ACC 100, 20 pcs

Instructions for use for ACC 100, 20 pcs

Important notes (compulsory information):

ACC 100 mg effervescent tablets. Active ingredient: acetylcystein. Application: To the mucus solution and facilitated depending on respiratory diseases with a tough mucus. Effervescent tablets: Contains sodium compounds.

For risks and side effects, read the package leaflet and ask your doctor or pharmacist!

Instructions for use: Information for users
ACC 100 mg effervescent tablets
Active substance: acetylcystein

Read the entire leaflet carefully before you start taking this medicine because it contains important information. Always take this medicine as described in this leaflet or just as your doctor or pharmacist is directed.

• Lift the package leaflet. You might want to read it again.
• Ask your pharmacist if you need more information or advice.
• If you notice side effects, contact your doctor or pharmacist. This also applies to side effects that are not indicated in this leaflet.
• If you do not feel better or even worse after 4-5 days, contact your doctor.

What is in this leaflet

1. What is ACC 100 and what is it used for?
2. What should you note before taking ACC 100?
3. How to take ACC 100?
4. WHAT SIDE EFFECTS ARE POSSIBLE?
5. How to keep ACC 100?
6. Content of the pack and more information

1. What is ACC 100 and what is it used for?

ACC 100 is a medicament for liquefying tough mucus in the airways. ACC 100 is applied to the mucus solution and facilitated depending on respiratory diseases with a tough mucus.

2. What should you note before taking ACC 100?

ACC 100 must not be taken if they are allergic to acetylcysteine or one of the other ingredients of this medicinal product referred to in section 6. "Content of the package and other information". Since ACC is not divisible, a dosage for children under 2 years is not possible.

Warnings and Precautions
Please talk to your doctor or pharmacist before you ACC 100 take in. Very rarely reported on the occurrence of heavy skin reactions such as Stevens-Johnson syndrome and Lyell syndrome in the temporal connection with the use of acetylcysteine. For newness of skin and mucosal changes, medical advice should therefore be obtained immediately and the use of acetylcysteine should be stopped. Caution is required if you have or have or have a stomach or intestinal ulcer in the past to asthma. Caution is required in patients with histamine intolerance. A longer-term therapy should be avoided in these patients, since ACC 100 can influence the histamine metabolism, and lead to intolerance phenomena (eg headaches, flowing shovels, itching). The use of ACC 100 may, in particular at the beginning of the treatment, lead to liquefaction and thus to a volume increase of the bronchial secretion. If you are unable to help this sufficient, your doctor will take appropriate measures to you.

Taking ACC 100 together with other medicines
Inform your doctor or pharmacist if you take / use other medicines, recently taken / applied / applied or intend to take / use other medicines. Interaction studies were carried out only in adults.

Antitussiva (coughing agent)
Combined use of ACC 100 and coughing agents (AntiTitussiva) may result in a dangerous secretary due to the restricted cough Refl exES, so that the indication should be made carefully at this combination treatment. Therefore, ask your doctor before a combined application.

Charcoal
The use of activated carbon can be the effect of acetylcysteine to decrease.

Antibiotics
Experimental studies provide evidence of an efficacy weakening of antibiotics (tetracycline, aminoglycosides, penicillins) by acetylcysteine. For security reasons, therefore, the intake of antibiotics should be separated and time delayed in a minimum of 2 hours. This does not affect medicines with the active ingredients Cefixim and Loracbef. These can be taken simultaneously with acetylcysteine.

Nitroglycerin
It has been reported over a reinforcement of the vascular and blood thinning effect of glycerol trinitrate (nitroglycerol) with simultaneous administration of acetylcysteine. If your doctor considers a common treatment with nitroglycerol and ACC 100 necessary, he will monitor them on a potentially occurring blood pressure reduction (hypotension), which can be serious and can protect themselves through possibly occurring headaches. Changes in the determination of laboratory parameters acetylcystein can influence salicylates salary determination.

In urinary examinations, acetylcysteine can influence the results of the determination of ketone bodies.

Resolving ACC 100 simultaneously with other medicines is not recommended.

pregnancy and breast feeding period
If you are pregnant or breastfeeding, or if you suspect to be pregnant or intend to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.

pregnancy
Since there are no sufficient experience with the use of acetylcysteine in pregnant women, you should take ACC 100 During pregnancy only apply if your attending physician is considered absolutely necessary.

Lactation
There is no information on the excretion of acetylcysteine in the breast milk. Therefore, you should only apply ACC 100 during breast-feeding if your attending physician considers this absolutely necessary.

Driving and ability to use machines
There are no special features to consider.

ACC 100 contains sodium compounds
1 effervescent tablet contains 6.28 mmol (144.37 mg) sodium. If you need to meet a saline diet, you should consider this.

3. How to take ACC 100?

Always take this medicine exactly as described in this leaflet or just according to the consultation made with your doctor or pharmacist. Ask your doctor or pharmacist if you are not sure.

The recommended dose is
The following information apply unless your doctor ACC 100 has not prescribed differently. Please stick to the application regulations, since ACC 100 can not work properly!

