home Audience 4 Ass reception. Children's cough syrup Ass. ACC Orange granules

Ass reception. Children's cough syrup Ass. ACC Orange granules

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

The medicine has fast 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 effective influence, and can immediately provide triple action on the human body:

Antioxidant. Contact free radicals, and this thereby suppresses their negative and destructive effect on mucosal cells.
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:

Promotes fast and effective liquefaction accumulated phlegm, which allows you to successfully get rid of a 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 therapeutic effect both drugs.
High degree drug safety, small amount 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, at which very much is synthesized sticky 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 the prescription should not be used. 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 veins, problems with organs such as kidneys and liver.

Patients with such diseases should take the drug only as prescribed by the doctor. Side effects are rare, but do 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 over the counter.

Cheaper analogues of ACC:

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, a course of treatment with this tool should be limited to one week. If therapy for bronchitis, especially acute and chronic form, the course of treatment is usually extended by the doctor.

The medicine is taken after meals, effervescent tablets ACC needs to 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 has the same effective treatment, like the tablet form.

ACC syrup dosage:

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.

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 drug 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 to treat mild or protracted inflammatory processes nasopharynx: tracheitis, acute rhinitis, nasopharyngitis, sinusitis, which are accompanied by the accumulation of a large amount 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 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.
The medicine can be given as syrup infants, but only under the supervision of a pediatrician.

Method of using ACC

For convenience, many pharmaceutical companies began to produce the 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:

Pour clean, chilled boiled water into a glass and place a tablet at the bottom.
Wait until the effervescent effect wears off and the capsule dissolves completely.
Once dissolved, drink the solution immediately.
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 colds infectious diseases, occurring 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 is 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.

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:

Press the bottle cap and turn it clockwise until it clicks.
Remove the cap from the syringe, insert the hole into the neck and press the syringe until it stops.
Turn the bottle upside down, pull the handle of the syringe towards you, measuring the required dose of syrup.
If bubbles appear inside the syringe, lower the plunger slightly.
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.
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. 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 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. average cost the drug is as follows:

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 to the active substance;
hypersensitivity 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.

ThromboASS is used in for preventive purposes, as well as for the treatment of diseases that are associated with the appearance of blood clots in blood vessels. The tablets are covered with a special coating, which is necessary to protect the gastric mucosa from negative action acetylsalicylic acid.

This drug is produced in Austria, and its generic international name - acetylsalicylic acid. Thromboass is related to non-steroidal anti-inflammatory drugs.

Compound

One tablet may contain 100 mg or 50 mg of acetylsalicylic acid. Additional components are also used:

lactose monohydrate;
microcrystalline cellulose;
potato starch;
silica.

Release form

This medicine is produced in tablet form. They have a special coating that dissolves in the intestines. Their surface is relatively smooth (there may be a barely noticeable roughness). The coating of this product is glossy.

One package contains 28 tablets of 50 mg or 30 tablets of 100 mg. It also contains instructions for use in Russian; a recipe in Latin can be found on the Internet if necessary.

Properties of the drug

This medicine, in terms of its effect on the body, has direct relation To antiplatelet drugs. The main active ingredient of these tablets is acetylsalicylic acid, which is an NSAID and has an anti-inflammatory effect. This component helps reduce the production of prostaglandins and other active substances.

ThromboASS is a non-steroidal anti-inflammatory drug. It helps block the enzymes cyclooxygenase COX-1 and COX-2. As a result, a chain of reactions is observed that helps reduce the appearance of blood clots.

This medicine is also capable of:

relieve pain;
fight inflammation;
lower body temperature.

It is also used to thin the blood. One dose of the drug in a minimal dosage promotes the development of an antiplatelet effect, and this effect can persist for 7 days.

Due to the fact that such a medicine has these properties, it is used in medicinal purposes, as well as for the prevention of diseases in which there is a risk of blood clots, as well as narrowing of the lumen in the vessels.

