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ACC tablets indications for use. ACC for cough: release forms

All the diseases that we are accustomed to calling colds cause us a lot of trouble, because, as you know, we always get sick very inopportunely. Getting a cold and catching a cold is tiresome and can happen not only in the cold season; such diseases can easily be “caught” in the heat, simply by drinking cold water or standing in wet clothes under the air conditioner.

Particularly unpleasant at any time of the year is a dry or unproductive cough, in which little sputum is produced and it is thick and difficult to separate. Because of this, the cough becomes especially painful and requires the use of special means. One of them is powder.

ACC powder, the method of application of which is clear and simple, is a granular preparation packaged in individual packages to create a hot medicinal drink. To prepare a portion of the medicine, simply dissolve a sachet of ACC in a glass of hot water.

There are also other forms of release of this drug, for example, in the form of tablets. Their action is similar to the powder, only the method of taking the medicine changes.

The main active ingredient of the drug is acetylcysteine, the abbreviated name of which gave the name to the drug. ACC is produced in different dosage, which reflects the acetylcysteine ​​content in a serving of powder - 100, 200 or 600 mg.

The composition of the product also includes the following auxiliary substances:

  • Ascorbic acid.
  • Saccharin.
  • Sucrose.
  • Flavorings (honey and lemon or orange).

Due to the fact that ACC is available in the form of a soluble powder, it can be quickly prepared immediately before use. The fact that the product enters the body in liquid form contributes to its rapid absorption and the onset of active action.

In addition, a hot drink helps warm you up and also has a pleasant taste, which is important for children or patients who are very sensitive to the smells and tastes of medicines.

For children, ACC is in most cases one of the most pleasant medicines to use, since it uses citrus flavors - lemon or orange, as well as its sweet taste. Also important role plays liquid form drug. If a small child categorically refuses to drink or cough, but the child needs to be treated, the doctor may prescribe him to take ACC.

More information about cough can be found in the video.

It is quite possible to tell the child that this is a special tea with lemon and honey, and the problem with taking the drug will be solved without disputes, hysterics and nerves.Packaging in disposable bags makes it possible to take this product with you if necessary to work or on a trip.

Purpose

ACC - indications for use

ACC is prescribed by a doctor for the following diseases respiratory tract associated with the presence of very viscous, thick sputum:

  • Acute, chronic bronchitis, as well as its obstructive form.
  • Bronchial asthma.
  • Bronchiectasis.
  • Inflammation of bronchioles.
  • Pneumonia.
  • Cystic fibrosis.
  • Acute respiratory diseases and acute respiratory viral infections accompanied by attacks with difficulty in sputum production.
  • Inflammation of the middle ear ().

The drug acts quickly enough, reducing the intensity of cough and promoting active liquefaction and more efficient and intensive cough separation.

Typically, patients note the onset of positive effect literally a few minutes after taking the drink.

Coughing attacks stop, and the patient becomes able to breathe easier, the sputum becomes less viscous and sticky, and it becomes possible to cough and clear the airways. ceases to be dry, becomes and goes away much faster.

Directions for use

The package of the drug must be completely dissolved in a glass of hot, but not boiling water. boiled water and have a drink. This single dose means. Take ACC after meals to avoid possible negative influence on the gastrointestinal tract.

In general, ACC powder, the method of application of which allows it to be taken quickly and without difficulty, has minimum quantity side effects etc. However, like any medicine, it requires attentive and careful treatment and prescription by the attending physician. This is especially important when used by a child or patient with chronic diseases, as well as when taking the drug for a long time.

Age, d Dosage of the drug, frequency of use:

  • Children from 2 to 6 years old: 100 mg 2 – 3 times a day
  • Children from 6 to 14 years old: 100 mg 3 times a day (200 mg 2 times a day)
  • Teenagers over 14 years old and adults: 200 mg 2 – 3 times a day

On average, taking the ACC drug should not exceed a week. In cases where we're talking about about more long-term treatment severe or chronic, the time of taking the drug can be increased, but only by a doctor under his supervision and strictly individually for each specific patient.

ACC contraindications

When using ACC, there are absolute conditions in which the use of the drug is completely prohibited, and relative contraindications, in the presence of which the product is used with caution and under the constant supervision of a specialist.

Absolute contraindications:

  • Allergy to acetylcysteine.
  • Individual intolerance to one or more components of the ACC drug.
  • Lactation.
  • Bleeding from the lungs, hemoptysis.
  • Acute stage of gastric ulcer.

Relative contraindications (can be used, but under the control of the patient’s condition):

  • Allergy to acetylcysteine.
  • Individual intolerance to the components included in the drug.
  • Bronchial asthma.
  • Lung diseases accompanied by potential risks.
  • Varicose veins of the esophagus.
  • Kidney failure.
  • Liver failure.

Side effects

ACC powder, the method of application of which makes it one of the most popular remedies for, can also provoke various.

They are quite rare, but may well appear, especially if the patient’s body is weakened by other diseases.