Age	Total daily dose (effervescent tablets)
Children from 2-5 years	2-3 times daily 1 (corresponding to 200-300 mg acetylcystein per day)
Children and adolescents from 6-14 years	3-4 times a daily 1 (corresponding to 300-400 mg acetylcystein per day)
Teenagers from 14 years and adults	2-3 times a daily 2 (corresponding to 400-600 mg acetylcystein per day)

Type and total duration of the application
Take ACC 100 after meals. Please dissolve the effervescent tablet in a glass of drinking water and complete the contents of the glass completely. If the clinical picture is aggravating or no improvement after 4-5 days, you should consult a doctor.

If you take a greater amount of ACC 100 than you should
For overdose, irritation phenomena in the gastrointestinal area (eg abdominal pain, nausea, vomiting, diarrhea) occur. Serious side effects or poisoning phenomena have not been observed after massive overdosing of acetylcysteine. When suspected of overdose with ACC 100 Please notify your doctor yet.

If you forget to take ACC 100
If you have forgotten ACC 100 or have taken too little, please set the next Time to take ACC 100, as described in the dosage instructions.

If you stop taking ACC 100
Please do not break treatment with ACC 100 without consulting your doctor. Your illness might worsen by this. If you have further questions about taking this medicine, contact your doctor or pharmacist.

4. Which side effects are possible?

Like all medicines, this medicine can also have side effects, but they do not have to occur each other.

The frequency information on side effects is based on the following categories:
Very often:	more than 1 treated from 10
Frequently:	1 to 10 treated from 100
Occasionally:	1 to 10 treated from 1 000
Rarely:	1 to 10 treated from 10 000
Very rare:	less than 1 treated from 10 000
Not known:	Frequency on the basis of the available data does not estimate.

Side effects
General diseases and complaints at the administration place
Occasionally: headache, fever, allergic reactions (Itching, quaddle formation, rash, respiratory distress, skin and mucosal swellings, heart rate acceleration and blood pressure reduction)
Very rare: anaphylactic reactions to shock
Unknown: Water accumulations in the face

Diseases of the ear and the labyrinth
Occasionally: Earrithomes (Tinnitus)

Respiratory diseases, the chest and mediastinum
Rarely: shortness of breath, bronchospasms - predominantly in patients with hyperreactive bronchial system at asthma bronchiale

Diseases of the gastrointestinal tract
Occasionally: oral mucosa inflammation, abdominal pain, nausea, vomiting, heartburn and diarrhea
Rare: indigestion
Very rarely reported on the occurrence of bleeding associated with the administration of acetylcysteine, partly in the context of hypersensitivity reactions.
Very rarely reported on the occurrence of heavy skin reactions such as Stevens-Johnson syndrome and Lyell syndrome in the temporal connection with the use of acetylcysteine. In most of these reported cases, at least one other drug was taken simultaneously, by which the effects described may be enhanced on the described mucous membrane. For recurrence of serious skin and mucosal changes, you should therefore immediately obtain medical advice and terminate the application of ACC 100. You can not continue taking ACC 100.

Different studies confirmed a decrease in platelet aggregation (combination of certain blood components) During the use of acetylcysteine. The clinical significance of this is unclear so far.

Countermeasures
In the case of first signs of an overpricular reaction (See above) can not be taken again. Please contact a doctor in this case. If you notice side effects, contact your doctor or pharmacist. This also applies to side effects that are not indicated in this leaflet.

5. How to keep ACC 100?

Keep this medicine inaccessible to children.
You may be able to use this medicine after the on the carton and the tube or the sealing edge bag " Do not use the specified expiration date. The expiration date refers to the last day of the specified month.

tube
Rotarture tablets dry and protect against light! No over Store 25 ° C. Close tubes after tablet removal again!

Sealer bag
Do not store over 30 ° C. Do not dispose drugs in the wastewater or household waste. Ask your pharmacist how to dispose of the medicine if you do not use it anymore. You help to protect our environment.

6. Content of the pack And more information

What ACC 100 contains
The active ingredient is acetylcystein.
1 effervescent tablet contains 100 mg acetylcysteine.

The other ingredients are:
Ascorbic acid (vitamin C), citric acid, Macrogol 8000, Sodium carbonate, sodium cyclamate, sodium bicarbonate, saccharine sodium, flavoring fabrics (blackberry, forest berry)

Note for diabetics
1 effervescent tablet contains less than 0.01 BE.

Like ACC 100 looks and content of the pack
ACC 100 are white, round, smooth effervescent tablets with one-sided breaker. The notch is not for sharing the effervescent tablet.
ACC 100 is available in packs with 20, 50 and 100 effervescent tablets. Not all pack sizes may be placed on the market.

Pharmaceutic entrepreneur
Hexal AG
Industriestraße 25
83607 Holzkirchen
Telephone: (08024) 908-0
Fax: (08024) 908-1290
E-mail: [email protected]

Manufacturer
Salutas pharma GmbH,
A company of Hexal AG
Otto-von-Guericke-Allee 1
39179 Bar life

This leaflet was recently revised in April 2013.

Source: Information of the leaflet
Status: 07/2014