In the article, we will consider how to use the popular drug “ACC” for bronchitis in adults and children.
As soon as the cold season comes, the number of colds immediately increases. In this case, all unpleasant symptoms are observed in the form of fever, sore throat, and so on. Particularly unpleasant manifestations are runny nose and cough. And it’s very difficult for children to endure this condition. Fortunately, thanks to modern pharmaceuticals, many medications suitable for use at any age have been developed to date. One of them is the “ACC”. With bronchitis, it is prescribed very often.
The principle of action in children and adults
The active ingredient in the “ACC” is a substance called acetylcysteine. The presented pharmaceutical preparation was developed by Italian pharmacists in the last century, since then this medication has proved its effectiveness in cough therapy.
It should be borne in mind that coughing is considered a normal defensive reaction in the presence of a cold and related lesions of the respiratory canals. There are two main types of cough, namely wet and dry. Acetylcysteine is considered suitable only for the treatment of the wet form.
Such a cough is a sign, accompanied by the release of a special secret in the bronchi - sputum. They associate pathogenic microscopic organisms, and the cough itself is intended to remove pathogens from the respiratory system. However, when too much sputum is formed, its conclusion can be difficult. Of particular difficulty is the withdrawal of mucus in children due to the narrowness of their respiratory ducts. As a result, the children suffer, for a long time and unsuccessfully try to cough up phlegm. This greatly worsens their condition as a whole, making it difficult to recover and leading to insomnia.
Acetylcysteine facilitates this task. It is similar in structure to an amino acid called cysteine. It can break down mucopolysaccharides, which form the basis of mucus in the bronchi. Sputum is less viscous and can freely leave the body. Acetylcysteine is also often prescribed in the presence of purulent otitis media and sinusitis.
Composition and dosage forms
There are several forms of “ACC” from bronchitis. It is produced in the form of tablets, granular powder contained in bags, which is used to prepare the suspension. Syrup in a bottle, an inhalation agent and an injection solution are also released.
Effervescent tablets “ATSTS” are available in doses of 100 and 200 milligrams. Sachets may also contain the same amount of acetylcysteine. One milliliter of syrup contains about 20 milligrams of the active ingredient, the bottles have a volume of 100 milliliters. They are equipped with a cup and a measuring syringe, so the necessary dosage can be easily measured.
The composition of the pills (except acetylcysteine) includes citric and ascorbic acid along with mannitol, lactose, saccharinate, bicarbonate, citrate and sodium carbonate. The syrup includes the following ingredients: methyl parahydroxybenzoate in combination with caramellose, disodium edetate, saccharinate and sodium benzoate and cherry flavor.
Indications
Often prescribed “ACC” for bronchitis, as well as in the presence of other inflammatory diseases of the lower respiratory canals. True, the scope of its use may go beyond this framework. The medication in question is prescribed in a number of the following cases:
- If patients have bronchitis, bronchiolitis, pneumonia, tracheitis, bronchiectasis (expansion of the bronchial area).
- Against the background of cystic fibrosis, laryngitis, otitis media, sinusitis and pulmonary abscess.
- As part of the prevention of complications after surgery on the respiratory system.
- For the treatment of poisoning "Paracetamol" (as an antidote).
Contraindications
This drug has a number of contraindications for use. For example, “ACC” cannot be prescribed for the treatment of obstructive bronchitis with exacerbation of peptic ulcer of the stomach and intestines. Outside the period of exacerbations, the medication is taken with caution. With caution, he is prescribed to infants and toddlers up to two years. Therapy in this case should be carried out under the supervision of a doctor. Parenteral administration of the drug is allowed only after six years. Also, with great caution, it is necessary to take "ACC" from obstructive bronchitis in the following conditions:
- With hemoptysis.
- With bronchial asthma.
- Against the background of liver and kidney failure.
- In the presence of adrenal diseases.
- In case of pregnancy and lactation.
Instructions for the treatment of bronchitis in children
According to the attached guidelines for the use of “ACC” for bronchitis, it should be used after meals, and the last intake should be carried out no later than six in the evening. Abundant fluid intake enhances the effect of the drug, which must be considered.
To prepare the solution, a bag of granules is poured into one glass with room temperature water. The tablets can simply be dipped in warm water, then they will quickly dissolve. Instead of ordinary liquids, for example, juices, compotes or tea can be used. Syrup, as a rule, is delivered ready-to-eat. A full measuring cup with this dosage form contains 400 milligrams of acetylcysteine, and a syringe that is filled with the pharmaceutical substance in question contains a dosage of 100 milligrams. It is convenient for them to collect the drug directly from the bottle and inject it directly into the mouth of a small child.
