Cheap analogues of ACC, the price of Russian and imported cough medicines. Cheap analogs of ACC of Russian and foreign production Instructions and comparison Indications for use

Cheap analogues of ACC and ACC long for children from cough

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

Characteristics of ACC

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

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

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

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

The cost of the ACC preparation is from 250 rubles.

Lazolvan

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

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

The composition of the drug contains such components as:

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

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

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

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

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

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

What is better to choose ACC or Lazolvan?

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

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

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

Ambrobene

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

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

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

The capsules contain:

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

An analog of ACC is used according to indications:

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

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

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

What is better ACC or Ambrobene?

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

Ambrobene has a number of advantages over ACC:

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

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

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

Fluimucil

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

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

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

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

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

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

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

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

The drug has multiple contraindications. The main ones include:

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

Particular attention should be paid to relative contraindications.

What is better ACC or Fluimucil?

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

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

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

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

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

Bromhexine

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

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

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

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

Indications include pathologies of the lungs and bronchi:

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

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

What is better ACC or Bromhexine?

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

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

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

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

Ascoril

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

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

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

The combined composition includes several active components:

• guaifenesin;
• salbutamol;
• bromhexine.

Additional composition:

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

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

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

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

What is better ACC or Ascoril?

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

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

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

Conclusion

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

Cough is a reaction of the body to completely different diseases of the respiratory tract, often of an inflammatory nature. Sometimes it goes away on its own and does not require outside help. But, with a weakened immune system, the cough drags on for a long time, tormenting the patient and giving him a lot of inconvenience.

For the treatment of inflammatory pathologies of the bronchopulmonary system, there are many drugs, one of which is ACC. It is used to treat dry and wet (wet) cough, both in adults and in pediatrics. ACC is a safe and popular remedy that has repeatedly proven its effectiveness in the fight against viscous sputum, but because of its high cost, cheap ACC analogues are becoming popular. Pharmacological affiliation - mucolytic, ATX code: 05CB01.

Main properties, composition and form of release of ACC

Acetylcysteine, the main substance of ACC, has a pronounced anti-inflammatory, expectorant, thinning and antioxidant effect. The main task of the drug is to thin and remove sputum that is difficult to separate from the respiratory tract. Thanks to the cleansing of the bronchi, inflammation is removed, cough is eliminated, and the protective function of the mucosa is restored.

ACC with a dry cough is most in demand, so there is no doubt whether to purchase the drug or not. It is necessary as soon as possible to help the bronchi to be cleared of sticky sputum, which prevents the patient from recovering. Cough is not able to expel such sputum, so mucolytics will be required. ACC and its analogues, cheap or more expensive, allow the bronchopulmonary system to get rid of accumulated mucus and get rid of cough.

For ease of use, the drug is available in different forms. Patients can use effervescent tablets, hot drink (prepared from powder), solution (powder base). One of the latest innovations of Salutas Pharma GmbH (Germany) is ready-made syrup, which is available in bottles of 100 and 200 ml.

In terms of taste, ACC has a variety. There are forms with orange, cherry, lemon and blackberry flavors.

The action of ACC occurs on the first day of admission, and on the second day, patients note that they have wet sputum, and they already have something to expectorate. The feeling of tightness, pain, and other more unpleasant symptoms in the sternum are reduced.

What pathologies are treated with ACC?

The drug is used for all diseases accompanied by the accumulation of viscous, thick and difficult to separate sputum in the bronchi. These pathologies include:

• acute and chronic bronchitis;
• COPD (chronic obstructive pulmonary disease);
• pneumonia;
• bronchial asthma (mild and moderate degree);
• bronchiectasis;
• lung abscess;
• tracheitis and laryngotracheitis;
• cystic fibrosis (a systemic disease in which the secretion of mucus in the body is disrupted);
• sinusitis;
• inflammation of the middle ear.

How to dose the drug correctly?

Depending on the disease, the severity of symptoms and the age of the patient, the dose of ACC may vary.

So with cystic fibrosis, a maximum daily dose of up to 800 mg is allowed, while the patient's body weight should not be less than 30 kg.

Infants (from the third week of life) and babies up to 2 years of age are prescribed up to 150 mg per day, dividing the dose by 50 mg. Children from 2 to 5 years old are allowed to give up to 400 mg per day (we divide the drug into 4 doses). After 6 years, the maximum daily dose increases to 400-600 mg per day, it is also divided (three doses per day).

With uncomplicated cough, the course of treatment for ACC is a week. If necessary (chronic diseases), the drug is used up to 6 months.

ACC is dissolved in a liquid (100 ml), it is better to use water, but you can also use compote, juice, cool tea. Reception is made after meals. Doctors do not advise drinking ACC before bedtime, because. increased sputum flow, even in a horizontal position, can increase coughing. Therefore, the last dose should be immediately after dinner (around 18:00).

Instructions for use ACC prohibits the use of the drug in the following cases:

• intolerance to acetylcysteine ​​and all complementary components;
• severe allergic anamnesis;
• bleeding from the lung tissue;
• tendency to bronchospasm;
• hypotension;
• hemoptysis;
• fructose intolerance;
• ulcerative processes of the gastrointestinal tract;
• hepatitis and more severe kidney disease in children.

Against the background of taking ACC, the following negative reactions are possible:

• a sharp decrease in blood pressure;
• headache;
• the appearance of noise in the ears;
• nausea, diarrhea;
• stomatitis;
• itchy dermatoses;
• tachycardia;
• asthma attack;
• other.

Clinical trials of ACC did not reveal a negative effect of the drug on the fetus, however, it is not recommended to use it at all gestational ages and during breastfeeding.

If the patient is not satisfied with the price or side effects appear, ACC can always be replaced with cheaper analogues, both domestic and foreign. In this case, it is better to use drugs with a different active substance, because. structural analogues are more likely to cause the same undesirable symptoms.

ACC - cheap analogues for children and adults

To determine which analogues will be cheaper, let's first look at some ACC prices:

• orange granules No. 20 - 140 rubles;
• syrup 200 ml - 350 rubles;
• syrup 100 ml - 225 rubles;
• ACC 200 tablets No. 20 - 250-320 rubles;
• ACC long 600 mg effervescent tablets No. 10 - about 400 rubles.

The most popular analogue of ACC is the Swiss drug fluimucil. It is a structural analogue, and has much in common with ACC, even their price is the same.

