Mucaltin or ACC which is better for a child. Cheap analogues of ACC. Bromhexine is the cheapest alternative from Germany

Cough is the main symptom of most colds. It is a reflex act accompanied by a sharp contraction of the respiratory muscles and subsequent release of air. The reflex is aimed at eliminating the irritant from the trachea and bronchi. Painful cough causes discomfort, so during the treatment of a cold, antitussive drugs are prescribed. They not only alleviate the condition, but also improve sputum production - making the cough productive.

“ACC” is extremely popular, which is actively used to treat diseases accompanied by cough. The drug contains acetylcysteine ​​- it is the active ingredient. The medicine is available in the form of tablets, granules, and syrup is well suited for children.

The powder costs 150-200 rubles, and effervescent tablets cost 270.

Action

Acetylcysteine ​​affects the secretions of the bronchi and sinuses, breaking the bonds formed between mucopolysaccharide molecules. This helps to thin the mucus, thereby improving the cleansing of the respiratory tract. At the same time, the cough becomes wet, and it is easier for patients to tolerate than a painful dry one. In the sinuses of the nose, liquefaction of secretions also occurs. The additional anti-inflammatory effect is due to the activation of immune cells. The active substance has high bioavailability; after 2 hours the maximum possible concentration is observed in the blood.

Indications

The medicine is effective for treating conditions accompanied by increased production secret. These include respiratory tract diseases - bronchitis and bronchiolitis, tracheitis, asthma. It is also effective for the treatment of sinusitis and exudative otitis. Positive result observed when taken for the treatment of cystic fibrosis and laryngitis. This drug and similar drugs have such indications - often the ACC analogue is cheaper.

Instructions for use

The drug is prescribed after meals. Granules or effervescent tablets should be dissolved in warm water- 100 ml. The daily dosage for children over 14 years of age and adults is 400-600 mg. It should be divided into 2 or 3 doses. For children 6-12 years old, 300-400 mg/day is prescribed, and for children 2-5 years old - 200-300 mg/day. The drug is also used to treat children over 10 years of age - 50 mg per day. The dosage is adjusted by the attending physician. As a rule, treatment is carried out for 7 days, but sometimes the course is increased.

Side effect

The drug has a small number of side effects. ACC can cause nausea, vomiting and heartburn. From the nervous system, tinnitus and headache. In addition, there are cases of increased blood pressure after using the medicine.

Contraindications

The medicine "ACC" can be used by both adults and children. In what cases should it not be prescribed? The drug is contraindicated if there are:

• allergies to components and fructose intolerance;
• pulmonary hemorrhages;
• peptic ulcer;
• renal and liver failure severe.

How to replace "ACC"?

The drug is effective for treating cough. It improves mucus discharge, making cough productive and less painful. Accelerated elimination sputum from the respiratory tract is the key to quick successful treatment. However, many are interested in whether there is a cheaper analogue of “ACC”.

"Abrol"

The active ingredient of the drug promotes the activation of serous cells in the bronchial glands, and also increases the formation special enzymes, responsible for the breakdown of sputum mucopolysaccharides. The drug is characterized by a pronounced expectorant effect, which makes it a worthy replacement"ACC." "Abrol" tablets are suitable for the treatment of adults and children over 12 years of age. As a rule, the doctor prescribes a course of 1 tablet 3 times a day. The effect occurs already in the first week. In some cases, treatment is extended to 2 weeks. "Abrol" syrup can be used in childhood due to a more convenient release form. The drug can be taken from 1 year. The medicine is usually well tolerated by patients, and the amount side effects less than that of "ACC". If you are intolerant, you may develop an allergic reaction in the form of urticaria, which is characterized by skin rashes and itching. This is an indication for discontinuation of the drug. Dyspepsia is very rare, and no central nervous system symptoms were observed. Like its analogue, Abrol is not recommended in the first trimester of pregnancy, and in subsequent trimesters only with the permission of a doctor. The cost of tablets is 100-150 rubles.

"Lazolvan": price and features

The medicine is a clear or brownish solution that is used orally or for inhalation. The active ingredient is the same as that of Abrol. The drug helps increase secretion and increases ciliary activity. It is contraindicated in case of intolerance, lactation and in the first trimester of pregnancy (2nd and 3rd - with caution under medical supervision). Ambroxol has the ability to penetrate the placental barrier, but its direct effect on the fetus has not been proven. However, it is recommended to use it during this period only under strict indications. The peculiarity of the drug is that side effect as a violation taste perception, but it occurs quite rarely. The advantage of the drug is the absence of unwanted drug interactions. It can enhance the penetration of amoxicillin, erythromycin and cefuroxin into the bronchial secretions. More and more often, experts recommend Lazolvan. The price for it is 200-220 rubles.

