ACC powder for children

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ACC powder (100 and 200 mg) for children: instructions for use, indications and precautions

Children's immunity develops gradually. This is the reason for special susceptibility to colds.

Table of contents:

One of the most unpleasant symptoms of a cold is a cough.

It is divided into dry and wet. A dry cough causes pain and discomfort in the throat area. In this case, ACC powder is often prescribed for children.

This article discusses the instructions for using ACC powder (100 and 200 mg) for children, reviews of parents about the children's medicine, and the price of the drug.

Composition and pharmacological properties

ACC is a medical drug aimed at combating cough. Produced in Germany and Slovenia. It has an expectorant and anti-inflammatory effect.

The main active ingredient of the drug is acetylcysteine. Auxiliary components include sodium saccharinate, ascorbic acid, sucrose and flavoring.

The drug is available in tablet and powder format. The second option is used in childhood.

The drug package contains 20 packets of granules. They are white in color and have a pleasant aroma. Depending on the additive, it can be lemon, orange or honey.

It is possible to use the drug for preventive purposes in the presence of chronic diseases of the respiratory system.

If you are interested in whether Stopdiar can be used for vomiting in children, read our publication.

Instructions for using Nimulid suspension for children are discussed in this material.

Reviews of Suprax suspension for children are presented for review in this article.

Indications

ACC powder is prescribed for any type of disease accompanied by sputum production in the pulmonary tract.

The drug allows you to make your cough more productive. The active component reduces the inflammatory process, alleviating the child's condition.

The indications specified in the instructions for the medicine include the following:

  • inflammatory process in the respiratory system;

    Before prescribing the drug, the doctor should listen to the child's breathing using a phonendoscope.

    If there is viscous and thick sputum, the exhalation will be prolonged. Breathing will be heavy, with moist wheezing.

    Contraindications

    Prescription of the dosage of the drug in the presence of diseases of the gastrointestinal tract is carried out with caution.

    Doctors advise using ACC with caution if you are prone to varicose veins in the esophagus.

    If there is renal or liver failure, during treatment it is necessary to monitor the condition of the organs through tests.

    Direct contraindications to taking medicinal granules include the following:

    • bleeding in the lung area;
  • presence of sensitivity to the components of the drug;
  • acute form of gastrointestinal diseases;

    How quickly it helps

    The active component of the drug has the property of thinning sputum through the process of depolymerization of mucoproteins.

    The antioxidant effect is based on the ability to bind to oxidative radicals, eliminating their viability. Thanks to this, the intensity of the inflammatory process is reduced.

    The process of metabolism of the active substances of the drug is carried out in the liver. The maximum concentration of components in blood cells is reached approximately 2 hours after administration. The elimination process is carried out by the kidneys.

    Sputum discharge is noted on the first day of using the drug.

    Complete disappearance of the cough reflex occurs during the course of treatment. Its duration depends on the severity of the disease.

    Dosage or 200 mg

    How to drink ACC powder for children? Mucolytic therapy involves following the dosage prescribed by the doctor.

    At the age of 2 to 6 years, it is allowed to take 100 mg of the drug, no more than 3 times a day. At the age of 6 to 14 years, a single dose can reach 200 mg. But the number of receptions remains the same.

    The daily dose for adolescents over 14 years of age is mg of the drug per day. This amount is spread over 2 doses.

    It is not recommended to change the dosage yourself. This may worsen side effects or develop an allergic reaction.

    How to dilute and take, special instructions

    Before use, ACC powder must be dissolved in hot water. For 100 mg of the drug you will need 100 ml of liquid.

    The resulting ACC solution (suspension) for children is taken orally, hot. No connection to food intake is required.

    Without supervision from medical representatives, the drug can be used for no longer than 5 days. In case of complications of the disease, the course of treatment is extended. But this nuance is discussed with the attending physician.

    If you have diabetes mellitus, ACC should be used with caution. The composition of the drug includes sucrose. This must be taken into account when prescribing dosage.

    Possibility of combination with other substances

    Combining ACC powder with agents of a similar effect can lead to stagnation of mucus in the respiratory organs.

    ACC increases the vasodilatory effect of nitroglycerin, so it is advisable to reduce its dosage.

    Any combination of ACC with medications should be discussed with your pediatrician to avoid possible side effects.

    When it is prescribed, how it is taken and how much it costs Pirantel for children, this material will tell you.

    Instructions for using Sumamed children's suspension can be studied using this article.

    Our publication will help you calculate the correct dosage of Cedex suspension for children of different ages.

    Overdose and side effects

    During treatment, an overdose is possible, so you should adhere to the dosage regimen prescribed by your doctor.

    Exceeding the dosage is fraught with the appearance of characteristic symptoms. These include stomach pain, stool disturbances, nausea and heartburn.

    In this case, gastric lavage is indicated. You should also stay in bed and stop using the drug.

    Side effects may occur during treatment. These include the following:

    • noise in ears;
  • toxic poisoning of the body;
  • decreased blood pressure;

    Price, release and storage conditions, expiration date

    The drug is not classified as a prescription drug. In the Russian Federation, ACC powder can be purchased at any pharmacy.

    There are two packaging volume options - 100 and 200 mg. The package contains 20 serving packets.

    The optimal storage temperature for the medication should not exceed 25 degrees. The powder package should be stored in a place protected from light.

    The shelf life is 4 years from the date of issue. After its expiration, it is prohibited to use the drug.

    Reviews

    • Svetlana: “I believe that there is no need to delay the treatment of cough in children, even if it is wet. It is necessary to use drugs that promote the removal of sputum. I usually give the drug to my son for 5 to 7 days. The cough goes away completely after treatment.”
  • Lydia: “We use ACC powder with pleasure. It has a pleasant orange taste, my daughter really likes it. The cost is reasonable in my opinion. The only drawback is the presence of a large number of side effects. But they passed us by.”
  • Christina: “I gave ACC to children without a doctor’s prescription. Because what was prescribed to us did not help. After 4 days of admission, we visited the attending physician. The wheezing in the chest has completely disappeared. The medicine turned out to be effective.”
  • Elena: “The taste of the solution is pleasant, but it did not have the desired effect. I gave ACC to my three year old daughter. No improvement in well-being was noted. The sputum still didn’t come out.”

