In the article, we consider the instructions for the drug “ATSTs 100” for children.
The appearance of a cough in a child can worry any mother and cause an immediate desire to help. Mucolytic drugs are often used to combat such symptoms, which help viscous sputum to make it more fluid. One of the most popular mucolytic drugs for treating children is the “ATs 100”.
Pharmacological forms of this drug
The manufacturer produces a drug with a dosage of 100 mg of active substance in three pharmacological forms:
- "ATSTs 100" effervescent tablets for children. Packed in tubes, each of which contains 20 pieces. The tablets have a flat round shape, have a white color and blackberry flavor. As a result of the dissolution of the tablet, a clear liquid is obtained that has no color and smells like blackberries. The presence of a weak sulfur smell is not excluded.
- Granules used to make a therapeutic solution. Granules of the drug are homogeneous, have a white color, orange aroma. Packed in sachets, each of which contains 3 grams. There are 20 sachets in a cardboard package. As a result of dissolving the “ACC 100” powder for children in water, a medicinal drink of orange flavor is obtained.
- Syrup. In every 5 ml of “ACC” syrup there is 100 mg of the active ingredient. A syrup is a viscous liquid (clear and colorless) with a cherry flavor. The medicine is packaged in bottles of dark glass, each of these bottles contains 100 ml of the drug.
The composition of the drug
The main active ingredient in the “ACC 100” for children is acetylcysteine. From the name of the drug, you can understand that each dose of the drug contains 100 mg of the active ingredient (regardless of the pharmacological form of the drug).
As auxiliary components in the production of effervescent tablets are used: blackberry flavor, mannitol, sodium bicarbonate, lactose, citric acid, sodium citrate, ascorbic acid, sodium saccharin, sodium carbonate.
Additional substances in the “ACC 100” are: orange flavoring, sucrose, vitamin C, saccharin.
In the manufacture of the syrup, auxiliary substances such as cherry flavoring, sodium carmellose, methyl parahydroxybenzoate, disodium edetate, sodium hydroxide, sodium benzoate, water, sodium saccharin are used.
The mechanism of action of the drug
Acetylcysteine present in the medication for bronchitis has a mucolytic effect. This compound is able to directly affect sputum produced in the respiratory system, thereby changing its rheological characteristics. The medicine is able to break down the bonds of mucopolysaccharides that are present in the mucus. As a result of such exposure, the degree of viscosity of sputum is reduced. Clinical trials show that the drug can actively thin the mucus even when pus is present in the bronchi. At what cough “ATSTs 100” is prescribed, it is interesting to many.
Acetylcysteine can also have an antioxidant effect. Under the influence of this substance, the secretion of glutathione is activated, radicals formed during oxidative reactions are neutralized. The result is the activation of the protective forces of the cells that form the airways, and the severity of the inflammatory process is reduced.
Indications for the use of a drug
The main reason for the appointment of “ACC 100” for children is the presence of excessively viscous sputum in the bronchi, requiring liquefaction and its subsequent removal out of the respiratory tract.
It is often prescribed for the treatment of diseases such as:
- Cystic fibrosis.
- Abscess of the lung.
- Bronchiectasis
- Sinusitis
- Otitis media.
- Pulmonary diseases in chronic forms, including those accompanied by obstructive changes.
- Bronchiolitis.
- Laryngotracheitis.
- Pneumonia.
- Bronchitis.
- Laryngitis.
The list of indications of the “ACC 100” is quite extensive.
It can be used in the treatment of children from 2 years. Other forms of the drug having a higher concentration of acetylcysteine are allowed for use in children at an older age. So, “ATSTS 200” is shown from 6 years old, and “ATSTS Long” - from 14 years of age.
Contraindications to the use of the drug
You should not use the “ACC 100” for children if pathological conditions such as:
- Lactase or sucrase deficiency (for those pharmacological forms in which these substances are present).
- Peptic ulcer during exacerbation.
- Bleeding in the lungs.
- Glucose-galactose malabsorption.
- The presence of blood impurities in sputum.
- Intolerance to acetylcysteine or any auxiliary component that is part of the drug.
It is important to exercise caution when prescribing “ACC 100” to patients suffering from bronchial asthma, renal pathology, adrenal gland diseases, diabetes mellitus, high blood pressure, and liver diseases.
Negative effects of the use of the drug
Against the background of the use of the drug, various negative reactions of an allergic nature may develop, manifested by itching, urticaria, edema, skin rashes. In some cases, the drug can provoke the occurrence of anaphylaxis.
The respiratory system can respond to therapy using the “ACC 100” for children by the development of shortness of breath. If the child is sick with bronchial asthma, then the drug is able to provoke the occurrence of bronchospasm.
The gastrointestinal tract with the use of a medication can react with the appearance of dyspeptic disorders, for example, liquefaction of the stool, heartburn, abdominal pain.
In rare cases, undesirable effects such as bleeding, headaches, fever, and tinnitus may develop.