"Fluimucil"

The active ingredient is acetylcysteine, like ACC. The drug is available in the form of tablets and injections, which allows it to be used parenterally. The medicine is administered intramuscularly or intravenously. This provides a significant increase in bioavailability, since the drug penetrates directly into the blood, bypassing the gastrointestinal tract. Due to high tolerance to acetylcysteine, long courses of treatment are allowed. Contraindications are identical to “ACC”, and the list of indications is supplemented by pneumonia and cystic. Effervescent tablets contain aspartame, so this form is contraindicated in patients suffering from phenylketonuria. Effervescent tablets are sold at a price of 150-170 rubles, solution - 120 rubles.

"Mukaltin"

This is a drug plant origin, since it contains polysaccharides from marshmallow. This analogue of “ACC” is cheaper than other drugs. Extract medicinal root helps stimulate the ciliated epithelium, resulting in increased secretion and improved sputum production. The drug is non-toxic and non-irritating. You should not take the medicine if you have allergies, as well as peptic ulcers and gastritis. Due to the presence of polysaccharides, it is prescribed to patients with caution. diabetes mellitus. "Fluimucil" or "Mukaltin" are a worthy replacement for "ACC". Price - 20-30 rubles.

"Mukosol"

An effective medicine based on carbocisteine. The action is based on the activation of sialic transferase, which is an enzyme concentrated in the bronchial mucosa. Due to the stabilization of sialomucins and a decrease in the amount of glycopeptides, the viscosity of sputum decreases. It separates better, and the cough becomes less intense. Due to the secretion of immunoglobulin A, an increase occurs. The peculiarity is that active substance the drug does not have an irritating effect on the mucous membrane gastrointestinal tract. “Mukosol” syrup is prescribed for pathologies of the bronchopulmonary system, as well as for sinusitis. It should not be used if you have allergies, phenylketonuria (if aspartate is present), pregnancy, or renal failure. The granules are also contraindicated for use by children under 12 years of age. Carbocisteine ​​often causes side effects such as nausea, epigastric pain and diarrhea. Cost - 150-190 rubles.

"Bromhexine"

The expectorant effect is explained by the depolymerization of mucopolysaccharide molecules. In addition, the drug activates the production of surfactant, which increases the stability of alveolar cells. All this helps to protect the respiratory tract and improve the rheology of bronchial secretions. The drug is used not only for bronchitis, asthma and bronchiectasis, but also for pneumonia, tuberculosis and emphysema. Contraindications include intolerance, pregnancy and lactation, as well as peptic ulcer. In addition, it is not recommended for patients with renal failure And stomach bleeding. Bromhexine-Acri may cause side effects (nausea, headache, dyspepsia). In the presence of an allergic reaction, as a rule, there are skin rashes. Less common are rhinitis and the price of tablets is about 150 rubles.

Antitussive drugs can significantly improve the patient's condition and speed up recovery. For this, acetylcysteine ​​and the ACC analogue can be used. It is cheaper to purchase analogues, but before doing so you should consult your doctor. Any medication use requires consultation with a specialist.

Manifold dosage forms V pharmacy chain leads to confusion for the buyer. Can you believe in the effectiveness of the proposed remedies? Pharmacists are known to have a penchant for expanding sales and their dependence on revenue. Doctors now have the opportunity to test any drug at the level evidence-based medicine. But lack of time and interest leads to standard appointments. Let's try to compare the two popular drugs ourselves. After this, we will decide how to treat the cough.

How did Fluimucil and ACC appear?

Fluimucil is produced by the Italian company Zambon Group. The company has been operating successfully for over 100 years. About half of the products are devoted to the treatment of respiratory diseases. In the mid-50s of the last century, the company's scientific adviser, Professor Vittorio Ferrari, drew attention to the possibilities chemical substance, acetylcysteine, break the bonds of mucopolysaccharides in mucus. It turned out that in this way it is possible to liquefy the secretions produced by the body. You can take medicine orally to remove mucous contents. This is how Fluimucil was created. Now it would be called an innovative drug. This was not just the discovery of a new drug, but the beginning of a whole class of drugs - mucolytics.

