Acc cough tablets

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ACC for cough: instructions, price and analogues

A drug called ACC is very popular in the treatment of cough. It is easy to use, effective and safe. The use of this drug is acceptable for both dry and wet coughs.

Table of contents:

Thanks to its safe components, ACC can be given to children over a certain age. ACC is a mucolytic drug that has a complex effect.

ACC: composition, properties, storage and release form

ACC is an effective mucolytic and expectorant drug

The main active ingredient of the drug is acetylcysteine. This substance has a pronounced mucolytic and anti-inflammatory effect.

ACC for cough, the price of which is low compared to other drugs, effectively copes with stagnation of phlegm in the lungs and the inflammatory process in the bronchi.

The drug is available in the form of syrup for children, granules for preparing a suspension, and effervescent tablets. Different forms have different tastes: lemon, blackberry, orange. Tablets and granules are stored for up to 3 years from the date of production. The prepared solution is not intended for storage.

The drug should be stored at temperatures up to 25 degrees in a dark place out of reach of children.

The ACC drug has three important properties:

  • Liquefies mucus. With various inflammatory, infectious, bacterial diseases of the respiratory tract, a protective reaction begins, and the production of sputum in the bronchi increases. Sputum is removed from the bronchi, freeing them from pathogens. If the mucus is too viscous, the cough reflex is not able to push it out, a dry cough occurs, and meanwhile mucus accumulates in the lungs. ACC allows you to break down the bonds between molecules in sputum and make it less viscous.
  • Relieves inflammation. The drug helps stop the inflammatory process. The use of acetylcysteine ​​simultaneously with antibiotics enhances the antibacterial effect. The effect of the drug also persists with purulent sputum.
  • Has an antioxidant effect. The drug binds and promotes the removal of free radicals from the lungs, which protects the mucous membrane from their destructive effects.
  • The ACC begins to act quickly. The mucolytic effect occurs already on the first day of use. The mucus becomes thinner and easier to remove from the lungs. The drug reduces the duration of the disease, promotes the transition of a dry cough into a wet and more productive one.

Purpose of the ACC

ACC is prescribed for respiratory diseases accompanied by a dry cough

The drug can be used for various types of cough, diseases that are accompanied by accumulation of sputum in the bronchi. It can be used not only for respiratory diseases, but also for some types of sinusitis and otitis media. Before using the drug ACC, it is advisable to consult a doctor for advice.

Indications for use of the drug:

  • ARVI. Acute viral infections often begin with a dry cough. The faster it becomes wet, the faster the recovery will come. However, the drug will be effective only when there is accumulation of sputum in the bronchi.
  • Bronchitis. ACC is effective for viral, infectious, tuberculous bronchitis. In the acute form, inflammation of the bronchi is accompanied by high body temperature, a dry cough, an unpleasant pressing feeling in the chest, weakness, and wheezing when breathing. When sputum accumulates, mucolytic drugs are prescribed for ACC.
  • Tracheitis. This disease affects the mucous membrane of the trachea, but it can develop against the background of other diseases of the respiratory tract, leading to the accumulation of viscous sputum in the bronchi. Symptoms of tracheitis are attacks of exhausting dry cough, sore throat and chest, and soreness.
  • Pneumonia. Inflammation of the lungs is often bacterial in nature and is accompanied by the accumulation of purulent sputum in the lungs. Pneumonia causes fever, severe cough, shortness of breath and pain in the chest area. It has been proven that taking antibiotics together with ACC can significantly reduce the time of illness and alleviate symptoms.
  • Lung abscess. With this disease, a limited area of ​​the lung tissue becomes inflamed and begins to disintegrate, resulting in the formation of a small cavity filled with purulent fluid. The patient experiences shortness of breath, coughing attacks, fever, and weakness.

It is also possible to use the drug for cystic fibrosis and chronic obstructive pulmonary disease after consulting a doctor.

Dosage for children and adults, application

The dosage depends on the age and weight of the patient, diagnosis and severity of the condition.

The dosage of ACC during treatment should be determined by a doctor. The optimal dosage for an adult, which does not lead to an overdose, is no more than 500 mg per 1 kg of weight per day.

It is worth remembering that acetylcysteine ​​may reduce the effectiveness of some antibacterial drugs, so it is not recommended to take them at the same time. You must wait at least 2 hours before taking another drug.

