ACTS: instructions for use, contraindications, indications, side effects, dosage to children syrup, granules, effervescent tablets
ATSTS (Acetylcysteine) - a drug with an expectorant and mucolytic effect, which is prescribed for liquefaction of the viscous secretion of the bronchi in diseases of the respiratory system, proceeding with the formation of dense, difficult outgoing sputum.
The history of the invention of the drug fell on the middle of the last century. It was then that Professor Ferrari, who worked in the Italian pharmaceutical company Zambon, discovered the similarity of acetylcysteine with protein cysteine, which has the ability to rupture the molecules of mucopolysaccharides, of which the bronchopulmonary secretion consists. The first drug on the basis of acetylcysteine was called Fluimutsil.
Farmgroup: Mucolytic drug.
Composition, physicochemical properties, price
ACC is available in the form of tablets (effervescent, soluble), granules and powder for oral use with different dosages of the active ingredient. Another dosage form is a solution for injections (intravenous and intramuscular).
Acetic Acicid Tablets
|Base material||Acetylcysteine 100, 200 or 600 mg||Acetylcysteine 300 mg||In 1 ml - 20 mg of acetylcysteine|
|Excipients||Lemon and ascorbic acid, lactose, mannitol, citrate and sodium hydracarbonate, aromatics||Ascorbic acid, aromatics, sucrose, saccharin.||Sodium hydroxide, edetate disodium, ascorbic acid, water for injection||Methyl parahydroxybenzoate, sodium benzoate, disodium edetate, carmellose and sodium saccharinate, sodium hydroxide, purified water, "Cherry" flavor|
|Physicochemical characteristics||Effervescent tablets are round in shape and white in color, flat. They have a fruit-fruit aroma||Homogeneous granules without agglomerated inclusions, white and with the smell of fruit||Clear solution, liquid, colorless||Syrup is colorless, transparent, slightly viscous, with the smell of cherries|
|Packaging||In plastic tubes for 10 or 20 pieces||In waterproof bags, 6, 10, 20, 50 pieces in a pack. By 100 mg in a vial (to obtain a suspension)||For 3 ml in ampoules, 5 ampoules in a cardboard bundle||To 100 ml in bottles of dark glass, with a measuring cup and a syringe|
No. 20 for 200 mg: 150-180 rubles.
No. 20 for 100 mg: 120-130 rubles.
№5: 100-130 rubles.
The price is 230 rubles.
The mucolytic effect of the drug is provided by the active substance acetylcysteine, which is a derivative of cysteine (amino acid). The molecule of acetylcysteine has sulfhydryl groups in its structure, which contributes to the disruption of the disulfide bonds of mucopolysaccharides in the sputum that provide the viscosity of the secretion. As a result, sputum is softened and easier to separate from the walls of the bronchi.
The drug has a direct effect on the density and rheological properties of sputum, while retaining proper activity even with purulent impurities in the bronchial secretion. In the preventive use of acetylcysteine, patients with cystic fibrosis and chronic bronchitis report a decrease in the number and a decrease in the severity of exacerbations.
Another effect of acetylcysteine is an antioxidant pneumoprotective effect, which is realized by binding and neutralizing chemical radicals with sulfhydryl groups. The drug accelerates the synthesis of glutathione, a factor of intracellular defense against a number of cytotoxic substances and oxidative toxins of internal and external origin, which allows the use of ATSs in overdose paracetamol.
Quickly and fully absorbed, undergoing metabolism in the liver. In the course of metabolic reactions, pharmacologically active cysteine and a number of other mixed disulfides are formed. Bioavailability is only about 10%. The maximum concentration is achieved in the blood after 1-3 hours after administration. The connection with flame proteins reaches 50%. Acetylcysteine is excreted by the kidneys as inactive metabolites. A very rapid half-life of about 1 hour is due to the biotransformation of the substance in the liver. With liver dysfunction, this period increases to 8 hours.