The prepared “ACC” solution from bronchitis for children and adults is required to be consumed no later than three hours after its preparation, but this is best done immediately. In no case can you dilute the drug in a metal bowl, since against this background extremely hazardous components stand out. For these purposes, only glass or ceramic dishes are suitable.
Dosage
The approximate dosage for the syrup "ACC" in chronic bronchitis:
- At the age of 2 to 6 years, take 5 milliliters three times a day.
- From 6 to 14, 5 milliliters are taken four times a day.
- Patients over 14 years old can take 10 milliliters twice a day.
Recommended dosages for bag suspensions:
- At the age of 2 to 6 years, take one packet (100 milligrams) three times a day.
- From 6 to 14 years old, take two packets (100 milligrams) twice a day.
- Patients over 14 years old take two packets (100 milligrams) three times a day.
Approximate dosages for tablets:
- At the age of 2 to 6 years, one tablet is used 100 milligrams twice a day.
- From 6 to 14 years, two tablets of 100 milligrams twice a day.
- Patients over 14 years old take two tablets of 100 milligrams three times a day.
Duration of treatment with this medication
A typical course of therapy for children with granules, tablets, as well as syrup, is usually from 5 to 7 days. Inhalations, in turn, are prescribed for a period of 5 to 10 days. If necessary, treatment can be extended by the pediatrician. The dosage of all “ACC” medical forms for children under two years of age can only be prescribed by the attending doctor on an individual basis. The intravenous solution is administered only in a hospital setting. The dosage in this case is approximately 10 milligrams per kilogram of weight.
Instructions for bronchitis for adults
How is bronchitis “ACC” treated in adults? For adults, as well as adolescents who are over 14 years old, the medication in question is prescribed 10 milliliters in syrup three times in knocking (which corresponds to 400-600 milligrams of acetylcysteine). In general, you need to try to adhere to such a daily dosage so that the mass of the active component does not exceed the following values:
- At the age of 2 to 6 years - 200-300 milligrams.
- From 6 to 14 years old - 300-400 milligrams.
- Patients over 14 years old should not take more than 400-600 milligrams.
According to reviews, “ACC” for bronchitis in adults is very effective.
Thus, if you take tablets or sachets of “ACC 200”, the above dosages should be halved. Solutions for inhalation are recommended to be applied three times a day. For one procedure, 2-5 milliliters of the drug are taken, and its duration is from 15 to 20 minutes.
"ATSTS Long" from bronchitis
This type of medicine is available in the form of round flat cylindrical tablets of white color, in which there is a chamfer and risk on one side. They have a blackberry smell, a faint sulfuric smell can be felt. The drug "Long" has a dosage of 600 milligrams. While the usual "ACC", as already noted, differs in volume of 100 or 200 milligrams. It is worth noting that this version of the drug is intended only for adults, it should in no case be given to children under 14 years of age.
“ATSTS Long” acts as a derivative of the amino acid cysteine and can have a mucolytic effect, facilitating the discharge of sputum due to the direct effect on the rheological property of mucus. Efficiency is due to the ability to break disulfide bonds of mucopolysaccharide chains.
The presented pharmaceutical preparation can provoke the depolymerization of sputum mucoproteins, which leads to a significant decrease in its viscosity. The medication remains active with purulent sputum. This medicine is also produced in the format of a solution, it is colorless, has a blackberry smell. It may also have a slight sulfur smell. Next, we talk about the compatibility of this therapeutic agent with other pharmaceutical substances.
Interactions with other pharmaceuticals
It is forbidden to take the described medicinal product at the same time as antitussive medications that suppress the corresponding reflex, as this leads to the accumulation of sputum. With great caution, you need to take it simultaneously with certain antibiotics, since it is incompatible with most of them.
Only tetracycline, cephalosporin and penicillin drugs are suitable for use with “ACC”, however, at least two hours must pass between taking and using the drug. Among other things, it must be emphasized that Nitroglycerin can significantly enhance the effect of the medication in question. Next, we turn to consumer reviews and find out what they write and think about this medicine.
Reviews on this drug
In their reviews of “ACC” for bronchitis, most people claim that the drug in question is effective, and has long been successfully used to treat cough. A significant advantage is also the fact that this pharmaceutical product has earned a good reputation in the treatment of bronchitis not only in children, but can be used for patients of absolutely all ages. Any complaints about the occurrence of negative pathological reactions in the reviews are not reported.
We examined how to use the “ACC” for bronchitis in adults and children. Indications and contraindications for its administration, necessary dosages, and interactions with other drugs were briefly described.