1. You can buy cheaper, for example, acetylcysteine ​​​​made in Estonia (Vitale-HD). At a lower price, you can also buy Ambrohexal, Ambrobene or the domestic drug Ambroxol. These funds have another active substance - ambroxol.
2. Bromhexine is also considered a cheap analogue of ACC. The price for 100 ml of syrup (Russia) is 80 rubles, made in Latvia - 125 rubles.
3. Popular, but more expensive analogues are ascoril and lazolvan.

To replace the drug, always contact the specialist who prescribed the cough treatment. If this is not possible, you will have to work a little on your own. To do this, you need to take the instructions for the main drug, in our case it is ACC, and compare it with the intended substitute.

Many instructions already give a hint in the form of a list of potential analogues. The main thing is to pay attention to the list of warnings, indications, as well as age, especially when the child needs therapy. In principle, it is necessary to conduct a comparative assessment, and highlight all the advantages of the analogue.

Which is better - ACC or its analogues? Such a concept has its own relativity, since for one patient, for example, ACC is suitable, and for another, a remedy with a different composition. The clinical picture of the disease, the intake of concomitant medicinal substances, a history of chronic pathologies - all this together affects the exact determination of the desired drug. That is why without a medical education it is not advisable to conduct experiments on yourself and your loved ones.

Comparing drugs, you can only highlight the pros and cons in order to better navigate the choice of analogues, as well as acquire a less toxic and more effective remedy.

ACC - instructions and analogues

ACC or lazolvan - which is better to choose?

The drugs differ in their composition, therefore, they are not structural analogues. The active substance of ACC is acetylcysteine, in lazolvan the main component is ambroxol. Funds are issued by different countries. ACC is produced by companies in Slovenia and Germany, and lazolvan is produced by France, Germany, Spain and Greece.

In terms of the number of dosage forms, lazolvan has an advantage, it has five of them, while ACC has only three.

Both drugs have a pronounced mucolytic effect, i. liquefy sputum, but their mechanism of "work" is different. Unlike lazolvan, ACC also exhibits antitoxic and antibacterial effects.

Sometimes the funds in question are prescribed in parallel. One drug is taken orally, the other is used by inhalation.

In pediatric practice, lazolvan is successfully used from a very early age, and ACC, starting from two years (for cystic fibrosis from birth). Lasolvan is often used for inhalation, so some pediatricians prefer it.

The price of drugs depends not only on the dosage form, but also on the country of manufacture. In general, the funds under consideration are close in price, and may differ within 20%, and in some pharmacies, lazolvan is more expensive, in others, on the contrary, ACC.

What is better ACC or Ambrobene?

The drugs differ in their composition, but they have the same pharmacological affiliation - mucolytics. The active ingredient in Ambrobene is Ambroxol hydrochloride.

Ambrobene's variety of dosage forms (there are five of them) is an advantage over ACC.

According to recent studies, it has been found that it has antiviral activity, has a mild analgesic effect, relieves inflammation, and removes toxins. Studies have also shown that ambroxol hydrochloride slows down the spread of the harmful protein alpha-synuclein, which causes the progression of a severe disease like Parkinson's disease.

Despite the way ACC and Ambrobene act, their main task is the same - to save the patient from thickened sputum.

We also allow the combined use of these funds. This combination is indicated when the disease becomes more serious.

According to the observations of pediatricians, and taking into account the instructions for the preparations, for the smallest patients, including infants, it is better to use ambrobene.

As for the price, let's do a little calculation. For a course of cough treatment with a common viral infection, you will need about 20 tablets of ambrobene. The price for them is 150 rubles. Tablets ACC 200 No. 20 cost about 300 rubles, this amount is also suitable for a course of treatment.

So, we see that the treatment of ACC will cost twice as much. Which is better to choose is up to the doctor and the patient.

ACC or fluimucil - which works better?

The means under consideration are structural analogues, and this suggests that they have the same principle of action. After taking both drugs, the productivity of cough improves markedly by the end of the first day of administration, and after a few days this symptom itself recedes due to the release of sputum and the cleansing of the bronchopulmonary tree.

Firms and countries-manufacturers for drugs are different. Someone prefers the products of Switzerland or Italy (fluimucil), and someone prefers Slovenia and Germany (ACC).

If somewhere you can find significant differences in the presented funds, then these are the forms of release. These funds have different variations not only in the form of release, but also in dosages, which makes it possible to use the medicine at any age. It should be noted right away that according to these criteria, ACC has an advantage.

For example, ACC has a syrup, but fluimucil does not have this form. But fluimucil has a solution for oral administration, inhalation and injection (ACC does not have such forms). More details about all doses and forms are written in the official instructions, where you can more clearly read the information of interest.

Pulmonologists consider it undoubted - this is the use of an agent for inhalation and injection, due to which acetylcysteine ​​​​gets to its destination faster. This speed of action of the drug is especially important in acute cases of the disease.

Syrups are more popular in children's practice, so it is better for kids to advise ACC in cherry flavored syrup. But, in any case, only a pediatrician selects the right drug for children.

Parents must make sure that the child takes the syrup correctly. It is also important to give patients an alkaline drink to enhance the action of ACC or fluimucil.

Comparing prices, it was noticed that fluimucil in the form of effervescent tablets at a dose of 600 mg would be the cheapest.(about 150 rubles for 10 pieces). The price of ACC for the same dose and number of tablets is much more expensive, and is about 400 rubles. The cost of other forms is not particularly different, fluimucil is literally 10% cheaper.

Bromhexine or ACC?

The drugs are analogues only in therapeutic action. The active substance of bromhexine repeats its name, the drug is classified as a stimulant of the motor function of the respiratory tract and secretolytics.

As well as ACC, Bromhexine affects the secretion of bronchial glands, due to which thick sputum is liquefied. Under the influence of the means under consideration, sputum secretion and its evacuation from the bronchi improves.

The toxicity of ACC is lower, so the list of contraindications is shorter. Bromhexine perfectly suppresses the cough center, and ACC acts on the peripheral cough mechanism. This feature of these funds allows you to prescribe them in a complex, and the effect of treatment is much better than a single dose. The drugs complement each other perfectly.

Despite this possibility, this is not a reason to immediately take ACC and Bromhexine together. It all depends on the clinic of the inflammatory process and the ability of the bronchi to self-cleanse.