Indications for use
Diseases of the respiratory system, which form difficult to separate, viscous sputum:
- bronchitis (acute and chronic);
- obstructive bronchitis;
- abscesses of the lung;
- bronchial asthma;
- cystic fibrosis.
Sinusitis (chronic and acute).
Otitis media is average.
Contraindications to admission of ATSTS
- Exacerbation of the YBW and duodenum;
- Pulmonary hemorrhage, hemoptysis;
- Pregnancy and lactation period, ATSs are prohibited during pregnancy at any time;
- Individual intolerance;
In the instructions for the use of ATSTS for children indicated that treatment is possible strictly for medical purposes, contraindicated:
- Children under 2 years (except for granules for preparation in a vial and injections).
- Children under 6 years of age (granules 200 mg);
- Children under 14 years (granules 600 mg).
With care appoint to people with abnormal veins on the esophagus, with the risk of bleeding from the lungs, bronchial asthma, the pathology of the adrenal glands, the failure of the liver and kidneys.
Effervescent tablets ATSTS on 100 and 200 mg
The tablet should be dissolved with water (100 ml) and taken immediately after preparation. In exceptional cases, it is permissible to store the solution for a maximum of 2 hours. Take after meals, with additional water.
- Children 2-5 years: One 100 mg tablet or one half tablet 200 mg three times twice a day (200-300 mg per day).
- Children 6-14 l: One 100 mg tablet or one half tablet 200 mg three times a day. 2nd scheme: two tablets 100 mg or one tablet 200 mg twice daily (300-400 mg per day).
- Adolescents from 14 l and adults: one tablet 200 mg twice-thrice a day (400-600 mg per day).
In cases of cystic fibrosis, the dose and regimen are different.
- Children 2-6 l: one tablet of 100 mg or one half of the tablet 200 mg four times a day (200 mg per day).
- Children over 6 liters: two tablets of 100 mg or one tablet of 200 mg three times a day (600 mg per day).
Patients weighing more than 30 kg are given a daily dose of 800 mg, evenly distributed according to methods.
In the instructions for the use of the powder ATSTS indicated the method of preparation of the dosage form. Half the sachet or sachet is dissolved in juice, chilled tea or water and drink the formula after eating. To obtain the syrup, the drinking water is added to the vial to the mark and shaken.
- Children up to 2 liters: 50 mg (half a measuring spoon) twice-thrice a day (100-150 mg per day). Strictly according to the doctor's prescription!
- Children 2-5 l: One measuring spoon (100 mg) 2-3 r per day (200-300 mg per day).
- Children 6-14 l: One measuring spoon (100 mg) three times a day (300-400 mg per day).
- Adolescents older than 14 years and adults: Two measuring spoons (200 mg) twice-thrice a day (400-600 mg per day).
The scheme of admission for cystic fibrosis is similar to tablets.
- The syrup is taken after eating, measuring the proper amount with a syringe or a glass. 10 ml of syrup = half a cup or 2 full syringes. It should be washed down with water to increase the mucolytic effect.
- Children 2-5 l: 5 ml of syrup 2-3 r per day (200-300 mg per day);
- Children 6-14 l: 5 ml of syrup 3 r per day or 10 ml twice a day (300-400 mg per day);
- Children over 14 liters, adults: 10 ml of syrup 2-3 r per day (400-600 mg per day).
In cystic fibrosis:
- Children 2-6 l: 5 ml syrup 4 r per day (400 mg per day);
- Children older than 6 liters: 10 ml of syrup 3 r d (600 mg per day).
Intended for intravenous or intravenous administration only in a hospital.
- In / m: injected deeply into the muscle. In / in: diluted with,% NaCl in the ratio slow introduction.
- Children 1-6 l: 10 mg of solution per 1 kg of body weight.
- Children 6-14 l: 150 mg (one and a half ml) 1 or 2 r per day.
- Children older than 14 l and adults: 300 mg (3 ml) 1-2 r per day.
Duration of admission. Short-term colds: 5-7 days. More serious illnesses - for a long time, according to the doctor's prescription.
Side effect when taking ACTS
- CNS: rarely - noise in the head, headache.
