Is the drug "ACC" effective for coughing? You can find reviews about this medication a little further. Also from the materials of 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 the mucolytic agent

In what form can I buy the drug "ACC" for coughing? Effervescent tablets are available in aluminum tubes and strips, they are white in color, have a berry or fruit flavor, and are round and flat in shape.

Also, the medication in question is available in the form of a powder. It is intended for the preparation of a medicinal solution for oral administration. This form goes on sale in bags, which are placed in cardboard packaging.

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

The active ingredient in all of these drugs is acetylcysteine. It is its presence in the drug that determines the high therapeutic efficacy of the drug.

Pharmacological action of the cough medicine

How does ACC work for cough? The instruction says that this is a mucolytic agent.

Taking the drug contributes to liquefying sputum, increasing its volume, facilitating excretion and subsequent expectoration.

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

It should be especially noted that this drug retains its activity even in the presence of purulent sputum.

Features of an expectorant medication

How does the drug "ACC" for coughing affect the human body? Effervescent tablets, as well as syrup and powder, have an antioxidant effect, which is due to the presence of the SH group, which is able to interact and neutralize oxidative electrophilic toxins.

The active substance of the drug increases 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 mucolytics

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. To a large extent, it undergoes the first passage through the liver. This leads to a decrease in its bioavailability.

Communication with plasma proteins is about 50% (approximately 4 hours after ingestion). 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 effective ACC is for coughing. Reviews of 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;
• otitis media exudative.

By the way, ACC does not cure dry cough. It should be used only for sputum that is difficult to separate (i.e., with a wet cough).

Contraindications for use

Under what conditions it is impossible to prescribe the drug "ACC" for coughing? Reviews of experts say that the following diseases are contraindications to the use of this medication:

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

It should also be noted that this medication is not recommended for use in case of increased sensitivity of the patient to the components of the remedy.

How to take the drug "ACC" for cough?

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

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

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

"ACC" for children from cough (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 scheme. To clarify it, you need to undergo a medical examination and contact your doctor.

For adults and adolescents over 12 years of age, the drug is prescribed at 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, then 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, in water, tea or juice).

As for children's syrup, it should be given to the child without dilution. The dosage of this form of the drug is determined by means of a measuring spoon.

Side effects

The use of the drug "ACC" can provoke the appearance of such side effects 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 arrhythmia.

Cases of overdose

With an intentional or mistaken overdose of this drug, patients may experience symptoms such as vomiting, diarrhea, heartburn, stomach pain and nausea. These symptoms do not require discontinuation of the medication and after a while pass on their own.

drug interaction

With the simultaneous use of "ACC" with a life-threatening stagnation of mucus may occur. This is due to the suppression of the cough reflex.

The combination of nitroglycerin and acetylcysteine ​​may enhance the vasodilating effect of the former.

The drug "ACC" reduces the absorption of tetracycline, cephalosporins and penicillins. In this regard, the listed funds 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.

The drug "ACC" for cough: price and analogues

You can replace the drug in question with one of the following remedies: Fluimucil, licorice root syrup, Acestad, Mukaltin, Mukonex, Solvin, Acetylcysteine ​​Sediko, Gedelix, Acestin, Bromhexin-Ferein ”, “Lazolvan”, “Bromhexin-Akri”, “Ambrobene”, “Libeksin Muko”, “Ambrol”, “Mukosol”, “Bronkatar”.

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

ACC is one of the most effective drugs with a strong mucolytic effect. It well dilutes sputum and accelerates its withdrawal. But does it mean that there is no alternative to ACC, and other drugs do worse? What to do if it is not in the pharmacy or is not suitable for some reason? First of all, see a doctor. He not only examines, but also finds out the nature of the disease, and then selects the most effective drug.
More information about the ACC is

What is ACC

The drug is included in the list of drugs vital for humans. It is prescribed for infectious diseases of the respiratory system with concomitant cough with difficult-to-separate bronchial mucus. ACC is especially effective in dealing with purulent sputum.