All forms of bromhexine are lower in cost, for example, the price of its 100 ml syrup is 100 rubles cheaper than the same syrup from ACC.

ACC or Askoril?

Comparing these drugs, let's pay attention, ACC is a mono drug (the active component is acetylcysteine), and ascoril is a combined remedy, which includes three active substances: bromhexine, guaifenesin and salbutamol.

Even an ordinary person, without a medical education, will understand that ascoril has a more powerful effect, because. supplied with three medicinal substances. In addition to the mucolytic and expectorant effect, ascoril also has a bronchodilator property (relieves spasm of the smooth muscles of the bronchi). Simply put, it relieves the feeling of tightness in the chest (suffocation).

If you look at the offers of pharmacies, then in most cases ascoril and ACC will practically coincide in price. So, for example, the price for a bottle of syrup in 200 ml is approximately 400 rubles for both drugs.

The cardinal difference between the drugs in question is that ascoril is not used for coughing, which is not accompanied by obstruction and asthma attacks.

Conclusion

ACC and its analogues help with both dry and wet cough, and it is up to the doctor to choose a substitute for the active substance or a suitable drug for therapeutic action. Especially unacceptable is the self-administration of drugs such as ascoril, which includes an active substance (salbutamol), which expands the bronchi.

Do not select analogues at your own peril and risk, approaching the choice based only on the price, cheaper does not mean more efficient! Competent appointment - a chance for quick healing! Be healthy!

Therapy of bronchopulmonary diseases with sputum difficult to separate always includes the use of expectorants and mucolytic drugs. Among a large assortment of such drugs, the ACC preparation deserved praise from doctors and patients themselves, which is available on the pharmacological market in several forms with different concentrations of the active substance.

The drug has been on the market for a long time, is often used in pediatrics, is well tolerated and interacts well with other drugs. The cost of ACC is quite high, so many are looking for its inexpensive counterparts.

Before considering what can replace ACC, you should familiarize yourself with the brand itself, its composition, properties and other information.

ACC belongs to the group of mucolytic and expectorant agents with detoxifying properties. It is used for various diseases affecting the ENT organs and the respiratory system.

The drug has the ability not only to dilute sputum, but also to effectively remove it from the lungs and bronchi.

The active substance of ACC is acetylcysteine, which acts as follows:

• reduces the viscosity of sputum;
• reduces the ability of bacterial cells to adhere (stick) to mucous membranes;
• neutralizes the harmful effect of free radicals (particles entering the respiratory tract), thereby stopping the inflammatory process.

The manufacturer of ACC - the pharmacological company "HEXAL AG" Germany provides its products in several forms, which allows you to choose the required dose of medicine for children and adults:

Powder or granules for suspension 100 mg. Syrup 100 ml. Effervescent tablets 100 mg, 200 mg, 600 mg long. Solution for injection ACC injection - 100 mg and 300 mg in 1 ml. Price - 370 rubles.

• Granules (orange) for suspension preparation. Contain 100 mg of acytylsteine ​​in 5 ml of ready-made syrup. Used in pediatrics. Produced in a 60 ml bottle with a measuring spoon for easy dosing. The cost is from 250 rubles.
• Effervescent tablets and powder for solution. Provided in dosages of 100, 200, or 600 mg. For adults, ACC Long (600 mg) can be used. Produced in packaging No. 20 bags or in an aluminum tube No. 10 effervescent tablets. In pharmacies you can buy at a price of 250 to 400 rubles.
• ACC injection solution produced in ampoules of 2 ml. Contains 100 mg and 300 mg of the active ingredient in 1 ml. Price from 350 rubles.

ACC is highly effective in the treatment of respiratory tract diseases both acute and chronic forms, which are accompanied by a wet cough with sputum difficult to separate.

The instructions for the drug contain the following indications for prescribing the drug:

• Acute and chronic bronchitis.
• Laryngitis.
• Tracheitis.
• Acute bronchitis and tracheobronchitis.
• Pneumonia.
• Laryngotracheitis.
• bronchiectasis.
• Emphysema of the lungs.
• Cystic fibrosis.
• Tuberculosis.

In addition to the main indications, the drug can be used for prolonged sinusitis, sinusitis, and otitis media, when viscous sputum is present in the mucous membranes of the ENT organs.

The mechanism of action of ACC is due to its composition. After taking the medicine, the active ingredient - acytylstein not only thins the sputum, but also removes it from the respiratory tract. In addition, it has a moderate anti-inflammatory effect, improves the secretory functions of the body.

Dosages

ACC cough medicine can be used for adults and children. The main thing is to correctly calculate the dose that will correspond to the age of the patient.

In pediatrics, ACC is used in syrup or powder of 100 mg. from 2 years old. The daily dose should not exceed 200 - 300 mg. Children from 6 to 12 years old are prescribed 300-400 mg per day.

After 12 years, you can take the drug already in an adult dosage of 600 mg per day, which is equal to 3 packets of 200 mg or 1 effervescent tablet (600 mg).

Ampoules for injections are more often used in a hospital setting. The dose is selected individually for each patient.

In addition to oral medication, ACC can be used for inhalation using a nebulizer. For nebulizer therapy, the drug is diluted with 9% sodium chloride in a ratio of 1:1.

Contraindications and side effects

ACC is well tolerated, but it is necessary to exclude or limit the use of the drug in the following conditions and pathologies:

• composition intolerance;
• period of pregnancy and lactation;
• peptic ulcer of the stomach and duodenum;
• renal and liver failure;
• pulmonary bleeding.

In rare cases, after taking the drug, side effects may occur:

• allergic skin reactions;
• anaphylactic shock;
• weakness and drowsiness;
• violation of the chair;
• nausea, urge to vomit.

The appearance of such symptoms may be a reason to discontinue the drug or reduce its dose. If for some reason it is not possible to take ACC, you should consult a doctor who can replace it with an analogue.

List of analogues cheaper than ACC for adults

Most of the analogues of ACC have a more affordable cost, but have the same therapeutic effect. The choice of any medication must be agreed with the doctor.