- The digestive tract: diarrhea, stomatitis, vomiting, nausea, heartburn.
- CCC: falling blood pressure, tachycardia.
- Alluregia: bronchospasm, which is possible with hyperreactivity of the bronchial system, urticaria and skin rash.
- Occasionally, the development of pulmonary hemorrhage in people with increased sensitivity to the drug.
- The preparation should be planted only in glassware. Upon contact with metals sulfides are formed.
- Patients with asthma and bronchitis obstructive should monitor the patency of the bronchi.
- With the development of any side effects, taking the drug is stopped.
- Patients with diabetes should take into account the glucose content: in 100 mg of ACC - 0.006 XE.
- Does not affect the ability to drive a car and work with complex mechanisms.
- With caution appoint a pathology of the kidneys, liver.
- It is not recommended to combine acetylcysteine and cough suppressants, as it is dangerous to suppress the cough reflex and stagnation of sputum.
- When used simultaneously with nitroglycerin, the vasodilator effect of the latter is enhanced.
- ATSTS reduces the adsorption of penicillins, cephalosporins and tetracycline, so antibiotics are prescribed 2 hours after taking the mucolytic.
|Wix Active (140-280 rubles)||Fluimucil (150 - 250 rubles)||Acetylcysteine||Rinoflumacil (nasal) 250 rub.|
ATSTS with dry cough: how to apply correctly
Coughing happens with sputum discharge - productive, and without it - dry. The latter form occurs with colds and allergies. To eliminate it, many drugs are offered. One of which is ATSTS. It is noteworthy that this remedy for a productive cough, perfectly excretes phlegm, but at the same time can be used to treat dry.
Properties and composition of ATSTS
Due to the convenience of using effervescent tablets - one of the popular forms of the drug ATSTS
In pharmacies, this drug is offered in two dosages: 100, 200 and 600 milligrams. There is also ACTS Long. It operates for 12 hours, it can not be taken more than twice a day.
The medicine is produced in the form of:
- effervescent pills;
- mixtures for inhalation;
- granules, the dissolution of which produces a syrup;
- solution for internal injections.
The syrup in addition to the main component contains:
- carmellose sodium;
- disodium edate;
- sodium benzoate;
- sodium hydroxide;
- flavoring "Cherry
- sodium saccharinate.
- lactose anhydride;
- ascorbic acid;
- sodium citrate;
- blackberry flavor "B
- citric acid anhydride;
- sodium hydrogen carbonate.
Powder for the preparation of the solution consists of:
- ascorbic acid;
- dry flavor with orange flavor;
This remedy is effective for all types of dry and wet cough. Its main active component is acetylcysteine, which acts on the mucous membrane and helps to withdraw phlegm from the lungs in a short time. Admission to the ACC should be accompanied by a plentiful drink, then its action will accelerate.How to treat a bad cold and cough without fever is indicated in the article.
What is the treatment for dry coughing in an adult, you can find out by reading the article.
How to cure cough with teething is indicated in the content of this article: http://prolor.ru/g/detskoe-zdorove-g/kashel-pri-prorezyvanii-zubov-u-detej.html
The potential of this drug is not completely exhausted.It has mucolytic, antioxidant and expectorant properties. Recently it became known that he can remove toxins from the body.But more often it is used for catarrhal diseases, which are accompanied by a cough to eliminate its manifestation. ATSTS liquefies and reduces the viscosity of phlegm and leads it out. Removes inflammation.
Indications for use
ACTS begins to operate within an hour
Usually, a powder is prescribed for a syrup or tablet. These two tools are most convenient for use. But in what form does the doctor prescribe the medicine, because each species has its own testimony. For example, a syrup treats chronic lung diseases, and the solution is used even with laryngotracheitis.
The main indicators for use are:
- diseases of the respiratory system: pneumonia, various types of bronchitis, cystic fibrosis, bronchial asthma;
- sinusitis: acute and chronic;
- otitis media.
From this article you can learn how to cure a dry cough in a child.
