Can Entyvio (Vedolizumab) cause coughing?

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Last updated: March 13, 2025View editorial policy

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From the Research

Entyvio (vedolizumab) can potentially cause coughing as a side effect, though it's not among the most common reactions. Coughing has been reported in clinical trials and post-marketing surveillance, but it occurs less frequently than other side effects like headaches, joint pain, or upper respiratory tract infections. Entyvio works by targeting specific gut-selective integrins to reduce inflammation in inflammatory bowel diseases like Crohn's disease and ulcerative colitis. Since it has a gut-selective mechanism of action, respiratory side effects are generally less common compared to other biologic medications. If you develop a persistent cough while taking Entyvio, it's essential to contact your healthcare provider, as it could potentially indicate an allergic reaction, infection, or other medical issue that needs evaluation. Don't stop taking Entyvio without medical guidance, as discontinuing treatment could lead to disease flares.

Some key points to consider:

  • The exact mechanism of cough associated with Entyvio is not well understood, but it may be related to the drug's effects on the immune system 1.
  • Cough is a common symptom in various respiratory and non-respiratory conditions, and its association with Entyvio may be coincidental or related to the underlying disease being treated 2.
  • Other medications, such as ACE inhibitors, have been associated with cough as a side effect, but the mechanism and incidence may differ from Entyvio 3.
  • If you experience a persistent cough while taking Entyvio, your healthcare provider may consider alternative causes and treat accordingly, rather than attributing it solely to the medication 4, 5.

It's crucial to prioritize your health and consult your healthcare provider if you have concerns about coughing or any other side effects while taking Entyvio.

References

Research

Chronic cough in adults with interstitial lung disease.

Current opinion in pulmonary medicine, 2005

Research

Cough and inhibition of the renin-angiotensin system.

Journal of hypertension. Supplement : official journal of the International Society of Hypertension, 1993

Research

Eosinophilia associated with bupropion.

International journal of clinical pharmacy, 2013

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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