Generics (drugs with the same active ingredient) are:

• Acetylcysteine ​​is a structural analogue of domestically produced ACC, has the same characteristics, but a lower cost, which does not exceed 220 rubles per pack of 20 sachets of 200 mg.
• Acetal, a mucolytic based on acetylcysteine, also belongs to structural analogues. Often used as a synonym for ACC, it has a lower price - from 230 rubles. Provided in doses of 100, 200 and 600 mg.
• Mukobene - effervescent tablets 10 pcs. in a trebochka costing from 180 rubles. Dose of acetylcysteine ​​100, 200 and 600 mg.
• Mukomist is a similar drug for inhalation. Available in ampoules of 5 ml. The concentration of the solution is 20% (which is equivalent to 200 mg.) The price of the drug is from 170 rubles. for a pack of 6.
• Mukoneks - is produced in the form of (granulate) powder for the preparation of a suspension, in bottles of 40 and 60 gr. The cost is from 200 rubles, the dose of the active substance is 100 mg.

The following drugs can be attributed to cheaper substitutes for ACC in terms of therapeutic effect:

• Bromhexine is an inexpensive analog of Belarusian-made ACC with a similar therapeutic effect. It is used in the presence of viscous sputum in the lungs and bronchi. The price for 20 tablets is about 30 rubles. If you choose the same foreign-made drug (for example, Germany), its cost will not exceed 100 rubles.
• Ambroxol is a Russian analogue based on ambroxol hydrochloride at a dose of 30 mg. The drug has the ability to thin and remove sputum, often used in the treatment of bronchitis, pneumonia. The price of the medicine is 40 rubles for 20 tablets. More expensive drugs based on ambroscol include Lazolvan, Ambrohexal, Flavomed, Ambrobene.

These are far from all analogues that can replace ACC when coughing, but, despite their lower cost, the choice of any medicine must be agreed with the doctor.

List of inexpensive analogues for children

The list of drugs that can replace ACC for a child is quite extensive, so we will consider the available drugs with good therapeutic activity.

• Fluimucil is a structural analogue of foreign-made ACC based on acetylcysteine. Available in different forms, can be prescribed to children after 6 years. The drug is often used for diseases of the respiratory system, it allows you to thin and remove sputum. The price depends on the form of release, but basically does not exceed 200 rubles.
• Mukaltin is one of the cheapest and most common mucolytics. The composition contains Althea extract. It is used for productive cough, can be used in pediatrics from 3 years old, with the exception of allergies to the composition. Price - 20 rubles for 10 tablets.
• Pertusin is an expectorant and cheap cough syrup based on herbal ingredients (thyme extract and potassium bromide). Promotes liquefaction and discharge of viscous sputum, has a sweet and pleasant taste. Can be used from 3 years old. The cost is from 70 rubles for a bottle of 100 ml.
• Ambroxol (children's)- a drug from the category of mucolytic and expectorant drugs. For children, it is available in the form of a syrup of 15 mg of the active substance. Lekarsto is often used in practice for bronchitis, colds, pneumonia. Its price in pharmacies does not exceed 80 rubles.
• Alteika is a herbal remedy for cough with sputum that is difficult to separate. Contains marshmallow root. May be given to children from 1 year of age. The price is about 90 rubles per bottle.

Acct or Bromhexine - which is better?

Comparing both drugs, the first thing to note is the difference in composition. So ACC contains acetylcysteine, and Bromhexine contains bromhexine hydrochloride.

But both substances have a similar effect: they stimulate the secretory function of the respiratory tract, thin the sputum, and accelerate its excretion.

The drug can be used for children in the form of syrup, and for adults in the form of 8 mg tablets.

Unlike ACC, Bromhexine is less effective and also more toxic, but it costs less. If the doctor has prescribed ACC, you should not change it to Bromhexine on your own, especially when it comes to treating a child.

Which is better - Azz or Lazolvan?

Unlike ACC, Lazolvan has a different composition - its active substance is ambroxol, but it has a similar mechanism of action. The drug is available in the form of a syrup for children and adults, tablets and a solution for inhalation.

If we compare the benefits of two drugs, then ACC has a little more of them: so the drug, in addition to expectorant and mucolytic, has an antitoxic and antibacterial effect.

In some cases, the two drugs in question are given in combination, one by mouth and the other by inhalation.

In pediatrics, Lazolvan can be used from 6 months, and ACC only from 2 years. The cost of drugs is almost the same, so before choosing, it is better to consult a doctor.

Ambrobene or Azz

Both drugs differ in their composition, but have the same pharmacological affiliation - they belong to mucolytics. The active component of Ambrobene is the same as that of Lazolvan - ambroxol.

The drug has the same form of release, but the manufacturers are different. Ambrobene is used in the complex treatment of bronchitis, laryngitis, pneumonia and other diseases in which there is viscous sputum in the lungs.

Unlike ACC, Ambrobene, in addition to the expectorant effect, has a moderate antiviral effect. With advanced respiratory diseases, both drugs can be combined, but the interval between taking them should be at least 1.5 hours.

Observations of pediatricians have shown that for children under 5 years of age it is better to use Ambrobene syrup or inhalation solution. Its price is slightly lower than at ACC, is about 200 rubles. for syrup and 150 for tablets.

Ambroxol or ACC

Ambroxol and ACC are two effective drugs from the group of expectorants with different composition. Ambroxol is a domestic pharmacology product with a lower cost. Both drugs are often used in combination., but their appointment should be prescribed by the attending physician.

For children, Ambroxol should be bought in the form of a syrup, and adults are prescribed tablets. The drug is allowed from 6 months, while ACC, only from 2 years.

Ambroxol costs much lower than ACC: tablets from 40 rubles, and syrup - 70 rubles per bottle. As practice and observations of doctors show, domestic Ambroxol is less effective than ACC. Therefore, when choosing one of the two drugs, you should consult your doctor.

Which is better - ACC or Fluimucil?

Structural analogues of ACC include the drug Fluimucil, which also contains acetylcysteine ​​in its composition. Both drugs have an identical effect, and the difference between them is in the country of origin.

So the analogue is made in Switzerland or Italy, and ACC - Slovenia and Germany. Fluimucil is presented in the form of effervescent tablets, oral solution, inhalation and injection.

The principle of action of the two drugs is the same- The productivity of cough is noticeably improved, sputum is liquefied, it is easily excreted.

The advantage of Fluimucil is the possibility of its use for inhalation, which allows for a faster effect of treatment, since the drug acts in the very focus of inflammation.

The disadvantage of the drug is the inability to use before 6 years of age, while ACC can be used from 2 years of age. However, Fluimucil is 10% cheaper than ACC.