    • Only Bromhexine is in the same price category as ACC. The difference between the drugs lies in the packaging format and composition. Bromhexine is available in syrup form.

    ACC powder noticeably outperforms analog products in many respects. For a long time it has not lost its leading position.

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    Source: http://malutka.pro/preparaty/suspenzii/poroshok-atsts.html

    ACC powder for children

    Description current as of 01/19/2016

    • Latin name: ACC
    • ATX code: R05CB01
    • Active ingredient: Acetylcysteine
    • Manufacturer: Salutas Pharma, Lindopharm GmbH, Alfamed Farbil Arzneimittel GmbH, Pharma Wernigerode GmbH (Germany)

    Compound

    The ACC product in tablets contains the active component acetylcysteine, and the medicine also contains additional components: anhydrous citric acid, anhydrous sodium carbonate, sodium bicarbonate, mannitol, anhydrous lactose, sodium citrate, ascorbic acid, sodium saccharinate, flavoring.

    ACC powder contains the active component acetylcysteine, as well as additional components: sucrose, ascorbic acid, sodium saccharinate, flavoring.

    Release form

    The drug ACC 100 (ACC for children) and ACC 200 (for adult patients) are produced.

    The medicine is available in the form of effervescent tablets, as well as in the form of granules, which are used to apply the solution. The tablets are white, on the one hand, have a blackberry flavor. A faint sulfur odor may be noted. Tablets are used to prepare a solution - transparent, with a blackberry aroma.

    The granules are white, homogeneous, and have the aroma of honey and lemon or orange. The granulate is contained in foil bags, in a cardboard pack of 20 bags.

    pharmachologic effect

    Wikipedia indicates that the substance acetylcysteine ​​is a derivative of the amino acid cysteine. It produces a mucolytic effect, under its influence the process of sputum discharge is facilitated, since the substance directly affects the rheological properties of sputum. Its influence is associated with the ability to break disulfide bonds of mucopolysaccharide chains, resulting in depolymerization of sputum mucoproteins. As a result, the viscosity of sputum decreases.

    The drug is also active if the patient has purulent sputum.

    The abstract also contains information that ACC provides an antioxidant effect associated with the ability of reactive sulfhydryl groups to neutralize oxidative radicals by binding to them. In view of this, the protection of cells from oxidation, which often occurs during inflammatory reactions, increases.

    Acetylcysteine ​​also activates glutathione, which is an important part of the antioxidant system and chemical detoxification of the body.

    If ACC is used for the purpose of prevention, the severity and frequency of exacerbations in people suffering from cystic fibrosis and chronic bronchitis is noticeably reduced.

    Pharmacokinetics and pharmacodynamics

    There is a high level of absorption of the drug. Metabolism occurs in the liver, with the formation of an active metabolite - cysteine, also cystine, diacetylcysteine, mixed disulfides.

    When taken orally, the bioavailability level is 10% (as there is a pronounced first-pass effect through the liver). The maximum concentration in plasma is observed after 1-3 hours. 50% bound to blood proteins.

    Excreted in urine in the form of inactive metabolites. The half-life is 1 hour; if the patient has impaired liver function, it can be extended to 8 hours.

    Penetrates through the placenta, there is no data on penetration through the BBB.

    Indications for use

    The following indications for the use of this drug are noted:

    Contraindications

    The following contraindications are noted for all forms of the drug:

    The drug is prescribed with caution to patients with a history of gastric or duodenal ulcers, histamine intolerance (cannot be used for a long time), bronchial asthma, esophageal varices, obstructive bronchitis, adrenal gland diseases, arterial hypertension, liver and/or kidney failure.

    Additional contraindications for 200 mg effervescent tablets:

    • lactase deficiency, lactose intolerance;
    • glucose-galactose malabsorption;
    • patient age under 2 years;

    Additional contraindications for granules:

    • fructose intolerance;
    • lack of sucrase/isomaltase;
    • glucose-galactose deficiency;
    • The patient's age is up to 6 years.

    Side effects

    During treatment, the following side effects may occur:

    Instructions for use of ACC (Method and dosage)

    The drug in effervescent tablets or granules in sachets must be taken orally and adhere to the dosage indicated in the instructions. You need to drink after eating.

    ACC powder, instructions for use

    The instructions for ACC powder 100 mg stipulate that the product should be dissolved in half a glass of water and then drunk immediately. Children from two to six years old receive the drug in 2-3 doses per day. Children's ACC patients aged 6 to 14 years receive 2-3 mg per day in 2-3 doses. Patients over 14 years of age receive PMG medication per day in 2-3 doses. People who have cystic fibrosis and whose weight is more than 30 kg can receive up to 800 mg of medication per day. In this case, all contraindications must be taken into account.

    If we are talking about an acute illness without complications, then the patient can receive the drug without medical supervision for no longer than five days. For chronic diseases, the duration of therapy should be determined by a doctor.

    Instructions for use of ACC for children

    200 mg tablets or powder are rarely used in children. This drug is prescribed to children from 6 years of age. ACC powder 100 mg is used for children from 2 years of age; the dosage must be prescribed by a doctor.

    Effervescent tablets are dissolved in 1 tbsp. water, you can also use tea or juice for this purpose.

    Before taking 200 mg powder, you should note that additional drinking can enhance the mucolytic effect of the medicine. The method of use of 200 mg powder depends on the doctor’s recommendations.

    ACC for coughs and colds can be taken for 5-7 days. If the drug does not help with cough during this period, you need to consult a doctor who will give recommendations on how to take ACC in sachets.

    It is important to consider how to drink 200 mg powder for cystic fibrosis and chronic bronchitis: in this case, treatment takes longer.