Indications for use

Many may be interested in the question of why such a drug is prescribed. As mentioned above, it is recommended to drink this remedy in order to reduce the risk of blood clots. It is prescribed for unstable, as well as stable angina . It is also recommended to take these pills to prevent diseases:

thrombosis of venous vessels;
transient cerebral circulatory disorder;
stroke;
vascular thromboembolism (including the pulmonary artery);
myocardial infarction, if there are risk factors, for example: hyperlipidemia, diabetes, elderly age, obesity, smoking;
secondary myocardial infarction.

Instructions for use

In order for Thromboass treatment to be effective, it is necessary to take it correctly. this drug. The first thing you should know is when to take this medicine. Many people do not know what time of day to take Tromboass, and they doubt whether it should be done in the morning or in the evening.

The fact is that it is recommended to drink ThromboASS once a day. Dosage - 1 tablet from 50 to 100 mg. In this case, you should try to take the pill at approximately the same time, and whether it will be in the evening or morning, you must decide for yourself. The point is that it doesn't really matter.

Many people are still concerned about how to take this medicine before or after meals? Experts advise taking the tablet either during or after a meal, in this case negative impact acetylsalicylic acid on the gastrointestinal tract will decrease.

Note! The tablet should be swallowed whole, without breaking or chewing it.

More a large number of Women carrying a child are interested in how to take Tromboass? The fact is that during pregnancy the use of this drug is not recommended. However, during the 1st trimester of pregnancy, doctors prescribe this medicine if the woman’s blood is too viscous.

Upon admission contraceptive doctors They often advise their patients to take medications that can make the blood more fluid, to which ThromboASS is directly related.

With IVF on initial stage this drug is not prescribed. However, when the embryo is transferred, the doctor most often prescribes taking 1 tablet of Thrombo ACC per day.

Take this medicine when high blood pressure(more than 140/90) is prohibited. The fact is that in this case the risk of stroke increases.

Attention! Before you start taking this drug, you must consult your doctor. Only he can prescribe the dosage that suits you!

Contraindications

U of this medicine, like most others, there are contraindications. It cannot be used for:

the presence of ulcers in the gastrointestinal tract;
gastrointestinal bleeding;
individual intolerance to any component included in the product;
severe renal or liver failure;
heart failure grade 3–4;
pregnancy 2nd trimester or 3rd trimester;
bronchial asthma;
nasal polyposis;
hemorrhagic diathesis.

Overdose

Overdose of Tromboass is very rare. If this happens, the person may feel:

vertigo;
pain in the head area;
noise in ears;
nausea (in some cases there is vomiting);
clouding of consciousness.

If an overdose occurs, the person needs gastric lavage inpatient conditions. It is produced using special medicines.

Side effects

Reviews from doctors indicate that when taking ThromboASS, unwanted side effects are extremely rare. These include:

development of anemia;
rash on the skin surface;
skin itching;
hives;
nausea;
heartburn;
noise in ears;
increased tendency to bleed;
angioedema;
bronchospasm;
anaphylactic shock;
pain in the stomach or intestines;
development of stomach ulcers;
increased production of enzymes by the liver;
painful sensations in the head area.

Real reviews for varicose veins

Mikhail, 46 years old

I have been using Tromboass for a long time and am completely satisfied with it. On the doctor's recommendation, I take Venarus and Tromboass together. I am satisfied with everything about this product, or rather its effectiveness, and especially its price.

Elena, 37 years old

I was diagnosed with varicose veins and prescribed ThromboASS. But I doubt whether to drink it. Who knows ThromboASS or Aspirin Cardio, which is better to choose?

Svetlana, 52 years old

I have been suffering from varicose veins for a long time, but in addition to it I also have other diseases. I have known Tromboass for a long time and I take it periodically. Recently they prescribed me Nootropil. Who knows if it is possible to take Nootropil together with Tromboass?

Is it possible to take Detralex and Trombo ACC at the same time?

Often people have a question about whether Tromboass and Detralex are compatible. You can take these two medications together, but only after you have consulted with your doctor. The fact is that if these drugs are taken incorrectly, bleeding may occur.

What is the difference between Thrombo ACC and Aspirin?

