Description
Latin name
Fluimucil
Packaging
20 pcs.
Pharmacological action
Fluimucil – mucolytic.
Thins phlegm. The presence of sulfhydryl groups in the structure of acetylcysteine helps to break the disulfide bonds of acid mucopolysaccharides of sputum, which leads to the depolymerization of mucoproteins and to a decrease in the viscosity of mucus. The drug remains active in the presence of purulent sputum.
Acetylcysteine has an antioxidant effect due to the presence of a nucleophilic thiol SH-group, which easily gives off hydrogen, neutralizing oxidative radicals.
Pharmacodynamics
With the prophylactic use of acetylcysteine, there is a decrease in the frequency and severity of exacerbations in patients with chronic bronchitis and cystic fibrosis. The protective mechanism of acetylcysteine is based on the ability of its reactive sulfhydryl groups to bind chemical radicals.
Acetylcysteine easily penetrates into the cell, deacetylated to L-cysteine, from which intracellular glutathione is synthesized. Glutathione – a highly reactive tripeptide, a powerful antioxidant, cytoprotector, trapping endogenous and exogenous free radicals and toxins.
Acetylcysteine prevents depletion and enhances the synthesis of intracellular glutathione, which is involved in the oxidation-reduction processes of cells, i.e. contributing to the detoxification of harmful substances. This explains the effect of acetylcysteine as an antidote for paracetamol poisoning.
Pharmacokinetics
Fluimucil is well absorbed when taken orally. It immediately deacetylates to cysteine in the liver. In the blood there is a dynamic balance of free and plasma proteins bound acetylcysteine and its metabolites (cysteine, cystine, diacetylcystine).
Due to the high first-pass effect through the liver, the bioavailability of acetylcysteine is about 10%. Acetylcysteine penetrates into the intercellular space, mainly distributed in the liver, kidneys, lungs, bronchial secretions.
After oral administration of 600 mg of acetylcysteine by healthy volunteers, Cmax in plasma is reached after approximately 1 h and is 15 mmol / L, with iv administration – 300 mmol / L. T1 / 2 from plasma – 2 hours. Acetylcysteine and its metabolites are excreted mainly by the kidneys.
Indications
Respiratory diseases accompanied by the formation of increased viscosity sputum (acute and chronic bronchitis, pneumonia, bronchiectasis, cystic fibrosis, bronchial asthma).
Contraindications
Hypersensitivity to acetylcysteine, peptic ulcer of the stomach and duodenum in the acute stage, age up to 18 years (effervescent tablets).
Use during pregnancy and lactation
Use during pregnancy and breastfeeding is only possible if the intended benefit to the mother outweighs the potential risk to the fetus or baby.
Composition
1 tablet contains:
Active ingredient:
acetylcysteine600 mg
Excipients:
citric acid
sodium bicarbonate
aspartame
lemon flavor.
Dosage and administration
1 tablet is dissolved in 1/3 cup of water and taken 1 time per day.
Duration of treatment should be evaluated individually.
In acute diseases, the duration of treatment is from 5 to 10 days and up to several months in the treatment of chronic diseases (on the recommendation of a doctor).
Side effects
When taken orally, nausea, heartburn, vomiting, diarrhea, skin rash, itching, urticaria, nosebleeds, tinnitus are rare.
Cases of the development of bronchospasm, collapse, stomatitis, decreased platelet aggregation are described.
Drug Interaction
The combined use of acetylcysteine with antitussive agents may increase phlegm stagnation due to cough reflex suppression.
When used with antibiotics such as tetracyclines (excluding doxycycline), ampicillin, amphotericin B, their interaction with the thiol group of acetylcysteine may occur, which leads to a decrease in the activity of both drugs. Therefore, the interval between the administration of these drugs should be at least 2 hours
Concurrent administration of acetylcysteine and nitroglycerin can lead to increased vasodilator and disaggregant action of the latter.
Acetylcysteine eliminates the toxic effects of paracetamol.
Storage Conditions
At room temperature (not higher than 25 ° C).
shelf life
3 years
Terms and conditions otpuska IZ drugstore
Without prescription
dosage form
tablets soluble
Possible product names
Fluimucil TAB. SPIKE. 600MG No. 20
Fluimucil tablet spike. 600mg N20 Switzerland
Fluimucil effervescent tablets 600 mg 20 pcs.
Fluimucil effervescent tablets 600 mg, 20 pcs.
fluimucil spike. TAB. 600MG No. 20
Zambon S.P.A., Italy
