Aspirin ACC instructions for use. ACC: composition, properties, storage and release form

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

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

Compound

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

  • lactose monohydrate;
  • microcrystalline cellulose;
  • potato starch;
  • silica.

Release form

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

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

Properties of the drug

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

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

This medicine is also capable of:

  • relieve pain;
  • fight inflammation;
  • lower body temperature.

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

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

Indications for use

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

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

Instructions for use

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

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

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

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

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

When taking contraceptives, doctors often advise their patients to take drugs that can make the blood more fluid, to which ThromboASS is directly related.

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

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

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

Contraindications

This medicine, like most others, has contraindications. It cannot be used for:

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

Overdose

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

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

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

Side effects

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

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

Real reviews for varicose veins

Mikhail, 46 years old

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

Elena, 37 years old

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

Svetlana, 52 years old

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

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

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

What is the difference between Thrombo ACC and Aspirin?

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

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

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

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

How long can you take Trombo ACC without interruption?

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

How much does it cost and where to buy?

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

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

Analogues of the drug

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

  • ASK Cardio;
  • Aspicor;
  • Aspirin Cardio;
  • Magnicor;
  • HR-Pain;
  • Thrombopol;
  • Anopyrine;
  • Acecardol et al.

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

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

Is alcohol compatible with Tromboass?

In some cases, these drinks contribute to the fact that Thromboass treatment becomes ineffective, since alcohol blocks the effect of aspirin. There is still a high probability of skin rashes, as well as various disorders gastrointestinal organs.

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

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

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

Release form and composition

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

The tablets contain the active component acetylcysteine, and the medicine also contains additional components: anhydrous citric acid, anhydrous sodium carbonate, sodium bicarbonate, mannitol, anhydrous lactose, sodium citrate, ascorbic acid, sodium saccharinate, flavoring.

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

Pharmacological properties

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

Thanks to application of ACC sputum discharge improves. The main active ingredient of this drug has an antioxidant and pneumoprotective effect.

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

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

Cysteine, formed in the liver, takes an active part in metabolism; mixed disulfides become the final product of this process.

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

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

What does ACC help with?

Indications for use of the drug include:

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

Instructions for use

ACC - powder or effervescent tablets

For children aged 2 to 5 years, the drug is recommended to take 100 mg 2-3 times a day (ACC in the form of granules for the preparation of an oral solution of 100 mg and 200 mg). Not available sufficient quantity data on the dosage of the drug in newborns.

Children with cystic fibrosis

Children aged 2 to 5 years - 100 mg 4 times a day. For patients weighing more than 30 kg with cystic fibrosis, if necessary, the dose can be increased to 800 mg per day.

In case of sudden short-term colds Duration of treatment is 5-7 days. At chronic bronchitis and cystic fibrosis, the drug should be used for a longer period of time to prevent infections. The drug should be taken after meals. Additional fluid intake enhances the mucolytic effect of the drug.

Instructions for preparing granules

To prepare a solution for oral administration of 100 mg and 200 mg: 1/2 or 1 sachet (depending on the dose) dissolved in water, juice or iced tea and taken after meals.

ACC in the form of granules for the preparation of a solution for oral administration 200 mg and 600 mg: 1 sachet dissolved with stirring in 1 glass hot water and drink it hot if possible. If necessary, you can leave the prepared solution for 3 hours.

Injections

Adults are prescribed intravenously or intramuscularly at 300 mg (1 ampoule) 1-2 times a day. Children aged 6 to 14 years are prescribed IV or IM 150 mg (1/2 ampoule) 1-2 times a day.

For children under 6 years of age, oral therapy is preferred, however, if indicated and the need for parenteral administration daily dose is 10 mg/kg body weight.

For children under 1 year of age, intravenous administration of the drug is possible only for health reasons in a hospital setting. The duration of therapy is determined individually.

In case of chronic bronchitis and cystic fibrosis, the use of ACC INJECT for a long time can be combined with oral administration of the drug to prevent infections. The mucolytic effect of acetylcysteine ​​increases with increased fluid intake.

Rules for injections with intramuscular administration

When performing a shallow injection and in the presence of increased sensitivity, a slight and quickly passing burning sensation may occur, so it is recommended to administer the drug to patients in a supine position and deep into the muscle.