According to the law, the company that holds the patent alone enjoys all rights to produce products for 20 years. After this, any pharmaceutical companies have the right to produce the same medicine under their own name, but labeled “generic”. On the packaging at the top right after the name there is an R in a circle. So on pharmaceutical market there were many dosage forms under names of ACC, ACC-100, ACC-200, ACC-long Acetylcysteine, Acetylcysteine ​​Sediko effervescent instant, Acetylcysteine ​​Stada, Acetylcysteine ​​Stada International, Acetylcysteine-Hemofarm, Muco Sanigen, Mukobene, Mucomist, Mukoneks, N-AC-Ratiopharm, Tussicom, Exomyuk. They are produced by Germany, Slovenia, and India. Previously, in the USSR they actively used the ampoule form of Acetylcysteine ​​for intramuscular injection and inhalations.

As a rule, generics differ in some way from the main drug. Each company makes its own changes. Even the modern Fluimucil from Zambon Group differs from the original version and is itself a generic. This does not mean that the new drugs are worse. But the patent holder company always has the opportunity to keep its little secrets.

Comparison

We have the opportunity to compare two drugs: Fluimucil and ACC only based on the information contained in the instructions and available to consumers.

They do not differ in their mechanism of action, since both contain the same active substance - acetylcysteine. The dosage in modern forms is also no different: you can choose 100 mg for children, 200 mg and 600 mg for adults.

ACC has a prolonged form, ACC-long, which is taken once a day.

The composition includes various additives. On the one hand, they improve taste and make it easier to ingest, on the other hand, they add sugars, calories and allergenic potential. This is alarming for people with diabetes and various allergic manifestations.

Fluimucil effervescent tablets contain baking soda, and in ACC it is calcified.

Fluimucil uses aspartame from sugars, and ACC uses saccharin. Therefore, taking Fluimucil does not require counting carbohydrate units, and ACC requires a review of the insulin dosage for a patient with diabetes.

There are no Fluimucil tablets and granules additional substances as in ACC ( ascorbic acid, sodium cyclamate and citrate, lactose, mannitol).

There are no symptoms of overdose during treatment with Fluimucil even when taking 0.5 g per kg of body weight per day (30 g for a weight of 60 kg). ACC is characterized by nausea, diarrhea, and abdominal pain.

According to the release form: tablets and sachets of Fluimucil are each designed for single use, packaged in isolation, protected from exposure to air. The ACC tube contains 6, 10 and 20 tablets at once. After opening, air partially inactivates the drug.

The antioxidant effect of Fluimucil is considered very important. Destruction free radicals allows you to relieve intoxication under various inflammatory diseases lungs and bronchi, cleanse the liver. This property has been tested in clinical trials and is used in therapy. ACC has no research on this issue.

Even for a consumer who is not experienced in chemistry, it is clear that Fluimucil has significant advantages. Both mucolytics are approved for over-the-counter sale in pharmacies. The following are considered indications:

• acute and chronic bronchitis,
• bronchial asthma,
• laryngotracheitis,
• sinusitis of the paranasal sinuses,
• middle ear diseases,
• cystic fibrosis,
• pneumonia.

When choosing medicinal product For ourselves and our loved ones, we prefer the best and safest remedy.

Is the drug "ACC" effective for cough? You can find reviews about this medication a little further. Also from the materials in this article you will learn about the form in which this medicine is produced, what components are included in its composition, how it works and whether it has side effects.

Form, composition, description, packaging of mucolytic agent

In what form can the cough medicine “ACC” be purchased? Effervescent tablets are produced in aluminum tubes and strips and have White color, berry or fruit aroma, as well as round and flat shape.

The medication in question is also available in powder form. It is intended for cooking medicinal solution for oral administration. This form goes on sale in sachets, which are placed in cardboard packaging.

If the medication is prescribed to young children, they are recommended to be given ACC cough syrup. This form of the drug is sold in dark jars with a measuring spoon.

The active component of all of these products is acetylcysteine. It is its presence in the medicine that determines the high therapeutic effectiveness of the medicine.

Pharmacological action of the cough medicine

How does ACC work for cough? The instructions say that this is a mucolytic agent.

Taking the drug helps to dilute sputum, increase its volume, facilitate secretion and subsequent expectoration.

The principle of action of the drug "ACC" is associated with its ability to break all disulfide bonds of sputum mucopolysaccharides (acidic). This effect leads to a decrease in mucus viscosity and depolarization of mucoproteins.

