tom,

My cough developed the first month on Vasotec but I think it can come onm at any time beacause you can get more and more sensitized.

If I were you, I would just STOP the Altace for a week and see if you stop coughing. It will become apparent quickly if you have the ACE COUGH. If you do, you really need a new class of drugs, most like an ARB.