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Hoarseness

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8 Diagnosis Diagnosis Table 4. Medications That May Cause Dysphonia* Medication Mechanism of impact on voice Coumadin, thrombolytics, Phosphodiesterase-5 inhibitors Vocal fold hematoma Bisphosphonates Chemical laryngitis Angiotensin-converting enzyme inhibitors Cough Antihistamines, diuretics, anticholinergics Drying effect on mucosa Danocrine, testosterone Sex hormone production/utilization Alteration Antipsychotics, atypical antipsychotics Laryngeal dystonia Inhaled steroids Dose dependent mucosal irritation Fungal laryngitis * Note: This is not intended to be an exhaustive list of all medication that could cause dysphonia.

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