Many people are tormented by the question: Are Thromboass and Aspirin the same thing or not? These products are similar only in that their main active ingredient is acetylsalicylic acid. There are experts who believe that Aspirin is a cheap analogue of Thromboass. But is this really so?

The main difference between Aspirin is that 1 tablet contains 10 times more active substance than the Tromboass tablet. In this regard, in order to completely replace ThromboASS with it, you will need to divide 1 tablet into 10 equal parts, but without special devices this will be very difficult to do.

Trombo ACC also has a special coating that can be dissolved only after entering the intestines. Aspirin dissolves directly in the stomach. Therefore, prolonged use may cause the development of stomach ulcers. The fact is that acetylsalicylic acid has an irritating effect on the gastric mucosa.

For reference! It doesn't make much sense to replace Thromboass with Aspirin. The fact is that 100 tablets (100 ml) of Tromboass will cost only about 150 rubles.

How long can you take Trombo ACC without interruption?

The duration of the course of taking ThromboASS is determined directly by the attending physician. In some cases, it is taken continuously, without any significant breaks between doses.

How much does it cost and where to buy?

How much does TromboASS cost at the pharmacy? On average, in the Russian Federation the price of this medicine is 45 rubles per package (28 tablets).

You can purchase this medicine at any pharmacy. If necessary, you can order it online.

Analogues of the drug

Trombo ACC has various Russian and foreign analogues. If you are looking for a replacement for ThromboASS, you should pay attention to the following drugs:

Also, many doubt that it is better to choose Tromboass or its equivalent. For example:

Acecardol or ThromboASS? IN medicine Acecardol has a large number of components, which is why unwanted substances often appear side effects. In this regard, doctors prescribe ThromboASS much more often. The price of these drugs is approximately the same.
or Thrombo ACC? These two medications can replace each other. However, Curantil is prescribed to pregnant women more often, as it is safer.
or Tromboass? Only his attending physician can tell which of these drugs is best for a particular patient. These two drugs thin the blood quite effectively, but they differ in contraindications.
Clopidogrel or Thrombo ACC? Often these two drugs certain diseases are prescribed to be taken together.
Xarelto or Thromboass? The drug Xarelto has the main active substance is rivaroxaban. This is an analogue of aspirin, but this substance is more effective. In this regard, Xarelto is worth choosing. However, the cost of this drug in pharmacies is much higher than Tromboassa.

Is alcohol compatible with Tromboass?

In some cases, these drinks contribute to the fact that Thromboass treatment becomes ineffective, since alcohol blocks the effect of aspirin. Still available high probability the appearance of skin rashes, as well as various disorders of the gastrointestinal tract.

From this medical article you can familiarize yourself with the drug. The instructions for use will explain in what cases the medicine can be taken, what it helps with, what are the indications for use, contraindications and side effects. The annotation presents the forms of release of the drug and its composition.

In the article, doctors and consumers can only leave real reviews about ACC, from which you can find out whether the medicine helped in the treatment of bronchitis and dry cough in adults and children. The instructions list analogues of ACC, the price of the drug in pharmacies, as well as its use during pregnancy.

ACC is an antioxidant, mucolytic and expectorant drug. Instructions for use recommend taking effervescent tablets for the treatment of diseases associated with accumulation in the upper respiratory tract and bronchial tree of thick viscous sputum: bronchitis, laryngitis, sinusitis, bronchial asthma.

Release form and composition

ACC 100 mg and 200 mg are available in the form of effervescent tablets, 20 pieces per package.
The hot drink is available in the form of powder for preparing a drink, 200 and 600 mg per package.
ACC Long is produced in the form of effervescent tablets, 600 mg per package (10 pieces).
Powder for the preparation of a solution for internal use, 100 and 200 mg per package.
ACC for children is produced in powder form for internal use 30 grams in a 75 ml bottle and 60 grams in a 150 ml bottle.

The tablets contain 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.

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

Pharmacological properties

The mucolytic and expectorant effect of ACC is explained by its ability to break the bisulfide bonds of sputum mucopolysaccharides. This process leads to depolymerization of mucoproteins and an increase in the viscosity of bronchial secretions.

