Many pathologies respiratory organs accompanied painful cough. Moreover, regardless of whether it is dry or wet, the patient tries to get rid of it as soon as possible. unpleasant symptom. In pharmacies you can find many medicines that will help short term cure cough, these include ACC. The medication can be prescribed for both dry and productive cough. ACC with a dry cough increases the volume of mucus produced and promotes its removal, and with a wet cough it helps to easily remove mucus from the respiratory organs.

General characteristics of the drug

The pharmaceutical industry produces the drug ACC in several doses and forms. There is also a long-acting drug that cannot be taken more than 2 times a day.. In pharmacies you can find the following forms of the drug:

• soluble cough tablets;
• solution for inhalation;
• powder, which when diluted in water produces a drink;
• sweet syrup. This form of medication is convenient to prescribe for the treatment of cough in a small child;
• solution for intravenous and intramuscular injections.

The active component of these dosage forms is acetylcysteine. In addition, each type of drug differs in some auxiliary components. Thus, the granules, among other things, contain citrus flavoring, the soluble tablets contain blackberry flavoring, and the syrup contains cherry flavoring.

ACC can be prescribed for both non-productive and wet coughs. The acetylcysteine ​​contained in the drug promotes the rapid removal of sputum from the bronchi and lungs. When taking ACC, the patient must drink a lot, in this case the effect of the drug is enhanced, and the sputum is cleared well.

The effect of this drug has not yet been fully studied.. Acetylcysteine ​​has a pronounced mucolytic, expectorant and antioxidant effect. Recent studies have shown that this substance can effectively remove toxic substances from the body. However, ACC is most often used for wet and dry coughs to facilitate sputum discharge. This medication is able to thin thick mucus and then gently remove it from the respiratory organs. Among other things, acetylcysteine ​​has a mild anti-inflammatory effect.

ACC can be prescribed for the treatment of both adults and children of various ages. In the latter case, the required dose is calculated by the attending physician.

Indications

When taking ACC for a cough, note positive result possible just an hour after the starting dose. Most often, doctors prescribe granules for making a solution and original soluble tablets to patients with cough. Such medications are considered more convenient to use. You can start taking one or another form of the drug only on the recommendation of a doctor, since they have different effects on the respiratory organs.

Syrup with acetylcysteine ​​will quickly help eliminate cough when chronic pathologies lungs, and special solution for inhalation it is very effective for laryngotracheitis.

The drug is prescribed by doctors for pathologies of the respiratory organs, which are accompanied by different types cough, namely with:

• bacterial and viral pneumonia;
• bronchitis of various types;
• cystic fibrosis and asthma;
• various types of sinusitis;
• otitis.

ACC for bronchitis and pneumonia is prescribed only as part of complex therapy. In this case, in addition to ACC, antibiotics and medications of other groups are often prescribed.

Most often, ACC is prescribed for productive wet cough. This medication can also be used for unproductive coughs, but only if the patient has already taken medications to thin out too thick sputum. The viscous mucus in the respiratory organs has already liquefied, and the cough has become productive. Otherwise, ACC will have no effect on an exhausting dry cough.

For dry coughs, people are usually prescribed ACC Long, but only in combination with drugs that help thin the mucus.

When prescribing ACC for children with a dry cough, you should immediately tell parents that the treatment will give a noticeable result if followed drinking regime, and in addition to this drug, the child will take syrups based on licorice root or medications containing ambroxol.

Contraindications

Not all cases can be treated various types cough ACC. It is contraindicated to take the medication if:

• pulmonary hemorrhages;
• coughing up sputum mixed with blood;
• chronic renal failure;
• septic;
• hepatitis;
• special sensitivity to the ingredients in the drug.

During pregnancy and breastfeeding, the drug can be prescribed only in special cases when there is no alternative. In this case, the expected benefit for the expectant mother should be higher than possible harm for a child.

Side effects

ACC may have certain side effects. When treated with this medication, there is a high likelihood of the following disorders:

• there may be persistent headaches and constant noise in the ears;
• heartburn, constant nausea and stool disorders;
• increase in frequency heart rate and low blood pressure.

The annotation to the ACC Long contains information that there may be allergic reactions that look like skin rash.

How to take the medicine

The dosage of ACC depends not only on the person’s age and the severity of the disease, but also on the type of drug. All types of ACC have a certain daily dosage.

ACC 100 can be given to children almost from birth. Children under 2 years of age are prescribed a medicine of 50 mg three times a day. A soluble 100 mg tablet is divided in half and then diluted in 0.5 cups of water.

From 2 to 5 years old, the child drinks medicine 4 times a day, single dose is 100 mg. Children over 6 years old drink ACC 200 three times a day.