Such a high productivity of the drug is due to many factors. First of all, it is its main component acetylcysteine. The substance is a synthetic analogue of the natural amino acid cysteine. It is quickly absorbed by the body, and the peak of its concentration in the blood is formed after a couple of hours.

After ingestion, acetylcysteine ​​interferes with the formation of mucus: it destroys biochemical bonds, as a result of which sputum loses its viscosity, becomes liquid, easily separates from the bronchial walls and moves faster towards the exit. Along the way, the substance has antioxidant, detoxifying and pneumoprotective effects.

The second reason for the popularity of ACC is the variety of dosage forms. It is produced in powders, effervescent tablets, syrup and injection solution. Each type of drug is produced with a different content of acetylcysteine, that is, choosing the most convenient and effective form of the drug for yourself is not difficult. When applying, it is important to observe the conditions of admission and contraindications. And of course, it is better to drink ACC with the consent of the attending doctor.

What to look for when choosing

Despite all the advantages of ACC, the question of whether there is a replacement for it arises quite often. If for some reason the drug is not suitable for treatment, then it is best to choose an alternative remedy with a specialist, since there are many selection criteria:

• By active ingredient
• By dosage and duration of administration
• By therapeutic action
• By dosage form
• By manufacturer.

When choosing an ACC substitute, many factors must be taken into account - the patient's condition, age, weight, concomitant diseases, etc. Therefore, it is better to leave the issue of choosing a generic drug to physicians and pharmacists.

Active ingredient analogs

There are many drugs based on acetylcysteine ​​on the pharmaceutical market.

Producer: Zambon Switzerland Ltd. (Italy, Switzerland). The medicine is available in several forms:

• Granules for the preparation of the solution. The content of acetylcysteine ​​is 200 mg per 1 g of the drug. The granulate is light yellow in color, there are orange blotches. Reconstituted drink - with orange flavor. The drug is indicated for patients older than 2 years. Available in 10 and 20 sachets per pack. Price - 170-180 rubles.
• Effervescent tablets are white pills with a rough surface. One tablet contains 600 mg of the active substance. The drug is indicated for patients over 18 years of age. The package contains 10 or 20 pills. Cost - 133-393 rubles.
• Solution for oral administration and inhalation - transparent or slightly opalescent, colorless, with a raspberry flavor. The therapeutic liquid is produced with different content of the active substance - 20 mg / ml and 40 mg / ml. The drug can be used by patients from 6 years of age. Packed in bottles of 100 and 200 ml. Price - 121-170 rubles.
• Solution for injection contains 10 mg/ml acetylcysteine, 3 ml ampoules. Applied to patients over 18 years of age. Price - 208 rubles.

The conditions for using Fluimucil are similar to ACC. However, there are several differences:

• Fluimucil effervescent tablets are available in only one dosage - 600 mg of acetylcysteine, while ACC is produced with a content of 100, 200 and 600 mg. In addition, the last remedy can be drunk hot.
• Sachets. Both products are available in 20 pieces per pack, but ACC is produced with different flavors and with different content of the active ingredient (100 and 200 mg each), Fluimucil - only 200 mg each.
• Fluimucil is not produced in the form of a children's syrup, ACC - in the form of a solution for oral administration and inhalation.

• Effervescent tablets with active substance content - 200 and 600 mg. Packed in 24 and 12 pieces. Price - 211-215 rubles.
• Powder for dissolution - 100 and 200 mg of acetylcysteine. In a package of 20 sachets. Price - 120-160 rubles.

Analogues of ACC are also:

• Acestad. Available in the form of regular and effervescent tablets. The content of one pill is 100, 200 or 600 mg of the active substance.
• Mukonex is a granular powder for dissolution in water (in 1 g - 0.1 g of the main component).
• Vicks Active ExpectoMed - in effervescent tablets (dosage - 200 and 600 mg of acetylcysteine).