How is the treatment of dry rending cough, you can find here in the article: http://prolor.ru/g/lechenie/lechim-suxoj-kashel-narodnymi-sredstvami-bystro.html
ATSTS apply in most cases from a wet cough.With the dry form of this symptom, it is prescribed only after the use of drugs that contributed to the increase in sputum liquefaction.They have already worked out and transferred it into a productive form, so the use of this medicine will be more than justified and effective.
When dry cough is often used ATSTS Long, but it is prescribed in combination with ancillary drugs, which will complement its action and provide effective treatment.
After taking the drug begins to act at full strength after an hour. It is excreted from the body mainly with urine, and a small part through feces. The rate of withdrawal directly depends on the work of the kidneys, with the disease which it can drag on for a long time.
Contraindications and side effectsDo not take inside the ATSs in the following cases:
- with pulmonary hemorrhage;
- during pregnancy;
- during breast-feeding;
- renal failure;
- peptic ulcer;
- personal sensitivity to the components of the drug.
Do not self-medicate. Apply only on the advice of a doctor who can prescribe it both for treatment and for preventive measures.
The drug can affect everyone differently, there is a possibility of occurrence of individual side effects such as:
- headaches, noise in the ears (from the central nervous system);
- nausea, stomatitis, heartburn, vomiting (with regard to the gastrointestinal tract);
- heart palpitations, decreased blood pressure (refers to the cardiovascular system).
In the instructions for the ATS species: Long and 200 mention possible allergic reactions. They can manifest as a rash or itching.
How to take it with dry cough
Carefully observe the dosage of ACC prescribed by your doctor!
First, for the children and adults, various dosage medications are prescribed. Secondly, each species of ATSs has its own daily portion.
So, how to cure a dry cough in a child?The drug ACTS 100 can be taken to babies almost from birth.Children under 2 years take it 3 times a day for 50 mg. After two and up to 5 years, the number of receptions increases to 4 and each of 100 mg. Since six years, the daily dose reaches 600 mg, which should be divided 3 times.ATSTS Long can be taken to children who have reached the age of 14. Their daily dose of 600 mg is drunk at a time. The tablet is dissolved in water and taken orally after meals. If you did not immediately manage to drink the already prepared remedy for unforeseen circumstances, you can take it within two hours after, but not later than the specified time. Otherwise, you need to make a drink from another tablet.
ACC 200 is taken only as a solution. It is prescribed to children over 6 years of age, a daily dosage of twice a packet of powder dissolved in warm water. Adolescents and adults should be taken for three meals per bag.
Powder for the solution can be added to warm juice, water, tea or compote.Granules for syrup are diluted in a vial with warm ordinary water to the designated label. After taking the drug inside it should be washed down with additional liquid in large quantities to enhance the therapeutic effect. In addition, you can use the cough recipes at home to enhance the effect of ATSTS.
The course lasts at least five days, in neglected cases it can reach six months, which includes a period of treatment and time for the prevention of infection.
Ольга, 36 years old: "After the flu, my daughter had a complication - acute bronchitis. The pediatrician of a local polyclinic has written out to her the ATSTS. This is the first time we have encountered this drug. Since I am a supporter of proven means and do not spoil children with unnecessary pills. I immediately asked the pharmacy for instructions. After reading it, I realized that he can help only with a wet cough. And she had a pronounced - dry. Therefore, I turned to a private doctor who, to my surprise, confirmed the correctness of the prescribed treatment.And he said that this effective drug was prescribed to us together with Ambroxol, which will complement each other and accelerate the process of recovery.Having listened to the advice of both doctors, we took everything in the indicated doses, and to my relief the daughter fully recovered in a week. "
Margarita, 30 years old: "I bought myself effervescent pills, they were very pleasant to taste, like lemonade. I dissolved one tablet in 2/3 glasses of warm water, this consistency is great for me
I do not like it. Took a dry cough for five days with a syrup having an expectorant effect. And the cough is gone. "
Tanya, 23 years old: "When my son went to the garden, he immediately became very sick. We sat more at home than we went there. Constant standing in line for the hospital did not improve the situation. The prescribed medications did not work immediately, and their effect did not last long. After antibiotics, the son came to life even longer than it hurted. I always found out from doctors some alternative drugs, sparing immunity.And so, finally, we were prescribed such a course: syrup from a dry cough for three days, and then introduce 1 sachet ATSTS per day.All this acted literally on the fifth day. And I want to note that next time we fell ill only after two months. Who remembers the first year of the child's stay in the kindergarten, he will understand me. For us it was a really long time. "
Владимир, 46 years old: "I have a dry cough, do not think, not from smoking. So I'm not into it. In general, somewhere I caught a cold. To be ill I do not like. I need to drink a medicine, and tomorrow I'm healthy. A friend advised Atsz long, he once cured him. I know that it would be better to see a doctor. But it's easier to go to the pharmacy and buy it than go to the hospital and waste time. The next morning, there was still a cough, but it was already softer and the throat was not perspiration.So I understood that the remedy works.Took another day. And on the third day, everything seemed to take off like a hand. I recommend!"