The dosage also differs depending on the form of release of the drug:

  • Effervescent tablets and granules for preparing a solution are used 1 tablet or one sachet at a time, 2-3 times a day. The sachet contains 200 mg of the substance. For children over 2 years of age, the dosage is divided in half, that is, half a sachet and half a tablet.
  • Powder and tablets are dissolved in 1 glass of clean water. It is necessary to drink the solution immediately after dissolving the drug, since it is not stored for a long time. The prepared solution can be stored for a maximum of 2 hours in a cool place.

It is recommended to additionally drink plain water between doses of the drug, as it also helps to thin the mucus and enhances the effect of acetylcysteine.

For diseases that occur without complications, the drug is taken for up to a week. For more severe or chronic diseases, long-term use of the drug is possible until complete recovery.

More information about the drug ACC can be found in the video:

In case of cystic fibrosis (a disease accompanied by a violation of the secretion of all glands in the body and serious disorders of the respiratory system), to remove mucus, it is possible to increase the daily dose to 800 mg per kg of weight (for adults and adolescents).

ACC is recommended to be taken immediately after meals. If desired, you can dissolve the drug in iced tea or juice. The drug is not taken at night, as the mucolytic effect can lead to increased coughing. The last dose of the drug should be no later than 6 pm.

Contraindications and side effects

Do not exceed the dosage as side effects may occur

If the rules of use and recommended dosages are followed, side effects are rare.

Contraindications include the following diseases and conditions:

  • Allergy to acetylcysteine. Allergic reactions are rare, but can be quite severe if you are hypersensitive to acetylcysteine.
  • Peptic ulcer disease. For stomach and duodenal ulcers during relapse, it is not recommended to take the drug, as it can have an irritating effect on the inflamed mucous membranes.
  • Sputum with blood. The appearance of blood streaks in sputum can be a sign of various conditions: from capillary damage to a malignant tumor. It is not recommended to take medications until the causes of the condition are identified.
  • Pulmonary hemorrhage. If pulmonary hemorrhage is suspected, the use of mucolytic drugs is prohibited.
  • Pregnancy and lactation. In some cases, doctors prescribe ACC during pregnancy if the potential benefit outweighs the possible harm, but the instructions for the drug list pregnancy as a contraindication. During lactation, ACC should also not be taken, since it will pass through breast milk to the baby, which can cause various side effects and an allergic reaction. If it is necessary to take the drug, the question of interrupting feeding is raised.
  • Kidney and liver failure. The drug tends to accumulate in the liver and is excreted through the kidneys in the urine. If the functioning of these organs is seriously impaired, symptoms of overdose may occur.

Side effects include allergic reactions (rash, itching, swelling, tachycardia, rarely anaphylactic shock), abdominal pain, shortness of breath, nausea and vomiting, bowel movements, heartburn, stomatitis, tinnitus, headache. In case of overdose, nausea, vomiting, severe diarrhea, abdominal pain, and cramps are observed.

Price and analogues

The price of the drug depends on the pharmacy chain. The price for 20 bags of granules ranges from 2 to 3 dollars, for effervescent tablets - from 5 to 6 dollars, for syrup - from 4 to 5 dollars.

If you are individually intolerant to the drug, your doctor may recommend ACC analogues. They differ in composition (mainly excipients), price, but all have a mucolytic effect.

  • Mukobene. The drug also contains acetylcysteine. Available in the form of effervescent tablets of 100, 200 and 600 mg. Recommended for adults and children over 6 years old. Contraindicated for gastric ulcers.
  • Fluimucil. The drug also contains acetylcysteine ​​and is available in the form of effervescent tablets for dissolution. Fluimucil is recommended for various diseases of the respiratory tract, sinusitis, sinusitis, purulent otitis, as well as for removing mucus from the bronchi after operations. Not recommended for children under 18 years of age.
  • N-acetylcysteine. The drug based on acetylcysteine ​​is available in powder form for dissolution. The drug is contraindicated during lactation and pregnancy, as well as in children under 6 years of age, with renal failure. Treatment of newborns with the drug is possible only for health reasons.
  • Exomyuk. The main active ingredient is acetylcysteine. The drug has many dosage forms: powder for the preparation of solution, suspension, syrup, solution for intravenous and intramuscular injections. Approved for the treatment of children over 2 years of age.
  • Ambroxol. An effective mucolytic agent based on ambroxol. Available in the form of tablets, ampoules, syrup. Allowed for children over 2 years old - in syrup and over 6 years old - in tablets.