For intravenous administration, the first dose must be diluted with 0.9% sodium chloride solution or 5% dextrose solution in a 1:1 ratio. The drug should, if possible, be administered by infusion. IV injections should be administered slowly (over 5 minutes).

Contraindications

  • increased sensitivity to acetylcysteine ​​and other components of the drug;
  • pregnancy;
  • lactation period (breastfeeding);
  • pulmonary hemorrhage;
  • children under 2 years of age (the drug is in the form of granules for the preparation of a solution for oral administration /orange/ 100 mg and 200 mg);
  • children under 6 years of age (the drug is in the form of granules for the preparation of a solution for oral administration, 200 mg);
  • children under 14 years of age (the drug is in the form of granules for the preparation of a solution for oral administration 600 mg);
  • peptic ulcer and duodenum in the acute phase;
  • hemoptysis.

Side effects

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

Children, pregnancy and breastfeeding

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

The drug is contraindicated during lactation.

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

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

special instructions

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

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

Drug interactions

Use with caution concomitantly with antitussives, due to the fact that suppression cough reflex may cause sputum stagnation.

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

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

Analogues of the drug ACC

Structural analogues for the active element:

  1. Fluimucil.
  2. Mukobene.
  3. Exomyuk 200.
  4. N-acetylcysteine.
  5. Acetylcysteine ​​solution for injection 10%.
  6. Acetylcysteine ​​solution for inhalation 20%.
  7. N-AC-ratiopharm.
  8. Mucomist.
  9. Acestine.
  10. N-AC-ratiopharm.
  11. Mukonex.
  12. Acetylcysteine.
  13. Acetylcysteine ​​SEDICO.

Vacation conditions and price

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

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.

Effervescent tablets have White color, 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 get a drink with lemon, orange or honey flavor. IN standard packaging 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 of active substance. The medicine is a viscous, thick liquid with a cherry flavor. Does not contain ethyl alcohol 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. The 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.

pharmachologic effect

Acetylcysteine ​​has antioxidant and pneumoprotective properties and acts as an antidote for acute poisoning with paracetamol, as well as aldehydes and phenols. When taken orally, it is completely absorbed, and after 1–3 hours the maximum concentration is observed. active component in blood. It is excreted from the body in urine and feces. The medicine passes through the placenta, which is why it can accumulate in the 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, diluting 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 you need complex treatment. ACC is used for infectious and non-infectious diseases of the 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 a lot of liquid (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 use

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

Exceeding the daily dose of the drug 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:

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

Important! Caution should be exercised when prescribing medication to patients bronchial asthma, it is necessary to ensure that bronchospasm does not occur. People getting sick diabetes mellitus, 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;
  • noise in ears;
  • bronchospasm;
  • headache;

Problems with the cardiovascular system may also occur in the form of increased blood pressure and arrhythmias.

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 a drug that thins phlegm 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 of 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.

ACC is a drug for the treatment of diseases respiratory tract accompanied by viscous, difficult-to-separate sputum. Available in different dosages in the form of effervescent tablets or granules for the preparation of a solution for oral use. Prescribed for treatment acute diseases, and for the prevention of chronic conditions of bronchitis and cystic fibrosis. The drug has contraindications, as well as warnings about careful use for various concomitant diseases.