More about the treatment of dry cough in this video:
ATSTS differs from other similar drugs not only with its effective action, but also at an affordable price. It can be used at the first sign of a cold as a preventive.With a wet cough, it can be used alone, and when dry, together with effective expectorant drugs.The effect of this drug is the dilution of viscous sputum and its release to the outside. Thanks to him, dry coughs quickly become productive, therefore the duration of the disease is shortened. ACS is used not only for adults, but also for children from the first days of manifestation of cold symptoms. This is the right choice for a speedy recovery.
"ACTS" for cough: reviews. "ACTS instruction manual, analogues, release forms
Is the drug "ACTS" effective from cough? You can find the comments about this medicine a little further. Also, from the materials of this article, you will learn about the form in which this medicine is manufactured, what components are included in its composition, how it works and whether it has side effects.
Form, composition, description, packaging of mucolytic agent
In what form can I buy the preparation "ACTS" for cough? The effervescent tablets are available in aluminum tubes and strips, have a white color, the aroma of berries or fruits, as well as a round and flat shape.
Also, the drug in question is available in the form of a powder. It is designed for preparation of medicinal solution for oral administration. In the sale of this form comes in bags, which are placed in a package of cardboard.
If the medication is prescribed to young children, they are recommended to give syrup from the cough "ACTS". This form of the drug is sold in dark jars with a measuring spoon.
The active ingredient of all the listed products is acetylcysteine. It is his presence in the medicine that determines the high therapeutic effectiveness of the medication.
Pharmacological action of the drug against coughing
How does ACC work against coughing? The instruction says that it is a mucolytic agent.
Reception of the drug helps to dilute sputum, increase its volume, facilitate isolation and subsequent expectoration.
The principle of action of the drug "ACTS" is associated with its ability to rupture all the disulfide bonds of mucopolysaccharides sputum (acid). This effect leads to a decrease in mucus viscosity and depolarization of mucoproteins.
It should be specially noted that this drug retains its activity even in the presence of purulent sputum.
Features of expectorant medication
How does the "ACC" medication affect the human body from cough? Tablets effervescent, as well as syrup and powder have an antioxidant effect, which is due to the presence SH-group that is able to interact, and also to neutralize oxidative electrophilic toxins.
The active substance of the drug helps to increase the synthesis of glutathione, which is an important antioxidant factor of intracellular protection. It provides support for the morphological integrity and functional activity of the cell.
Pharmacokinetics of mucolytics
Is the drug "ACC" absorbed from the cough (the price of this remedy is indicated below)? According to the instructions, when taken orally, this medication is absorbed fairly well from the intestine. To a large extent, he undergoes the first passage through the liver. This leads to a decrease in its bioavailability.
The connection with plasma proteins is about 50% (approximately 4 hours after administration). Metabolized medicine in the liver, as well as in the intestinal wall. In the blood, acetylcysteine is observed in unchanged form, as well as in the form of the following metabolites: α-diacetylcysteine, cysteine ester and N-acetylcysteine.