Action analogues

In addition to drugs with acetylcysteine, there are other drugs that have the same effect as ACC, but the therapeutic effect is achieved using a different composition of the components.

Preparations with ambroxol

The substance stimulates the work of the villi of the epithelium, enhances the production of surfactant.

Produced by the German concern Merckle. The drug contributes to liquefaction of sputum and better expectoration, but the mechanism of action is different than that of ACC. Unlike the latter, Ambrobene prevents the accumulation of toxic protein in brain neurons. The effect is achieved with the help of the active substance - ambroxol. It has mucolytic and expectorant effects, and also suppresses inflammation, neutralizes pathogenic microorganisms, and relieves pain.

Ambrobene is available in the form of tablets, capsules with prolonged action, solution for oral administration and inhalation, injections. The content of the active substance is different for each pharmaceutical form - it varies from 15 to 30 mg per dose. You can use syrup and oral solution from 2 months, tablets - from 6 years.

Other medicines with ambroxol:

• (drops and capsules)
• (in tablets, syrup)
• (in tablets)
• (syrup and tablets)
• (syrup, lozenges for resorption, drops for administration and inhalation)
• (tablets and drops)
• Helixol (tablets and syrup).

Medications with bromhexine

- a popular active ingredient in many mucolytics. Preparations based on it are produced by domestic and foreign manufacturers. The drug is used to treat respiratory diseases with insufficient sputum discharge.

After ingestion, bromhexine is absorbed almost completely, its main metabolite, which has a therapeutic effect on the respiratory system, is ambroxol. The highest concentration in the blood is formed already an hour after the use of the drug. The withdrawal period takes about 4-5 hours. The substance is highly active - it easily passes through the placenta, penetrates into mother's milk.

As part of cough preparations, it effectively thins thick mucus, promotes expectoration, and has an unexpressed antitussive effect. In addition, bromhexine stimulates epithelial tissues, which accelerates the withdrawal of sputum. Promotes the formation of surfactant, which maintains the alveoli in a normal state and protects against sticking. The therapeutic effect of the drug appears 3-5 days after the first dose.

Preparations with bromhexine are produced by pharmaceutical companies in various forms (syrups, dragees, tablets, solutions):

• Bromhexine Berlin-Chemie (dree)
• (tablets)
• (syrup)
• Bronchothil (syrup)
• (drops)
• (syrup)
• Solvin (tablets, elixir), etc.

Medications with carbocysteine

There is also a group of drugs with mucolytic action based on carbocysteine. The substance activates certain enzymes of the cells of the bronchial mucosa, normalizes the ratio of the components of the bronchial secretion, due to which it loses its viscosity, becomes liquid and easier to expectorate. In the same way, carbocysteine ​​affects the secretions in the paranasal sinuses, improving nasal breathing. Along the way, the substance helps to restore damaged mucous tissues, reduces the production of mucus, and alleviates cough.

Drugs should not be drunk during pregnancy and lactation. If necessary, their use should be coordinated with physicians. A contraindication is also an exacerbation of peptic ulcers of the gastrointestinal tract and glomerulonephritis, cystitis.

It happens in the form of capsules, syrups for adults and children. A general restriction on use is under three years of age.

• Capsules contain 375 mg of carbocysteine, intended for treatment from 15 years of age. In the acute course of the disease, it is recommended to take 2 capsules 3 times a day. After improvement of the condition, the frequency of administration is reduced to 2 times a day. Price: (30 pcs.) - 316 rubles.
• Syrups are available with an active substance content of 125 and 250 mg per 5 ml. Children from 3 to 6 years old are allowed to take 2-4 times 5 ml of syrup 2.5%, from 6 years old - 5-10 ml 3 times a day. Price: (200 ml) - 370-380 rubles.