It should be especially noted that this drug remains active even in the presence of purulent sputum.

Features of expectorant medication

How does the cough medication “ACC” affect the human body? Effervescent tablets, as well as syrup and powder, have an antioxidant effect, which is due to the presence of an SH group, which is able to interact with and also neutralize oxidative electrophilic toxins.

The active substance of the drug helps to increase the synthesis of glutathione, which is an important antioxidant factor in intracellular protection. It provides support for the morphological integrity and functional activity of the cell.

Pharmacokinetics of mucolytic

Is the drug "ACC" for cough absorbed (the price of this drug is indicated below)? According to the instructions, when taken orally, this medication is quite well absorbed from the intestines. It undergoes a significant first pass through the liver. This leads to a decrease in its bioavailability.

Plasma protein binding is about 50% (approximately 4 hours after administration). The drug is metabolized in the liver, as well as in the intestinal wall. In the blood, acetylcysteine ​​is observed unchanged, as well as in the form of the following metabolites: N,N-diacetylcysteine, cysteine ​​ester and N-acetylcysteine.

Indications for use

Many patients know how effectively “ACC” helps with cough. Reviews from experts say that indications for the use of this drug are all conditions and diseases in which there is an accumulation of sputum in the respiratory tract.

Thus, we can safely say that the mentioned medication effectively treats:

• tracheitis;
• bronchitis in chronic and acute form;
• bronchiolitis;
• sinusitis;
• obstructive bronchitis;
• laryngitis;
• bronchiectasis;
• cystic fibrosis;
• bronchial asthma;
• Exudative otitis media of the middle ear.

By the way, “ACC” does not cure dry cough. It should only be used for difficult-to-clear sputum (i.e., wet cough).

Contraindications for use

Under what conditions should the drug "ACC" not be prescribed for cough? Reviews from experts say that the following diseases are contraindications to the use of this medicine:

• peptic ulcer;
• fructose intolerance;
• renal failure and hepatitis (especially for children);
• bleeding from the lungs.

It should also be noted that this medication is not recommended for use if the patient is hypersensitive to the components of the drug.

How to take the medicine "ACC" for cough?

Reviews from experts report that the dosage of this medicine directly depends on the indications.

Treatment of cystic fibrosis - for people weighing more than 30 kg daily dosage is 800 mg. For children from the 10th day of life to 2 years, the drug is given 50 mg three times a day, and for children 2-5 years old - 400 mg per day.

The daily dosage of this medication is divided into several doses.

"ACC" for cough for children (6-12 years old) is prescribed in the amount of 600 mg. The course of therapy is usually 3-6 months.

For other diseases, this drug should be taken according to a different regimen. To clarify it, you need to undergo a medical examination and consult your doctor.

For adults and adolescents over 12 years of age, the drug is prescribed in a dosage of 400-600 mg per day.

Therapy for uncomplicated disease should last for 5-7 days. If the disease is chronic or complicated, the course of treatment can be significantly increased (up to six months).

According to the attached instructions, this drug should be taken strictly after meals. ACC powder, as well as effervescent tablets, must first be dissolved in 100 ml of any liquid (for example, water, tea or juice).

As for baby syrup, it should be given to the child without dilution. The dosage of this form of medication is determined using a measuring spoon.

Side effects

The use of the drug "ACC" may cause side effects such as diarrhea, heartburn, nausea, stomatitis and vomiting. It should also be noted that this medicine often contributes to the development of tinnitus, headaches, increased blood pressure and arrhythmia.

Cases of overdose

If an intentional or mistaken overdose of this drug occurs, patients may experience symptoms such as vomiting, diarrhea, heartburn, stomach pain, and nausea. The listed symptoms do not require discontinuation of the medication and go away on their own after some time.

Drug interactions

At simultaneous administration"ACC" with life-threatening mucus stagnation may occur. This occurs due to suppression of the cough reflex.

The combination of nitroglycerin and acetylcysteine ​​can enhance the vasodilatory effect of the former.

The drug "ACC" reduces the absorption of tetracycline, cephalosporins and penicillins. In this regard, the listed medications should be taken 2 hours after taking acetylcysteine.

"ACC" is not compatible with antibiotics and proteolytic enzymes.

When acetylcysteine ​​interacts with rubber and metals, sulfides are formed, which have a characteristic odor.