ACC Long can be prescribed to patients over 14 years of age. Daily dose equals 600 mg, it is drunk at a time. The effervescent tablet is dissolved in water and drunk immediately after meals.

You need to understand that if the prepared medicine could not be drunk for some reason, then it should be taken no later than a couple of hours after dilution. If more time has passed, then prepare a fresh medicinal drink.

ACC 200 can only be taken in the form aqueous solution. It is prescribed to children who are already six years old. You can consume 2 sachets per day, which are previously diluted in warm water. Adolescents over 14 years of age and adult patients consume a whole sachet of pre-diluted drug three times a day.

The powder for the solution can be diluted in water, iced tea, your favorite juice or cooled compote. The powder for preparing the solution is poured clean water until the mark is marked on the bottle, and then mix well, after closing the lid. After taking the medicine, be sure to drink enough water or other drink, in which case the effectiveness of the treatment will be higher.

If ACC does not help with cough at all for 4-5 days, then you need to consult a doctor; the dose may need to be adjusted. The minimum course of treatment is 5 days, but if necessary, therapy can last up to six months.

Infants can dilute ACC in water and then give it through a bottle with a nipple.

Features of treatment for pregnant women

In women, during the period of bearing a child, immunity is greatly reduced, so the frequency of diseases respiratory infections increases. To treat pregnant women, doctors select medications that will not provide negative impact for the fruit. Action of ACC It has not yet been fully studied for pregnant women, but based on the fact that it is prescribed to infants, expectant mothers can also take this medicine. The dose of medication for this group of patients is determined by the doctor.

If alarming symptoms appear while taking the drug, stop treatment and contact a medical facility.

ACC is a highly effective remedy for wet and dry coughs, which can also be purchased at low price. The form and dose of the medicine is selected by the doctor individually, but more often they prescribe soluble tablets and packaged powder for preparing a healing drink.

You are a fairly active person who cares and thinks about your respiratory system and health in general, continue to exercise, lead healthy image life and your body will delight you throughout your life. But do not forget to undergo examinations on time, maintain your immunity, this is very important, do not overcool, avoid severe physical and strong emotional overload. Try to minimize contact with sick people; if forced contact, do not forget about protective equipment (mask, washing your hands and face, clearing your respiratory tract).

There are two types of cough: wet, accompanied by the release of sputum, and dry, which occurs with allergies and colds. Getting rid of an unpleasant ailment is not difficult; you can find many effective medications in pharmacies. good and quality product for cough, the mucolytic complex ACC, produced by the German company, is considered pharmaceutical company HEXAL AG. The drug helps to quickly and easily clear the airways of mucus and is suitable for the treatment of both wet and dry coughs in adults and children.

Pharmaceutical forms

ACC is a highly effective and popular antitussive complex, including liquid-soluble tablets and powders. The medicine is a strong mucolytic, improves lung function and dilutes the purulent mucus accumulated in the bronchial trunks.

The drug also has an anti-inflammatory effect and stimulates expectoration. The drug is sold in different pharmaceutical forms, suitable for both adults and children:

• tablets for dissolution, 100 mg, 200 mg;
• ACC Long effervescent tablets;
• granulated powder for syrup, 200 mg, 600 mg;
• powder for sweet solution, 100 mg, 200 mg.

Chemical composition

The drug is remarkably helpful in getting rid of dry and wet coughs. During treatment, you should drink enough fluid, this is important to speed up the effect of the medicine.

Active substance – sodium salt acetylcysteine, it has a beneficial effect on the mucous membranes of the respiratory tract, quickly clearing the lungs of mucus.

Each dosage form includes your own set additional components. Syrup granules contain:

• sodium benzoic acid or preservative E211,
• croscarmellose or stabilizer E468,
• caustic soda, disodium edetate,
• saccharinate, methylparaben or preservative E218.

Powder for sweet solution contains sucrose, saccharin, ascorbic acid. The tablets contain ascorbic acid, baking soda, lactose anhydrous, sodium citric acid or food additive E331, anhydrous citric acid, saccharin, osmotic diuretic D-Mannitol.

Indications for use

Judging by the reviews of people suffering from cough, it is most simple and convenient to use tablets and ACC syrup. But which one pharmaceutical form the patient should take the drug, determines only medical specialist. The fact is that tablets and solutions have different effects on the body.

The syrup is intended to relieve the symptoms of chronic diseases of the pulmonary system, the solution is intended to treat acute inflammatory reactions that make breathing difficult. Tablets are indicated for wet cough caused by the following pathologies of the respiratory system:

• bronchitis;
• bronchial asthma;
• sinusitis;
• otitis media;
• cystic fibrosis;
• pneumonia.