  • - glass glass;
  • - pure water.
ACC may contain a dose of the active substance acetylcysteine ​​100, 200 or 600 mg. Depending on the dose, the drug is prescribed once or twice a day. In addition to the main active ingredient, the drug contains auxiliary ingredients: citric acid, sodium carbonate, mannitol, lactose, ascorbic acid, sodium cyclamate, sodium saccharinate, sodium citrate and flavoring with an orange, lemon or blackberry scent. The use of the drug is indicated for chronic, acute, obstructive bronchitis, laryngotracheitis, pneumonia, bronchiectasis, bronchial asthma, bronchiolitis, cystic fibrosis, and can also be used for acute and chronic sinusitis, otitis. The dosage of ACC can only be prescribed by the attending physician, taking into account the severity of the disease and concomitant diseases. Without a doctor's prescription, take the drug carefully, taking into account the side effects. Adults can take the drug at a dose of 600 mg to thin and remove mucus from the respiratory tract. Take the entire dose at one time or divide it into two doses. Dissolve the drug in a glass glass, do not use metal or plastic objects. Take the solution immediately after complete dissolution. IN exceptional cases the solution can be drunk within two hours after preparation. Children aged 14 years can take 400 or 600 mg of ACC, divided into two or one dose. Children from 6 to 14 years old - 400 ml, divided into two doses. The intervals between doses should be 12 hours. Children from two to 5 years old - 300 mg per day, divided into two doses. For newborn children, the drug is prescribed from 10 days at a dose of 50 mg 3 times a day. The same dosage is used for children under two years of age. In all cases, take the drug after meals to reduce negative impact on the gastrointestinal tract. You can drink it for 5-7 days. More if necessary long-term use get a doctor's recommendation. If you suffer from ulcers, pulmonary hemorrhage, bronchial asthma, varicose veins of the esophagus, diseases of the kidneys, adrenal glands, or liver, then before taking ACC, consult a specialist. During pregnancy, the drug can be taken only as prescribed by a doctor. At obstructive bronchitis monitor the removal of sputum; if the sputum has thinned but does not come out, consult a doctor immediately. When taking the drug, headaches, inflammation of the mucous membranes of the mouth and throat, diarrhea, heartburn, vomiting, and tachycardia may occur. Also, susceptible individuals may experience allergic reactions and bleeding. In patients with bronchial hyperreactivity - bronchospasm. If these phenomena occur, immediately stop taking the drug and consult a doctor. When taking acetylcysteine, cough tablets with an antitussive effect, nitroglycerin, and antibiotics are contraindicated. penicillin series and macrolides, proteolytic enzymes.

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How to take ACC for children and adults

How to take ACC so that the drug works correctly depends on the health status, weight, age of the patient and other factors that the attending physician pays attention to when recommending the drug. When prescribing single and daily dosages of ACC, the presence of a disease that requires the use of a drug that dilutes sputum is important. When a dry cough that occurs as a result of an acute respiratory viral infection or acute respiratory infection greatly reduces the quality of life and it is necessary to quickly transfer it to the wet category, it is recommended to take medicine mucolytic action for several days. For cystic fibrosis and chronic forms bronchopulmonary diseases Taking the drug can last up to six months. Patients prone to allergic reactions and conditionally healthy people must take different forms of ACC.

The medicine is stored at room temperature not exceeding 30°, and ready solution can be kept at a temperature of 2° to 8° for no more than 12 days in a refrigerator in closed.

When should you take the medicine?

The drug has the property of thinning viscous sputum and can be used in following cases:

  1. The ACC drug will be useful for the treatment of acute and chronic bronchitis, pneumonia and other bronchopulmonary diseases associated with difficulty in sputum discharge.
  2. The drug is used for the development of acute and chronic sinusitis And exudative otitis media. The active substance is capable of diluting viscous mucus accumulated in the nasal sinuses, which, after the addition of opportunistic microflora to it, becomes a source of infection. Infected mucus causes inflammation not only in maxillary sinus, but also causes acute purulent otitis in the middle ear. The drug ACC helps quickly clear the nasal passages of infection.
  3. The drug can be used as an antidote for poisoning with aldehydes, paracetamol and phenols.
  4. The medicine is not life-threatening and is traditionally used in pediatrics. ACC is prescribed to children with cystic fibrosis from the first days of life. With this genetic disease, the drug can be taken for several months without interruption.

Forms of the drug

ACC uses the active substance acetylcysteine, from which the drug received its trade name. It is an amino acid derivative that has a phlegm-thinning effect. This active substance significantly reduces the viscosity of bronchial secretions. The drug should be taken after consultation with a doctor.