"ACC" cough medicine: price and analogues

You can replace the drug in question with one of the following products: “Fluimucil”, licorice root syrup, “Acestad”, “Mukaltin”, “Mukonex”, “Solvin”, “Acetylcysteine ​​Sediko”, “Gedelix”, “Acestin”, “Bromhexine-Ferein” ", "Lazolvan", "Bromhexine-Acri", "Ambrobene", "Libexin Muco", "Ambrol", "Mucosol", "Broncatar".

As for the price, then different forms This drug may vary slightly. For example, you can buy powder for 170 rubles, syrup for 230, and effervescent tablets for 250.

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 do 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 cough 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;
• asthma;
• pulmonary eczema;
• tuberculosis;
• otitis media;

Even this is not all the possibilities of the ACC. Thanks to your medicinal properties the drug is often used for cystic fibrosis - 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 accumulation large quantity 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 the phrases will not be clear to everyone. Doctors recommend taking the medicine for a wet, productive cough - when excess viscous or too much fluid accumulates in the bronchi. thick sputum.

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

ACC tool marked long is different from regular tablets or powder in that the effect of it 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 (see photo below) 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 200-400 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 preference, but remember: best result will be achieved if you dilute the medicine with half a glass 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 ACC 200 2-3 times a day, duration of administration - 5-7 days;
• at 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 prescribed to children aged two years and older for the diagnosis of colds light form 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 ACC will be the guide - official instructions 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.

Extract 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 down 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 cheap analogue analogue of ACC for cough, pay attention to the following medicines:

• , country of origin – Russia. It contains the same active ingredient and belongs to the category of mucolytic expectorants. Its price is about 40-50 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 acetylcysteine, citric acid, sorbitol and flavorings. The price of the drug is about 300 rubles.
• , 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 phlegm from the bronchi, softens Airways. 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 – 130-250 rubles;
• orange and honey flavored powder – price from 250 rub.

ACC - contraindications

Contraindications to the use of ACC are as follows:

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

In addition, the medicine should not be combined with other cough syrups, bronchodilators and antibiotics that contain codeine and inhibit expectorant reflexes. Those who have previously been diagnosed should take the medicine with caution. venous dilatation veins, adrenal gland diseases or abnormalities have been identified endocrine system. It is not advisable to take the drug together with alcohol.

Side effects of ACC

Overdose symptoms and side effects of ACC appear as:

• allergic reactions: itchy skin, 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

Anton, 54 years old

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.

Colds, as well as diseases bacterial origin, are often accompanied by a cough, which is not a separate pathology, but only a symptom indicating inflammatory process in the respiratory system. The cough can be dry or wet, intermittent or present constantly. Particularly painful is a dry cough, which is often painful, and in the absence proper treatment may cause complications. With a dry cough, the main goal is to transform it into a wet one, thin the mucus and speed up its elimination. A medicinal medicine that has been on the market for more than 10 years and is still popular, is often used in complex therapy diseases respiratory system. Before treating a cough medicine ACC, you need to study the instructions and consult a doctor.

ACC is a common drug with pronounced mucolytic, expectorant and antitussive effects. Yours wide application The drug was found in the treatment of bronchopulmonary diseases. The medicine can be used in combination with other drugs with systemic or symptomatic action. Has fast therapeutic effect, often used in pediatrics, internal medicine and pulmonology.

The basis of ACC is acetylcysteine, which is a derivative of the amino acid cysteine. On the pharmacological market, the drug is available in several forms, which allows everyone to choose convenient way its application. Reviews from doctors and patients about the drug ACC are quite good. Many note that the effect after administration is noted already on the 2nd day after administration. The drug has a positive effect on the composition of mucus that accumulates in the bronchi, makes it less viscous, and has good compatibility with other medications. Most often, it can also be used for wet cough with difficult to separate sputum. The ACC series of drugs belongs to safe means, but due to its high cost, many are trying to find cheaper analogues that can compete with the drug.

Composition and release form

The drug ACC is a development pharmaceutical company SANDOZ d.d. (Slovenia). Available in several forms, doses, and contains various auxiliary components.

ACC 100

Contains 100 mg active component– acetylcysteine, also Excipients. Available in effervescent tablets or granules in bags. The package contains 20 packets or 20 effervescent tablets. Effervescent tablets are round in shape and contain blackberry flavor. ACC 100 is recommended for use in children.

ACC 200

ACC 200 – granules for preparing hot drinks. The composition contains 200 mg of acetylcysteine. You can buy the drug in a package containing 20 sachets. The auxiliary components are ascorbic acid, also artificial sugar, and flavorings.

