Husten (cough) ACC direct 600 mg 20 sachets

Cough ACC direct contains the active ingredient acetylcysteine ​​and is used to liquefy thick mucus in the respiratory tract.
Cough ACC direct is used to loosen mucus and make it easier to cough up in respiratory diseases with thick mucus.
This medicine should only be used in adults.

Contraindications

Cough ACC directly must not be taken

• if you are allergic to acetylcysteine ​​or any of the other ingredients of this medicine listed in section 6
• of children under 2 years

Interactions

Taking Cough ACC directly with other medicines
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

This applies in particular to:

• Cough suppressants (antitussives)
  When Cough ACC direct and cough suppressants are used in combination, a dangerous build-up of secretions can occur due to the restricted cough reflex. This combination treatment requires a particularly careful diagnosis. Therefore, be sure to ask your doctor before combined use.
• Antibiotics
  In order to avoid an influence on the effectiveness of antibiotics, antibiotics must be taken separately and at least 2 hours apart. This does not apply to medicines containing the active ingredients cefixime and loracarbef. These had no interactions and can be taken at the same time as acetylcysteine.
• Activated charcoal
  The use of activated charcoal can reduce the effects of acetylcysteine.
• Nitroglycerin
  An increase in the vasodilator and blood-thinning effect of glycerol trinitrate (nitroglycerin) has been reported when administered simultaneously with acetylcysteine. Your doctor will monitor you for a decrease in blood pressure, which may be serious and may be indicated by a headache.

Determination of laboratory parameters
If you have a laboratory test carried out, please inform your doctor directly about taking Cough ACC, as it can influence the determination of:

• Salicylates: Active ingredients used to treat pain, inflammation or rheumatism
• Ketone bodies in urinalysis

Application

Always take this medicine exactly as described in this leaflet or exactly as your doctor or pharmacist tells you. Check with your doctor or pharmacist if you are unsure.
The recommended dose, unless otherwise prescribed by your doctor, is 1 sachet once daily.

Method of use:
Apply the powder of one sachet of Cough ACC directly to the tongue. The powder stimulates saliva flow, making it easy to swallow.
Please note that the powder must not be chewed before swallowing.
It can be taken without water.
Dissolution of acetylcysteine ​​formulations along with other drugs is not recommended.

Note:
The possible presence of a sulfurous odor is not an indication of product modification, but a characteristic of the active ingredient contained in this preparation.

Elderly and weakened patients
Patients with a limited cough reflex (elderly and weakened patients) should take the powder in the morning if possible.

Duration of application

• Cough ACC direct must not be taken for longer than 14 days without medical advice.
• If you don't feel better or even worse after 4 - 5 days, contact your doctor.

Side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them.
Stop taking Cough ACC immediately and contact your doctor immediately if any signs of an allergic reaction or a serious skin reaction occur.

Uncommon: may affect up to 1 in 100 people

• allergic reactions (itching, formation of a hives [urticaria], severe swelling under the skin [angioedema], skin rash)
• rapid heartbeat (tachycardia)
• Lowering blood pressure (hypotension)
• Headache
• Ringing in the ears (tinnitus)
• Inflammation of the oral mucosa (stomatitis)
• Abdominal pain, nausea, vomiting and diarrhea
• Fever

Rare: may affect up to 1 in 1,000 people

• Shortness of breath, spasm of the bronchial muscles - predominantly in patients with a hyperreactive bronchial system and bronchial asthma
• Digestive disorders (dyspepsia)

Very rare: may affect up to 1 in 10,000 people

• severe allergic reactions up to and including shock
• severe skin reactions, such as Stevens-Johnson syndrome and Lyell syndrome*
• Occurrence of bleeding (hemorrhage), sometimes associated with hypersensitivity reactions

Not known: Frequency cannot be estimated from the available data

• Fluid retention on the face (facial edema)
• decreased platelet aggregation

* In very rare cases, severe skin reactions such as Stevens-Johnson syndrome and toxic epidermal necrolysis have been reported in temporal association with the use of acetylcysteine. In most of these reported cases, at least one other drug was taken concomitantly, which may have potentiated the mucocutaneous effects described.
If skin or mucous membrane abnormalities occur, you should consult a doctor immediately and stop using acetylcysteine.

composition

The active ingredient is acetylcysteine.
Each sachet contains 600 mg of acetylcysteine.

The other ingredients are:
tripalmitin, polysorbate 65, sorbitol (E 420), xylitol, citric acid, sodium dihydrogen citrate, magnesium citrate, carmellose sodium, aspartame (E 951), blackberry flavor “B” (contains vanillin, maltodextrin, gluconolactone, sorbitol, highly disperse silicon dioxide, mannitol [E 421], magnesium carbonate), magnesium stearate

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