When choosing a drug, you must consult a doctor, since any analogue may have side effects and contraindications, and also has age restrictions.

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Comments (1)

Elena

07/07/2017 at 09:20 | #

For dry cough, ACC tablets are really the best remedy for me. They act gently, as if imperceptibly, but relief is felt within 20 minutes. They may not be the cheapest, but 1 package was enough for 3 colds.

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ACC - instructions for use, analogs, reviews and release forms (powder or granules for the preparation of syrup 100 mg, effervescent tablets 100 mg, 200 mg, 600 mg long) of a medicinal product for the treatment of bronchitis in adults, children and pregnancy

In this article you can read the instructions for using the drug ACC. Reviews of site visitors - consumers of this medicine, as well as the opinions of specialist doctors on the use of ACC in their practice are presented. We kindly ask you to actively add your reviews about the drug: whether the medicine helped or did not help get rid of the disease, what complications and side effects were observed, perhaps not stated by the manufacturer in the annotation. ACC analogues in the presence of existing structural analogues. Use for the treatment of bronchitis and dry cough in adults, children, as well as during pregnancy and lactation. Various forms of release of the drug for thinning sputum.

ACC is a mucolytic drug. The presence of sulfhydryl groups in the structure of the acetylcysteine ​​molecule promotes the rupture of disulfide bonds of acidic mucopolysaccharides of sputum, which leads to a decrease in the viscosity of mucus. The drug remains active in the presence of purulent sputum.

With the prophylactic use of acetylcysteine, there is a decrease in the frequency and severity of exacerbations in patients with chronic bronchitis and cystic fibrosis.

Acetylcysteine ​​+ excipients.

  • respiratory diseases accompanied by increased formation of viscous mucus that is difficult to separate (acute and chronic bronchitis, obstructive bronchitis, pneumonia, bronchiectasis, bronchial asthma, bronchiolitis, cystic fibrosis, laryngitis);
  • acute and chronic sinusitis;
  • Otitis media

Powder or granules for making syrup 100 mg.

Effervescent tablets 100 mg, 200 mg, 600 mg long.

Solution for injection ACC injectionmg and 300 mg in 1 ml.

Instructions for use and dosage

Powder or effervescent tablets

Adults and adolescents over 14 years of age are recommended to prescribe the drug 200 mg 2-3 times a day (ACC in the form of granules for the preparation of solution for oral administration / orange / 100 mg and 200 mg), or 200 mg 3 (ACC in the form of granules for preparing a solution for oral administration 200 mg) or 600 mg 1 time per day (ACC in the form of granules for preparing an oral solution 600 mg).

Children aged 6 to 14 years are recommended to take 100 mg 3 times a day or 200 mg 2 times a day (ACC in the form of granules for oral solution / orange / 100 mg and 200 mg), or 200 mg 2 times a day (ACC in the form of granules for the preparation of a solution for oral administration 200 mg).

For children aged 2 to 5 years, the drug is recommended to take 100 mg 2-3 times a day (ACC in the form of granules for the preparation of an oral solution / orange / 100 mg and 200 mg).

There is not enough data on the dosage of the drug in newborns.

For cystic fibrosis, children over 6 years of age are recommended to take the drug 200 mg 3 times a day (ACC in the form of granules for preparing an oral solution /orange/ 100 mg and 200 mg or ACC in the form of granules for preparing an oral solution 200 mg ).

Children aged 2 to 5 years - 100 mg 4 times a day (ACC in the form of granules for the preparation of an oral solution / orange / 100 mg and 200 mg).

For patients weighing more than 30 kg with cystic fibrosis, if necessary, the dose can be increased to 800 mg per day.

For sudden short-term colds, the duration of use is 5-7 days. For chronic bronchitis and cystic fibrosis, the drug should be used for a longer period of time to prevent infections.

The drug should be taken after meals. Additional fluid intake enhances the mucolytic effect of the drug.

Rules for preparing the drug

ACC in the form of granules for the preparation of a solution for oral administration /orange/ 100 mg and 200 mg: 1/2 or 1 sachet (depending on the dose) dissolved in water, juice or iced tea and taken after meals.

ACC in the form of granules for the preparation of a solution for oral administration 200 mg and ACC in the form of granules for the preparation of a solution for oral administration 600 mg: 1 sachet is dissolved with stirring in 1 glass of hot water and drunk, if possible, hot. If necessary, you can leave the prepared solution for 3 hours.