ACC 600

ACC Long 600, a drug for the treatment of cough in adults. Available in the form of effervescent, white tablets for preparing a solution. The composition contains 600 mg of active ingredient. You can buy the medicine in tubes of 10 or 20 tablets.

ACC syrup

ACC syrup is intended for children and has a pleasant taste and aroma. It comes in a dark glass bottle and has a measuring spoon or cup for convenient use.

Properties of the drug

The basis of the medicinal ACC drug is acetylcysteine, which exhibits its activity against any type of sputum. Taking the drug allows acetylcysteine ​​to act almost immediately after entering the body, diluting and removing mucous secretions, softening cough, and improving breathing. The mechanism of action of the drug occurs due to the rupture of bisulfide bonds of mucopolysaccharides of sputum, increasing its viscosity, improving the process of its release. ACC for cough allows you to have an antioxidant, mucolytic, anti-inflammatory effect. This tool It helps not only to liquefy and remove mucus, but also to prevent the development of complications that may occur against the background of a particular respiratory disease. Taking the drug has a number of advantages, including:

• Effectively and quickly thin mucus.
• Copes well with infections of a purulent, mucous, purulent-mucosal nature.
• Interacts well with other drugs, including antibiotics.
• It has high degree security.
• Minimal number of contraindications and side effects.
• Prevents the risk of complications.
• Easily clears the airways of mucus.

According to the instructions, taking ACC allows you to get rid of dry, obsessive and painful cough, make it moist, clear the airways of mucus. Moreover, multiple clinical trials showed that acetylcysteine ​​is an excellent antidote for acute poisoning, especially those caused by aldehydes, phenols, and some drugs.

Indications for use

ACC instructions for use indicate that the drug can be taken for almost all types of cough, which are accompanied by a dry cough with sputum difficult to separate. In practice, the drug is used in the treatment of diseases such as:

• Acute or chronic bronchitis.
• Tracheitis.
• Obstructive bronchitis.
• Bronchiolitis.
• Laryngitis.
• Cystic fibrosis.

The drug can be used in complex treatment sinusitis, rhinitis, otitis, the medicine has also found wide use in the treatment of acute respiratory viral infections, acute respiratory infections, as an auxiliary therapy to eliminate cough and its possible complications.

How to use ACC?

In order for ACC to bring the best possible therapeutic results, it is important to know how to use the drug correctly. Any form of the drug must be dissolved in water, with the exception of syrup for children. Not only water, but also juice and tea can act as a “solvent”. Effervescent tablets are best dissolved in warm or hot water. The duration of treatment for ACC cough directly depends on the diagnosis, so it can take from 5 days to 2 months. To increase the effect of taking the drug, you need to take as much fluid as possible while taking it.

The instructions for the ACC include standard scheme taking the drug, which must be followed when there are no specialist prescriptions.

ACC for adults

Adults and children over 12 years of age can use ACC 200 or ACC 600 mg (long) to treat cough. When using a dose of 200 mg, it should be taken three times a day. If treatment is carried out by ACC Long, then it is taken once a day. ACC granules 600 mg for preparing a drink or effervescent tablet You need to dilute it in 200 ml of hot water and drink it immediately after preparing the solution.

ACC for children

May include the use of ACC 100 or 200, also syrup.

• Children from 6 to 14 years old - ACC 100 three times a day or 200 twice a day.
• Children from 2 to 5 years old - 1 tablet (100) 2 times a day.
• For children from 6 years old, 200 twice a day.

ACC syrup can be prescribed to children from 6 months. The dose of the drug is determined by the pediatrician. From 1 year, syrup can be given in an amount of 2.5 - 5 mg twice a day.

Treatment with the mucolytic ACC can take from several days to several weeks. It all depends on the patient’s diagnosis and the characteristics of his body.

ACC for inhalations

Not so long ago, ACC began to be used for inhalation through a nebulizer. The procedure is very effective and completely safe. Application of ACC for inhalation it allows you to act at the very source of inflammation, accelerate the liquefaction of sputum, and facilitate its removal. For the inhalation procedure, you need to use a ready-made solution of ACC, which is diluted with 9% sodium chloride before inhalation. The dose and proportions of the drugs are determined by the doctor.

• Children under 6 years old: 2 ml of saline per 2 ml of ACC.
• From 6 to 12 years - 2 ml and 3 ml ACC.
• For children over 12 years of age and adults – 2 ml of saline solution + 3 ml of ACC solution.

