► ACC classic (acetylcysteine) - Practical Medicine

ACC classic (acetylcysteine) - oral solution

The name of the preparation Character; dose; package Manufacturer Price 100% Price after refund In which pharmacy?
ACC classic oral solution; 20 mg / ml; 100 ml Sandoz 15.35
ACC classic oral solution; 20 mg / ml; 200 ml Sandoz 19.40

Note: reimbursed drug prices are in line with the regulations in force from July 1, 2018.

The preparation contains the substance:acetylcysteine

The drug is available without a prescription

What is ACC classic?

Mucolytic drug, thins secretions in the airways and facilitates its removal.

What does ACC classic contain and how does it work?

The active substance is Acetylcysteine . It is a derivative of the cysteine ​​amino acid. Acetylcysteine ​​increases the secretion of mucus in the airways, reduces its viscosity and liquefies obstructing secretions and facilitates its transport (improves the function of the respiratory epithelium). In this way, it helps to clear the airways, facilitates expectoration, does not disturb the natural cough reflex. Acetylcysteine ​​is also used as an antidote for Paracetamol poisoning.

When should I use ACC classic?

The preparation is indicated for short-term use as a drug that dilutes the airway secretion and facilitates its expectoration in patients with symptoms of infection in the upper respiratory tract.

When not to use this preparation?

Unfortunately, even if there are indications to use the preparation, it can not always be used. You can not use the product if you are allergic (you are hypersensitive) to any of the ingredients. You also can not use the product if it occurs in you:

• active peptic ulcer of the stomach or duodenum

• acute asthmatic condition.

Do not use in children under 3 years of age.

Do not use in pregnant women or women during breastfeeding, due to the lack of sufficient data on the safety and efficacy of the preparation during this period.

When should you take special care when using ACC classic?

Certain diseases and other circumstances may constitute a contraindication to use or indication to change the dosage of the preparation. In some situations it may be necessary to carry out specific check-ups.

Before using the preparation you should consult a doctor if you have ever been diagnosed with an ulcer disease, respiratory failure or if you have asthma. In the above cases, and if you are an elderly person (after the age of 65), caution should be exercised. Patients with asthma are at risk of developing bronchospasm.

The use of the preparation may cause liquefaction and increase the volume of bronchial secretions. If the patient has a reduced coughing ability and is unable to expectorate effectively, appropriate medical treatment, such as drainage and suctioning, is necessary.

The use of acetylcysteine ​​in children up to 2 years of age may cause airflow obstruction and obstruction. Mucolytics should not be used in this age group.

If it is necessary to take oral antibiotics in parallel, take at least a 2-hour break between taking them and taking the medicine.

Very rarely, the use of the preparation may be associated with severe skin reactions, such as Stevens and Johnson syndrome, and toxic epidermal necrolysis. If new lesions appear on the skin or mucous membranes, stop using the product immediately and consult a physician.

The preparation is intended for short-term use.

Additional information about the other ingredients of the preparation:

• the product contains sodium (1 ml of the solution contains 41.02 mg of sodium); the sodium content should be taken into account in the case of renal dysfunction and in patients who are on a low sodium diet (including the salt-free diet);

• the preparation contains methyl parahydroxybenzoate and may cause allergic reactions (particularly late-type reactions).


Does this preparation affect the ability to drive vehicles?

There are no data on the effect of the preparation on the ability to drive and use machines / machines.

Dosage of ACC classic

The preparation is in the form of an oral solution. Do not exceed the recommended doses, because it will not increase the effectiveness of the drug and may harm your health and life. If you have any doubts about the use of the preparation, consult your doctor.

Adults and adolescents after the age of 14: 400-600 mg daily in 2-3 divided doses (10 ml solution 2-3 times a day).

Children 7.-14. year of life: 400 mg daily in 2 divided doses (10 ml of solution 2 times a day).

Children 3.-6. year of life: 200-300 mg daily in 2-3 divided doses (5 ml of solution 2-3 times a day).

The preparation should be taken after a meal. To measure the corr ect dose, use the measuring cup or syringe provided in the package.

The syringe should be filled in accordance with the instructions given by the manufacturer. The contents of the syringe can be given directly to the child's mouth or poured before serving on a teaspoon. When taking the medicine from the syringe, the child should remain seated.

After use, the syringe should be rinsed with water.

It should not be used for more than 4-5 days without the doctor's recommendation.

It is beneficial to take an increased amount of fluids during the treatment period.

The preparation should be taken after meals. The last dose should be taken no later than 4 hours before bedtime.

Avoid prolonged contact of the solution with metals or rubber.

It should not be used in children under 3 years of age.

Can I use ACC classic during pregnancy and breastfeeding?

During pregnancy, do not use any medicine without consulting your doctor!

It is very important that before using any preparation during pregnancy or breastfeeding, consult a physician and explain beyond any doubt the potential risks and benefits associated with the use of the drug. If you are pregnant or plan to become pregnant, consult a physician before using the product.

There are insufficient data on the safety and efficacy of the preparation in pregnant women and in breast-feeding women and should not be used in these groups of women.

Can I use other preparations in parallel?

Tell your doctor about all medicines you have recently taken, including those that are over the counter.

You should not take medicines that inhibit the cough reflex (anti-tussive medicines, such as codeine), because this reflex promotes the removal of large secretion after liquefaction. The parallel use of antitussives and the preparation may cause dangerous secretion of the secretion due to the reduction of the cough reflex.

When using acetylcysteine ​​and oral antibiotics, at least a 2-hour interval should be maintained between taking these drugs due to the risk of inactivation of antibiotics.

The combined use of acetylcysteine ​​and Nitroglycerin e or other nitrates may lead to increased vasodilator effects. Be careful.

What side effects can occur?

Like all medicines, also ACC classic can cause side effects, although they will not occur in all patients who use this product. Remember that the expected benefits of using the drug are usually greater than the damage resulting from the occurrence of side effects.

Uncommon: headaches, tinnitus, increased heart rate (tachycardia), hypotension, oral mucositis, nausea, diarrhea, vomiting, abdominal pain, fever, hypersensitivity reactions (pruritus, urticaria, rash, angioneurotic edema ) ). Rare: dyspepsia , dyspnea, bronchospasm. Very rare: haemorrhage, Anaphylactic reactions , including life-threatening anaphylactic shock. Facial swelling may occur.Possible severe skin reactions, including Stevens and Johnson syndrome, and toxic epidermal necrolysis. Acetylcysteine ​​reduces platelet aggregation (the clinical significance of this phenomenon is unknown).

Other preparations on the Polish market containing acetylcysteine

ACC (tablets)
ACC (effervescent tablets)
ACC Hot (for oral solution)
ACC mini (effervescent tablets)
ACC mini (powder for oral solution)
ACC optima (effervescent tablets)
ACC optima Active (powder)
ACC optima Hot (powder for oral solution)
Acetylcysteine ​​Sandoz (solution for infusion)
Fluimucil Forte (effervescent tablets)
Fluimucil Muko (for oral solution)
Fluimucil Muko Junior (for oral solution)
Muccosinal (effervescent tablets)
Nacecis (effervescent tablets)
Tussicom 200 (powder for solution)
Tussicom 400 (powder for solution)
Tussicom 600 (powder for solution)