Adults and adolescents over 14 years of age are prescribed 10 ml of syrup 2-3 times a day (mg acetylcysteine).

Children aged 6 to 14 years - 5 ml of syrup 3 times a day or 10 ml of syrup 2 times a day (mg acetylcysteine).

Children aged 2 to 5 years are prescribed 5 ml of syrup 2-3 times a day (mg acetylcysteine).

For cystic fibrosis, children over 6 years of age are recommended to take the drug 10 ml of syrup 3 times a day (600 mg of acetylcysteine); children aged 2 to 6 years - 5 ml of syrup 4 times a day (400 mg of acetylcysteine).

For short-term colds, the duration of use is 4-5 days. For chronic bronchitis and cystic fibrosis, the drug should be used for a longer period of time to prevent infections. For long-term illnesses, the duration of therapy is determined by the attending physician.

The drug is taken orally after meals. Additional fluid intake enhances the mucolytic effect of the drug.

ACC syrup is taken using a measuring syringe or measuring cup contained in the package. 10 ml of ACC syrup corresponds to 1/2 measuring cup or 2 filled syringes.

Using a measuring syringe

1. Open the bottle cap by pressing on it and turning it counterclockwise.

2. Remove the cap with the hole from the syringe, insert it into the neck of the bottle and press in until it stops. The stopper is designed to connect the syringe to the bottle and remains in the neck of the bottle.

3. It is necessary to insert the syringe tightly into the stopper. Carefully turn the bottle upside down, pull the syringe plunger down and draw the required amount of syrup (ml). If air bubbles are visible in the syrup, press the plunger all the way and then refill the syringe. Then return the bottle to its original position and remove the syringe.

4. The syrup from the syringe should be poured onto a spoon or directly into the child’s mouth (into the cheek area, slowly, so that the child can swallow the syrup). While taking the syrup, the child should be in an upright position.

5. After use, rinse the syringe with clean water.

Ampoules for injections

Adults are prescribed intravenously or intramuscularly at 300 mg (1 ampoule) 1-2 times a day.

Children aged 6 to 14 years are prescribed IV or IM 150 mg (1/2 ampoule) 1-2 times a day.

For children under 6 years of age, oral therapy is preferred, however, if indicated and parenteral administration is necessary, the daily dose is 10 mg/kg body weight.

For children under 1 year of age, intravenous administration of the drug is possible only for health reasons in a hospital setting.

The duration of therapy is determined individually.

In case of chronic bronchitis and cystic fibrosis, the use of ACC INJECT for a long time can be combined with oral administration of the drug to prevent infections.

The mucolytic effect of acetylcysteine ​​increases with increased fluid intake.

Rules for injections

With intramuscular injection, when performing a shallow injection and in the presence of increased sensitivity, a slight and quickly passing burning sensation may occur, therefore it is recommended to administer the drug to patients in a supine position and deep into the muscle.

For intravenous administration, the first dose must be diluted with 0.9% sodium chloride solution or 5% dextrose solution in a 1:1 ratio. The drug should, if possible, be administered by infusion.

IV injections should be administered slowly (over 5 minutes).

  • headache;
  • noise in ears;
  • stomatitis;
  • diarrhea;
  • vomit;
  • heartburn;
  • nausea;
  • drop in blood pressure;
  • tachycardia;
  • development of pulmonary hemorrhage as a manifestation of a hypersensitivity reaction;
  • bronchospasm (mainly in patients with a hyperreactive bronchial system with bronchial asthma);
  • skin rash;
  • itching;
  • hives.
  • peptic ulcer of the stomach and duodenum in the acute phase;
  • hemoptysis;
  • pulmonary hemorrhage;
  • pregnancy;
  • lactation period (breastfeeding);
  • children under 2 years of age (the drug is in the form of granules for the preparation of a solution for oral administration /orange/ 100 mg and 200 mg, syrup and ACC 200);
  • children under 6 years of age (the drug is in the form of granules for the preparation of a solution for oral administration, 200 mg);
  • children under 14 years of age (the drug in the form of granules for the preparation of a solution for oral administration 600 mg and ACC Long);
  • hypersensitivity to acetylcysteine ​​and other components of the drug.

Use during pregnancy and breastfeeding

Due to insufficient data, the use of the drug during pregnancy is contraindicated.