The procedure should be performed for 4 to 7 minutes with a frequency of 2 to 3 times a day. When administering the drug by inhalation, it is not necessary to take ACC orally. Inhalation should be avoided if elevated temperature bodies. The duration of nebulizer therapy is up to 10 days, but as reviews show, the effect is observed after 1 - 2 days.

ACC during pregnancy

During pregnancy and lactation, taking ACC orally is not recommended, but minimal risk present during inhalations, which act at the very site of inflammation and do not allow the active component to penetrate the bloodstream. ACC for inhalation can be prescribed to pregnant women by a doctor, individually calculating the dose of the drug.

Contraindications

ACC for cough treatment has a minimal list of contraindications, but before taking the drug it is important to pay attention to them:

• Hypersensitivity to the composition of the drug.
• Intolerance to artificial sugar.
• Increased risk of pulmonary or intestinal bleeding.
• Severe pathologies of the liver and kidneys.
• Pregnancy and lactation period.

It is prohibited to combine the drug with antitussive drugs central action, since this can cause mucus stagnation and increase the risk of complications.

Side effects

IN in rare cases After taking the drug, unwanted side effects may occur, including:

• Nausea.
• Abnormal stool, discomfort, abdominal pain.
• Headache.
• Noise in ears.
• Increased heart rate.
• Decreased blood pressure.
• Allergic skin reactions or bronchospasm.

Many doctors claim that the risk of developing side effects increases if the recommended doses of the medication are not followed or if the patient has a history of contraindications. If you feel worse after taking the drug, you need to stop treatment and consult a doctor who can adjust the dose or select similar drug, but with a different composition.

Reviews about the drug

ACC has been on the market for cough medications for quite some time. Over the entire period of time, many people have become familiar with this drug. The drug has become widespread in the practice of doctors and many positive feedback from patients. ACC is currently often used in the complex treatment of cough, but there are also negative reviews about the drug, which report that taking the drug did not produce any results. There are not many such reviews at all. Most people are satisfied with the results after treatment. The only thing consumers are unhappy with is the price of the medicine. Perhaps for this reason, many are looking for cheaper analogues of the drug that can have an identical therapeutic effect.

Price

Prices for the drug may differ slightly from those provided, since everything depends on the region and the pharmacy chain itself. On average, you can buy ACC at the following price:

• ACC granules 100 mg 20 pcs – 135 rubles.
• ACC granules 200 mg 20 pcs – 245 rubles.
• ACC Long 20 pcs – 470 rubles.
• ACC syrup for children 20 mg/ml 200 ml – 360 rubles.

Cheap analogues of ACC

The medicine ACC is quite popular among the population, but given its cost, many are trying to find a similar drug with the same therapeutic effect. The pharmaceutical industry offers a fairly large list of drugs that can replace ACC. Similar medicines are produced by domestic or foreign manufacturers, may have a different composition, but also cope well with cough symptoms, dilute and remove phlegm. If we talk about structural analogues of ACC, they are also provided to the buyer, and their prices are much lower than for the brand.

• Pulmobreeze – 210 rubles per pack of 20 sachets.
• Acetad – 150 rubles for 20 packets.
• 8 mg – 45 rubles for 20 tablets.
• – 14 rubles for 10 tablets.
• Sinecode 100 ml – 200 rubles.
• – 21 rubles for 10 tablets.
• Acetylcysteine ​​- from 120 to 200 rubles for 20 effervescent tablets.
• Fluimucil 600 mg – 126 rubles for 10 effervescent tablets.

Any of the above drugs has its pros and cons, which it is important to familiarize yourself with before purchasing and taking it. Often inexpensive analogues no worse than branded drugs. It is best to trust a doctor who, based on the results of the examination and diagnosis, will select the most effective drug.

Acetylcysteine ​​or ACC – which is better?

The closest and accessible analogue ACC is acetylcysteine, which is a budget form of the drug produced by Russian manufacturers. Acetylcysteine ​​has the same mechanism of action as ACC, has a pronounced mucolytic, expectorant effect, and is widely used in the treatment of diseases bronchopulmonary system. Acetylcysteine ​​is a structural analogue of ACC, but differs in manufacturer. The drug is a development of domestic pharmacological companies. Release form - powder for preparing a hot drink, contains 100, 200 or 600 mg of the active ingredient. The drug dosage regimen is identical to ACC and can be used for children from 1 year of age. The cost of the drug in pharmacies ranges from 125 rubles per pack of 10 bags.

