Powder "ACTS 100" for children: instructions for use

A child's cough bothers any mother and makes her want to help her baby immediately. In the fight against this symptom, mucolytic agents are often used to help make the viscous sputum more fluid. Among such remedies, a very popular drug from the Sandoz company called ACC 100. Can it be taken by children and how does the child's body react to this drug? In what dose and how many times should ACC be given to a child with a cough?

Release form

ACC 100 is produced in three versions:

Effervescent tablets. They are packed in tubes (one contains 20 pieces) and are round flat tablets that have a blackberry smell and a white color. After dissolving such a tablet, a clear, colorless liquid is formed, which smells like blackberries. Let's admit a slight sulfur smell.
Granules from which the solution is prepared (it is given to the child to drink). They are white and uniform, smell like orange and are packaged in 3 gram bags. One package contains 20 sachets. After stirring the granules in water, an orange drink is obtained.
Syrup... The content of the active substance in this form of ACC is 100 mg per 5 ml of syrup. The medicine is a slightly viscous transparent liquid without color, which has a cherry smell. It is placed in a 100 ml dark glass bottle.

Composition

The active ingredient in ACC 100 is acetylcysteine. Its content, as can be understood from the name of the medication, is 100 mg in each packet or in one effervescent tablet. Additional ingredients are:

Effervescent tablets - Na carbonate, Na saccharinate, ascorbic acid, Na citrate, citric acid, lactose, Na bicarbonate, mannitol, blackberry flavor.
Granules - saccharin, vitamin C, sucrose, orange flavor.
The syrup contains Na saccharinate, water, Na benzoate, Na hydroxide, disodium edetate, methyl parahydroxybenzoate, Na carmellose, cherry flavor.

Operating principle

The acetylcysteine contained in ACC 100 has a mucolytic effect. Such a compound directly affects the phlegm that is produced in the respiratory tract, as a result of which the rheological characteristics of the mucus change. The drug destroys the bonds of mucopolysaccharides present in the secretion, which leads to a decrease in the viscosity of the sputum. It is noted that the medicine actively dilutes mucus, even when there is pus in the bronchi.

Acetylcysteine also has antioxidant effects. Such a substance activates the production of glutathione and neutralizes radicals arising from oxidative reactions. As a result, the drug activates the protection of cells in the respiratory tract and reduces the severity of inflammation.

For a video review of the ACC drug, see below.

Indications

The reason for prescribing ACC 100 is the presence of an excessively viscous secretion in the bronchi, which needs to be diluted and removed from the respiratory tract.

The medicine is in demand for such problems:

Laryngitis.
Bronchitis.
Pneumonia.
Laryngotracheitis.
Bronchiolitis.
Chronic pulmonary disease, including obstruction.
Otitis media.
Sinusitis.
Bronchiectasis.
Lung abscess.
Cystic fibrosis.

You may be interested in watching the release of the program of Dr. Komarovsky, which touches on such an urgent topic as coughing in children:

From what age is it allowed to take?

The use of ACC 100 is recommended for children who are already 2 years old. Forms with a higher dosage are prescribed for older children - ACC 200 from the age of 6, and ACC long from the age of 14.

Contraindications

Reception of ACC 100 is not recommended:

With intolerance to acetylcysteine or other component of the drug, for example, lactose in effervescent tablets.
If blood impurities are found in the sputum.
With glucose-galactose malabsorption.
When bleeding is detected in the lung.
With a peptic ulcer that has worsened.
With a deficiency of sucrose or lactase (for the form in which sucrose or lactose is present).

Prescribe ACC 100 for bronchial asthma, renal disease, adrenal diseases, diabetes mellitus, high blood pressure or liver disease, the doctor should pay special attention.

Side effects

Reception of ACC 100 can cause an allergic reaction for example, itching, hives, skin rashes, or swelling. Occasionally, the drug provokes anaphylaxis.
Child's respiratory tract may respond to ACC 100 treatment the appearance of shortness of breath. If the baby has bronchial asthma, the medication can cause bronchospasm.
The digestive system of some children "responds" to the use of ACC 100 dyspeptic disordersuch as loose stools, abdominal pain, or heartburn.
Rare side effects of acetylcysteine treatment include tinnitus, fever, headache, bleeding.

Instructions for use and dosage

ACC 100 is recommended to be consumed after meals. The required number of tablets is dissolved in one glass of water, and then immediately drunk. It is advised to prepare a medicinal solution only in glassware. If diluted with water, it can be stored in liquid form for no longer than 2 hours.

