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Send EmailAcetylcysteine, 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
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 |
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
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.
Naturally found in: Allium species like garlic and onion
As a supplement: Available in NAC capsules/tablets (typically 600 mg)
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
N-Acetylcysteine (full English name)
NAC (abbreviation)
Acetyl-L-Cysteine
Acetylcysteinum (Latin pharmaceutical name)
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 |
Fluimucil – Common in Europe
Mucomyst – Used in the U.S. for acetaminophen overdose
Acetadote – IV form for hospital use
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 |
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
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
Preferably taken after meals to reduce stomach upset
Maintain consistent timing daily; avoid missed doses
Essential to consult a doctor if using for acetaminophen overdose
May interact with antihypertensives, antibiotics, or other medications
Store in a cool, dry place away from heat and moisture
Keep effervescent tablets sealed to prevent degradation
Seek immediate help for hives, breathing difficulty, or facial swelling
Inform your doctor if you have a sulfur allergy
Common: nausea, vomiting, rash, fever
Serious: bloody cough, jaundice, dark urine, loss of appetite
Syrup or low-dose sachets preferred
Not recommended for children under 2 without medical supervision
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.