ACC and Bromhexine – what to choose?

You can replace the use of ACC with a drug such as Bromhexine, which has the ability to thin sputum and have a mild anti-inflammatory and bronchodilator effect. The active component of the drug is bromhexine hydrochloride, which effectively copes with infectious diseases bronchi and lungs, indicated for the treatment of bronchitis, bronchial asthma, emphysema and other pathologies. Bromhexine has a therapeutic effect, so if the doctor has prescribed ACC, it is not recommended to replace it with Bromhexine. In some cases, both drugs can be used in complex therapy to treat diseases affecting the lungs and bronchi. Bromhexine has the ability not only to thin sputum, but also to suppress cough and speed up the recovery period. Bromhexine tablets or syrup can be prescribed to children from 6 months. The drug has affordable price, which does not exceed 90 – 110 rubles per pack of 20 tablets or 120 rubles per syrup 100 ml.

What is better ACC or Ambrobene?

For the treatment of diseases of the bronchopulmonary system, the drug Ambrobene, the active component of which is ambroxol, is often used. Ambrobene is not a structural analogue of ACC, but also has a good expectorant and anti-inflammatory effect. Ambrobene, unlike ACC, has an analgesic, antiviral, and anti-inflammatory effect. The drug is available in several forms - cough syrup, tablets, solution for inhalation, and is often used in pediatrics and pulmonology. Unlike ACC, Ambrobene has a wider list therapeutic properties, Also average cost. The effect of Ambrobene treatment will be noticeable already on the 2nd day after use. The cost of Ambrobene in pharmacies is 140 rubles for tablets No. 20 and 160 rubles per syrup 100 ml.

ACC or Mucaltin - which is more effective?

A well-known drug with a pronounced mucolytic effect is Mucaltin, which contains marshmallow extract and is a natural and safe remedy. If we compare or ACC, we can say that last drug stronger, allows you to cope with various pathologies bronchi, in which there is a dry cough with difficult to separate sputum. Mukaltin – more weak drug, can be used together with other drugs, is well tolerated, and can be prescribed to pregnant women. Mucaltin is one of the cheapest analogues of ACC, the price of which is no more than 15 rubles per pack of 10 tablets.

What is better to choose Lazolvan or ACC?

Lazolvan is a worthy analogue of ACC, which has an expectorant and mucolytic effect. Lazolvan contains the active ingredient ambroxol, so it does not belong to structural analogues, although it has the same therapeutic effect. Lazolvan is available in several forms: tablets, syrup for children, adults, ampoules for injections or solution for inhalation. ACC and Lazolvan are often used to treat diseases of the bronchopulmonary system, which are accompanied by impaired sputum discharge. The drug does not belong to cheap analogues of ACC, since it has enough high cost. However, it is possible to replace ACC with Lazolvan, and the effect of treatment will be noticeable quite quickly. Lazovan for cough can be used for both dry and wet coughs, so this drug can be called universal remedy for the treatment of pathologies of the respiratory system. It is important to understand that using both drugs in cough therapy is prohibited.

ACC, unlike Lazolvan, has an antibacterial and antitoxic effect. Moreover, many pediatricians prefer to prescribe Lazolvan to small children, since it can be used from 6 months, and ACC, only from 2 years. in tablets - 180 rubles for 20 pieces. Syrup for children costs about 220 rubles. For adults, syrup – 300 rubles.

ACC or Ascoril - which is cheaper?

The medicine Ascoril is a universal drug combined action, which is often used in the treatment of diseases of the bronchopulmonary system. Ascoril has a pronounced expectorant, bronchodilator effect, which not only thins mucus and improves its discharge, but also relieves bronchospasm. The drug contains guaifenesin, salbutamol, bromhexine, and also auxiliary components. Unlike ACC, Ascoril has a wider therapeutic effect, but at the same time it costs much more than ACC. Available in syrup and tablets, it is often used for obstructive bronchitis, complex treatment of bronchial asthma and others serious illnesses. in tablets is about 350 rubles per pack of 20 pieces. The syrup can be purchased for 450 rubles. Despite the high cost of the drug, in case of severe diseases of the respiratory system in children or adults, it is better to give preference to Ascoril. The drug has quite a lot of contraindications, which you need to familiarize yourself with before purchasing and taking the drug.