    Overdose

    If acetylcysteine ​​was taken by the patient in a dose that exceeds 500 mg per day, he may show signs of overdose, which is why you should strictly adhere to the prescribed treatment regimen. In this case, the patient may develop vomiting, diarrhea, heartburn, and abdominal pain. In case of overdose, symptomatic therapy is carried out.

    Interaction

    In the case of simultaneous use of acetylcysteine ​​and cough suppressants for a dry cough, the cough reflex may be suppressed and, as a result, sputum stagnation may occur.

    In case of simultaneous treatment with antibiotics (tetracyclines, penicillins, cephalosporins), their interaction with the thiol group of acetylcysteine ​​may be observed. As a result, the antibacterial activity of such drugs is reduced. It is important to avoid this effect, for which you need to maintain an interval of at least 2 hours between taking antibiotics and acetylcysteine.

    When used simultaneously with vasodilating drugs and Nitroglycerin, the vasodilatory effect of the latter may be enhanced.

    Terms of sale

    The product is sold in pharmacies with a prescription.

    Storage conditions

    Granules and tablets should be stored at a temperature not exceeding 25 °C, out of reach of children.

    Best before date

    Storage period – 3 years.

    special instructions

    When using acetylcysteine, cases of severe allergic manifestations were very rarely recorded. If after using the medicine the patient experiences changes in the skin or mucous membranes, you should immediately consult a doctor. At this point, the medication is stopped.

    Before starting treatment, you should know how to prepare a solution and in what water to dissolve granules and tablets. How to dilute 200 mg ACC depends on the prescribed treatment regimen. As a rule, granules are dissolved by gradually stirring them in one tbsp. hot water. You should also drink the solution hot. It is recommended to dilute the medicine in a glass container.

    One should take into account not only what kind of cough to take the medicine for, but also caution when taking the medicine in patients with obstructive bronchitis and bronchial asthma. It is important to constantly monitor bronchial patency.

    It is recommended to take the medicine up to eighteen hours; it is not recommended to drink the medicine directly before bedtime.

    Patients with diabetes should take into account that the drug contains sucrose.

    When treated with the drug, the patient may drive vehicles or operate dangerous machinery.

    Analogues of ACC

    Analogues of this drug are Acestine, Acetylcysteine ​​solution for inhalation, Acetylcysteine, Fluimucil, ACC Inject, etc. The price of drugs depends on the manufacturer and packaging. A specialist will help you choose the most optimal remedy.

    ACC for children

    As a rule, children are prescribed ACC powder 100 mg. It can be used from 2 years. In this case, the instructions on the ACC for children must be strictly followed. The dosage of ACC for children is determined by the attending physician, depending on the disease. The drug ACC 200 in granules and effervescent tablets is prescribed to children from 5 years of age.

    ACC during pregnancy and lactation

    Currently, there is only limited information on the use of ACC during pregnancy, so it is not prescribed at this time. Treatment is also not carried out during breastfeeding; if there is such a need, lactation is stopped.

    Reviews about ACC

    Many users speak positively about ACC for children and adults, noting that it is very effective in helping with cough. Parents write that the children's drug alleviates the child's condition after just a few doses. Many reviews of ACC for children indicate that the medicine facilitates mucus discharge, reduces the severity of cough, and improves general condition. However, side effects develop very rarely.

    ACC price, where to buy

    You can buy the drug at any pharmacy; its cost depends on the form and packaging. The price of ACC powder 100 mg is from 130 rubles for 20 sachets. Price of powder 200 mg – from 180 rubles. for 20 pcs. The average price of ACC syrup (granules for preparation) is from 140 rubles. How much syrup for children costs depends on where the drug is sold. Effervescent tablets can be purchased at a price of 250 rubles. for 20 pcs.

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    BIOSPHERE

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    Work experience: From 2003 to 2013 – worked as a pharmacist and manager of a pharmacy kiosk. She was awarded diplomas and decorations for many years of conscientious work. Articles on medical topics were published in local publications (newspapers) and on various Internet portals.

    Ivan: We’ve been working for more than half a year. They have proven themselves. Everything is guaranteed. In stock.

    Yulia: I have the same symptoms, I thought it was meningitis. I almost didn’t say goodbye at all. Head.

    Diets.Guru: If the stage of the disease and the patient’s condition allow the possibility of surgery.

    Kostya: Yesterday I picked up the child from kindergarten, came home and then it all started! At first the boy complained.

    All materials presented on the site are for reference and informational purposes only and cannot be considered a treatment method prescribed by a doctor or sufficient advice.

    The site administration and the authors of the articles are not responsible for any losses and consequences that may arise when using the site materials.

    Source: http://medside.ru/atsts

    Powder "Acc 100" for children: instructions for use

    A child’s cough worries any mother and makes her want to immediately help the baby. To combat this symptom, mucolytic agents are often used to help make viscous sputum more liquid. Among such drugs, a medicine from the Sandoz company called ACC 100 is very popular. Can children take it and how does the child’s body react to this drug? In what dose and how many times should ACC be given to a child with a cough?

    Release form

    ACC 100 is produced in three versions:

    • Effervescent tablets. They are packaged in tubes (one contains 20 pieces) and are round, flat tablets that have a blackberry scent and are white in color. After dissolving such a tablet, a clear, colorless liquid is formed that smells like blackberries. There may be a slight smell of sulfur.
    • Granules from which a solution is prepared (it is given to the child to drink). They are white and uniform, smell like orange and are packaged in 3 gram bags. One package contains 20 sachets. After stirring the granules in water, an orange drink is obtained.
    • Syrup. The content of the active substance in this form of ACC is 100 mg per 5 ml of syrup. The medicine is a slightly viscous, colorless, transparent liquid with a cherry odor. It is placed in a dark glass bottle with a volume of 100 ml.