Most often, side effects are manifested by the following symptoms:

These manifestations may indicate increased sensitivity of the patient to the drug; they are not common, but require discontinuation of ACC powder and the doctor prescribing another drug.

At correct use The drug has a good effect on the patient’s condition, relieving attacks, diluting sputum and facilitating its easier and faster release.

The faster the airways are cleared, the sooner recovery will occur. To speed up this process, it is recommended to support ACC therapy with increased fluid intake.

It is best to drink warm mineral table water, as well as various vitamin drinks - juices, fruit drinks, compotes and uzvars, as well as tinctures and decoctions from medicinal plants, for example, a decoction of rose hips, viburnum, raspberries or teas with them, adding honey to them. These drugs themselves also have an antitussive effect, so in combination with ACC they help speed up the patient’s recovery.

To treat coughing attacks with sputum that is difficult to clear, ACC is used. Even pus can be liquefied with this medicine. Available in various forms. It is worth studying in detail how ACC is used for cough; the instructions for use of the drug give precise instructions on how to dose the medicine.

Composition and properties

ACC, or ACC, is a medicine with mucolytic and expectorant properties. Thanks to its use, viscous mucus is liquefied and expelled more quickly. This drug is used as therapeutic agent for diseases of the respiratory system. What cough is it used for? The medicine is effective for wet cough.

Medicines in the ACC series are produced by the Slovenian company Sandoz or the German company Hexal AG. Any of them can be purchased at a pharmacy without a doctor's prescription.

  • effervescent tablets 100 mg, 200 mg, 600 mg;
  • disposable bags of granules (powder);
  • syrup for children;
  • injection solution.

Effervescent tablets have white, they are round and flat. Dissolves very quickly in water. The result is a clear drink. Children are treated with tablets of 100 mg, and effervescent preparations of 600 mg are used by adults. A cardboard package usually contains 10 pieces.

The composition of effervescent products includes the main active ingredient - acetylcysteine ​​and excipients. The most acetylcysteine ​​is contained in 600 mg tablets, which is why they are called ACC Long.

Granules or powder for preparing a warm drink are in disposable bags. The weight of one package is only 3 g. The powder is dissolved in warm water and you get a drink with the taste of lemon, orange or honey. The standard package contains 6 or 20 sachets.

The syrup is mainly used to treat children, but adults can also use it if desired. 1 ml contains 20 mg active substance. The medicine is a viscous, thick liquid with a cherry flavor. Does not contain ethanol and dyes. The syrup includes additional components - caramelose, cherry flavor, saccharin, methyl parahydroxybenzoate, disodium edetate. In pharmacies it is sold in dark glass bottles of 100 or 200 ml. The kit includes a 10 ml measuring cap and a 5 ml syringe.

ACC solution for injection is used for inhalation or intravenously. The active substance is acetylcysteine. Transparent colorless liquid is in ampoules, in one package there are 5 pieces of 300 mg each. The medicine is used in the departments intensive care only if it is impossible to use tablets.

Pharmacological action

Acetylcysteine ​​has antioxidant and pneumoprotective properties, acts as an antidote for acute poisoning paracetamol, as well as aldehydes and phenols. When taken orally, it is completely absorbed, and after 1–3 hours the maximum concentration of the active component in the blood is observed. It is excreted from the body in urine and feces. The medicine passes through the placenta, which is why it can accumulate in amniotic fluid.

Indications

The medicine is effective for diseases of the respiratory system, when viscous, difficult to separate mucus is formed. ACC differs from other mucolytics in its high efficiency. The drug directly affects the sputum that has already formed and liquefies it.

The main purpose of using ACC is to reduce the viscosity of sputum. It is used if the patient has a thick cough and the sputum is difficult to clear. For bronchitis night cough decreases. However, after 18 hours the medicine cannot be given. If you take ACC for cough right before bed, the mucus will liquefy, which will cause coughing attacks.

For nasopharyngitis, the medicine will not relieve the patient of sputum. The viscosity may decrease, but the production of mucus in the nasopharynx will not stop. In this case, complex treatment is needed. ACC is used for infectious and non-communicable diseases bronchopulmonary system.

It is advisable to use when:

  • bronchitis;
  • cystic fibrosis;
  • bronchial asthma;
  • pneumonia;
  • otitis;
  • sinusitis;
  • bronchiecstasis;
  • bronchiolitis.

Important! ACC is prescribed as a cough suppressant only when there is already mucus in the bronchi.

Instructions for use

The dosage of the medication depends on the form of release and the amount of the main active ingredient. Adults and children are prescribed different amounts of medication. The instructions included in each package of the drug help you determine the dosage.

Directions for use for adults:

  • effervescent preparations: ACC 200 three times a day, ACC 600, like ACC Long, once a day;
  • granules (powder): one sachet (200 mg) or 2 sachets (100 mg) three times a day;
  • syrup: 10 ml three times a day.