Other drugs with carbocysteine:

• (syrup, granules for solutions)
• (syrups for adults and children)
• (syrups).

Herbal preparations

Drugs created using various plant components can also replace ACC. Active phytosubstances irritate the gastric mucosa, thereby stimulating secretion production, and at the same time activate the work of the ciliated epithelium. As a result, the resulting sputum is easily evacuated through the respiratory tract, the bronchi and lungs are cleared, and breathing is normalized.

The preparations use dry and liquid extracts of various medicinal plants - ivy, marshmallow, anise, plantain, coltsfoot, licorice, therompsis and others.

Everyone knows that coughing and mucus formation is a protective reaction of the body. It is well known that the treatment of these conditions must begin with the establishment of the cause. But not everyone knows the expediency of using mucolytics Fluimucil or ACC - agents that thin sputum to facilitate its separation, although in the complex treatment of the respiratory tract these drugs have a significant impact on the success of the enterprise.

Firstly, they enhance the efficiency of mechanical excretion, together with mucus and sputum, of foreign agents and toxins, in fact, for which the body coughs and “snot” (by the way, they are also used with great success to treat ENT diseases). Secondly, the mucus and sputum itself, produced in the upper and lower respiratory tract, contains immunoglobulins, lysozyme, opsonins, which lose their bactericidal and barrier properties when the secretion is excessively viscous. So, in order to increase the productivity of natural defense mechanisms, mucolytic agents are prescribed, the most popular representatives of which we have are ACC or Fluimucil with a good safety profile and proven efficacy. Consider their similarities and differences.

Fluimucil and ACC - what's the difference?

Forms of release and their diversity - this is where the obvious difference between Fluimucil and ACC can be traced. Both drugs are presented in various variations, allowing them to be used depending on age and method of delivery to the body. To make it easier to navigate, we present the difference between their rulers in the form of a table.

The difference in the release forms Fluimucil and ACC. The amount of acetylcysteine ​​is indicated in milligrams.

Fluimucil	ACC
Effervescent tablets:
600 mg - 10 or 20 pcs	100 mg - 20 pcs (for children), 200 mg - 20 pieces, 600 mg (ACC Long) - 10 or 20 pcs
Granules for the preparation of the solution:
200 mg - 20 sachets	100 mg - 20 sachets (orange flavor for children), 200 mg - 20 sachets (orange flavor), 200 mg - 20 sachets (for preparing a hot drink, orange flavor), 200 mg - 20 sachets (for preparing a hot drink, honey and lemon flavor)
Syrup for children:
-	vials of 100 ml (20 mg in 1 ml)
Solution for oral administration:
vials of 200 ml (40 mg in 1 ml)	-
Solution for inhalation and injection:
5 ampoules of 3 ml (100 mg in 1 ml)	-

The table shows that ACC has a wider range of release forms and flavors than Fluimucil. All forms of ACC except syrup are available in different acetylcysteine ​​doses, flavors and even temperatures of the finished drink. This allows you to more flexibly calculate the dosage, which is especially important in childhood (you can give not only syrup, but also effervescent tablets or granules of 100 mg each). It is more convenient for adults to manage the number of doses per day, for example, you can take 200 mg tablets 3 times a day, or you can take ACC Long only once a day, containing the daily rate of acetylcysteine. Fluimucil effervescent tablets, on the other hand, are only available in a high dose, single dose.

However, Fluimucil has a very important advantage - it is available in ampoules, the solution of which is also used for inhalation. Naturally, a shorter and more natural way of delivery to the respiratory tract has a positive effect on the speed of its action and effectiveness compared to oral forms. This is especially true in acute conditions.

What is better for children - ACC and Fluimucil?

