Well it happens with me as well. I cough to death after every treatment. I had other side effects too so my doctor switched me to Bramitob (same drug, different company, easier to tolerate, no hoarse voice). I kept having problem with coughing so we also switched to Aerolin insted of Symbicort. I think it helped me a lot. My doctor explained that maybe i had a bad reaction to the Symbicort-Bramitob combination. And buy Eflow. Its a life saver.