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Fluimucil

Composition: One tablet contains: Active ingredient: acetylcysteine 600 mg. Excipients: citric acid 680 mg, sodium bicarbonate 500 mg, aspartame 20 mg, lemon flavouring 100 mg.

Form: Effervescent tablets.

Indications: A mucolytic for acute and chronic respiratory diseases associated with excessive bronchial secretions: bronchitis, tracheitis, bronchiolitis, pneumonia, bronchiectasis, cystic fibrosis, lung abscess, pulmonary emphysema, laryngotracheitis, interstitial lung diseases, and pulmonary atelectasis due to bronchial obstruction by a mucus plug. Catarrhal and purulent otitis, maxillary sinusitis and sinusitis (to facilitate drainage of secretions). Removal of viscous respiratory secretions following trauma and surgery.

Contraindications: Hypersensitivity to acetylcysteine; exacerbation of gastric or duodenal ulcer; phenylketonuria; children under 18 years of age; breastfeeding. Use with caution in gastric or duodenal ulcer, oesophageal varices, haemoptysis, pulmonary haemorrhage, bronchial asthma, adrenal disorders, hepatic and/or renal impairment, and arterial hypertension.

Dosage: Oral administration. Adults: dissolve one 600 mg effervescent tablet in 1/3 glass of water and take once daily. The duration of treatment should be assessed individually. For acute diseases, treatment lasts 5–10 days; for chronic diseases, up to several months, as recommended by a physician.

Side effects: Headache, tinnitus, tachycardia, vomiting, diarrhea, dyspepsia, allergic reactions, bronchospasm, hypotension. Very rarely — Stevens-Johnson and Lyell’s syndromes.

Interactions: Incompatible with antitussives. Avoid simultaneous use with antibiotics (tetracyclines, ampicillin, amphotericin B) — observe 2-hour interval. Enhances effect of nitroglycerin. Activated charcoal reduces acetylcysteine’s effectiveness.

Warnings: Use with caution in asthma, peptic ulcer, esophageal varices, hypertension. Do not use metal utensils for mixing. May interfere with lab tests (ketones, salicylates).

Age restrictions: 18 years and older

Pregnancy: Allowed only if benefits outweigh risks, under medical supervision. Breastfeeding should be discontinued during use.

Manufacturer: Zambon

Storage conditions: Store at temperatures not exceeding 25 °C. Keep out of reach of children.

Clinical studies:

On the selection of a reference medicinal product for the purpose of bioequivalence research of combination drugs (with the active ingredient having INN 'acetylcysteine')

Eurasian Economic Commission, 2021

Authors: V.V. Nazarenko

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Intrabronchial microbial flora in patients with chronic bronchitis: a target for therapy with N-acetylcysteine

European Respiratory Journal, 1994

Authors: G.C. Riise, S. Larsson, P. Larsson, S. Jeansson, B.A. Andersson

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Use of FLUIMUCIL® (N-acetylcysteine) in lung diseases

Scientific Center for Children’s Health, 2002

Authors: I.K. Volkov

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Acetylcysteine in preventing biofilm formation: a possibility worth considering

Pulmonology, 2014

Authors: Olga Raduchich

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The antioxidant action of N-acetylcysteine: its reaction with hydrogen peroxide, hydroxyl radical, superoxide, and hypochlorous acid

Free Radical Biology & Medicine, 1989

Authors: Okezie I. Aruoma, Barry Halliwell, Brigid M. Hoey, John Butler

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The role of N-acetylcysteine in the complex treatment of patients with chronic obstructive pulmonary disease (COPD)

Klinitsist, 2010

Authors: S.I. Ovcharenko, V.A. Kapustina

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