Acetylcysteine ​​can be given to infants only under the constant supervision of a pediatrician and solely for health reasons. For ease of use, the manufacturer produces the following forms:

  1. ACC for children is sold in powder form, which is used to prepare medicinal solution. This form is used internally for infants and children under 2 years of age. It does not contain any additives other than the active ingredient. Medicine packaged 30 g in a 75 ml bottle or 60 g in a 150 ml bottle. The prescription that determines the choice of dose is made by the pediatrician.
  2. The medicine ACC 100 or 200 for adults is available in the form of effervescent tablets, packaged in 20 pieces. This form of the drug contains a large number of ingredients to which patients may be individually intolerant.
  3. For treatment viral diseases accompanied by the formation of a viscous secretion, to which opportunistic microflora is added after some time, it is best to use ACC hot drink 200 mg. This type of medicine is sold in sachets. They contain powder that is used to prepare a hot drink. This drug should only be drunk hot.
  4. ACC 100, like ACC 200, can be in powder form and packaged in double sachets, which are recommended for oral administration by both children and adults. Children under 2 years of age are given ACC 100. This form contains special additives minimal amount additives Powder is the most suitable form for all patients prone to allergic reactions.

Drug for the treatment of adults

ACC Long are effervescent tablets of 600 mg. They are intended for the treatment of adults for whom it is more convenient to take the drug once a day. This dosage form can be given to adolescents over 14 years of age. The tablets are sold in a tube with a special cap that prevents moisture from getting inside.

Pills effervescent ACC Long 600 mg is a popular drug for the treatment of ARVI. There can be 10 or 20 pieces in a pharmacy package. These are flat-cylindrical tablets with a blackberry odor, which, after dissolving in cool water create colorless transparent medicinal solution with a slight sulfur odor.

The active substance in each ACC Long tablet is 600 mg, which is the daily dose for an adult. The tablet contains the following excipients:

  • citric acid;
  • sodium bicarbonate;
  • sodium carbonate;
  • mannitol;
  • lactose;
  • ascorbic acid;
  • sodium cyclamate;
  • sodium saccharinate dihydrate;
  • sodium citrate dihydrate;
  • blackberry flavoring "B".

If you are allergic to one of the components, it is not recommended to take the drug. Effervescent ACC tablets Long is dissolved in cool boiled water in an amount of at least 100 ml. During treatment, the patient must be provided with plenty of warm drink. Liquid entering the body in large doses will increase the activity of the substance that dilutes phlegm.

Extended-release tablets ACC Long are most often used for short-term colds.

The duration of treatment should not exceed 7 days.

For chronic bronchitis, the drug can be used long time after the recommendation of the attending physician.

How should I take the medicine?

ACC in any form is taken one and a half hours after meals. The dry pharmaceutical preparation is dissolved in 100 ml of cold liquid and drunk. For children and adults, the dosage of the drug is different. The disease must be taken into account.

For long-term use in cystic fibrosis in children, the daily dose depends on the patient’s weight and is determined as follows:

  1. For infants weighing less than 10 kg, patients with this genetic disease, ACC for children is recommended.
  2. Dry weighing from 10 to 20 kg can use ACC 100.
  3. If your body weight is 20 kg or more, you can use ACC 200 sachets.

For other diseases of the upper and lower respiratory tract, accompanied by the formation of viscous secretions, the daily dose prescribed by the attending physician is divided in equal parts into morning and evening doses:

Treatment of acute diseases with ACC 100 or 200 can last 5-7 days. In the presence of chronic diseases, the drug can be prescribed for a long period of up to six months.

What side effects does the drug have?

Acetylcysteine ​​is relatively safe, but in children in overdose it can cause increased secretion and dyspeptic disorders.

When these signs appear, therapy is prescribed taking into account the symptoms that appear.

The active substance has side effects that can worsen the health of an adult or child. If they appear, you should stop taking the medicine. About negative reaction body on the active substance or the additives used in it, it is necessary to inform the attending physician so that he cancels the prescribed drug and replaces it with another. The main side effects may be as follows:

  1. Allergic reactions, which occur some time after taking a dose of the drug and manifest themselves in the form of bronchospasm in patients suffering from bronchial hyperreactivity.
  2. A rash and itchy skin may appear a few hours after taking it.
  3. With long-term use, patients may experience various symptoms from the gastrointestinal tract. The patient may complain of stomatitis, nausea and heartburn. In some cases, vomiting or diarrhea occurs after taking the medicine.
  4. Long-term use sometimes contributes to the deterioration of central health nervous system. The patient may experience tinnitus and headache.
  5. From the outside of cardio-vascular system Your blood pressure may rise and your heart rate may increase.
  6. The drug is not prescribed for hypersensitivity to acetylcysteine ​​or excipients.
  7. Fructose intolerance is a contraindication for taking ACC.
  8. Acetylcysteine ​​is contraindicated in pulmonary hemorrhage.
  9. Pediatricians should not prescribe the drug for hepatitis and renal failure.