To dissolve the granules, you can use not only water, but also non-hot tea or juice. The syrup is dispensed using the syringe supplied in the package or a measuring cup. It is not recommended to give the medicine later than 6 pm in order not to disturb the child's sleep. For greater therapeutic effect, it is recommended to give children more drink.

The dose of the drug is determined based on the age of the little patient:

If the child is not yet 6 years old, then he is given 200 to 300 mg of acetylcysteine per day. This amount is divided into 2 doses, therefore a single dosage will be 1-1.5 tablets or 1-1.5 pack of granules. If the drug is given in syrup, then a single dose at the age of 2-5 years will be 5 or 7.5 ml.
Children over 6 years old up to 14 years old withthe weft amount of acetylcysteine for a therapeutic effect is 300-400 mg. Since the drug is taken twice a day, a single dose will be 150-200 mg, which corresponds to 1.5-2 effervescent tablets ACC 100, 7.5-10 ml of syrup or 1.5-2 packs of ACC 100 granules. It turns out that from the age of six it is more convenient to use the ACC 200.
Child 14 and older give from 400 to 600 mg of acetylcysteine per day. The drug is taken from 1 to 3 times a day, therefore, ACC 200 and ACC Long are more in demand.

The duration of treatment is determined by the doctor individually, but acute pathology is often treated within 5 or 7 days.

Overdose

If the child takes too high a dose of ACC, it will lead to nausea, diarrhea, or vomiting. To help in this situation, symptomatic therapy is used.

Interaction with other drugs

Do not dilute ACC 100 granules or tablets in a glass with any other medicines.
If the child is given activated charcoal or other sorbent, the effectiveness of the ACC 100 treatment will decrease.
The simultaneous use of ACC 100 and antitussives is prohibited, since after suppression of the cough reflex, the mucolytic effect of acetylcysteine will provoke sputum stagnation.
By adding bronchodilators to the ACC 100 treatment, the effectiveness of therapy will increase.
ACC 100 can interfere with the antimicrobial effect of some antibiotics, for example, penicillin or cephalosporin drugs. Between taking such medications, a pause of at least 2 hours is required.
If you give the patient ACC 100 and any vasodilating agents, the vessels will expand more.

Terms of sale

To buy ACC 100 in a pharmacy, you do not need a prescription from a doctor. The average price of a pack of effervescent tablets or syrup is 240 rubles, and for a pack of 20 sachets you need to pay about 120 rubles.

Storage conditions and shelf life

The storage temperature of the tablet form and granules should not exceed + 25 ° С. The tube is kept in a dry place and the tablets are tightly closed after each extraction. The shelf life of this form is 3 years.

Store ACC syrup away from sunlight and moisture. From the moment of release, a closed bottle can be stored for 2 years, and after opening the medicine should be used within 18 days. ACC 100 granules have a shelf life of 4 years.

Reviews

The drug ACC 100 receives mostly good reviews from parents. Mothers who have treated coughs with this medicine in their children note that the remedy is quite effective, and side effects are rarely detected. They confirm that taking ACC 100 facilitated the removal of mucus from the respiratory tract and accelerated the healing process. Most kids like the taste of the drink made from ACC 100, according to mothers.

Analogs

Replacing ACC 100 can be analogues that have the same active ingredient, for example:

Fluimucil... Such a medicine is produced in an oral solution (contains 20 or 40 mg of acetylcysteine per 1 ml of the drug), in a solution for injections and inhalation, in granules (1 packet contains 200 mg of acetylcysteine) and in the form of effervescent tablets with a dosage of 600 mg of the active substance.
Acetylcysteine... This domestic drug is produced in effervescent tablets containing 200 mg of the active substance, as well as in powder, from which a solution for oral administration is prepared (1 packet may contain 100 or 200 mg of acetylcysteine).

Acestin... The product is available in tablets and effervescent tablets of 200 and 600 mg of acetylcysteine.
N-AC-Ratiopharm... The medicine is represented by effervescent tablets of 200 or 600 mg of the active ingredient, as well as a sachet with a powder, from which a solution is prepared with an acetylcysteine content in a dosage of 100, 200 or 600 mg.

In addition, instead of ACC 100, you can give other drugs that have a mucolytic effect. These drugs include drugs that contain ambroxol or carbocisteine.