Ascoril or Azz

Both drugs have different active ingredients. So ACC contains acetylcysteine, and Ascoril, refers to the combined means, which includes bromhexine, guaifenesin and salbutamol.

Thus, in addition to the expectorant effect, Ascoril has a bronchodilator property - it relieves bronchospasm, so it is more often prescribed for obstructions - bronchitis, bronchial asthma, laryngitis.

For children, Ascoril is available in the form of a syrup, which can be used from 6 months, and tablets are prescribed for adults.

The price of the two drugs is almost the same, but the choice between the drugs should be made by the doctor based on the intensity of the clinical signs and the diagnosis.

Preparations identical to Ascoril

Mukaltin or ACC

The available and safe analogues of ACC include plant-based Mukaltin, which has no contraindications, can be used during pregnancy and lactation.

Although it costs less, but as practice shows, the effect should be expected to be much weaker than ACC (however, as with any herbal medicine). The composition of Mukaltin contains marshmallow extract, which stimulates the production of secretions, facilitates its removal from the respiratory system.

The best effect from Mukaltin is observed at the beginning of the disease, but when there is sputum, but it leaves well.

A detailed description of the drug and instructions for use is located.

In the case of a thick and difficult to separate exudate, it is better to stop your choice on ACC.

Finally

Based on the foregoing, we can conclude that there are a lot of drugs that allow ACC to compete, while the cost of some is much lower than for the brand.

However, when choosing an analogue of ACC for coughing, you should not focus on the price and buy products with low therapeutic activity. It is important to understand that respiratory diseases can provoke various complications, acquire a chronic form, which makes further treatment much more difficult.

For the treatment of diseases of the lungs and bronchi, one mucolytic is not enough. Treatment should be comprehensive, including not only the use of symptomatic drugs to remove sputum, but also systemic drugs aimed at eliminating the pathogen.

It is also necessary to observe bed rest in the acute period, and consume more fluids, one hundred will help thin the mucus and clear the bronchi from its accumulation.

The most important thing in the treatment of such diseases is the consultation of a doctor, compliance with all his prescriptions.

In contact with

Dosage form ACC Long - effervescent tablets: white, round, flat-cylindrical, with a chamfer, on one side there is a risk; with the smell of blackberries and, perhaps, a slight specific smell of sulfur; the reconstituted solution is colorless, transparent, with a blackberry odor and a slight sulfur odor (in polypropylene tubes of 6, 10 or 20 pcs., 1 tube in a cardboard box).

Composition of one tablet:

• active ingredient: acetylcysteine ​​- 600 mg;
• auxiliary components: anhydrous citric acid, blackberry flavor "B", ascorbic acid, lactose, mannitol, sodium bicarbonate, sodium cyclamate, sodium carbonate, sodium saccharinate dihydrate, sodium citrate dihydrate.

Pharmacological properties

Pharmacodynamics

Acetylcysteine ​​​​- the active substance of ACC Long tablets, which has an expectorant effect, facilitates the discharge of sputum due to the impact on its rheological properties. It is a derivative of cysteine, an aliphatic sulfur-containing amino acid. Acetylcysteine ​​breaks the disulfide bonds of mucopolysaccharide chains, which causes depolymerization of sputum mucoproteins and a decrease in mucus viscosity, and also contributes to better expectoration and discharge of bronchial secretions. The substance retains its effect in the presence of purulent sputum.

Acetylcysteine ​​has antioxidant and pneumoprotective effects due to its binding by reactive sulfhydryl groups of oxidizing radicals and, consequently, their neutralization.

In addition, acetylcysteine ​​contributes to the formation of glutathione, an important component of the body's chemical detoxification and antioxidant system. The antioxidant activity of the substance helps to increase intracellular protection against the negative effects of free radical oxidation, which occurs during an intense inflammatory process.

In the case of prophylactic use of the drug, there is a decrease in the severity and frequency of exacerbations in patients with cystic fibrosis and chronic bronchitis.

Pharmacokinetics

• absorption: acetylcysteine ​​after oral administration is rapidly and completely absorbed. Bioavailability is 10%, due to the pronounced effect of the first passage through the liver. The maximum plasma concentration is reached in 1-3 hours;
• distribution: 50% of acetylcysteine ​​binds to plasma proteins. The substance crosses the placental barrier. There is no information about its ability to penetrate the blood-brain barrier (BBB) ​​and be excreted in breast milk;
• metabolism: acetylcysteine ​​is rapidly metabolized in the liver with the formation of a pharmacologically active metabolite of cysteine, as well as cystine, diacetylcysteine, and further - mixed disulfides;
• excretion: acetylcysteine ​​is excreted by the kidneys in the form of inorganic sulfates, diacetylcysteine ​​and other inactive metabolites. The half-life (T 1/2) is determined mainly by rapid biotransformation in the liver and is approximately 1 hour. With a decrease in liver function, T 1/2 increases to 8 hours.

Indications for use

ACC Long is used to treat respiratory diseases that produce viscous sputum that is difficult to separate, including the following:

• acute and chronic form of bronchitis;
• bronchial asthma;
• pneumonia;
• lung abscess;
• tracheitis, laryngotracheitis;
• obstructive bronchitis;
• bronchiectasis;
• cystic fibrosis;
• bronchiolitis;
• chronic obstructive pulmonary disease;
• otitis media (inflammation of the middle ear);
• acute and chronic sinusitis.

Contraindications

Absolute:

• exacerbation of gastric and duodenal ulcers;
• pulmonary bleeding;
• hemoptysis;
• lactose intolerance, lactase deficiency, glucose/galactose malabsorption;
• pregnancy and lactation;
• age up to 14 years;
• increased individual sensitivity to any components of the drug.

Relative (diseases / conditions, the presence of which requires caution when prescribing ACC Long):

• renal/liver failure;
• bronchial asthma;
• obstructive bronchitis;
• stomach ulcer and duodenal ulcer in history;
• varicose veins of the esophagus;
• arterial hypertension;
• diseases of the adrenal glands;
• histamine intolerance (long-term use of the drug should be avoided, since acetylcysteine ​​affects the metabolism of histamine, which can cause signs of intolerance, manifested in the form of vasomotor rhinitis, itching and headache).

ACC Long: instructions for use (dosage and method)

ACC Long is taken orally after a meal. The tablet should first be dissolved in 200 ml of water and taken thereafter without delay. In exceptional cases, it is permissible to store the finished solution for no more than 2 hours. Additional fluid intake enhances the mucolytic effect of the drug.