The drug is discontinued when the dry cough turns into a wet one and the sputum begins to clear on its own. Abuse of the drug leads to disruption of the natural processes occurring in the bronchi. Most often, the self-cleaning procedure of the respiratory system is violated.

gidomed.ru

How to use ACC for cough correctly

The drug "ACC" (in Russian, more often called ACC), is prescribed for coughs in the treatment of colds various types. In addition, the drug is prescribed in the presence of allergic cough spasms; it has several release forms and dosage options, the choice of which depends on the age and weight of the patient. “ACC Long” has the longest duration of action, the effect of which lasts for 12 hours. The latest variation of the drug is taken only twice a day.

For which cough should I take Acc, dry or wet?

Cough spasms can be either productive, in which sputum is released, or dry, most often manifested at the initial stage of a cold. Initially, the drug is positioned by manufacturers as a remedy for wet cough, which helps remove mucus from the respiratory system and makes breathing easier. However, “ACC” also helps with dry cough, bringing it to the productive stage.

IN medical practice It is customary to prescribe this medicine in various forms for the following ailments:

It is worth considering that the benefits clinical principle from this drug is possible only if it is used to treat ailments included in the list of those listed above. Thus, you should not try to stop a cough spasm with the help of “ACC” on your own. If the drug does not give any effect, then, most likely, the disease does not belong to its action profile.

How does the medicine work?

The drug "ACC" is considered an excellent way to combat phlegm that occurs in the cavity of the respiratory tract, lungs and bronchi due to various types of infectious lesions. Sputum while trying to natural reasons come out, provokes a cough, and often this substance turns out to be too viscous and dense, which leads to too strong adhesion to the bronchi. With the help of “ACC” it ​​is possible not only to completely establish, but also to advance the process of sputum discharge from the respiratory organs and its removal to the outside.

The main component of the drug is a cysteine ​​derivative; this amino acid directly affects the structure of sputum, changing its consistency. The mucus increases in its condition, easily detaches from the bronchi and is naturally removed from the respiratory tract. Due to the removal of sputum, the healing process occurs, and the protective reactions of the mucous membranes are restored.

It is noteworthy that the action of “ACC” is aimed at eliminating not only ordinary mucous sputum, but also that in which purulent formations have already appeared. The drug is often used in combination with antibacterial drugs, since it facilitates the penetration of the latter into the mucous part of the respiratory organs. It is important to maintain a two-hour interval between medications. Besides active action for sputum, cough medicine has antioxidant properties, accordingly, acetylcysteine ​​significantly facilitates the course of any viral infection.

In fact, the drug eliminates the symptoms characteristic of severe flu, while simultaneously fighting cough spasms.

Instructions for use of tablets and powder ACC (acc) for dry cough

Correct dosage The dose of the drug is calculated based on the type of disease for which therapy is being carried out, the age and weight of the patient. In addition, the dosages of “ACC” for dry cough are different for children and adults. When treating such a serious illness as cystic fibrosis, the daily dose of the drug is no more than 800 mg, provided that the patient’s weight exceeds 30 kg. The duration of therapy can be very long and last at least 3-6 months. Treatment should be carried out only under the supervision of a doctor and taking into account the use of a complex of drugs.

For the treatment of dry cough spasm in other respiratory diseases for people over 14 years of age, a dosage of 400 to 600 mg of the drug in the form of tablets or powder consistency is indicated at one time. If the course of the disease is too acute, then taking the drugs under the supervision of a doctor lasts at least a week. At chronic illness dry cough can be treated with tablets or ACC powder for about six months.