    Compound

    The active ingredient in the drug ACC 100 is acetylcysteine. Its content, as can be understood from the name of the medication, is 100 mg in each package or in one effervescent tablet. Additional ingredients are:

    • Effervescent tablets contain sodium carbonate, sodium saccharinate, ascorbic acid, sodium citrate, citric acid, lactose, sodium bicarbonate, mannitol, blackberry flavor.
    • The granules contain saccharin, vitamin C, sucrose, orange flavor.
    • Syrup contains Na saccharinate, water, Na benzoate, Na hydroxide, disodium edetate, methyl parahydroxybenzoate, Na carmellose, cherry flavor.

    Operating principle

    Acetylcysteine ​​contained in ACC 100 has a mucolytic effect. Such a compound directly affects the mucus that is produced in the respiratory tract, as a result of which the rheological characteristics of the mucus change. The drug destroys the bonds of mucopolysaccharides present in the secretion, which leads to a decrease in the viscosity of sputum. It is noted that the medicine actively dilutes mucus, even when there is pus in the bronchi.

    Acetylcysteine ​​also has an antioxidant effect. This substance activates the production of glutathione and neutralizes radicals arising during oxidative reactions. As a result, the drug activates the protection of airway cells and reduces the severity of inflammation.

    Promotional video for the drug ACC:

    Indications

    The reason to prescribe ACC 100 is the presence of excessively viscous secretion in the bronchi, which needs to be liquefied and removed from the respiratory tract.

    The medicine is in demand for the following problems:

    • Laryngitis.
    • Bronchitis.
    • Pneumonia.
    • Laryngotracheitis.
    • Bronchiolitis.
    • Chronic pulmonary diseases, including those with obstruction.
    • Otitis media
    • Sinusitis.
    • Bronchiectasis.
    • Lung abscess.
    • Cystic fibrosis.

    You may be interested in watching the episode of Dr. Komarovsky’s program, which touches on such a pressing topic as cough in children:

    At what age is it allowed to take it?

    The use of ACC 100 is recommended for children who are already 2 years old. Forms with a higher dosage are prescribed to older children - ACC 200 from the age of 6, and ACC long from the age of 14.

    Contraindications

    Taking ACC 100 is not recommended:

    • If you are intolerant to acetylcysteine ​​or another component of the drug, for example, lactose in effervescent tablets.
    • If blood is found in the sputum.
    • With glucose-galactose malabsorption.
    • When bleeding is detected in the lung.
    • With a peptic ulcer that has worsened.
    • With a deficiency of sucrase or lactase (for the form in which sucrose or lactose is present).

    The doctor should prescribe ACC 100 for bronchial asthma, kidney pathology, adrenal gland diseases, diabetes mellitus, high blood pressure or liver diseases with special attention.

    Side effects

    • Taking ACC 100 may cause an allergic reaction such as itching, hives, skin rashes or swelling. Occasionally, the drug provokes anaphylaxis.
    • The child's respiratory tract may respond to ACC 100 treatment with the appearance of shortness of breath. If the baby has bronchial asthma, the medicine can cause bronchospasm.
    • The digestive system of some children “responds” to the use of ACC 100 with a dyspeptic disorder, for example, loose stools, abdominal pain or heartburn.
    • Rare side effects from acetylcysteine ​​treatment include tinnitus, fever, headache, and bleeding.

    Instructions for use and dosage

    ACC 100 is recommended to be taken after meals. The required number of tablets is dissolved in one glass of water and then drunk immediately. It is recommended to prepare the medicinal solution only in glass containers. If the drug is diluted with water, it can be stored in liquid form for no longer than 2 hours.

    To dissolve the granules, you can use not only water, but also non-hot tea or juice. The syrup is dosed using the syringe or measuring cup included in the package. It is not recommended to give the medicine later than 6 pm so as not to disturb the child’s sleep. For a greater therapeutic effect, it is recommended to give children more to drink.

    The dose of the drug is determined based on the age of the small patient:

    • If the child is not yet 6 years old, then he is given from 200 to 300 mg of acetylcysteine ​​per day. This amount is divided into 2 doses, so a single dosage will be 1-1.5 tablets or 1-1.5 packets of granules. If the drug is given in syrup, then a single dose at the age of 2-5 years will be 5 or 7.5 ml.
    • For children over 6 years of age up to 14 years of age, the daily amount of acetylcysteine ​​for a therapeutic effect is mg. Since the drug is taken twice a day, a single dose will be mg, which corresponds to 1.5-2 effervescent tablets ACC 100, 7.5-10 ml of syrup or 1.5-2 packets of ACC 100 granules. It turns out that from the age of six it is more convenient use ACC 200.
    • A child 14 years of age and older is given from 400 to 600 mg of acetylcysteine ​​per day. The drug is taken 1 to 3 times a day, so ACC 200 and ACC Long are more in demand.

    The duration of treatment is determined by the doctor individually, but acute pathology is often treated within 5 or 7 days.

    Overdose

    If a child takes too high a dose of ACC, it will cause nausea, diarrhea, or vomiting. To help in such a situation, symptomatic therapy is used.

    Interaction with other drugs

    • ACC 100 granules or tablets should not be mixed in a glass with any other medications.
    • If a child is given activated carbon or another sorbent, the effectiveness of ACC 100 treatment will decrease.
    • The simultaneous use of ACC 100 and antitussives is prohibited, since after suppression of the cough reflex, the mucolytic effect of acetylcysteine ​​will provoke stagnation of sputum.
    • By adding bronchodilators to ACC 100 treatment, the effectiveness of therapy will increase.
    • ACC 100 may interfere with the antimicrobial action of some antibiotics, such as penicillins or cephalosporins. It is necessary to wait at least 2 hours between taking such medications.
    • If you give the patient ACC 100 and any vasodilating agents, the blood vessels will dilate more.

    Terms of sale

    To buy ACC 100 at a pharmacy, you do not need a doctor's prescription. The average price for a pack of effervescent tablets or syrup is 240 rubles, and for a pack of 20 sachets you need to pay about 120 rubles.

    Storage conditions and shelf life

    The storage temperature of tablet form and granules should not exceed +25°C. The tube is kept in a dry place and the tablets are tightly closed after each removal. The shelf life of this form is 3 years.