Both drugs are contraindicated in children under two years of age. The correct selection of the amount in each case should be done by a pediatrician, the recommended dosages of acetylcysteine, which should not be exceeded, regardless of the form of release of Fluimucil or ACC, are as follows:

• from 2 to 6 years - 2-3 times a day, 100 mg (total 200-300 mg per day);
• from 6 to 14 years old - 100 mg 3 times a day or 200 mg 2 times (total 300-400 mg per day);
• over 14 years old - 200 mg 2-3 times a day (total 400-600 mg per day).

In general, despite the fact that ACC and Fluimucil are the same, the former offers a greater variety of types of medicine and its tastes for young children, including cherry syrup, to which a measuring device (syringe or measuring cap) is attached to the package, allowing dose the medicine correctly.

Plentiful drinking is one of the keys to the success of treatment with acetylcysteine-based mucolytics. Best of all, alkaline mineral waters help them in this. Also, to increase the effectiveness of therapy, it is desirable to maintain optimal humidity in the room.

What is the difference in contraindications and price between Fluimucil and ACC?

Both mucolytics are contraindicated in case of hypersensitivity to acetylcysteine ​​or auxiliary components; up to two years of age (up to 14 years in tablets of 600 mg), pregnant and lactating women (in special cases strictly under medical supervision); for certain forms of ACC: fructose intolerance, glucose-galactose deficiency.

As for the question of choosing Fluimucil or ACC - which is better to buy, the situation here is ambiguous. In almost all similar forms of release, Fluimucil will be only slightly cheaper than the opponent. But for a package of 10 effervescent tablets of 600 mg each - Fluimucil or ACC Long, the first will cost almost half as much. Most likely, such a significant difference is due to the country of production, because in the same dosage (600 mg), but in packs of 20 tablets, these drugs cost almost the same. Thus, if you need long-acting effervescent tablets for adults, it is more profitable to take Fluimucil in 10 pieces, in other cases the price difference is insignificant.

And we also have

The variety of dosage forms in the pharmacy network leads the buyer into difficulty. Is it possible to believe in the effectiveness of the proposed funds? There is a well-known tendency for pharmacists to expand sales and their dependence on revenue. Doctors now have the opportunity to test any drug at the level of evidence-based medicine. But lack of time and interest leads to standard appointments. Let's try to compare two popular drugs. After that, we will decide how to treat a cough.

How Fluimucil and ACC appeared

Fluimucil is produced by the Italian company Zambon Group. The company has been successfully operating for over 100 years. About half of the production is dedicated to the treatment of respiratory diseases. In the mid-1950s, the firm's scientific adviser, Professor Vittorio Ferrari, drew attention to the ability of the chemical, acetylcysteine, to break the bonds of mucopolysaccharides in mucus. It turned out that in this way it is possible to dilute the secrets produced by the body. And you can take medicine to remove the mucous contents inside. This is how Fluimucil was created. Now it would be called an innovative drug. This was not just the discovery of a new remedy, but the beginning of a whole class of drugs - mucolytics.

By law, the company, the owner of the patent, alone enjoys all the rights to produce products for 20 years. After that, any pharmaceutical companies have the right to produce the same medicine under their own name, but marked "generic". On the packaging, at the top right, after the name, an R in a circle is placed. So on the pharmaceutical market there were many dosage forms under the names ACC, ACC-100, ACC-200, ACC-long Acetylcysteine, Acetylcysteine ​​Sediko effervescent instant, Acetylcysteine ​​Stada, Acetylcysteine ​​Stada International, Acetylcysteine-Hemofarm, Muko Sanigen, Mukobene, Mukomist, Mukoneks, N-AC-Ratiopharm, Tussik, Ekzomyuk. They are produced by Germany, Slovenia, India. Previously, the USSR actively used the ampoule form of Acetylcysteine ​​for intramuscular injection and inhalation.

As a rule, generic drugs are somewhat different 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 patenting company always has the opportunity to keep its little secrets.

Comparison

We have the opportunity to compare two drugs: Fluimucil and ACC only according to the information provided in the instructions and available to consumers.