Contraindicated for children under 2 years of age (the drug in the form of granules for the preparation of an oral solution /orange/ 100 mg and 200 mg, syrup and ACC 200), up to 6 years of age (the drug in the form of granules for the preparation of an oral solution 200 mg) , up to 14 years (the drug in the form of granules for the preparation of a solution for oral administration 600 mg and ACC Long).

For bronchial asthma and obstructive bronchitis, acetylcysteine ​​should be prescribed with caution under systematic monitoring of bronchial patency.

Severe allergic reactions such as Stevens-Johnson syndrome and Lyell's syndrome have been very rarely reported with the use of acetylcysteine. If changes in the skin and mucous membranes occur, the patient should immediately stop taking the drug and consult a doctor.

If side effects develop, you should stop taking the drug.

ACC (in the form of granules for the preparation of solution for oral administration / orange / 100 mg and 200 mg) 100 mg corresponds to 0.24 XE, 200 mg - 0.23 XE.

Impact on the ability to drive vehicles and operate machinery

There is no information on the effect of the drug on the ability to drive vehicles and engage in other potentially hazardous activities that require increased concentration and speed of psychomotor reactions.

With the simultaneous use of acetylcysteine ​​and antitussives, dangerous mucus stagnation may occur due to suppression of the cough reflex (use the combination with caution).

When taking ACC with vasodilators and nitroglycerin simultaneously, the vasodilator effect may be enhanced.

There is a synergism between acetylcysteine ​​and bronchodilators.

ACC is pharmaceutically incompatible with antibiotics (penicillins, cephalosporins, erythromycin, tetracycline and amphotericin B) and proteolytic enzymes.

Acetylcysteine ​​reduces the absorption of cephalosporins, penicillins and tetracycline, so they should be taken orally no earlier than 2 hours after taking acetylcysteine.

When acetylcysteine ​​comes into contact with metals and rubber, sulfides with a characteristic odor are formed.

Analogues of the drug ACC

Structural analogues of the active substance:

  • N-AC-ratiopharm;
  • N-acetylcysteine;
  • Acestine;
  • Acetylcysteine;
  • Acetylcysteine ​​SEDICO;
  • Acetylcysteine ​​solution for inhalation 20%;
  • Acetylcysteine ​​solution for injection 10%;
  • Mukobene;
  • Mucomist;
  • Mukonex;
  • N-AC-ratiopharm;
  • Fluimucil;
  • Exomyuk 200.

Similar medications:

Other medicines:

News edited by: admin018, 16:51

Source: http://instrukciya-otzyvy.ru/88-acc-po-primeneniyu-analogi-poroshok-granuly-dlya-prigotovleniya-siropa-shipuchie-tabletki-long.html

ACC for cough: indications for its use and therapeutic effect

ACC is an effective antitussive drug prescribed for the treatment of colds, bronchitis, accumulation of viscous sputum, asthma, sinusitis, etc.

The medicine has a rapid therapeutic effect, and the drug can be used to treat children, but only in the form of syrup.

The composition of ACC for cough includes the active substance acetylcysteine ​​and auxiliary components. Acetylcysteine ​​is a very active and effective substance that exhibits its biological activity against any type of sputum: purulent and mucous.

The cough medicine ACC has an effective effect, and can have a triple effect on the human body at once:

  • Antioxidant. Free radicals are bound, and thereby their negative and destructive effect on the cells of the mucous membrane is inhibited.
  • Mucolytic. The substance included in the drug thins sputum.
  • Anti-inflammatory. The drug is very effective not only in treating the symptoms of the disease, but also helps prevent possible further complications in the form of inflammation of the respiratory tract.

ACC, as a cough medicine, has the following therapeutic effect:

  • Helps to quickly and effectively liquefy accumulated mucus, which allows you to successfully get rid of cough.
  • The product is able to fight infections of a purulent, mucous, purulent-mucosal nature, as well as respiratory tract infections caused by viruses and bacteria.
  • The drug can be combined with different antibiotics (as prescribed by a doctor) and this enhances the therapeutic effect of both drugs.
  • High degree of safety of the drug, a small number of side effects and contraindications.

Many mucolytic drugs cannot fight sputum and pus so effectively, which is very important if you have to treat bacterial infections that produce very viscous sputum full of purulent discharge.

For treatment, it is very important to clear the respiratory tract of such a mass of pus as quickly as possible, so that the infection does not spread further along the respiratory tract and the development of complications does not begin.