More than 600 mg of medication should not be used per day. Treatment with the drug should be carried out for one week.

Dosage for children:

  • syrup: from 2 to 5 years, 5 ml - 2-3 times a day, and from 6 to 14 years, 5 ml three times or 10 ml twice a day;
  • effervescent preparations: from 2 to 5 years, one tablet (ACC 100) 2 or 3 times a day, and from 6 to 14 years, one tablet (200 mg) twice or one tablet (100 mg) three times a day;
  • granules (powder): from 2 to 5 years, one sachet (100 mg) - 2 or 3 times a day, and from 6 to 14 years, one sachet (200 mg) 2 times or one sachet (100 mg) three times a day.

At what age should children be given syrup? You can treat your baby with this remedy from the age of 2 years.

The duration of treatment for children is no more than 5 days. Maximum effect after taking the drug occurs on the 3rd day. The final dose is prescribed only by the pediatrician. Children's ACC is taken after meals. Additionally, it is recommended to drink plenty of fluids ( herbal tea, juice, dried fruit compote). It is better to give the child syrup, and if he does not like the taste of cherries, you can give the powder, it resembles an orange.

How to take

Effervescent preparations are dissolved in warm water. The solution is prepared immediately before use. For 100 mg of the drug you need 100 ml of liquid. Granules (ACC powder) are dissolved in warm water. To do this, take a glass of liquid and pour a bag of medicine into it, mix everything and drink. The glass must be made of glass; metal utensils must not be used.

The syrup is drawn into a measuring syringe and directed not into the throat, but into the cheek area, otherwise the baby may choke. You can only draw up the medicine with a syringe, and then pour it into a spoon and thus give it to the child. The syrup is not mixed with water, but it can be washed down with tea or juice.

Important! The medicine is not prescribed for children under 2 years of age. The dosage for such babies is not indicated in the instructions, as there are a number of contraindications. If you give medicine to a child under 2 years of age without the instructions of a pediatrician, he may suffocate.

Overdose

Excess daily dose The medication does not cause intoxication. However, in case of an overdose, the patient may experience nausea, sometimes even vomiting, and gastrointestinal upset. In this case, an antidote is not needed; treatment is symptomatic.

Contraindications

ACC is not used:

  • with ulcers;
  • with hepatitis;
  • during pregnancy and lactation;
  • children under 2 years old;
  • with liver failure;
  • if available increased sensitivity to the active component;
  • with bleeding from the lungs;
  • if you have fructose intolerance.

Important! The medicine should be prescribed with caution to patients with bronchial asthma; care must be taken to ensure that bronchospasm does not occur. People with diabetes should take into account that the drug contains sucrose. ACC Long is prescribed only to children over 14 years of age.

Adverse reactions

ACC and adverse reactions:

  • nausea;
  • stomatitis;
  • vomit;
  • gastrointestinal problems;
  • hives;
  • tinnitus;
  • bronchospasm;
  • headache;

There may also be problems with cardiovascular system in the form of increased blood pressure and arrhythmia.

Interaction with other drugs

ACC should not be used together with cough suppressants. If the reflex contraction of the bronchi is suppressed, this can lead to stagnation of mucus in them. It should not be used with oral antibiotics. The interaction of these drugs results in a decrease in the effectiveness of both. An interval of 2 hours should be maintained between doses. True, there are exceptions to this rule: the antibiotics Loracarbef and Cefixime.

Analogs

ACC costs from 150 to 650 rubles, depending on the type. So, for example, the price of syrup for children is 300 rubles, Long effervescent preparations cost 500 rubles, and sachets cost 150 rubles. If ACC is not suitable for some reason, you can purchase other cough medicines for children - for example, Bromhexine. It costs about 170 rubles. The medicine copes well with coughs, and its list of contraindications is much smaller. There are other analogues in syrups: Lazolvan, Flavamed, Ambrobene.

Ascoril can be used to treat cough. The drug relieves spasms in the bronchi and has a strong mucolytic effect. Fluimucil can also be used as medicinal product, diluting mucus in the bronchi.

Acetylcystine is domestic analogue ACC. It has the same effect, but costs about 130 rubles. The drug is produced in the form of granules, powders and in the form effervescent tablets. In addition, analogues of ACC are: Acestine, Mukobene, Mucomist. The selection of an analogue is carried out by a doctor.

ACC is suitable if you need to cope with phlegm that is already present in the bronchi. The medicine is used to treat both adults and children. It is used only as prescribed by a doctor, although you can buy it at the pharmacy without a prescription. You should not self-medicate, because you need to correctly determine the nature of the cough.

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).

  • It's time to think about what you are doing wrong...

    You are at risk, you should think about your lifestyle and start taking care of yourself. Physical education is required, or even better, start playing sports, choose the sport that you like most and turn it into a hobby (dancing, cycling, gym or just try to walk more). Do not forget to treat colds and flu promptly, they can lead to complications in the lungs. Be sure to work on your immunity, strengthen yourself, be in nature as often as possible and fresh air. Do not forget to undergo scheduled annual examinations, treat lung diseases initial stages much simpler than in a neglected state. Avoid emotional and physical overload; if possible, eliminate or minimize smoking or contact with smokers.

