones out. In that case, you’ll notice coughing up tapioca pearls. Pain, redness, and difficulty in swallowing: You may have redness and pain if your tonsils are inflamed. Your tonsils may even be swollen. This will narrow the throat., Benzonatate is used to relieve coughs due to colds or influenza (flu). It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an …