The main indications for use are:

  • acute or chronic sinusitis;
  • respiratory disease;
  • acute and chronic, as well as obstructive bronchitis;
  • pneumonia;
  • tracheitis;
  • lung abscess;
  • bronchial asthma;
  • Otitis media

There are also some contraindications, in the presence of which you should not use the ACC drug:

  • individual intolerance to the components of the drug;
  • stomach ulcer;
  • bleeding in the lungs;
  • pregnancy and lactation period.

Doctors use the medicine very carefully for histamine intolerance, varicose veins, and problems with organs such as the kidneys and liver.

Patients with such diseases should take the drug only as prescribed by the doctor. Side effects are rare, but still occur in medical practice; as a rule, they manifest themselves in the form of allergies, headaches, nausea and vomiting, and shortness of breath.

If you use a similar remedy to relieve a child’s cough in tablet (effervescent) form, then the main contraindications are age, namely up to 2 years. The medicine in the form of granules for dissolution in water is prohibited for use by a child under 6 years of age. Pregnant and breastfeeding women should refrain from using the drug and replace ACC with other cough suppressants. The cost of the medicine starts from 130 rubles. and you can purchase it at any pharmacy chain without a prescription.

Cheaper analogues of ACC:

  • Asibrox.
  • Atsestad.
  • Acetal.
  • Abrol.
  • Ambrolhexal.
  • Bromhexine.

ACC tablets: how to use and in what quantity

ACC tablets are prescribed for the treatment of viral and infectious diseases of the respiratory tract:

  • Children over 14 years of age and adults - 200 mg twice a day.
  • Children from 6 to 14 years old, three times a day, 1 tablet (100), 2 tablets (200).
  • Children from 2 to 5 years old - twice a day, 1 tablet.

When treating cystic fibrosis in children (from 6 years old), 2 tablets (100) or 1 tablet (200) per day are prescribed. Children under 6 years old - 1 tablet 4 times a day. When treating a cold, the course of treatment with this remedy should be limited to one week. If bronchitis is being treated, especially acute and chronic forms, the course of treatment is usually extended by the doctor.

The medicine is taken after meals, ACC effervescent tablets must be dissolved in a small amount of plain water, and the effervescent solution should be drunk completely immediately. Dissolution of the powder occurs quickly, as each granule begins to quickly interact with water.

ACC syrup: instructions for use and dosage

The drug is also produced in another form - in the form of syrup, which has a pleasant taste and aroma, which allows it to be used in the treatment of childhood diseases. The medicine kit includes a glass bottle with medicine and a measuring cup, which allows you to simply and conveniently measure the required dose of syrup.

About the drug ACC syrup, the instructions describe that the product provides treatment as effective as the tablet form.

  • For children over 6 years old and adults, it is recommended to take 200 ml twice (three times) a day.
  • For children aged 2 to 6 years, the dose is 200 mg twice a day or 100 mg three times a day.
  • The smallest, under the age of 2 years, can be given only 100 mg, twice a day.

Specialty: Otorhinolaryngologist Work experience: 29 years

Specialty: Audiologist Work experience: 7 years

Source: http://gajmorit.com/kashel/acc/

Acc cough tablets

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.

  • Online pharmacies in Russia Russia
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Education: Graduated from Rivne State Basic Medical College with a degree in Pharmacy. Graduated from Vinnitsa State Medical University named after. M.I. Pirogov and internship at his base.

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.

Konstantin: What I liked about the drug Prostanorm: reasonable price, pronounced effect of taking it.

Valentina: I, too, am all about diet and exercise. I hoped for loads, I thought that my healthy lifestyle.

Nina: I was on pills for a year and a half, then somehow everything calmed down. Mostly climatefit.

Elena: With the onset of menopause, the skin completely deteriorated and became dry. I saw a cream for .

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

ACC - instructions for use. How to drink effervescent tablets, powder or cough syrup for adults and children ACC

Most diseases are always accompanied by a cough, so it is understandable that there is a desire to get rid of it faster. The range of anti-influenza and expectorant drugs is wide. How to make the right choice? Not every medication is suitable for treating dry or wet cough. Likewise, ACC cannot always be used.