According to the instructions for use, unless otherwise prescribed by a doctor, the drug is taken immediately after meals as an expectorant. The method of taking the medicine is as follows: the powder or a certain number of tablets are dissolved in ½ glass of water or tea and drunk immediately.

Medicines for children are taken according to a different scheme, and here important point is the type of drug relative to the dosage of the active component in it:

  1. "ACC 100" is approved from birth for the treatment of dry cough in infants. The dosage for children under 2 years of age is 50 mg three times a day, then the dosage is increased to 100 mg in four doses, and after six years this medication should be taken at a dosage of 600 mg per day, which should be divided into three doses.
  2. "ACC 200" is permitted only for children over 6 years of age, and the use of the medicine is permitted only in the form of a solution. Do not use more than two sachets of powder dissolved in water at any one time. For adolescents aged 14 years and over, the number of sachets is increased to three, which is equal to adult dosage.
  3. "ACC Long" is allowed only after 14 years of age, daily dosage of this type of drug should not exceed 600 mg, and the patient must receive it in one dose. The tablet dissolves in water and is taken orally immediately after meals. The duration of storage of the solution does not exceed half an hour, otherwise the tablet must be re-dissolved for a new solution.

Children's cough syrup Ass

To treat cough in children, manufacturers produce a special form of the drug “ACC” in the form of a syrup, the administration and tolerability of which is much easier than a solution obtained from tablets or powder. The medicine in this form is also convenient in that it is ready for use and does not require additional steps for dilution.

The syrup dosage is calculated using a measuring cup, and it depends on the age and, accordingly, the weight of the child. In particular, 5 ml of the drug is equal to one quarter of a glass.

If the child’s age ranges from 2 to 6 years, then 5 ml should be taken no more than three times a day. After 7 years, the number of doses increases to 3-4, or it is permissible to take 10 ml at a time, but twice a day. After 15 years, the daily dose is 10 ml 3 times a day. The drug also contains a special syringe for easy dosage calculation. Its use is very convenient for treating very young children.

Contraindications and side effects

Like any medicine, “ACC” for cough has its contraindications, non-compliance with which can lead to the appearance of side effects. According to the instructions developed by the manufacturers of the medicine, it is prohibited for use in the following cases:

  • coughing up bloody mucus;
  • bleeding in the lungs;
  • fructose intolerance at the genetic level;
  • individual intolerance to the main component of the medication and other substances in its composition;
  • renal failure, various diseases liver, especially hepatitis;
  • the presence of a peptic ulcer.

As side effects when taking this drug, it is customary to consider such phenomena as various allergic reactions, rapid heartbeat, heartburn, general disorder work from the gastrointestinal tract, which manifests itself in the form of diarrhea and vomiting, headaches and tinnitus.

Allergic reactions are typical in the presence of individual intolerance to substances in the drug; in this case, immediate discontinuation of the drug is required due to the risk of angioedema. In other cases, the study of the drug did not lead to the identification of any situations in which its use would pose a threat to human life. If any signs of side effects appear, you should immediately stop taking the drug and consult a doctor to adjust the treatment regimen.

The drug "ACC" is successfully used to treat various ailments accompanied by dry and productive cough. The drug and its dosage should be prescribed only by a doctor after diagnosis.

yadishu.com

ACC instructions for use and description of the drug

ACC - famous pharmaceutical drug, which is based on acetylcysteine ​​as the active ingredient.

From the history of the discovery of acetylcysteine

The honor of the first creation of a mucolytic drug based on acetylcysteine ​​belongs to Professor Ferrari, who worked for the Italian pharmaceutical company Zambon in the middle of the last century. This is how the first one was created medicinal product- Fluimucil. Until now, modern improved forms of this drug can be purchased in pharmacies.

Drugs from the ACC group are generics. They were released after the patent holder's ban expired and are considered analogues. However, there are differences in composition that the company has the right to hide. Produced in Germany and Slovenia.

The effect of acetylcysteine ​​on the human body

In the 50s of the last century it was noticed that acetylcysteine, Chemical substance close in structure to cysteine ​​protein, has the ability to break the bond between mucopolysaccharide molecules that make up the bronchial secretions, epithelial cells paranasal sinuses. This property has been successfully used in pathological conditions to:

  • make sputum (including purulent) in the bronchi more liquid and thick mucus in the paranasal sinuses;
  • stimulate increased mucus production;
  • activate immune cells (anti-inflammatory effect);
  • promote the removal of inflammatory sputum and cleansing of the bronchi, removing mucus from the sinuses through the nose.