    ACC syrup should be stored away from sunlight and moisture. From the date of release, a closed bottle can be stored for 2 years, and after opening, the medicine should be used within 18 days. ACC 100 granules have a shelf life of 4 years.

    Reviews

    The drug ACC 100 receives mostly good reviews from parents. Mothers who have treated coughs with this medicine in their children note that the drug is quite effective, and side effects are rarely detected. They confirm that taking ACC 100 facilitated the removal of mucus from the respiratory tract and accelerated the healing process. According to mothers, most children like the taste of the drink made from ACC 100.

    Analogs

    ACC 100 can be replaced by analogues that have the same active ingredient, for example:

    • Fluimucil. This medicine is produced in an oral solution (contains 20 or 40 mg of acetylcysteine ​​per 1 ml of the drug), in a solution for injections and inhalations, in granules (1 package contains 200 mg of acetylcysteine) and in the form of effervescent tablets with a dosage of the active substance of 600 mg.
    • Acetylcysteine. This domestic drug is produced in effervescent tablets containing 200 mg of the active substance, as well as in powder from which a solution for oral administration is prepared (1 package may contain 100 or 200 mg of acetylcysteine).
    • Acestine. The product is produced in tablets and effervescent tablets of 200 and 600 mg of acetylcysteine.
    • N-AC-Ratiopharm. The medicine is presented in effervescent tablets of 200 or 600 mg of the active substance, as well as sachets with powder from which a solution containing acetylcysteine ​​is prepared in a dosage of 100, 200 or 600 mg.

    In addition, instead of ACC 100, other drugs that have a mucolytic effect can be given. These medications include those containing ambroxol or carbocisteine.

    The mechanism of action of ACC is clearly shown in the advertisement of the drug.

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    ACC powder: instructions for use

    The drug ACC is a drug that has a mucolytic effect and is intended for the treatment of a variety of diseases of the respiratory system. Available in granular form. The granules are intended for further dissolution in water and drinking.

    Release form and composition

    The active substance is acetylcysteine. The granules have a homogeneous consistency without lumps with an orange aroma. Each packet of granules contains 200 or 100 mg of acetylcysteine. In addition to the active substance, auxiliary components have been added to the composition: saccharin, ascorbic acid, sucrose and orange flavoring. A cardboard package may contain 50 or 20 disposable sachets, each of which is made of three-layer material. The package contains detailed instructions.

    Indications for use

    ACC should be used for the following painful conditions:

    • formation of difficult to separate sputum of viscous consistency;
    • obstructive bronchitis;
    • bronchiectasis;
    • laryngotracheitis;
    • bronchial asthma;
    • cystic fibrosis;
    • pneumonia;
    • in the treatment of chronic and acute sinusitis;
    • bronchiolitis;
    • otitis media;
    • other diseases of the respiratory system.

    Contraindications

    The ban on taking the ACC drug applies to nursing and pregnant women, children under two years of age, and patients with hypersensitivity to any component of this drug. Increased caution is required when prescribing ACC to people with varicose veins in the esophagus, hemoptysis, bronchial asthma (due to a possible complication in the form of bronchospasm), failure of the kidneys or adrenal glands, liver, or peptic ulcer. In pregnant women, taking ACC is possible only in extreme cases, when the benefit outweighs the likelihood of developing undesirable consequences.

    Directions for use and dosage

    ACC in adolescents, starting from the age of 14 years and in adults, is used according to the scheme. In the treatment of diseases of the respiratory system, you should take 1 packet containing acetylcysteine ​​200 mg or 2 packets with 100 mg of the drug 3 times over 24 hours. The total dose of acetylcysteine ​​ranges from 400 to 600 mg per day. It is divided into several doses after consultation with a doctor.

    Children from 6 to 14 years of age should consume 300–400 mg of the drug per day. The dose is divided into 3 or 2 times at approximately equal intervals.

    Children from 2 to 5 years old are prescribed ACC at a dose of 100 mg twice a day.

    A different treatment regimen is performed in the treatment of cystic fibrosis. From the age of six, three doses of 200 mg are required. Children 2–5 years old should take 100 mg of the drug four times in 24 hours. Sometimes it is necessary to increase the daily dose to 800 mg in patients who weigh more than 30 kg.

    Diseases that last a short time require treatment with ACC for about 6 to 7 days. In the case of treatment of cystic fibrosis or chronic problems with the respiratory system, a long course is required, selected by the doctor strictly individually.

    How to dilute ACC powder?

    The drug ACC is prescribed strictly after meals. The granules in the bag must be dissolved in a cool liquid (tea, water, juice). Parallel intake of liquids significantly increases the activity of acetylcysteine.

    Side effects

    During therapy, the following unpleasant complications may occur:

    • headache;
    • noise in ears;
    • the appearance of inflammatory elements in the oral cavity;
    • nausea or heartburn;
    • stool disorder;
    • tachycardia;
    • decreased blood pressure;
    • Isolated complaints of allergic complications were recorded. The most common occurrence is bronchospasm, which is usually recorded in patients with increased bronchial reactivity. Possible itching or rash;
    • development of bleeding (extremely rare).

    special instructions

    Patients with diabetes mellitus should take into account the fact that a packet of ACC with a dosage of 200 mg corresponds to 0.23 VE, and with a dosage of 100 mg - 0.24 VE. The granules contain sucrose. When feeding and lactation, ACC is prescribed under strict medical supervision in extreme cases.

    It is prohibited to use ACC with substances that have an antitussive effect. Possible stagnation of mucus in the bronchi. You need to know that nitroglycerin taken simultaneously with acetylcysteine ​​will enhance its vasodilating effect. ACC is incompatible with drugs related to antibiotics. This is especially true for cephalosporins, penicillins, erythromycin, amphotericin B and tetracycline. It is also impossible to take ACC with proteolytic enzymes. ACC granules dissolve only in glass containers. Do not use metal utensils. In the presence of bronchial asthma or obstructive bronchitis, acetylcysteine ​​is prescribed with periodic monitoring of bronchial patency.