ACC - indications for use

The medicine ass is a mucolytic, expectorant and detoxifying agent prescribed for severe coughs in children and adults. This drug is capable of not only thinning mucus, but also effectively removing it from the lungs and bronchi, relieving inflammation, and improving the functioning of the body’s secretomotor functions. The ACC instructions state that it can be used if you have the following health conditions:

  • acute or chronic bronchiolitis and bronchitis;
  • sinusitis;
  • asthma;
  • pneumonia;
  • pulmonary eczema;
  • tuberculosis;
  • otitis media;
  • cold.

Even this is not all the possibilities of the ACC. Due to its medicinal properties, the drug is often used for cystic fibrosis, a hereditary disease caused by a gene mutation. In addition, it is often prescribed for the treatment of mild or prolonged inflammatory processes of the nasopharynx: tracheitis, acute rhinitis, nasopharyngitis, sinusitis, which are accompanied by the accumulation of large amounts of purulent mucus.

For what cough is ACC prescribed?

If you already have a package of the product in your house, then before going to the pharmacy, you can independently study for which cough you drink ACC. However, complex medical terms and phrases will not be understandable to everyone. Doctors recommend taking the medicine for a wet, productive cough - when excess viscous or too thick sputum accumulates in the bronchi.

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ACC – at what age can it be given to children?

Many young mothers ask: is it possible to give ACC to children and at what age? To which experienced pediatricians answer with confidence: not only is it possible, but it is necessary. The main thing is to do it correctly:

  • A child from 2 years to 6 years old can only be given ACC 100 mg, which is available as a powder.
  • Starting from 7 years of age, treatment with ACC 200 mg is allowed. This medicine can be found in granules.
  • ACC 600 is available for children 14 years of age and older. Unlike other medications, this type of medication is effective for 24 hours.
  • As a syrup, the medicine can be given to infants, but only under the supervision of a pediatrician.

Method of using ACC

For convenience, many pharmaceutical companies began to produce medicine in several forms: granules, for example, with orange flavor, instant tablets, syrup. Each form has its own doses and limits on how to take ACC:

  • It is extremely rare that the solution is prescribed for inhalation. If the nebulizer used for the procedure is equipped with a distribution valve, then you need to use 6 ml of a 10% powder solution. If there is no such supplement, doctors recommend taking a 20% solution at the rate of 2-5 ml per 1 liter of water.
  • For bronchoscopy, severe rhinitis, and sinusitis, the use of ACC intratracheally is allowed. To clean the bronchi and sinuses, use a 5-10% solution. The diluted liquid must be dripped into the nose and ears in a volume of up to 300 mg per day.
  • When using the parenteral method, ACC is administered intramuscularly or intravenously. In the latter case, the ampoule must be diluted with sodium chloride or dextrose in proportions of 1 to 1.

ACC-long - instructions for use

The ACC product marked long differs from ordinary tablets or powder in that its effect lasts not 5-7 hours, but the whole day. The medicine is produced in the form of large effervescent tablets and is intended for oral administration, 1 tablet 1 time per day, unless otherwise recommended by a doctor. Additionally, along with the medicine, you need to drink up to one and a half liters of liquid, which enhances the mucolytic effect.

How to breed ACC Long:

  1. Pour clean, chilled boiled water into a glass and place a tablet at the bottom.
  2. Wait until the effervescent effect wears off and the capsule dissolves completely.
  3. Once dissolved, drink the solution immediately.
  4. Sometimes before drinking ACC, the diluted drink can be left for several hours.

ACC powder - instructions for use

ACC powder is used in the following doses:

  • adolescents over 14 years of age and adults are prescribed up to 600 mg of acetylcysteine, the dose is divided into 1-3 approaches;
  • it is recommended to give a child under 14 years of age the same dose of the drug, but divided into several doses per day;
  • Children under 6 years old can be given mg of powder per day.

Both adults and children should drink ACC powder after meals, and the composition from the bag must be properly prepared. What water to dissolve ACC in depends on your preferences, but remember: the best result will be achieved if you dilute the medicine with half a glass of hot water. However, baby granules with orange flavor can be dissolved in lukewarm, boiled water.

ACC effervescent tablets - instructions for use

Acetylcysteine ​​effervescent tablets are diluted with water using the same system as regular powder. The dose of the drug, in the absence of other doctor’s recommendations, is:

  • for cold infectious diseases that occur in a mild form, adults - 1 tablet of ACCraza per day, for 5-7 days;
  • for chronic cough, bronchitis or cystic fibrosis, the medicine is taken for a longer period, and its dose for adults is 2 capsules of ACC 100 three times a day.