  • It's time to sound the alarm!

    You are completely irresponsible about your health, thereby destroying the functioning of your lungs and bronchi, have pity on them! If you want to live a long time, you need to radically change your entire attitude towards your body. First of all, get examined by specialists such as a therapist and a pulmonologist; you need to take radical measures, otherwise everything may end badly for you. Follow all the doctors' recommendations, radically change your life, perhaps you should change your job or even your place of residence, completely eliminate smoking and alcohol from your life, and make contact with people who have such bad habits to a minimum, toughen up, strengthen your immune system, spend time in the fresh air as often as possible. Avoid emotional and physical overload. Completely eliminate all aggressive products from everyday use and replace them with natural ones. natural remedies. Do not forget to do wet cleaning and ventilation of the room at home.

    • Medicines of the ACC group, created on the basis of acetylcysteine, have actively entered into treatment practice. One of them, ACC 100, the instructions recommend for use for children. The number on the package indicates the dosage of the active substance. It corresponds to the minimum single dose for a child.

    Release forms and composition

    ACC 100 is produced by the Austrian company Hermes Pharma Gas, Sandoz Slovenia, Salutas Pharma GmbH Germany in the form of effervescent tablets or powder with blackberry flavor. Children drink this medicine with pleasure.

    One aluminum tube contains 20 tablets or powders containing 100 mg of acetylcysteine.

    The composition of the tablet and powder, according to the instructions, includes 100 mg of acetylcysteine, soda, mannitol, citric and ascorbic acid, blackberry flavor, sucrose.

    The inclusion of soda in the composition makes the use of ACC 100 dangerous if a cough occurs in a patient with a sore stomach. And sucrose will require an increase in the dose of insulin for a patient with diabetes.

    Acetylcysteine ​​is the active ingredient of the drug.

    Mechanism of action of ACC

    The instructions classify the drug as a mucolytic agent. This means that it is capable of diluting phlegm, mucus, and pus. Studies have shown the effectiveness of acetylcysteine ​​in three areas:

    • liquefaction thick discharge due to the rupture of the molecular bonds of mucosaccharides that make up the mucus;
    • stimulation of local immunity through phagocyte cells;
    • antioxidant effect as an element in the fight against inflammation.

    The effect is maximal within an hour after ingestion and lasts up to eight hours. ACC 100 decomposes in the liver and is excreted mainly in the urine.

    Indications for use

    The instructions recommend the use of ACC 100 for children and adults for diseases associated with increased formation of mucus, sputum, and pus. Such diseases are: bronchitis, laryngotracheitis, sinusitis, inflammation of the middle ear, bronchial asthma, cystic fibrosis.

    Adverse reactions occur rarely in the form of skin rashes, nausea, headache, dyspepsia, stomatitis. Patients with bronchial asthma may experience an attack of bronchospasm.

    Absolute contraindications for ACC 100 are:

    • lung diseases accompanied by hemoptysis;
    • peptic ulcer of the stomach and duodenum;
    • individual intolerance to components.
    • for children under two years old;
    • during pregnancy and lactation;
    • at chronic diseases liver and kidneys.

    Dosage

    The dosage and course of treatment with the drug are prescribed by the attending physician. It depends on the severity of the condition, the patient’s weight, and concomitant diseases.

    An effervescent tablet or powder, according to the instructions, must be dissolved in half a glass of water, tea or juice before use. Drink after eating.

    The solution should be prepared only in glass containers. Upon contact with metal and rubber, acetylcysteine ​​is deactivated. The prepared drink should not be stored for longer than two hours.

    ACC 100 should not be taken simultaneously with antibiotics such as penicillin, ampicillin, erythromycin, tetracycline, or antitussives. Because it reduces their effect. At least two hours should pass between ingestion of the antibiotic and ACC 100.

    The tube with ACC 100 tablets must be closed quickly, because acetylcysteine ​​partially decomposes in air.

    Before starting treatment, carefully read the instructions and how to prepare the drink. About all the unexpected reactions to medicinal drug must be reported to the doctor.

    "ASS" for cough: instructions for use. "ACC 200": reviews, price

    Quite often, doctors prescribe the drug “ACC” (“ACC”) for cough to their patients. Instructions for use of this product, as well as its contraindications, indications and side effects will be presented in this article. In addition, we will tell you about the form in which the mentioned medicine is produced, what patients say about it, how much it costs, and so on.