Modern research has shown the ability of acetylcysteine ​​to stimulate the production of phagocytes (killer cells) and destroy free radicals. This achieves the effect of relieving liver intoxication with other medications and providing an antioxidant effect.

Acetylcysteine, when taken orally, is quickly absorbed by the body, the maximum concentration in the blood is reached after 1.5–2 hours. Most of it is excreted through the kidneys in the urine; a small amount is excreted in the feces.

The drug can be used not only internally for the treatment of children and adults. The ampoule form of a 20% solution of 5 ml is indicated for inhalation twice a day, 2 or 5 ml.

For intramuscular and inhalation methods administration, Fluimucil is prescribed.

Release forms, differences in composition

In the pharmacy chain, ACC is offered in the form of tablets, flavored granules, and syrup for children. The choice of form depends on the age of the patient. It is necessary to study the instructions for using analogues. There are convenient dosages of ACC for children: 100 mg, for adults: 200 mg, ACC long: 600 mg. Depending on your preference, you can choose lemon or orange flavoring.

When you open a bag of granules, there is a slight sulfurous smell, so flavoring additives can help get rid of it.

To make it easier to navigate, you need to look at the name indicated on the package without looking at the drug label. Next to the letters there is a number “100, 200, 600”, indicating the content of the active substance in one tablet or bag of granules. For treating children, it is convenient to buy ACC 100; for adults, ACC 200 and ACC 600 are suitable.

ACC forms for children

The drug is available for children in three dosage forms.

  • Granules with orange flavor in bottles of 30 and 60 g, before use, boiled cold water is added to the bottle up to the measuring line, the bottle is closed and shaken well, a syrup is obtained, it can be stored for up to 12 hours. The package includes a measuring spoon. The syrup is prescribed depending on the age of the child:

from two to six years - one spoon two to three times a day;

from six to 14 years - one spoon three to four times a day;

Teenagers and adults can drink two tablespoons of syrup three times a day.

  • Packages with ACC granules 100 or ACC 200 with orange flavor. One packet dissolves in half a glass of water, tea or juice.
  • Effervescent tablets. Before use, they dissolve in the same way as packets. The solution must be drunk within two hours after preparation.

Treatment for adults

ACC in granules is available in different dosages and differs in flavorings:

ACC 100 and ACC 200, 3 g in sachets, in addition to the dosage of acetylcysteine ​​indicated on the package and in the instructions, contains sucrose and orange flavoring;

ACC 200 and ACC 600, also 3g in bags, have a honey-lemon flavor. ACC 600 is convenient to take once a day.

ACC Long is prescribed only to adults and is valid for 12 hours.

The total average daily dose for adolescents and adults is 600 mg. It can be increased by the attending physician. The type of treatment, duration and required dosage are selected by the doctor depending on the severity of the disease and the presence of concomitant chronic diseases.

The general rule for treatment with any analogs: drink the drug after meals, at the same time you need to drink more liquid (for adults up to two liters per day), prepare solutions only in glass containers.

Indications for use

ACC is used in the treatment pathological conditions associated with retention of thick sputum or mucus. Such symptoms are observed when:

  • chronic and acute bronchitis,
  • laryngotracheitis,
  • sinusitis of the paranasal sinuses,
  • rhinitis,
  • pneumonia,
  • bronchial asthma,
  • cystic fibrosis (hereditary disease).

Also prescribed for the prevention of pneumonia in bedridden patients.

Like all analogues created on the basis of acetylcysteine, ACC in the instructions for use contains instructions to weaken the effect of some antibiotics and antitussive drugs, but to enhance drugs containing nitro compounds (used in the treatment of coronary disease hearts).

For children under two years of age, the drug is prescribed only for health reasons. Not recommended for the treatment of cough in pregnant women and during lactation.

You should be careful when taking the drug when chronic diseases kidneys and liver, peptic ulcer stomach, blood diseases.

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