Original Investigation

Glucagon-Like Peptide-1 Receptor Agonists and Chronic Cough

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2025.4181

November 26, 2025 at 11:00 AM EST

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Is the use of glucagon-like peptide-1 receptor agonists (GLP-1RAs) associated with increased risk of chronic cough?In this cohort study of 427 555 individuals who were prescribed a GLP-1RA and 1 614 495 matched individuals who were prescribed a different second-line diabetes medication, GLP-1RA treatment was associated with a higher adjusted hazard ratio of new chronic cough. This association was independent of gastroesophageal reflux disease diagnosis.The study findings suggest that patients who use GLP-1RAs have an increased risk of chronic cough, suggesting further exploration of the strength of this association and pharmacologic mechanisms.

Corresponding Author: Anca M. Barbu, MD, 8631 W 3rd St, Medical Offices East, Suite 915E, Los Angeles CA, 90048 (anca.barbu@cshs.org)

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