    Packaging of the drug, its release form, composition

    Do you know in what form the medicine “ACC” (“ACC”) for cough is produced? The instructions for use inform us that this drug produced in two different forms. Let's look at them in more detail:

    • Medicine "ACC" is a powder (granulated) intended for the preparation of a solution. This medicine should only be taken orally. One 3-gram sachet of powder can contain 200, 100 or 600 mg of acetylcysteine. There are 10, 6 or 20 sachets in a cardboard pack.
    • The drug "ASS" - effervescent tablets. Aluminum or cardboard tubes can contain 20, 10, 100 or 50 pieces. One tablet contains 600, 200 or 100 mg of acetylcysteine. As for the auxiliary components, these include anhydride citric acid, sodium bicarbonate, ascorbic acid, mannitol, lactose anhydride, sodium citrate, blackberry flavor and saccharin.

    Pharmacological action of the drug

    What is “ACC” (“ACC”) cough medicine? The instructions for use state that this is a mucolytic drug. Due to the fact that the structure of the acetylcysteine ​​molecule contains sulfhydryl groups, this causes the rupture of disulfide bonds of mucopolysaccharides (acidic) of sputum. As a result of this effect, the patient's mucus viscosity noticeably decreases.

    The drug in question has a mucolytic effect and also facilitates the discharge of sputum due to a direct effect on its rheological properties. This tool retains its activity even in the presence of purulent mucus.

    The ACC medicine, the instructions for which are presented below, is very often used for preventive purposes. In this case, there is a decrease in the severity and frequency of exacerbations in patients with cystic fibrosis and chronic bronchitis.

    Pharmacokinetics of the drug

    What pharmacokinetic properties does the drug "ACC" have? The instructions do not contain such information. This is due to the fact that pharmacokinetic studies of this medication have not been conducted.

    Drug "ACC": indications

    The drug in question is prescribed for the following deviations:

    • acute and chronic sinusitis;
    • diseases of the respiratory system, which are accompanied by the formation of difficult to separate and viscous sputum (for example, with bronchiectasis, acute and chronic bronchitis, cystic fibrosis, obstructive bronchitis, pneumonia, bronchial asthma and bronchiolitis);
    • otitis media.

    Contraindications

    In the presence of what abnormalities should the medicine "ACC" (powder and effervescent tablets) be prescribed under no circumstances? The following conditions are contraindications to the use of this drug:


    It should also be noted that this medication is prescribed with extreme caution to patients with varicose veins of the esophagus, diseases of the adrenal glands, renal and/or liver failure.

    Directions for use

    How should you take ACC for cough? The instructions for use contain the following instructions in this regard. For adolescents and adults, it is prescribed 200 mg three times a day. Children from 6 to 14 years old should take the medicine 100 mg three times a day. For children from 2 to 5 years old, the medication is prescribed 1 tablet (100 mg) twice a day. For a disorder such as cystic fibrosis, a child over 6 years of age is given 2 tablets of the drug (100 mg each) three times a day. As for children from 2 to 6 years old, they should take the medication 100 mg four times a day.

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

    At colds of a short-term nature, the duration of therapy with the presented medication is 5-7 days. For cystic fibrosis and chronic bronchitis, the drug must be used for a longer time (to prevent infections).

    How should I take ACC 200? The instructions state that this drug should be used only after meals (to avoid negative effects on the gastric mucosa). It should be especially noted that additional dose liquid helps to enhance the mucolytic effect of the drug.

    Before use, effervescent tablets must be dissolved in half a glass ordinary water. The prepared solution should be used immediately. IN exceptional cases it can be left for 2 hours.

    Overdose

    In case of intentional or mistaken overdose of the drug, the patient experiences symptoms such as vomiting, stomach pain, diarrhea, heartburn and nausea. To date, no severe or life-threatening side effects have been observed.

    Drug interactions

    What will happen if you take any drugs at the same time? medical supplies and the ACC agent? Reviews from experts say that combination treatment may cause a number of adverse reactions. Let's look at them a little further.

    With the simultaneous use of acetylcysteine ​​and other antitussive drugs, a stagnation of mucus that is dangerous to health may occur (due to suppression of the cough reflex).

    During simultaneous administration nitroglycerin and acetylcysteine ​​are likely to enhance the vasodilatory effect of the former.

    There is a synergism of acetylcysteine ​​with the simultaneous use of bronchodilators.

    Acetylcysteine ​​can reduce the absorption of penicillins, cephalosporins and tetracycline. In this regard, they must be taken orally 2 hours after taking the first one.

    Acetylcysteine ​​is not compatible with antibiotics such as Penicillin, Erythromycin, Cephalosporin, Tetracycline and Amphotericin, as well as proteolytic enzymes.

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

    Special instructions

    For obstructive bronchitis and bronchial asthma, the drug in question should be prescribed with extreme caution. This requires systematic monitoring of bronchial patency.

    If, after taking the medication, the patient develops side effects, then it is necessary to stop taking the medication and immediately consult a doctor.

    When treating patients with diabetes mellitus, it should be taken into account that 1 effervescent tablet corresponds to 0.006 XE.

    To date, information about negative impact There are no medications (in recommended dosages) on the ability to drive a car or perform other activities that require special concentration.

