Husten (cough) ACC direct 600 mg 20 effervescent tablets

Cough ACC Hexal acute contains the active ingredient acetylcysteine, which has expectorant properties. Acetylcysteine ​​has a specific effect on the components of mucus that make it thick.
Cough ACC Hexal acute liquefies viscous lung and nasal secretions. This promotes their expectoration, reduces the urge to cough and makes breathing easier. Acetylcysteine, the active substance of the cough ACC Hexal acute, is made up of the body's own substances acetate and cysteine. 

field of use

Cough ACC Hexal acute is used to dissolve mucus and to facilitate the removal of acute and chronic respiratory diseases with thick mucus and reduced mucus transport.

If you don't feel better or feel worse after 4-5 days, contact your doctor. 

Contraindications

Cough ACC Hexal acute must not be taken

• if you are allergic to acetylcysteine ​​or any of the other ingredients of this medicine listed in section 6
• if you have a stomach ulcer
• Children under 2 years

Interactions

When Cough ACC Hexal acute and cough suppressants (antitussives) are used in combination, a mucus-related blockage (“secretion build-up”) of the airways can occur due to the reduced cough reflex. Therefore, be sure to ask your doctor before combined treatment.

The simultaneous administration of acetylcysteine ​​and nitroglycerin can possibly lead to low blood pressure (hypotension), which can be indicated by headaches. If your doctor considers co-treatment with nitroglycerin necessary, he or she will monitor you for any reduction in blood pressure that may occur.

For safety reasons, antibiotics should be taken separately and at least 2 hours apart.

Activated charcoal in high doses (as an antidote) can reduce the effectiveness of acetylcysteine.

Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Your doctor will decide whether to use cough ACC Hexal acute during pregnancy and breastfeeding.

Cough ACC Hexal acute contains lactose and sodium
This medicine contains lactose, anhydrous. Please only take Cough ACC Hexal acute after consulting your doctor if you know that you suffer from a sugar intolerance.
This medicine contains 138.8 mg sodium per dose. If you need to follow a low-salt diet, you should take this into account.

Application

Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are unsure.

Unless otherwise prescribed by the doctor, the following dosage is recommended for coughs ACC Hexal acute 600 mg - effervescent tablets:
Adults and adolescents over 14 years of age take 1 effervescent tablet daily (corresponding to 600 mg acetylcysteine).

This medicine should not be used in children and adolescents under 14 years of age due to the high active ingredient content. Acetylcysteine ​​Hexal 100 mg or 200 mg - dissolvable tablets are available for this age group.

Method of administration:
Oral use.
The effervescent tablet is taken after meals, dissolved in a glass of water. The ready-to-use solution should be taken without delay.

Duration of use:
Do not take cough ACC Hexal acute for longer than 4 - 5 days without medical advice.

Talk to your doctor or pharmacist if you have the impression that the effect of cough ACC Hexal acute is too strong or too weak. 

If you have any further questions about taking this medicine, talk to your doctor or pharmacist.

Side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them.

Most of the following side effects of cough ACC Hexal acute are mild and temporary.

Blood and lymphatic system disorders
Very rare: Anemia, bleeding (only observed in the context of a hypersensitivity reaction)

Immune system disorders
Uncommon: hypersensitivity reactions such as angioedema (allergic swelling of the skin and mucous membranes)
Very rare: allergic (hypersensitivity) reaction up to shock

Nervous system disorders
Uncommon: Headache
Rare: Drowsiness

Ear and labyrinth disorders
Uncommon: ringing in the ears (tinnitus)

Heart disease
Uncommon: rapid heart activity, low blood pressure
Very rare: bruising in the heart

Respiratory, thoracic and mediastinal disorders
Uncommon: excessive nasal secretion
Rare: difficult breathing (dyspnoea), shortness of breath due to narrowing of the airways; The rare documented cases of shortness of breath due to narrowing of the airways occurred primarily in particularly sensitive asthmatics.

Coughing fits and shortness of breath may occur, which can trigger an attack in asthmatics.

Gastrointestinal disorders
Uncommon: inflammation of the oral mucosa, abdominal pain, nausea, vomiting and diarrhea
Rare: heartburn

Diseases of the skin and subcutaneous tissue
Uncommon: allergic reactions with itching, rash, hives and redness
Very rare: blistering of the skin and mucous membranes with severe general health problems (Stevens-Johnson syndrome and Lyell syndrome)

Skeletal muscle, connective tissue and bone diseases
Rare: cramps, which can be fatal in the event of an overdose

General disorders at the administration site
Uncommon: Fever
Not known: Swelling of the face (facial oedema)

composition

The active ingredient is acetylcysteine.
One effervescent tablet contains 600 mg of acetylcysteine.

The other ingredients are:
Citric acid, anhydrous, sodium hydrogen carbonate, sodium carbonate, anhydrous, mannitol (E 421), lactose, anhydrous, ascorbic acid (vitamin C), sodium cyclamate, saccharin sodium dihydrate, sodium citrate dihydrate, blackberry flavor

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