ACC syrup for children - instructions

Sweet ACC syrup is prescribed to children aged two years and older when diagnosing mild colds or chronic bronchitis. The medicine is taken orally for 5 days, immediately after meals. The dosage of syrup is chosen by the attending physician. If no recommendations have been received from the pediatrician, then the guide will be ACC - the official instructions for use from the manufacturer, which states that you can take the medicine:

  • adolescents: 10 ml 3 times/day;
  • if the child is from 6 to 14 years old, then 5 ml 3 times a day;
  • for children 5 years old, the dose of the medicine is 5 ml 2 times a day.

Remove the baby syrup from the bottle using a measuring syringe. The device comes complete with the medicine. Instructions for using the syringe are as follows:

  1. Press the bottle cap and turn it clockwise until it clicks.
  2. Remove the cap from the syringe, insert the hole into the neck and press the syringe until it stops.
  3. Turn the bottle upside down, pull the handle of the syringe towards you, measuring the required dose of syrup.
  4. If bubbles appear inside the syringe, lower the plunger slightly.
  5. Slowly pour the syrup into the child's mouth and allow the child to swallow the medicine. Children should stand or sit while taking the drug.
  6. After use, the syringe should be washed without soap.

Analog of ACC

If you are looking for a cheap analogue of ACC cough medicine, pay attention to the following medicines:

  • Ambroxol, country of origin – Russia. It contains the same active ingredient and belongs to the category of mucolytic expectorants. Its price is about rubles.
  • Fluimucil, country of origin: Italy. Designed to eliminate the first signs of a cold and cough, but can be used to ease the discharge of viscous secretions from the nose. Its composition consists of 600 mg of acetylcysteine, citric acid, sorbitol and flavorings. The price of the drug is about 300 rubles.
  • Ambrobene, country of origin - Germany. It is produced as a syrup based on another active substance – ambroxol hydrochloride. The medicine helps to cope with a protracted, poorly expectorated cough, removes mucus from the bronchi, and softens the respiratory tract. Its price ranges from 200 to 300 rubles.

Price of ACC for cough

The form of release not only contributed to the freedom of choice of the buyer, but also significantly influenced how much ACC costs in pharmacies. More often, its price is very reasonable, which makes the medicine accessible to every social class of the population. However, in different cities and pharmacies, prices for medicine may vary slightly. The average cost of the drug is:

  • baby syrup – price up to 350 rubles;
  • granular ACC - up to 200 rubles;
  • powder – r.;
  • orange and honey flavored powder – price from 250 rub.

ACC - contraindications

Contraindications to the use of ACC are as follows:

  • individual intolerance to the active substance;
  • hypersensitivity to additional components of the drug;
  • illness during pregnancy, during lactation, excluding artificial feeding;
  • ulcer of the duodenum and stomach;
  • liver failure;
  • history of pulmonary hemorrhage.

In addition, it is highly undesirable to use the medicine together with other cough syrups, bronchodilators and antibiotics that contain codeine and inhibit expectorant reflexes. Those who have previously been diagnosed with venous enlargement of the veins, diseases of the adrenal glands or abnormalities in the functioning of the endocrine system should take the medicine with caution.

Side effects of ACC

Overdose symptoms and side effects of ACC appear as:

  • allergic reactions: skin itching, urticaria, dermatitis, laryngeal edema, anaphylactic shock;
  • deterioration of health: muscle weakness, drowsiness, ringing in the ears, rapid heartbeat, migraine;
  • bowel dysfunction: severe diarrhea;
  • indigestion: nausea, heartburn, gag reflex after taking pills.

Video: ACC annotation

ACC - reviews

I suffered from cough for a long time. I can’t say that he was dry, but the phlegm still didn’t come out. I decided to go to the hospital and the doctor advised me to try ACC Long in effervescent tablets. I took the course as stated in the instructions for the medicine - 5 days. The cough has not gone away at all, but breathing has become much easier, and phlegm is already coming out of the bronchi.

Anastasia, 32 years old

At the beginning of treatment for a wet, persistent cough, a friend advised me to try ACC powder. When I came to the pharmacy, at first I was confused because of the price of the medicine. It cost somewhere around 130 rubles, which is very strange and inexpensive compared to its analogues. I decided to try it anyway and was not mistaken, the cold went away in 3 days, and my breathing returned to normal.

The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on the individual characteristics of a particular patient.

Source: http://sovets.net/8509-atsts-instruktsiya-po-primeneniyu.html