    Shelf life and storage methods

    The drug in question must be stored only in a dry place inaccessible to small children. In this case, the air temperature should not be higher than 25 °C. The shelf life of the drug is three years. After this time, the use of the medication is prohibited.

    After taking the effervescent tablet, the plastic or aluminum tube must be tightly closed.

    Price and analogues of the drug

    The price of the ACC tablet may vary depending on the pharmacy chain, as well as on the markup on the product. However, on average, such a medicine costs about 75-150 Russian rubles. The price of granular powder is similar to effervescent tablets.

    What can replace the product in question? Pharmacy chains have huge amount analogues of the drug, as well as drugs with similar action(expectorant, mucolytic). Among the most popular, I would like to highlight the following medications: “Acestine”, “Acetylcysteine”, “Vicks Active ExpectoMed”, “Mukobene”, “Mukomist”, “Mukonex”, “N-AC-Ratiopharm”, “Fluimucil”, “Exomyuk 200” , "Atsestad", "Lazolvan", "Ambrobene", "Ambroxol", "Mukosol", "Bronkatar", "Solvin", "Bromhexin", "Gedelix", "Mukaltin", "Prospan", "Stoptussin", " Askoril", "Linkas" and others.

    Patient reviews of the medication

    Now you know what analogues of the drug “ACC” are available and what its price is. Tablets and powder for preparing the solution cope quite effectively with the task. This is the opinion that most patients hold. The drug quickly treats acute and chronic sinusitis, as well as other respiratory diseases. Thanks to it, viscous and difficult to separate sputum easily moves away from the bronchi, significantly improving the condition of the sick person.

    It should also be noted that the remedy in question has not only high efficiency, but also relatively inexpensive. This fact is very pleasing to patients who cannot afford to purchase expensive medications.

    ACC for cough: instructions for use and dosage

    For children, if it is difficult for them to separate sputum, as well as with a wet cough, ACC is prescribed for cough. Instructions for use and dosage of the drug are described below in the article.

    ACC for cough - instructions for use and rules of administration

    ACC drug are produced in several forms, namely two. The first of them is granules in a bag. They are used to prepare ACC solution 100. The second is produced in a bottle and syrup is prepared. The second type has appeared on the market. It is more preferable for children aged ten days to two years. Although the current chemicals exactly the same.

    Yandex.Direct

    ACC for cough for children is prescribed by a doctor if available wet cough. That is, when viscous mucus forms in the bronchi, and it is not able to leave on its own. ACC for cough instructions for use indicate the following indications:

    1. presence of acute or chronic bronchitis;

    2. bronchiolitis;

    3. obstructive bronchitis;

    4. bronchial asthma;

    7. pneumonia;

    8. chronic or acute sinusitis;

    9. chronic obstructive pulmonary disease;

    10. prophylactic appointment after complications during operations;

    11. paracetamol poisoning.

    Pharmacological groups of the drug ACC - a detoxification agent (contains antidotes). Stimulates the motor function of the respiratory tract.

    ACC for cough - dosage for use

    Application and dosage of ACC: infants from the 10th day of life and children under two years old take 2.5 ml of syrup. Or acetylcysteine ​​fifty mg two to three times a day (daily dose one hundred and fifty mg). Children from two to six years old - 5 ml of syrup or (acetylcysteine ​​one hundred mg 2-3 times a day, three hundred mg per day); children from six to fourteen years old - 5 ml or (acetylcysteine ​​two hundred mg 2-3 times a day, four hundred mg). Make sure your child takes plenty of fluids throughout the day. The last dose of medication should be no later than four hours before bedtime.

    The course of treatment is from five to seven days. At severe forms The course of treatment for ACC for cough is determined by your doctor. ACC syrup is designed for 1 course of treatment.

    Side effects of ACC: possible nausea, heartburn, vomiting, noise or ringing in the ears, urticaria.

    "ACC" for children (syrup): instructions for use, reviews

    When a child falls ill in the family, all the attention of adults focuses on him. And the point here is not whether it is a serious illness or a cold with a cough. Moreover, in fact, cough itself is a symptom of the disease and requires treatment.

    To combat this problem, a wide variety of medicines have been developed in a variety of forms: tablets, suspensions, inhalation formulations, cough syrup. “ACC” for children was developed by manufacturers in Germany and Slovenia. The main functions of this drug are to liquefy difficult-to-separate mucus and facilitate the process of removing it from the respiratory tract. "ACC" has an anti-inflammatory effect, suppressing pathogens that develop in sputum.

    Operating principle of "ACC"

    For stable operation human body nature has arranged everything in such a way that a special mucous secretion is constantly produced in the respiratory tract, the main functions of which include protective, cleansing and antibacterial effects. If a person gets sick, the process of producing this secretion is activated many times over. The consistency of this mucus has increased viscosity: the child suffers from prolonged coughing attacks, suffocates, and the sputum does not come out. This cough is called non-productive.