If there are no other appointments, ACC Long is taken 1 tablet (600 mg) 1 time per day.

For short-term uncomplicated colds, the duration of treatment is 5-7 days. Patients with chronic bronchitis or cystic fibrosis are prescribed a longer course of therapy to prevent infections.

Side effects

The frequency of adverse reactions is assessed on a special scale: very often (more than 1/10), often (more than 1/100, but less than 1/10), infrequently (more than 1/1000, but less than 1/100), rarely (more than 1 / 10,000, but less than 1/1000), very rarely (less than 1/10,000), with an indeterminate frequency (if it is impossible to estimate the frequency based on the available data).

Possible side effects from systems and organs:

• respiratory system: rarely - shortness of breath, bronchospasm (mainly in patients with an increased bronchial response in bronchial asthma);
• digestive system: infrequently - diarrhea, nausea, vomiting, dyspepsia, abdominal pain, stomatitis;
• cardiovascular system: infrequently - tachycardia, lowering blood pressure;
• organ of hearing: infrequently - tinnitus;
• allergic reactions: infrequently - urticaria, exanthema, rash, pruritus, angioedema; very rarely - Stevens-Johnson syndrome, anaphylactic reactions of varying severity (up to shock), Lyell's syndrome (toxic epidermal necrolysis);
• other: infrequently - fever, headache; with an indefinite frequency - a decrease in platelet aggregation, the occurrence of bleeding (manifestation of a hypersensitivity reaction).

Overdose

Symptoms of intentional or erroneous overdose of ACC Long are nausea, vomiting, diarrhea, stomach pain, heartburn.

special instructions

Patients with obstructive bronchitis and bronchial asthma in the appointment of the drug should constantly monitor bronchial patency.

Information for patients with diabetes: one tablet of ACC Long 600 mg contains 0.001 XE (bread units).

In the course of treatment with acetylcysteine, cases of severe allergic reactions, such as Lyell's syndrome and Stevens-Johnson syndrome, were very rarely observed. With the manifestation of changes in the skin and mucous membranes, the patient should immediately stop taking the drug and consult a doctor.

When dissolving an effervescent tablet, glassware should be used. Contact with easily oxidized substances, oxygen, rubber, metal should be avoided.

Use during pregnancy and lactation

According to the instructions, ACC Long is contraindicated in pregnant women due to the lack of data confirming the efficacy / safety of its use in this group of patients.

If necessary, taking the drug during lactation, breastfeeding should be suspended.

Application in childhood

For children and adolescents under 14 years of age, ACC Long 600 mg tablets are contraindicated.

For impaired renal function

In patients with renal insufficiency, the drug should be used under medical supervision.

For impaired liver function

The presence of liver failure requires caution when prescribing ACC Long.

drug interaction

• tetracyclines, penicillins, cephalosporins and other oral antibiotics: their antibacterial activity may be reduced due to a possible interaction with the sulfhydryl group of acetylcysteine. Therefore, the drug and antibiotics should be taken at least 2 hours apart (except for loracarbef and cefixime);
• nitroglycerin and vasodilators: when used simultaneously with acetylcysteine, their vasodilating effect is likely to increase;
• antitussives: sputum stagnation may occur due to suppression of the cough reflex when taken in combination with ACC Long.

Analogues

The analogues of ACC Long are: ACC 100, Fluimucil, ACC 200, Acestine, ESPA-NAC, Acetylcysteine, N-AC-ratiopharm and others.

Terms and conditions of storage

Store in a tightly closed tube, protected from light, moisture and out of the reach of children, at temperatures up to 30 °C.

Shelf life - 3 years.

This page provides a list analogues ACC Long- these are interchangeable drugs that have similar indications for use and belong to the same pharmacological group. Before you buy analogue of ACC Long, it is necessary to consult with a specialist regarding the replacement of the drug, study in detail, read and a similar drug.

• GeloMyrtol

  A drug GeloMyrtol is intended for complex therapy of inflammatory diseases of the respiratory tract (acute and chronic bronchitis, sinusitis).
  

• GeloMyrtol Forte

  A drug GeloMyrtol Forte used in complex therapy for the treatment of acute and chronic bronchitis, in inflammatory diseases of the paranasal sinuses (sinusitis).
  

• Milona -1 Evalar

  Milona -1 Evalar recommended for acute and chronic bronchitis, bronchial asthma; with viral, bacterial, allergic diseases of the respiratory system.
  

• Ibuprone

  Ibuprone are: rheumatoid arthritis, reactive synovitis in deforming osteoarthritis, psoriatic arthritis, acute articular attack in gout, ankylosing spondylitis (Bechterew's disease), cervical spondylosis, Barre-Lieu syndrome (cervical migraine, vertebral artery syndrome), lumbalgia, sciatica, thoracic radicular syndrome , bursitis, tendovaginitis, myalgia, neuralgic amyotrophy, occipital and intercostal neuralgia, sprains of the ligamentous apparatus, hematomas, injuries, pain in the area of ​​the surgical wound, toothache, surgical operations in the oral cavity, panniculitis, tonsillitis, pharyngitis, laryngitis, sinusitis, rhinitis, bronchitis, pneumonia, inflammatory processes in the small pelvis, dysalgomenorrhea, colds, SARS, febrile conditions, postural hypotension when taking antihypertensive drugs, nephrotic syndrome (to reduce the severity of proteinuria).

• Libeksin Muko

  Indications for the use of syrup Libeksin Muko are: acute and chronic bronchopulmonary diseases, accompanied by the formation of viscous, difficult to separate sputum (tracheitis, bronchitis, tracheobronchitis, bronchial asthma, bronchiectasis) and mucus (inflammatory diseases of the middle ear, nose and paranasal sinuses - rhinitis, otitis media, sinusitis).
  

• Mukaltin

  Indications for the use of the drug Mukaltin are: acute and chronic diseases of the respiratory system, accompanied by the formation of sputum with high viscosity (tracheobronchitis, COPD, bronchiectasis, pneumonia, emphysema, pneumoconiosis, etc.)
  

• Ambroxol

  Indications for the use of the drug Ambroxol are: acute and chronic diseases of the respiratory tract accompanied by the release of viscous sputum - acute and chronic bronchitis; bronchiectasis; bronchial asthma; bronchiolitis; cystic fibrosis; rhinitis, sinusitis.
  