The principle of action of the drug

Slime in respiratory tract present constantly, is a reliable cleanser and protector. Every person, waking up in the morning, sometimes feels that his nasopharynx, trachea and bronchi are filled with a viscous mass. During an acute respiratory disease mucus is formed in excess.

Its main task is to remove pathogenic microorganisms from the respiratory system. Sometimes infectious diseases accompanied by the accumulation of very thick sputum in the respiratory tract, which cannot be coughed up. In this situation, the ACC complex is used.

The drug thins mucus, relieves inflammation, and stimulates expectoration. Main active substance breaks the disulfide contacts of sputum proteoglycans, as a result, the mucus becomes more fluid and can be coughed up freely.

Therefore, the drug is usually prescribed for a wet cough. Doctors rarely prescribe ACC tablets and solutions for dry coughs; they are combined with other mucolytic medications. Dry cough is treated preferentially effervescent tablets ACC Long, but only as part of complex therapy.

The effect of the medicine is noticed an hour after administration. Spent medicinal substances leaves the body along with urine, less often with feces. The rate of elimination of drug residues depends on the health of the urinary system. If kidney function is impaired, drug particles can remain stuck in the body for a long time. Some patients note that their cough gets worse when taking the drug. No need to worry: this normal phenomenon, indicating recovery. Over time, the cough weakens and then disappears altogether.

Contraindications for use

ACC is considered a highly effective and safe complex for the treatment of cough, reviews about it pharmaceutical product extremely positive. The medicine is suitable for both old people and children. However, not all sick people are allowed to take the drug. You should not use it if you have the following pathologies and characteristics of the body:

• kidney dysfunction;
• peptic ulcer;
• hematopoe;
• hepatitis;
• pregnancy;
• lactation;
• intolerance to substances contained in the medication.

The dosage and therapeutic course are determined by the attending physician; self-medication is under no circumstances allowed. The ACC complex is often prescribed not for therapy, but to prevent the occurrence of cough.

It is impossible to predict how the medicine will affect the body. Some people do not experience any side effects, for others it appears allergic rash. Allergies are usually observed when consuming ACC tablets 200 mg, ACC Long. In case of an overdose of the drug, the following ailments occur:

• migraine;
• nausea;
• increased heart rate;
• lowering blood pressure;
• belching;
• buzzing in the head;
• stomatitis;
• profuse vomiting.

Instructions for use

When doctors prescribe an ACC complex, patients immediately have a question about which cough is best to take the medicine for.

The drug is intended to get rid of wet cough. Many people note that taking ACC tablets for a dry cough without auxiliary mucolytic medications does not improve, but worsens the condition.

You should also carefully observe the dosage; it is different for children and adults. Soluble tablets Even infants can take ACC for cough.

• Children under two years old take the medicine three times a day, 50 mg,
• children from two to five years old - 100 mg four times a day,
• children from the age of five - 600 mg three times a day.

Effervescent tablets can only be consumed from the age of fourteen. Daily norm 600 mg should be drunk at a time. The tablet is immersed in water, dissolves in it with a hiss, and the resulting medicine is drunk after lunch.

If you can’t drink the whole solution at once, you can divide it into two portions, and drink the second part after an hour, maximum two. The prepared solution cannot be stored for a long time; it quickly deteriorates and loses its medicinal qualities.

ACC sweet solution powder is intended for children from the age of six and adults. One sachet of medicine is poured into a mug and poured warm water, is mixed. Children drink the suspension twice a day, schoolchildren and adults – three times.

The powder is added not only to water, but also to fruit drinks, compotes, and slightly warmed juices. Granulated powder for syrup is poured with warm water up to the line on the bottle. For the syrup to work better, it is advisable to drink it with a large number liquids. The minimum course of treatment is five days, but if the cough is advanced, then therapy can last up to six months with interruptions.

Analogues of the ACC complex are cheaper

If a sick person has individual intolerance components of the drug, then he should take a certain analogue of the ACC complex. The most famous mucolytic medicines that help overcome cough are:

Average prices for different dosage forms

1. Soluble tablets, 100 mg – 245 rubles.
2. Soluble tablets, 200 mg – 265 rubles.
3. Effervescent tablets, 600 mg – 360 rubles.
4. Powder, 100 mg – 130 rubles.
5. Powder, 200 mg – 125 rubles.
6. Granules for solution, 600 mg – 140 rubles.
7. Children's syrup, 100 ml – 245 rubles.
8. Children's syrup, 200 ml – 320 rubles.

Storage rules and expiration date

The shelf life of the ACC complex is four years. After the expiration date, the spoiled drug must be disposed of. The medicine should be stored in a child-proof first aid kit at an air temperature below +25°C. The pharmacy chain sells the medicine without a prescription.