According to the mechanism of action, they do not differ, since both contain the same active substance - acetylcysteine. The dosage in modern forms also does not differ: you can choose 100 mg for children, 200 mg and 600 mg for adults.

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

The composition includes various additives. On the one hand, they improve the palatability, facilitate ingestion, on the other hand, they add sugars, calories and allergenic possibilities. This alarms people with diabetes and various allergic manifestations.

Fluimucil effervescent tablets contain baking soda, while ACC contains calcined soda.

Fluimucil uses aspartame from sugars, and ACC uses saccharin. Therefore, taking Fluimucil does not require the calculation of carbohydrate units, and ACC needs to revise the dosage of insulin for a patient with diabetes mellitus.

Fluimucil tablets and granules do not contain additional substances as in ACC (ascorbic acid, sodium cyclamate and citrate, lactose, mannitol).

Symptoms of an overdose in the treatment of Fluimucil are absent even when taking 0.5 g per kg of body weight per day (30 g with a weight of 60 kg). ACC is characterized by nausea, diarrhea, and abdominal pain.

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

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

Even for a consumer who is not versed in chemistry, it is clear that Fluimucil has significant advantages. Both mucolytics are approved for OTC sale in the pharmacy chain. The indications are:

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

When choosing a drug for ourselves and our loved ones, we prefer the best and safest remedy.

Article rating

Inflammatory infectious processes are the most common pathologies among children and adults. There are many drugs for this group of diseases. In most cases, these medications have a directed effect.

Characteristics of ACC

Modern pharmaceutical companies offer a wide range of drugs to eliminate phlegm, get rid of coughs and treat the respiratory tract. One of the medicines that have earned positive reviews is ACC.

The drug is available in the form of powder for suspension and dissolving tablets. A remedy is recommended in the treatment of tracheitis, bronchitis, sinusitis, laryngitis and other similar diseases.

The agent is effective in its action, however, in some cases its composition (acetylcysteine, sodium bicarbonate, mannitol, ascorbic acid, sodium citrate) may be contraindicated or the patient may experience side effects.

In such cases, ACC analogs are prescribed, which have a similar mucolytic effect. How to replace the original drug, the attending physician will tell you, who will take into account all the features of the patient's body.

The cost of the ACC preparation is from 250 rubles.

Lazolvan

The drug is ACC long, but it cannot be called cheap, since the price is almost the same. It is designed to provide an expectorant effect when coughing, by thinning and removing thick sputum from the lungs. In addition to the main action of Lazolvan, it promotes self-purification of inflamed areas from infection.

The drug begins to act after half an hour due to rapid penetration into the blood.

The composition of the drug contains such components as:

• ambroxol (active substance);
• acacia gum;
• carion;
• soritol;
• essential oils of mint and eucalyptus.

The product is available in the form of tablets, syrup, lozenges for resorption and solution. Depending on the form of release, the composition of the drug and its cost may differ.

Indications include a number of respiratory diseases in chronic and acute form:

• pneumonia;
• bronchitis;
• bronchial asthma;
• cough;
• other diseases.

Before starting treatment with Lazolvan, you should be sure that there are no contraindications (pregnancy in the second and third trimester, kidney pathology and allergy to the composition).

When treating children, it is necessary to correctly select the type of drug in relation to the form of its release. Children are recommended lozenges and syrup.

What is better to choose ACC or Lazolvan?

Preparations cannot be called structural analogues, since their active substance is different. The countries of origin are also different. If we compare drugs by form of release, then Lazolvan wins here, which is produced in five forms - tablets, solution, syrup, capsules and spray. ACC has only three forms of release - effervescent tablets, syrup and granules for solution preparation.

Both drugs are designed to solve the same problem, sputum discharge, but they have different mechanisms of action. The advantage of ACC is the antibacterial and antitoxic effect. Pediatricians often prescribe Lazolvan, since it can be used from an early age, and ACC only from two years.