• Bronchicum

  Indications for the use of the drug Bronchicum are: diseases of the respiratory tract and lungs, accompanied by the formation of viscous sputum difficult to pass: acute and chronic bronchitis, COPD, obstructive bronchitis, bronchial asthma, pneumonia, laryngitis, pharyngitis, tracheitis, tracheobronchitis, pulmonary tuberculosis, treatment of dry and wet cough.
  

• Bronchipret

  Bronchipret recommended for the treatment of inflammatory diseases of the upper and lower respiratory tract, including as part of complex treatment, in particular, acute and chronic bronchitis, accompanied by sputum and cough.
  

• Bronchosan

  Indications for the use of the drug Bronchosan are: diseases of the respiratory tract, accompanied by difficulty in the discharge of viscous sputum: tracheobronchitis, bronchitis of various etiologies (including those complicated by bronchiectasis and pulmonary emphysema, as well as chronic obstructive bronchitis), bronchial asthma, pulmonary tuberculosis, pneumoconiosis, acute and chronic pneumonia, cystic fibrosis; sanitation of the bronchial tree in the preoperative period and during therapeutic and diagnostic intrabronchial manipulations, prevention of accumulation of thick viscous sputum in the bronchi after surgery; induction of expectoration of foreign fluids (for example, a contrast agent after bronchography) from the bronchi; Sjögren's syndrome.

• Bronchophyte

  Indications for the use of the drug Bronchophyte are: acute and chronic inflammatory diseases of the respiratory tract, accompanied by a cough with the formation of viscous sputum difficult to separate, bronchospasm; bronchiectasis; acute and chronic bronchitis; pneumonia.
  

• Dr. MOM

  Indications for the use of the drug Doctor Mom are: acute pharyngitis, tracheitis, laryngitis; acute tracheobronchitis, acute obstructive bronchitis, acute bronchitis; bronchial asthma with the formation of viscous sputum and its difficult discharge; infectious diseases of the respiratory tract, complicated by laryngitis, tracheitis, bronchitis or alveolitis; chronic nasopharyngitis, chronic laryngotracheitis, chronic laryngitis; chronic bronchitis (against the background of respiratory failure or its absence).
  

• Codelac Broncho

  Codelac Broncho used for the treatment of wet cough in diseases of the lungs and respiratory tract, accompanied by the formation of viscous and difficult to pass sputum: acute and chronic bronchitis, pneumonia, chronic obstructive pulmonary disease, bronchiectasis, acute respiratory infections, SARS, etc.)
  

• Coldrex broncho

  Coldrex Broncho it is recommended to take it for diseases of the respiratory tract, accompanied by a cough with the formation of viscous sputum that is difficult to separate, including influenza, acute tracheitis, bronchitis of various etiologies and catarrh of the upper respiratory tract. The drug has a soothing and protective effect on pain and irritation in the throat with colds and flu.
  

• Stoptussin

  Indications for the use of the drug Stoptussin are: cough (dry, irritating, difficult to calm down, including with infectious and inflammatory diseases of the upper and lower respiratory tract); to eliminate cough in the pre- and postoperative period (tablets).
  

• Evkabal balm C

  Evkabal balm C used to treat inflammatory diseases of the upper respiratory tract, incl. rhinitis, pharyngitis, laryngitis (symptomatic therapy).
  

• Alex Plus

  Pastilles Alex Plus are used to treat acute and chronic respiratory diseases, accompanied by a dry, irritating cough.
  

• Bronchitusen Vramed

  Bronchitusen Vramed used in the complex therapy of diseases of the respiratory system, accompanied by a dry cough: acute inflammatory diseases of the upper respiratory tract, acute and chronic bronchitis, tracheobronchitis, COPD, bronchial asthma, pneumonia, bronchiectasis, whooping cough.
  

• Adzhikold-Plus ointment

  Ointment Agikold-Plus p It is used in the complex therapy of: infectious and inflammatory diseases (including colds) of the upper and lower respiratory tract, accompanied by cough, runny nose, nasal congestion; with muscle pain; with neuralgia.
  

• Ingalin

  A drug IngalinIngalin is used for acute respiratory diseases of the upper respiratory tract: pharyngitis, tracheitis, bronchitis, pneumonia.
  

• Pulmex Baby

  Ointment Pulmex Baby used in the complex therapy of inflammatory and infectious-inflammatory diseases of the respiratory tract, accompanied by cough: acute bronchitis, chronic bronchitis, tracheobronchitis, tracheitis in children aged 6 months to 3 years.
  

• Flu effect

  Indications for the use of the drug Flu effect are: infectious and inflammatory diseases of the upper respiratory tract (ARVI, acute rhinitis, sinusitis, tonsillitis, pharyngotracheitis); allergic diseases (allergic rhinitis, rhinorrhea, hay fever, angioedema).
  

• Resistol

  A drug Resistol used to treat acute and chronic infections of the respiratory tract and nasopharynx (bronchitis, sinusitis, tonsillar tonsillitis, nasopharyngitis).
  

• Vocara

  A drug Vocara used to treat patients suffering from acute and chronic diseases of the oral cavity and upper respiratory tract, including tonsillitis, tonsillitis, pharyngitis, stomatitis, gingivitis and laryngitis.
  The drug is also used to prevent the recurrence of chronic tonsillitis.
  

• Codelac Pulmo

  Gel Codelac Pulmo can be used in case of hypothermia as a means for a preventive general strengthening massage or a warming compress, as well as as an adjunct to drug therapy for acute respiratory infections and other respiratory diseases, including in the treatment of cough.
  

• Bronchopect

  Syrup Bronchopect is intended to enrich the diet with components of medicinal herbs that have a beneficial effect on the respiratory tract, as well as vitamin C, which is necessary for the normal functioning of the immune system.
  

• Bronchalis-Heel

  Bronchalis-Heel indicated for use in the treatment of acute, chronic inflammatory and obstructive respiratory diseases, bronchitis, tracheitis, smoker's cough, bronchial asthma, pleurisy.
  

• Broncho-munal

  A drug Broncho-munal is intended for the prevention and as part of a combination therapy of infectious and inflammatory diseases of the respiratory tract:
  - Chronical bronchitis;
  - tonsillitis, pharyngitis, laryngitis;
  - rhinitis, sinusitis, otitis.
  