    Analogues of ACC

    Preparations containing acetylcysteine: Acestad tablets and granules, Acestal S, ACC hot drink, ACC tablets, Fluimucil and many others.

    Drugs with a similar therapeutic effect include Ambroxol, Sudafred, Fluifort, Lazolvan, Bromhexine.

    Terms and conditions of storage

    ACC can be stored in rooms with a room temperature of about 25 degrees. The shelf life in original packaging is 4 years. The drug should be hidden from children. Dispensing from pharmacies is permitted without a prescription.

    ACC powder price

    ACC granules for the preparation of oral solution 100 mg, 20 pcs. — from 113 rub.

    ACC granules for the preparation of oral solution 200 mg, 20 pcs. — from 121 rub.

    Source: http://bezboleznej.ru/acc-poroshok

    ACC - a mucolytic and expectorant for the treatment of cough in children: a guide for mothers

    Cough is a frequent guest in the house where children live. ACC is designed to quickly and reliably get rid of the symptoms of a respiratory system infection and cope even with a prolonged wet cough and difficult to separate sputum.

    ACC is a drug for the treatment of wet cough.

    Description of the drug

    ACC is a mucolytic (i.e., phlegm-removing) and expectorant cough drug with antioxidant and anti-inflammatory effects. It is produced by two pharmaceutical companies - Sandoz dd in Slovenia and Hexal AG in Germany. The active ingredient is acetylcysteine.

    The mechanism of action of the product is described in detail in the instructions for use (download the instructions for the ACC drug in powder form) and is aimed at destroying the chemical bonds in the molecules of sputum, crushing it into small particles. In addition, ACC actively binds free radicals and reduces inflammation in the bronchi.

    Thanks to the medicine, the sputum thins and is easier to expectorate.

    Thus, the drug helps to liquefy, reduce the viscosity of sputum, and facilitate its discharge.

    When do doctors prescribe ACC?

    Cough can be different: dry and wet, short single and paroxysmal. To prescribe the correct treatment, the doctor must not only familiarize himself with the complaints and characteristics of the course of the disease, but also listen to the child.

    In the first days of illness, the cough is usually rough and dry; it is also called “barking.” Then, after 3-5 days, it becomes productive: the child is no longer bothered by pain and soreness in the chest, he begins to cough up phlegm.

    If sputum has already formed in the lungs, but is still too thick and viscous, when auscultating (listening) with a stethoscope, the doctor may hear harsh breathing, prolonged exhalation, and moist large- and medium-bubble rales. In this case, drugs based on acetylcysteine ​​are prescribed.

    Indications for use of the product in children, according to the instructions, are:

    • acute tracheitis and laryngitis in the resolution stage;
    • simple, obstructive bronchitis, bronchiolitis;
    • exacerbation of bronchial asthma;
    • acute pneumonia.

    Release forms: which is more convenient for children

    The pediatrician may prescribe ACC in the form of granules (powder), syrup or tablets. The product is approved for use in children over 2 years of age (for a dosage of 100 mg) and over 6 years of age (for a dosage of 200 mg). Read about each form of the medicine below in our review.

    Powder (granules), 100, 200 mg

    The drug in the form of granules or powder is supplied in individual sachets with a dosage of 100 or 200 mg. The granules have a uniform consistency, white color, and are highly soluble in water. The solution will taste like orange (100, 200 mg), lemon and honey (200 mg). The average price of 20 sachets of ACC powder 100 mg is 130 rubles, 200 mg is 150 rubles.

    Pour the contents of the sachet into cold water and stir.

    “ACC powder for children is always in our home medicine cabinet. It all started when my son became very ill. The cough, at first dry and barking, gradually became wet and gurgling. But the child had trouble coughing up mucus and was in great pain. The doctor advised me to buy ACC powder. I found this form very convenient: the bags are small, disposable, easy to take with you, dilute and give. The medicine has an orange taste and smell, the child drinks it with pleasure. Within five days of treatment, the cough was almost completely gone.”

    Effervescent tablets, 100, 200 mg

    The tablets have a similar dosage (100 and 200 mg) and are also used to prepare the drink and have a blackberry flavor (20 pieces per pack). They dissolve well in water with characteristic hissing and the formation of bubbles. The resulting colorless solution, in addition to blackberry, may have a slight sulfuric odor. The average price of ACC tablets 100 mg is 230 rubles, 200 - 250 rubles. per package.

    You need to drink the medicine immediately after preparation.

    Syrup, 20 mg/ml

    Syrup is a special children's form, produced in the form of a transparent, slightly viscous solution with a cherry smell. The medicine is available in a dark glass bottle, complete with a measuring cup and a dosage syringe. The labeling of the product means that 1 ml of syrup contains 20 mg of the active substance.

    The prepared syrup can be stored in the refrigerator for no more than 12 days.

    Rules for taking the drug and age dosage

    When using ACC in the form of powder (granules) for oral administration, syrup or effervescent tablets, follow the general rules:

    • Avoid contact of the drug with rubber and metal. Use glass containers to prepare the solution.
    • The last evening dose of the drug should be no later than 18:00; it is not recommended to use it before bedtime.
    • The course of treatment for acute diseases is 5-7 days, but if necessary, it can be increased by the pediatrician to 10 days.
    • Patients with asthma are recommended to take acetylcysteine ​​with monitoring of bronchial conduction (side effects are possible).
    • When prescribing ACC to children with diabetes, it must be taken into account when drawing up an insulin therapy plan. 1 tablet corresponds to 0.006 bread units (XE), 1 sachet with granules - 0.24 XE, 10.0 ml of syrup - 0.31 XE.

    Drinking additional fluids during treatment will speed up recovery.

    ACC in powder (granules)

    To prepare the ACC 100 drink, you need to open an individual sachet of powder and, stirring, pour its contents into a glass of water, juice or chilled tea. ACC 200 is recommended to be dissolved in hot water. It is advisable to give the child the medicine to drink immediately after preparation. If for some reason this is not possible, the solution should be consumed within the next 3 hours. The drug is taken after meals. The medicinal effect is enhanced by drinking plenty of fluids during the course of therapy.