Instructions
by application medicinal product for medical use

Registration number:

P N015473/01-180914

Trade name of the drug:

International nonproprietary name:

Dosage form:

Compound:

1 effervescent tablet contains:
active ingredient: acetylcysteine ​​– 200.00 mg; excipients: anhydrous citric acid – 558.50 mg; sodium bicarbonate – 200.00 mg; sodium carbonate anhydrous – 100.00 mg; mannitol – 60.00 mg; anhydrous lactose – 70.00 mg; ascorbic acid – 25.00 mg; sodium saccharinate – 6.00 mg; sodium citrate – 0.50 mg; blackberry flavor “B” – 20.00 mg.

Description: round, flat-cylindrical, white tablets with a score on one side, with a blackberry flavor. There may be a faint sulfuric odor.
Reconstituted solution: colorless transparent solution with the smell of blackberries. There may be a faint sulfuric odor.

ATX code: R05СВ01.

Pharmacological properties

Indications for use

Contraindications:

With caution: history of gastric and duodenal ulcers, bronchial asthma, obstructive bronchitis, hepatic and/or renal failure, histamine intolerance (should be avoided long-term use drug, because acetylcysteine ​​affects histamine metabolism and may lead to signs of intolerance such as headache, vasomotor rhinitis, itching), varicose veins esophageal veins, adrenal gland diseases, arterial hypertension.

Use during pregnancy and breastfeeding

Directions for use and doses

Inside, after eating.
Effervescent tablets should be dissolved in one glass of water. The tablets should be taken immediately after dissolution; in exceptional cases, the ready-to-use solution can be left for 2 hours. Additional fluid intake enhances the mucolytic effect of the drug. For short-term colds, the duration of use is 5-7 days. At chronic bronchitis and cystic fibrosis, the drug should be taken more long time to achieve a preventive effect against infections.
In the absence of other prescriptions, it is recommended to adhere to the following dosages:
Mucolytic therapy:
adults and children over 14 years old: 1 effervescent tablet 2-3 times a day (400-600 mg);
children from 6 to 14 years old: 1 effervescent tablet 2 times a day (400 mg);
children from 2 to 6 years old: 1/2 effervescent tablet 2-3 times a day (200-300 mg).
Cystic fibrosis:
children from 2 to 6 years old: 1/2 effervescent tablet 4 times a day (400 mg);
children over 6 years old: 1 effervescent tablet 3 times a day (600 mg).

Side effect

According to World Organization health (WHO) unwanted effects classified according to their frequency of development as follows: very often (≥ 1/10), often (≥1/100,<1/10), нечасто (≥1/1000, <1/100), редко (≥1/10000, <1/1000) и очень редко (<1/10000); частота неизвестна (частоту возникновения явлений нельзя определить на основании имеющихся данных).
Allergic reactions
infrequently: skin itching, rash, exanthema, urticaria, angioedema, decreased blood pressure, tachycardia;
very rarely: anaphylactic reactions up to anaphylactic shock, Stevens-Johnson syndrome, toxic epidermal necrolysis (Lyell's syndrome).
From the respiratory system
rarely: shortness of breath, bronchospasm (mainly in patients with bronchial hyperreactivity in bronchial asthma).
From the gastrointestinal tract
infrequently: stomatitis, abdominal pain, nausea, vomiting, diarrhea, heartburn, dyspepsia.
Sensory disorders
infrequently: tinnitus.
Others
infrequently: headache, fever, isolated reports of bleeding due to a hypersensitivity reaction, decreased platelet aggregation.

Overdose

Interaction with other drugs

With the simultaneous use of acetylcysteine ​​and antitussives due to suppression of the cough reflex, sputum stagnation may occur.
When used simultaneously with antibiotics for oral administration (penicillins, tetracyclines, cephalosporins, etc.) they may interact with the thiol group of acetylcysteine, which can lead to a decrease in their antibacterial activity. Therefore, the interval between taking antibiotics and acetylcysteine ​​should be at least 2 hours (except for cefixime and loracarbene).
Simultaneous use with vasodilating agents And nitroglycerin may lead to increased vasodilatory effects.

Special instructions

Impact on the ability to drive vehicles and machinery

There is no data on the negative effect of the drug ACC ® 200 in recommended doses on the ability to drive vehicles or use machinery.

Special precautions when disposing of unused medicinal product

There is no need for special precautions when disposing of unused ACC ® 200.
Close the tube tightly after taking the tablet!

Release form

Storage conditions

In a dry place at a temperature not exceeding 25°C.
Keep out of the reach of children.

Best before date

3 years.
Do not use after expiration date.

Vacation conditions

Manufacturer