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Acetylcysteine, N-Acetylcysteine, NAC, Acetyl-L-Cysteine, Acetylcysteinum, 616-91-1

Acetylcysteine, N-Acetylcysteine, NAC, Acetyl-L-Cysteine, Acetylcysteinum, 616-91-1

🧪 Chemical Properties

  • Chemical Name: N-Acetyl-L-Cysteine

  • Molecular Formula: C₅H₉NO₃S

  • CAS Number: 616-91-1

  • Structure: Acetylated derivative of the amino acid L-cysteine

  • Forms: Effervescent tablet, sachet (powder), ampoule (injection), oral solution

🩺 Medical Applications

Indication Description
Mucolytic (expectorant) Breaks down thick mucus in respiratory conditions like COPD, bronchitis, sinusitis
Paracetamol overdose Acts as a potent antidote to prevent liver damage; administered intravenously in hospitals
Antioxidant support Boosts glutathione production, neutralizes free radicals, protects liver cells
Cystic fibrosis Reduces mucus viscosity, improving breathing
Post-radiation mucositis Helps thin sticky mucus and ease coughing

⚠️ Side Effects

  • Common: Nausea, vomiting, abdominal discomfort, rash, fever

  • Serious: Urticaria, difficulty breathing, swelling of face/tongue/throat, bloody cough, jaundice, dark urine

  • Allergic Reactions: Rare but potentially severe

💊 Dosage & Administration

Form Recommended Dosage
Effervescent tablet (600 mg) Once daily, preferably after meals
Sachet (200–600 mg) 2–3 times daily, as prescribed by a physician
IV form (hospital use) Administered per protocol for acetaminophen toxicity

Note: If vomiting occurs within 1 hour of ingestion, a repeat dose may be necessary.

🌿 Natural Sources & Supplement Form

  • Naturally found in: Allium species like garlic and onion

  • As a supplement: Available in NAC capsules/tablets (typically 600 mg)

🧬 Biological Effects

  • Glutathione Precursor: Supports synthesis of the body’s most powerful antioxidant

  • Liver Protection: Detoxifies harmful substances

  • Brain Health: Studied for potential roles in depression, bipolar disorder, and addiction support

🧪 Scientific & Technical Names

  • N-Acetylcysteine (full English name)

  • NAC (abbreviation)

  • Acetyl-L-Cysteine

  • Acetylcysteinum (Latin pharmaceutical name)

💊 Brand Names (Turkey & Global)

Brand Name Form / Dosage
Asist 10% ampoule, sachet, capsule, effervescent tablet
ACT 200 mg granules, 300 mg ampoule
Alles 600 mg effervescent tablet
Asteine 600 mg effervescent tablet
Bronpax 900 mg effervescent tablet
Cisteil 1200 mg sachet
Mucolator 1200 mg sachet and syrup
Muconex 600 mg effervescent tablet
Mentonex 900 mg effervescent granules
Extal 200 mg effervescent tablet
Farmasist 300 mg ampoule

🌍 International Names

  • Fluimucil – Common in Europe

  • Mucomyst – Used in the U.S. for acetaminophen overdose

  • Acetadote – IV form for hospital use

✅ NAC Suitability Table

Use Case Form Dosage Age Group Suitability
Mucolytic (COPD, bronchitis) Effervescent tablet / sachet 600 mg/day Adults ✅ High
Pediatric mucus relief Syrup / sachet 100–300 mg/day 2+ years ✅ Moderate
Paracetamol overdose IV ampoule (hospital) Per protocol All ages (emergency) ✅ High
Antioxidant support (NAC supplement) Capsule / tablet 600–1200 mg/day Adults ✅ High
Cystic fibrosis Nebulized inhalation 300–600 mg/day Children & adults ✅ Moderate
Liver protection Oral tablet / capsule 600 mg/day Adults ✅ High
Radiation-induced mucositis Oral solution / IV Clinical dose Adults ✅ Clinical use

🔍 Notes

  • Effervescent tablets dissolve quickly and offer high bioavailability

  • Syrup form is easier for children to take

  • IV form is strictly for hospital use under medical supervision

  • NAC supplements are available over-the-counter but should be used cautiously for medical purposes

⚠️ Usage Precautions

1. Dosage & Instructions

  • Always follow your doctor’s prescribed dose and duration

  • Read the leaflet carefully; dissolve effervescent tablets in the correct amount of water

  • If vomiting occurs within 1 hour, consult your doctor about repeating the dose

2. Timing

  • Preferably taken after meals to reduce stomach upset

  • Maintain consistent timing daily; avoid missed doses

3. Drug Interactions

  • Essential to consult a doctor if using for acetaminophen overdose

  • May interact with antihypertensives, antibiotics, or other medications

4. Storage Conditions

  • Store in a cool, dry place away from heat and moisture

  • Keep effervescent tablets sealed to prevent degradation

🚨 Application Precautions

1. Allergic Reactions

  • Seek immediate help for hives, breathing difficulty, or facial swelling

  • Inform your doctor if you have a sulfur allergy

2. Side Effects

  • Common: nausea, vomiting, rash, fever

  • Serious: bloody cough, jaundice, dark urine, loss of appetite

3. Use in Children

  • Syrup or low-dose sachets preferred

  • Not recommended for children under 2 without medical supervision

4. Nebulizer Use

  • Ensure proper cleaning and dosage calibration of the device

  • Sterilize after each use to prevent contamination

Disclaimer: This guide is for informational purposes only. Always consult a healthcare professional before using any medication or supplement.

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