Use of this medication
How to breed “ATs 100”, we will tell below.
Experts recommend taking it after eating. The required amount of effervescent tablets is dissolved in water (200 ml), taken immediately after dilution. It is recommended to prepare the drug exclusively in glass dishes. Storage of the medicine after it is diluted with water is possible for 2 hours and no more.
Granules can be dissolved not only in water, but also in juice or tea. Dosing of syrup is carried out using the syringe with which the box is equipped, or any measuring cup. Experts do not recommend giving medicine to a child in the evening, so as not to cause sleep disturbance. The greatest effect of using the drug develops if the child drinks a lot of fluids.
The dosage of the drug is determined based on the age of the child:
- Children under 6 years of age should be given no more than 300 mg of the drug based on acetylcysteine per day. The indicated quantity should be divided into 2 uses. That is, a single dosage is up to 1.5 effervescent tablets, up to 1.5 sachets of granules or up to 7.5 ml of syrup.
- When treating children 6-14 years old, up to 400 mg of acetylcysteine should be used per day. The indicated daily dose must be used in two doses. That is, a single dosage for children of this age will be up to 2 effervescent tablets, up to 10 ml of syrup, up to 2 sachets of granules. Thus, from 6 years old, it will be advisable to use a drug with a dosage of 200 mg.
- Children from 12 years old are recommended to take up to 600 mg of the drug. The multiplicity of receptions can reach three, in connection with which it is advisable to use the “ACC 200” or “ACC Long”.
The duration of the therapeutic course is determined by the specialist individually, however, acute pathologies involve taking the medicine for up to 7 days.
The dosage of “ACC 100” for children should be strictly observed.
Drug overdose
When taking unreasonably large doses of the drug in a child, an overdose condition may occur, manifested in the form of vomiting, diarrhea and nausea. Since the drug does not have a specific antidote, a child should be given symptomatic therapy.
Interaction with other medications
According to the instructions of “ATSTs 100” for children it is strictly forbidden to breed together with other medicines in one glass.
The therapeutic effectiveness of the drug is reduced if at the same time the child takes activated charcoal or other sorbents.
The parallel use of antitussive medicines is prohibited, since inhibition of the cough reflex and simultaneous exposure to mucolytic will provoke sputum stagnation.
Disease therapy is enhanced if, along with the administration of “ACC 100”, bronchodilator drugs are treated.
The antimicrobial effect of some antibiotic preparations, for example, the cephalosporin or penicillin series, is reduced if “ACC 100” is taken in parallel with them. The interval between receptions of these funds should be more than 2 hours.
With parallel use, the vasodilating effect of vasodilating drugs is enhanced.
The cost of this drug
In drugstores, the drug is dispensed freely, that is, a prescription from a doctor is not needed for its purchase. The average cost of effervescent tablets or a syrup form of the drug is about 250 rubles, and granules will cost 120 rubles per pack.
Drug Analogs
If necessary, “ACC 100” can be replaced by one of the following medicines:
- Fluimucil. This drug is produced by the manufacturer in four pharmacological forms - an oral solution, granules, a solution used for injection and inhalation, effervescent tablets.
- "Acetylcysteine." It is a medicine of domestic production. Available in powder form for the manufacture of oral solution and effervescent tablets.
- "Atsestin." The active component in its composition is also acetylcysteine. Produced by the manufacturer in simple tablet form and in the form of effervescent tablets.
- "N-AC-Ratiopharm". Produced by the manufacturer in effervescent tablets and powder, intended for the manufacture of an oral solution.
In addition to these direct analogues, the “ATs 100” has analogues in therapeutic effect with a mucolytic effect. These include drugs based on carbocysteine and ambroxol: "Mukolik", "Abrol", "Ambrosal", "Bronchorus", "Lazolvan", "Bronchobos," Mukolvan, "Bromhexine", "Halixol", "Carbocysteine", " Pulmozin ”,“ Pectolvan Ts ”,“ Erdomed ”,“ Ambrobene ”.
It is important to remember that the replacement of any drug, and especially intended for the treatment of children, should be carried out by a pediatrician. This is due to the fact that each of these analogues has a number of contraindications and is able to provoke the development of various negative reactions. Accordingly, only a doctor can determine the appropriateness of the use of a particular medication.
Medication Reviews
The responses of parents who used the “ATSTs 100” bronchitis medicine for babies testify to the high effectiveness of the medicine. It is separately noted that the drug is available, rarely causes unpleasant consequences, has an affordable cost. Against the background of the use of the drug, mucus from the respiratory tract is rapidly excreted, while the healing process of the child is accelerated. Moreover, all therapeutic forms of the drug have a pleasant taste, which is very popular with children.
Despite the large number of positive responses, parents should not forget that self-medication for childhood diseases is unacceptable and the appointment of the drug should be carried out by a competent pediatrician, otherwise there is the possibility of a variety of complications.