Summing up, it is difficult to say with more certainty which of the drugs is better, so before buying a drug, it is best to rely on your doctor.

Ambrobene

Unlike the original drug, Ambrobene is much cheaper (from 110 rubles). For this reason, this drug is often preferred. In addition to low cost, the advantage of Ambrobene is its effective expectorant action when coughing.

Exposure to the inflamed area begins after 30 minutes and lasts up to 12 hours. With regular intake, a cumulative effect is established.

In pharmacies, you can buy Ambrobene in the form of tablets, capsules, syrup, as well as a solution for inhalation and internal administration. In complex forms of respiratory diseases, inhalation with a solution is recommended.

The capsules contain:

• ambroxol;
• sodium (carboxymethylcellulose);
• colloidal silicon;
• cellulose;
• titanium dioxide.

An analog of ACC is used according to indications:

• bronchitis of varying degrees of development;
• pneumonia;
• asthma (bronchial);
• other.

The list of contraindications is somewhat larger than that of Lazolvan:

• epileptic syndrome;
• intolerance to the components;
• stomach or duodenal ulcer;
• pregnancy in the first trimester and lactation.

What is better ACC or Ambrobene?

Medicines are not structural analogues, as they have different active substances, but despite this, both have the same task, to eliminate sputum and save the patient from coughing. In terms of dosage forms, ACC also loses to its counterpart (three against five).

Ambrobene has a number of advantages over ACC:

• analgesic action;
• antiviral action;
• removal of toxins from the body;
• elimination of inflammation.

If we compare drugs by price, then the analog of ACC clearly wins. A pack of Ambrobene tablets of 20 pcs. in an online pharmacy it costs about 145 rubles, and the same package of ACC tablets (by the number of pieces) costs about 495 rubles.

Summing up, we can say that ACC is in many ways inferior to its counterpart, but only a doctor will determine what is best for treatment.

Fluimucil

If we consider cheap analogues of ACC, then we can pay attention to the drug Fluimucil. The cost of the drug is 130 rubles.

The tool has similar properties. Its main purpose is to remove sputum when coughing due to the antioxidant and mucolytic effect of the application. After several applications, the sputum liquefies and freely exits the bronchi.

The implementation of Fluimucil in pharmacies is carried out in the form of solutions for oral administration, inhalation and intramuscular administration. Effervescent tablets and dissolving granules are also available.

The analogue of ACC in the form of a solution consists of a group of substances:

• acetylcysteine;
• sodium benzoate;
• sodium (carmellose);
• methyl parahydroxybenzoate;
• sorbitol;
• sodium hydroxide and saccharinate.

The tablets also contain the active substance, as well as sodium bicarbonate and aspartame.

A cheap analogue of ACC cough is used for therapeutic purposes in diseases:

• pulmonary atelectasis;
• bronchitis and its varieties;
• cystic fibrosis;
• pneumonia;
• tracheitis;
• emphysema;
• otitis;
• sinusitis;
• other pathologies of the respiratory tract.

The drug has multiple contraindications. The main ones include:

• peptic ulcers of the gastrointestinal tract (gastrointestinal tract);
• the age of the child is up to two years (solution up to 6 years, and tablets up to 18 years);
• lactation;
• individual response to the composition.

Particular attention should be paid to relative contraindications.

What is better ACC or Fluimucil?

Both drugs have the same active ingredient - acetylcysteine, therefore they are structural analogues. Taking both drugs by the end of the second day will significantly reduce the cough, by eliminating sputum, and after a few days it will completely disappear.

The differences between the drugs are in the forms of release. For example, ACC has a syrup that Fluimucil does not have, but the second one has an inhalation solution that allows you to use the drug from an early age.

Pulmonologists consider the big minus of ACC to be the fact that it does not have a solution for inhalation, as well as injections, due to which the active substance of the drug would reach its goal faster.