    The norms for calculating the dose by age, as well as the frequency and duration of administration are indicated in the table below.

    ACC in effervescent tablets

    The tablets dissolve easily in water at room temperature, and take the resulting solution immediately after preparation.

    ACC in syrup

    ACC syrup is ready for use and is taken using a measuring cup or dosage syringe.

    When filling the measuring cup, remember:

    • 100 mg of acetylcysteine ​​corresponds to 5.0 ml of syrup (¼ measuring cup to the mark);
    • 200 mg - 10.0 ml (half a glass);
    • 400 mg - 20.0 ml (full glass).

    When using a dosing syringe:

    • 100 mg of active substance (5.0 ml) corresponds to 1 filled syringe;
    • 200 mg (10.0 ml) - 2 syringes;
    • 400 mg (20.0 ml) - 4.

    A dispenser syringe is a great helper for mothers!

    Rules for using a measuring syringe:

    1. The product has a child-resistant cap, so remove it according to the instructions.
    2. Separate the stopper from the measuring syringe, insert it into the neck of the bottle, press until it clicks.
    3. Insert the syringe into the resulting hole, making sure the connection is tight.
    4. Turning the bottle over, pull the plunger and draw the required amount of medicine.
    5. Turn the bottle and remove the syringe.
    6. Carefully insert the syringe into the mouth (cheek area) of the child in an upright position.
    7. Slowly pressing the plunger, pour the syrup into the child's mouth.
    8. When finished, rinse the syringe and plunger in running water.

    or 10.0 ml × 2 times a day

    “We are usually prescribed ACC by a pediatrician after a severe infection, when we have to take antibiotics. We tried it in different forms, but my daughter liked the sweet blackberry syrup better. The kit includes a syringe and a cup for accurate reading. I've used both - they're comfortable. The effect of the product is noticeable almost from the first use: sputum comes out well and abundantly. The pediatrician warned that after taking the medicine, you need to actively run and jump so that the sputum does not stagnate in the lungs, but comes out with a cough. Another caveat is that ACC cannot be taken on an empty stomach, so I give it after a hearty breakfast or lunch.”

    Before taking the medicine, the baby should eat a hearty meal.

    Side effects

    Undesirable effects of taking ACC include:

    • allergic manifestations - itchy rash, urticaria; very rarely - skin rejection syndromes (Stevens-Jones, Lyell), anaphylactic shock;
    • in children with bronchial asthma - shortness of breath, bronchospasm;
    • nausea, vomiting, pain in the upper abdomen, loose stools;
    • headache.

    “I gave ACC to my older child when his cough did not go away for a long time. The product was prescribed by a pediatrician, and reviews online were mostly positive. We drank the syrup according to the instructions for 5 days, all this time the sputum was coughed up well, and the cough went away. There were no side effects during the treatment.”

    Analogs

    In addition to ACC, there are several other agents with a similar effect for liquefying and removing sticky mucus. Some of them contain acetylcysteine, others contain another active substance. Analogues of ACC, indicating the composition, release form, dosage and average price are presented in the table below.

    A more expensive analogue of ACC is Gedelix.

    A huge advantage of ACC for children is its ability to fight even residual cough, which does not go away for a long time and exhausts the baby. The drug rarely causes side effects or allergies, has a pleasant smell and taste, so children like it. In addition, it has earned excellent reviews from mothers and pediatricians.

    You can also join our groups on social networks: VKontakte, Facebook, Odnoklassniki, Google+ and Twitter.

    Source: http://www.o-my-baby.ru/zdorovie/lekarstva/ot-kashlya/kombinirovannye/acc.htm

    Powder, syrup and tablets for children ACC - instructions for use and analogues

    A persistent cough in a child is a fairly common problem. Today there are a lot of drugs on sale for the treatment of diseases, the symptom of which is cough. However, parents who do not have a medical education do not always understand which medicine will help in a particular situation. Let's consider a popular drug that helps get rid of cough - ACC for children - its composition, properties, indications and analogues.

    Composition of the drug ACC and its effect

    The drug contains only one active (medicinal) substance – acetylcysteine. Its main property is mucolytic: the active component “knows how” to liquefy sputum, changing its structure to a less thick and viscous one. Acetylcysteine ​​uncouples the joints of mucopolysaccharide chains and separates the molecules of polymer compounds, which include sputum mucoproteins.

    Acetylcysteine ​​is an antioxidant that can neutralize free radicals by connecting with them using reactive thiol groups. This chemical is indicated for prophylactic use in patients diagnosed with cystic fibrosis and chronic bronchitis. Its use reduces the frequency of bacterial infections of the respiratory system and the severity of their course.

    The concentration of acetylcysteine ​​in the blood reaches its maximum minutes after administration. Then its level decreases and the drug is excreted by the kidneys.

    Forms of release of the product

    The medicine is produced in the form of tablets intended for dissolution in water, sachets with granules to obtain a solution, as well as baby syrup. Let's take a closer look at the composition of each release form.

    ACC for children in the form of effervescent tablets contains:

    • 100 mg acetylcysteine;
    • citric acid;
    • baking soda and soda ash;
    • D-Mannitol;
    • vitamin C;
    • milk sugar;
    • saccharin;
    • sodium citric acid salt;
    • food flavoring.

    Composition of 5 ml of ACC 100 syrup for children:

    • 100 mg acetylcysteine;
    • methylparaben;
    • sodium salt of benzoic acid;
    • disodium salt of ethylenediaminetetraacetic acid;
    • cellulose gum;
    • saccharin;
    • caustic soda;
    • water;
    • flavoring

    Composition of granular powder for solution:

    For what diseases is the use indicated?

    Having studied the instructions for use of all forms of the drug, it becomes clear that they have common indications. Among them:

    • cough with sticky sputum that is difficult to clear;
    • all kinds of bronchitis, bronchial asthma (treatment is prescribed by a specialist);
    • inflammation of the larynx and/or trachea;
    • pneumonia, abscess;
    • chronic lung diseases (congenital or acquired);
    • cystic fibrosis;
    • inflammation of one or more paranasal sinuses;
    • otitis.