    It is in such cases that “ACC” for children (syrup) is prescribed to help the child’s body. Instructions for use allow it to be prescribed to children from the age of two. The viscosity of sputum directly depends on the presence of special bonds in it - disulfide bridges. "ACC", entering the child's body, affects these connections and contributes to their rupture. The sputum becomes less viscous, and the process of removing it from the respiratory tract is greatly facilitated. Air masses entering the bronchi are able to circulate freely without causing irritation to the nerve endings. The cough becomes productive.

    "ACC" (syrup for children) continues to remain active even in cases where there is a purulent component in the sputum. At first, parents may feel that the cough has gotten worse. However, the intensification of this process only indicates that the drug is working. Gradually, the cough reflex fades, and soon the cough goes away completely.

    The antioxidant properties of "ACC" are able to suppress local inflammatory processes, which practically eliminates the likelihood of relapses and complications. The medication has no effect on the immune system.

    Possible release forms

    Manufacturers, for convenience and breadth of use, offer the drug in several release forms. The granules in the bottle are diluted with water on their own to form an “ACC” syrup. Instructions for use for children often allow even children who have not yet reached the age of two to be treated with this medicine. True, doctors do not practice prescribing it to newborns for the treatment of cough and bronchitis for the reason that the airways of infants are very narrow and the pectoral muscles are still weak. For these reasons, a small child simply will not be able to cough up the increased volume of sputum. If there is no alternative to this medication, then treatment with ACC should be carried out under the supervision of the treating doctor.

    However, it should be noted that “ACC” (syrup) instructions for use for children under one year old allows it to be prescribed if the child has cystic fibrosis ( hereditary disease, characterized by impaired functioning of the respiratory system).

    Effervescent tablets "ACC" are widely used. They can be purchased in three dosages: 100, 200 and 600 mg of acetylcysteine ​​(the main active ingredient). A dose of 600 mg is trade name"ACC-Long" is characterized by a prolonged effect and is prescribed to patients at least 14 years of age. One tablet of this medication, taken once, replaces several smaller doses.

    The suspension is prepared by diluting granules from sachets (100, 200 mg) in water, tea, milk or juice. The resulting composition should not be hot. Ideally, its temperature is close to body temperature.

    With the use of "ACC" it is even possible to do inhalations. 1-2 ml of a solution intended for injection (used in very severe cases in a hospital setting under the supervision of a physician) is mixed with an isotonic sodium chloride solution and used in special inhalers or nebulizers. Procedures can be performed 1-2 times a day. The course of therapy is up to 10 days.

    Indications for use

    The indications for which this drug can be prescribed are quite wide. As for small patients, a special dosage has been developed for them, called “ACC 100”. Instructions for children: syrup (as the optimal form for treating even infants and children under 2 years old) can be used for a number of diseases of the respiratory system.

    In general, “ACC” is prescribed to patients suffering from bronchitis (any form: chronic, acute, obstructive), pneumonia, tracheitis, broncholitis (inflammatory processes of the lower respiratory tract), cystic fibrosis. The medication is used for bronchiectasis (an increase in the diameter of the bronchi in the place where the bronchial wall is damaged).

    It is also practiced to prescribe "ACC" in the treatment of otitis and sinusitis (acute, chronic form), since the drug is able to dilute not only sputum, but also accumulations of pus, stimulating its excretion from the body.

    Contraindications for taking "ACC"

    "ACC" for children (syrup) instructions for use prohibits use by patients with individual intolerance to the components of the medication and those who suffer from gastric and duodenal ulcers (acute stage). The same diseases, but in remission, can also respond to the use of ACC. Therefore, patients with such problems should be attentive to their well-being.

    With great precautions, "ACC" (syrup for children) should be taken by patients with kidney and liver failure, problems with the adrenal glands, and bronchial asthma.

    Since many diseases have become younger today, even in young children one can encounter peptic ulcers of the gastrointestinal tract or diabetes mellitus. At last illness It must be borne in mind that ACC contains sucrose. If a child is diagnosed with phenylketonuria, then for the treatment of cough it is necessary to choose “ACC”, which does not include aspartame (sweetener).

    Contraindication for "ACC Long" is a child under 14 years of age.

    Directions for use and dosage

    Instructions for use of "ACC 100" syrup for children are recommended for use when the patient's age is from 2 to 5 years. It can also be granules in sachets (volume - 100 mg), which are taken 2-3 times a day. Another option is granules in a bottle for making syrup, which is indicated for taking 5 ml (1 measuring spoon) also 2-3 times during the day after meals.

    For patients age group from 6 to 14 years old, it is practiced to prescribe “ACC” 200 mg (granules in bags) twice a day or 2 measuring spoons (10 ml) of syrup twice a day with meals.

    For patients over 14 years of age, it is practiced to prescribe "ACC" 2 scoops (10 mg) 2-3 times a day (or use "ACC Long").