If we compare the prices of drugs in online pharmacies, then effervescent cough tablets of 20 pcs. cost about the same (about 500 rubles), but out of 10 pcs. Fluimucil tablets will be cheaper (almost 200 rubles). Otherwise, the price for various forms is approximately the same.

Summing up, we can say that Fluimucil is a worthy analogue of ACC.

Bromhexine

Another expectorant drug is Bromhexine. Generic refers to drugs that deny the stimulating effect on the motor functionality of the respiratory system.

When taking Bromhexine, there is a decrease in the viscosity of the internal secretion of the bronchi, due to which there is a liquefaction of stagnant sputum, which comes out when coughing. At the same time, the drug has a local anti-infective effect, helping to reduce the inflammatory process.

The constituent components of the drug have an effect when accumulated in the body. Therefore, the drug is used for course treatment. The effect begins to be noted after three to four days.

• hydrochloride (bromhexine);
• sugar (milk);
• ruberozum;
• calcium stearate.

Indications include pathologies of the lungs and bronchi:

• bronchial asthma;
• complications of bronchitis;
• pneumoconiosis;
• emphysema;
• pneumonia;
• pulmonary tuberculosis;
• cystic fibrosis.

Contraindications to Bromhyxin is exclusively a reaction to the constituent substances.

What is better ACC or Bromhexine?

Medicines are not structural analogues, as they have different active components. Both drugs are mucolytic agents and affect the thinning of sputum and the elimination of cough.

It is not uncommon for doctors to prescribe both drugs at the same time, since the action of Bromhexine directly suppresses coughing, and ACC remotely. Such a bundle gives a double effect and allows you to speed up the recovery time. But this does not mean at all that you can independently decide on the complex use of drugs. It all depends on the clinical picture of the inflammatory process, so you need to consult with your doctor.

Bromhexine is the cheapest analogue and its average cost among all forms is 109 rubles, and the average cost of ACC among all forms is 301 rubles.

When making a decision when choosing a medication, you should not rely only on the price, since the clinical picture of the disease plays an important role, but here you should rely on the doctor's recommendation.

Ascoril

The drug Ascoril is a universal remedy with a combined action for a bronchodilator and expectorant effect. Ascoril is recommended for therapeutic effects in severe bronchial and pulmonary inflammations.

When taking the medication, an expectorant effect is observed, sputum liquefies, pulmonary spasms are eliminated and natural beta receptors of the respiratory system are stimulated.

Ascoril refers to medicines with an average price. Its cost is from 220 to 270 rubles.

The combined composition includes several active components:

• guaifenesin;
• salbutamol;
• bromhexine.

Additional composition:

• silica;
• calcium hydrogen phosphate;
• magnesium stearate;
• silicon dioxide.

The drug with a similar ACC instructions for use is intended for the treatment of:

• tuberculosis;
• whooping cough;
• asthma;
• tracheobronchitis;
• pneumonia;
• other diseases.

Ascoril is contraindicated in myocarditis, pregnancy, breastfeeding, pressure disorders, gastrointestinal ulcers. In more detail, you can study the contraindications in the annotation to the drug.

What is better ACC or Ascoril?

The preparations are not structural analogues, since they do not have the same active substance. Unlike all other analogues of ACC, Ascoril has three active ingredients, therefore it has a more powerful therapeutic effect.

A special difference between the drug is that Ascoril should not be used when coughing, without signs of suffocation.

If we compare the drug by price, then somewhere ACC will cost more, and somewhere Ascoril. For example, Ascoril tablets of 20 pcs. cost 354 rubles, and ACC tablets of 20 pcs. cost 501 rubles. Syrup ACC 200 ml. costs 302 rubles, and Ascoril syrup with the same volume will cost 406 rubles.

Conclusion

Having decided to use ACC analogues, you should fully study the instructions and consult a doctor. Self-selection of substitutes can provoke an exacerbation of concomitant diseases or cause serious side effects.