    ACC dosage

    All of the listed forms of the drug are intended for oral administration, preferably after a meal. The dosage of the drug depends on the type of disease and the age of the child:

    • preschool children (from 24 months) can receive from 0.2 to 0.4 g of acetylcysteine ​​per day;
    • for schoolchildren under 14 years of age, the maximum daily amount is 0.3-0.6 g of active ingredient;
    • adolescents over 14 years of age and adults – 0.6 g per day.

    Patients weighing more than 30 kg and diagnosed with cystic fibrosis can consume up to 0.8 g of acetylcysteine ​​per day. In addition, the course of taking the drug in such patients is calculated for a longer period.

    Using syrup

    To thin sputum during a prolonged cough, it is recommended to give syrup in the following dosage:

    • younger group of patients (up to 6 years) - 5 ml 2-3 times a day;
    • children aged 6-14 years – 5 ml 3-4 times or 10 ml 2 times a day;
    • from 14 years and older – 10 ml 2-3 times a day (maximum 0.6 g of active substance).

    For systematic therapy for cystic fibrosis:

    • 2-6 years – 5 ml 4 times a day;
    • over six – 10 ml 3 times a day.

    Selection of dosage and dilution of granules

    To improve expectoration, it is recommended to use the following scheme:

    • for children under 6 years of age, a bag of granules is diluted in 60 ml of water twice a day;
    • children under 14 years of age are offered a similar dose of ACC three times a day or twice a day, a couple of sachets;
    • teenagers – 2 packets 2-3 times daily.

    For children with cystic fibrosis:

    • children under 6 years old - 1 sachet (0.1 g) four times a day;
    • over 6 years old - 2 dosage sachets of powder after breakfast, lunch and dinner.

    Use of effervescent tablets

    One tablet is dissolved in 0.2 liters of water. It is advisable to drink the resulting solution immediately after all particles of the drug have completely dissolved. In extreme cases, the medicine can be drunk within 120 minutes after preparation. The dosage is as follows:

    • A young child (from 24 months) should take 1 tablet of ACC 2-3 times a day;
    • schoolchildren under 14 years old - 1 tablet dissolved in water three times a day or 2 tablets in the morning and late afternoon;
    • adolescents over 14 years old – 2 tablets 2-3 times a day.
    • young patients (up to 6 years) – 1 dose 4 times a day;
    • children over 6 years old – 2 tablets 3 times a day.

    Contraindications for use

    Before using a medicine based on acetylcysteine, contraindications should be studied. It is not recommended to take ACC in the following cases:

    • The patient's age is less than 24 months.
    • Exacerbation of stomach diseases (ulcers, gastritis) or duodenum. During the period of remission, you should consult a gastroenterologist before taking the drug.
    • Throat bleeding.
    • Carrying a child, lactation period.
    • Allergic reaction to acetylcysteine ​​or additional components.

    Possible side effects

    Side effects are classified according to the following criteria:

    • Allergies: itchy skin rash, rapid heartbeat, angioedema.
    • Respiratory system: signs of suffocation, shortness of breath, bronchial obstruction.
    • Digestive system: burning sensation in the esophagus, bloating, loose stool, vomiting, pain.
    • Other manifestations: headache, low blood pressure, tinnitus, dizziness. The occurrence of hematomas and internal bleeding associated with impaired platelet aggregation.

    special instructions

    ACC instantly oxidizes and changes its properties. In this regard, the solution should be prepared and the effervescent tablet should be dissolved in a glass or ceramic container, and the syrup should be measured with a special syringe. In addition, during therapy the following factors should be taken into account:

    1. The drug should not be taken before bedtime; it is advisable that the final dose be taken no later than 18 hours.
    2. Acetylcysteine ​​can cause severe bronchospasm, so people with asthma should take the drug only under the supervision of a physician.
    3. During therapy, severe allergic reactions may occur (in isolated cases). It is recommended to immediately consult a doctor if there is the slightest change in skin color.
    4. Since the liver is involved in the breakdown and absorption of the drug, and its main volume is excreted by the kidneys, people with impaired functioning of these organs should take ACC on the recommendation of a doctor and under his supervision.
    5. Antitussives should not be used together with drugs based on acetylcysteine. This combination can aggravate sputum congestion due to a decrease in the cough reflex.

    Cost of ACC and drug analogues

    The cost of the drug depends on the volume of the active substance in one dose and on the form of release. Let's look at average prices:

    • 200 ml syrup – about 350 rubles;
    • effervescent tablets 200 mg, 20 pieces - about 300 rubles;
    • 200 mg sachets, 20 pieces – from 120 rubles.

    There is a different concentration of the active substance in the drug. Tablets containing acetylcysteine ​​from 100 to 600 mg are available. In this regard, before purchasing, you should carefully study the packaging.

    Let's consider ACC analogues based on a similar active ingredient. For ease of perception, the information is summarized in a table.

    Before buying an expectorant for your child, it is advisable to consult a doctor. Sometimes pediatricians do not recommend taking mucolytic drugs. This happens if the cough is allergic in nature or represents residual effects after a viral illness.

    The ACC did not suit my child - it is tough. We used Ambrol syrup and really liked it. I know that there is also a solution in drops based on Ambroxol. Next time we will buy drops so that we can give the child less “chemicals”.

    A very convenient and, most importantly, effective drug. I’ve been giving it to my son since he was 3 years old when he’s sick and the phlegm doesn’t come out well. Because of the pleasant taste of orange, lemon and honey or cherry, you don’t have to force him to drink - he drinks it with pleasure.

    Attention! All information on the site is provided for informational purposes only and is for informational purposes only. For all questions regarding the diagnosis and treatment of diseases, you must consult a doctor for an in-person consultation.

    Source: http://vseprorebenka.ru/zdorove/preparaty/acc-dlya-detej.html