    In the most extreme cases allows the use of "ACC" (syrup) instructions for use for children under one year of age. Reviews from doctors in this case indicate an underdeveloped respiratory system and weak pectoral muscles. To a small child It will be difficult to cough up the increased volume of sputum.

    It is worth saying that the above is described standard scheme treatment. In some particularly severe cases, the dosage of the drug can be adjusted upward (or decreased, if the situation is not very severe). The usual course of treatment is up to 7 days. Only the doctor can decide to increase the treatment period. In chronic forms of bronchitis or cystic fibrosis, the course of therapy using ACC can last for several months. In parallel with this, constant monitoring of the functioning of the liver, kidneys, and adrenal glands is carried out. Blood enzyme levels are also subject to monitoring.

    Possible side effects

    The drug "ACC" causes side effects quite rarely. Parents of young patients talk about the appearance of headaches, the development of stomatitis, and tinnitus. Deviations in the functioning of the gastrointestinal tract, such as nausea, vomiting, and diarrhea, occur much less frequently.

    Also among the possible negative manifestations When using "ACC" for children (syrup), the instructions for use indicate the risk of lowering blood pressure, the development of tachycardia (rapid heartbeat), bronchospasms, and the appearance of urticaria.

    If any negative reactions occur during therapy using ACC, you must stop taking the medication and contact your pediatrician without fail.

    Exceeding the permissible dosage

    An overdose of the drug "ACC" can occur in several cases. It is possible for a child to take a dose calculated for an adult patient, use the medication in an excessive amount without special instructions from a doctor, or accumulate it (“ACC”) in the body, which is possible with a long course of treatment without proper monitoring of the condition of the liver, kidneys, and blood counts. Anyway possible reactions patients on "ACC" (for children - syrup), the instructions for use describe such manifestations as a drop in blood pressure, nausea, vomiting, and a feeling of dry mouth. There is also a possibility of allergic dermatitis accompanied by a rash and skin itching, bronchospasm may develop.

    In especially severe cases, doctors talk about the possibility of angioedema and shock.

    Interaction with other drugs

    All information about possible drug interactions contains instructions for use for "ACC" (syrup). For children over one year of age, it can be taken only in the most extreme cases and under the supervision of a doctor. Although, when used in parallel with ACC, there is a danger for patients of any age.

    There is information about the incompatibility of the main active ingredient “ACC” with semisynthetic penicillins, cephalosporins, and aminoglycosides. On the contrary, there is no information about the incompatibility of acetylcysteine ​​with such antibacterial drugs as Amoxicillin, Erythromycin and Cefuroxime.

    What should you pay attention to?

    As mentioned earlier, for the treatment of patients from 2 to 5 years of age, doctors usually prefer the drug “ACC 100” (syrup). Instructions for use for children, reviews of children's doctors warn parents about the inadmissibility joint reception"ACC" and any antitussive medications. With this parallel use, “ACC” thins the sputum, and antitussives suppress the cough reflex, and the sputum is not coughed up. This is fraught with stagnation of sputum, which seriously threatens the health and sometimes the life of the child.

    Pediatricians also do not prescribe "ACC" together with antibacterial agents, since they may be incompatible. Only a few types of antibiotics of the tetracycline, penicillin and cephalosporin series can be used together with ACC with intervals of at least 2 hours between doses.

    It is permissible to dilute ACC granules and powders yourself only in glass containers. It is recommended to avoid contact with rubber or metal.

    When treating with ACC, it is necessary to increase the volume of fluid consumed. This will significantly enhance the mucolytic effect of the drug. Children should take ACC no later than 4 hours before bedtime.

    Consumer opinion about the medicine

    The patients' parents are satisfied with the drug "ACC" (syrup). Instructions for use for children (consumer reviews confirm this fact) give clear instructions on the method of use of the drug and dosage. Cough in children usually becomes productive very quickly and goes away within 3-4 days. That is, the product is effective in almost 100% of cases of use.

    The syrup has a pleasant orange flavor, so even the most capricious patients do not have to be forced to take the medicine for a long time. In addition, the cost of "ACC" is available to a wide range of consumers with the most different levels financial opportunities. The product is very convenient to store; it won’t be difficult to take it with you on the road.

    "ACC", of course, has certain contraindications and side effects, but using it only as prescribed by the attending physician and following all recommendations will get rid of most unpleasant consequences and manifestations.

    The child will breathe deeply and calmly, and parents will not worry about his well-being.

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

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

    ACC: composition, properties, storage and release form

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

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

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

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

    The ACC drug has three important properties:

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

    Purpose of the ACC

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

    Indications for use of the drug:

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

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

    Dosage for children and adults, application

    The dosage of ACC during treatment should be determined by a doctor. Optimal dosage for an adult, not leading to an overdose - no more than 500 mg per 1 kg of weight per day.

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

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

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

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

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

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

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

    Contraindications and side effects

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

    Contraindications include the following diseases and conditions:

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

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

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

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

    Main analogues:

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

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