• Broncho-Munal P

  Broncho-Munal P It is used as part of complex therapies as an immunomodulatory therapy for infectious diseases of the respiratory tract in children aged 6 months to 12 years.
  prophylactically Broncho-Munal P prescribed for recurrent infections of the upper and lower respiratory tract (chronic bronchitis, tonsillitis, pharyngitis, laryngitis, rhinitis, sinusitis, otitis media).
  

• Lazolvan solution

  SolutionLazolvan it is used for acute and chronic diseases of the respiratory tract, accompanied by the release of viscous sputum and impaired mucociliary clearance: acute and chronic bronchitis; pneumonia; COPD; bronchial asthma with difficulty in sputum discharge; bronchiectasis.
  

• Ambrohexal solution

  SolutionAmbrohexal used to treat acute and chronic respiratory diseases with viscous sputum: acute and chronic bronchitis, pneumonia, chronic obstructive pulmonary disease, bronchial asthma with difficulty in sputum discharge, bronchiectasis.
  

• Azmaril

  A drug Azmaril It is used for the symptomatic treatment of respiratory diseases, which are accompanied by cough, bronchospasm.
  

• Hevert Pulmo

  Hevert Pulmo used as part of complex therapy to reduce symptoms in inflammatory processes of the upper and lower respiratory tract, as well as for the symptomatic treatment of cough in acute and chronic bronchitis, tonsillitis, pharyngitis, tracheitis, laryngitis, rhinitis, sinusitis.
  

• Grandma's Syrup

  Children's medicine Grandma's syrup recommended for use in complex therapy:
  - SARS, influenza, bronchopulmonary diseases (bronchitis, tracheitis);
  - ENT diseases (rhinopharyngitis and laryngitis, sinusitis);
  - bronchial asthma (as a supportive agent);
  - respiratory phenomena in whooping cough.

• Rengalin

  Rengalin used in the treatment of acute and chronic diseases of the respiratory tract, accompanied by cough and bronchospasm; productive and unproductive cough with influenza and SARS, acute pharyngitis, laryngotracheitis, acute obstructive laryngitis, chronic bronchitis and other infectious-inflammatory and allergic diseases of the upper and lower respiratory tract.
  

• Amtersol

  Amtersol used as part of the complex therapy of inflammatory diseases of the respiratory tract, accompanied by a cough with sputum difficult to separate (tracheitis, bronchitis, tracheobronchitis).
  

• Fluimucil

  A drug Fluimucil used in violation of sputum discharge: bronchitis, tracheitis, bronchiolitis, pneumonia, bronchiectasis, cystic fibrosis, lung abscess, pulmonary emphysema, laryngotracheitis, interstitial lung diseases, lung atelectasis (due to blockage of the bronchi by a mucous plug). Catarrhal and purulent otitis media, sinusitis, sinusitis (facilitation of secretion discharge).
  Removal of viscous secret from the respiratory tract in post-traumatic and postoperative conditions.
  

• Bronchoxol

  Indications for the use of the drug Bronchoxol are: acute and chronic diseases of the respiratory tract, accompanied by the formation of viscous, difficult to separate sputum (tracheobronchitis, bronchitis, obstructive bronchitis, bronchial asthma, pneumonia, bronchiectasis, cystic fibrosis, etc.).
  Inflammation of the nasopharyngeal cavity (to improve mucus thinning).
  

• Bronolac

  Indications for the use of the drug Bronolac are:
  - acute and chronic bronchitis
  - pneumonia
  - chronic obstructive pulmonary disease
  - bronchial asthma with difficulty in sputum discharge
  - bronchiectasis
  

• Thymogen

• PHYTOSYRUP Marshmallow

• PHYTOSYRUP BREAST

• PHYTOSYRUP PLANTAIN

• HEXO BRONCHO

• RED CLOVER

• GRINDOLIS

• Ismigen

  Indications for the use of the drug Ismigen are: acute and subacute infections of the upper and lower respiratory tract: bronchitis, tonsillitis, pharyngitis, laryngitis, rhinitis, sinusitis, otitis media, including complications after influenza (treatment as part of combination therapy). Recurrent infections of the upper and lower respiratory tract, chronic bronchitis (prevention of exacerbations).
  

• Linkas

  A drug Linkas used to treat diseases of the respiratory tract and lungs, accompanied by the formation of viscous sputum difficult to pass: acute and chronic bronchitis, COPD, obstructive bronchitis, bronchial asthma, pneumonia, laryngitis, pharyngitis, tracheitis, tracheobronchitis, pulmonary tuberculosis, influenza, cystic fibrosis, etc.; treatment of productive cough; treatment of dry cough in smoker's bronchitis.
  

• Lazolvan syrup

  SyrupLazolvan used to treat acute and chronic respiratory diseases, accompanied by the release of viscous sputum: acute and chronic bronchitis; pneumonia; COPD; bronchial asthma with difficulty in sputum discharge; bronchiectasis.
  

• Prospan

  A drug Prospan cough syrup, used as part of complex therapy, as a symptomatic agent in the treatment of diseases of the upper respiratory tract and lungs.
  

• Dripokid

  Dropokid drops It is recommended to take with a cold, as well as in the complex treatment of respiratory diseases.
  

• Respirokid

  Drops Respirokid are recommended for use to reduce the common cold and normalize the functions of the upper respiratory tract at the beginning of a respiratory disease.
  

• Fluimucil-antibiotic IT

  A drug Fluimucil-antibiotic IT is intended for the treatment of bacterial respiratory infections caused by microorganisms sensitive to the drug.
  Local application:
  Acute and chronic bronchitis, pneumonia, lung abscess, obstructive emphysema, bronchiectasis, cystic fibrosis, whooping cough, bronchiolitis.
  Prevention and treatment of bronchopulmonary complications after thoracic surgical interventions (bronchopneumonia, atelectasis), facilitation of bronchoaspiration during anesthesia, prevention of infectious complications.
  Nonspecific forms of respiratory infections in mycobacterial infections to improve drainage of cavernous lesions.
  Catarrhal and purulent otitis, infections of the auditory tube, sinusitis, laryngotracheitis, rhinopharyngitis, prevention and treatment of obstructive and infectious complications during tracheostomy, preparation for bronchoscopy, bronchoaspiration, bronchography.
  Systemic application:
  In all the above cases of bronchopulmonary diseases, when a combined antimicrobial and mucolytic treatment is recommended by a doctor.