Shobhit Shah on Instagram: "She developed an ACE-inhibitor–induced cough. Enalapril increases bradykinin and substance P in the lungs, irritating airway cough receptors. It is a common class effect, not infection or allergy, so X-ray and blood tests remain normal. The drug should be stopped, and blood pressure controlled with an ARB like losartan or telmisartan. The cough usually resolves within 1–4 weeks after discontinuation. #doctorlife #doctorpatientrelationship #medicaladvice #moradabad #me