Thanks to the use of ACC, sputum discharge improves. Basics active substance This drug has an antioxidant and pneumoprotective effect.

The medicine is an antidote and is often used for acute poisoning aldehydes, phenols or paracetamol.

ACC 200 or powder (for preparing a hot drink), taken orally, is literally immediately absorbed through the gastrointestinal tract.

Cysteine, produced in the liver, takes an active part in metabolism. the final product This process becomes mixed disulfides.

The maximum concentration in the body is reached 1-3 hours after administration. The drug is excreted in the urine, and only a small amount of the main active substance is excreted in the feces.

The duration of the half-life of ACC from the body directly depends on the biotransformation of the liver. In the presence of liver failure, the half-life takes about 8 hours, when normal functioning liver only 1 hour. It is noted that the main active ingredient of this drug can accumulate in amniotic fluid.

What does ACC help with?

Indications for use of the drug include:

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

Instructions for use

ACC - powder or effervescent tablets

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 of 100 mg and 200 mg). There is not enough data on the dosage of the drug in newborns.

Children with cystic fibrosis

Children aged 2 to 5 years - 100 mg 4 times a day. 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. At 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.

Instructions for preparing granules

To prepare a solution for oral administration of 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 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.

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 the need for parenteral administration 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 administration

When performing a shallow injection and if there is hypersensitivity A slight and quickly passing burning sensation may occur, so it is recommended to administer the drug to patients in a lying 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).

Contraindications

hypersensitivity to acetylcysteine and other components of the drug;
pregnancy;
lactation period (breastfeeding);
pulmonary hemorrhage;
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);
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 is in the form of granules for the preparation of a solution for oral administration 600 mg);
peptic ulcer of the stomach and duodenum in the acute phase;
hemoptysis.

Side effects

diarrhea;
vomit;
nausea;
skin rash;
bronchospasm (mainly in patients with a hyperreactive bronchial system with bronchial asthma);
drop in blood pressure;
tachycardia;
heartburn;
stomatitis;
headache;
noise in ears;
development pulmonary hemorrhage as a manifestation of a hypersensitivity reaction;
hives.

Children, pregnancy and breastfeeding

Use during pregnancy has not been studied. Syrup during pregnancy is used only if the expected benefit to the mother outweighs the potential risk to the fetus.

The drug is contraindicated during lactation.

The drug in the form of syrup and granules for the preparation of a solution for oral administration of orange 100 mg and 200 mg is contraindicated in children under 2 years of age. The drug in the form of granules for the preparation of a 200 mg oral solution is contraindicated in children under 6 years of age.

The drug in the form of granules for the preparation of a 600 mg oral solution is contraindicated in children under 14 years of age. The dosage regimen is determined taking into account age.

special instructions

When using acetylcysteine, very rarely cases of severe allergic manifestations. If after using the medicine the patient experiences changes in the skin or mucous membranes, you should immediately consult a doctor.

ACC is not recommended for renal and liver failure. Contact of the drug with metals, rubber, oxygen, and easily oxidized substances is undesirable. It is recommended to dissolve the medicine in a glass container. It is not advisable to take the drug before bedtime.

Drug interactions

Use with caution simultaneously with antitussives, due to the fact that suppression of the cough reflex can cause stagnation of sputum.

Simultaneous use with vasodilators and nitroglycerin causes an increase in the vasodilator effect.

At simultaneous administration with oral antibiotics can reduce them antibacterial activity. the interval between doses should be 2 hours.

Analogues of the drug ACC

Structural analogues for the active element:

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

Vacation conditions and price

Dispensed from pharmacies with a prescription. The average price of the drug ACC (syrup 200 ml) in Moscow is 237 rubles. In Kyiv you can buy medicine (200 mg tablets, No. 20) for 128 hryvnia, in Kazakhstan - for 1685 tenge. In Minsk, pharmacies offer the drug ACC (tablets 200 mg, No. 20) for 7-10 bel. rubles

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 retains its activity 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 medication often contributes to the development of tinnitus, headaches, increased blood pressure and arrhythmias.

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

When taking "ACC" at the same time, 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.