Indications for use
Many patients know how effectively ACC helps cough. Experts say that indications for the use of this drug are all conditions and diseases, in which there is an accumulation of sputum in the respiratory tract.
Thus, it can be safely noted that this medication effectively treats:
- bronchitis in chronic and acute form;
- obstructive bronchitis;
- cystic fibrosis;
- bronchial asthma;
- Otitis of the middle ear is exudative.
By the way, dry cough "ACTS" does not heal. It should be used only with difficult to separate sputum (that is, with a wet cough).
Contraindications for use
Under what conditions can not prescribe the drug "ACTS" from a cough? Experts say that contraindications to the use of this medicine are the following diseases:
- peptic ulcer;
- intolerance to fructose;
- kidney failure and hepatitis (especially for children);
- bleeding from the lungs.
It should also be noted that this medication is not recommended for patients with increased sensitivity to the components of the drug.
How to take the medicine "ACTS" from a cough?
Experts say that the dosage of this medication depends on the indications.
Treatment of cystic fibrosis - for people with a body weight of more than 30 kg, the daily dosage is 800 mg. For children from the 10th day of life and up to 2 years, the drug is given 50 mg three times a day, and for children 2-5 years - 400 mg per day.
The daily dosage of this drug is divided into several doses.
"ATSTS" for children from cough (6-12 years) is prescribed in the amount of 600 mg. The course of therapy is usually 3-6 months.
For other diseases, this drug should be taken according to a different scheme. To clarify it, you need to undergo a medical examination and contact your doctor.
Adults and adolescents over 12 years of age, the drug is prescribed at a dosage of 400-600 mg per day.
Therapy in uncomplicated course of the disease should last for 5-7 days. If the disease is chronic or complicated, the course of treatment can be significantly increased (up to six months).
According to the attached instructions, this drug should be taken strictly after meals. Powder "ACTS as well as effervescent tablets must be previously dissolved in 100 ml of any liquid (for example, in water, tea or juice).
As for infant syrup, it should be given to the child without dilution. The dosage of such a drug form is determined by means of a measuring spoon.
The use of the drug "ACTS" can provoke the appearance of such side effects as diarrhea, heartburn, nausea, stomatitis and vomiting. It should also be noted that this medication often contributes to the development of noise in the ears, headaches, increased blood pressure and arrhythmia.
Cases of overdose
If the drug is intentionally or mistakenly overdosed, symptoms such as vomiting, diarrhea, heartburn, stomach pain and nausea may be observed in patients. These symptoms do not require the withdrawal of the drug and after some time pass independently.
With the simultaneous administration of "ATSTS" with antitussive drugs, life-threatening mucus congestion can occur. This is due to the suppression of the cough reflex.
The combination of nitroglycerin and acetylcysteine can enhance the vasodilator effect of the former.
The drug "ACTS" reduces the absorption of tetracycline, cephalosporins and penicillins. In this regard, take these funds should be 2 hours after taking acetylcysteine.
"ATSTS" is not compatible with antibiotics and proteolytic enzymes.
In the interaction of acetylcysteine with rubber and metals, sulphides are formed which have a characteristic odor.
The preparation "ACTS" for cough: price and analogy
Replace the drug in question by one of the following means: "Fluimucil licorice root syrup, "Acestad "Mukaltin "Mukonex "Solvyn " "Acetylcysteine Sedico "Gedelix "Acetin "Bromheksinom-Ferein "Lazolvanom "Bromheksinom-Akri "Ambrobe "Libexin Muko "Ambrolum "Mukosol" "Bronkatarom."
As for the price, it can vary slightly in different forms of this drug. For example, you can buy a powder for 170 rubles, a syrup for 230, and effervescent tablets for 250.
Reviews about mucolytic remedy
According to patients' reviews, this drug is highly effective. He completely copes with the task. When you take the recommended dosage, a wet cough lasts for several days. As for more serious diseases, it takes a little more time to treat them.
There are practically no negative reviews for this medicine. Although some patients still complain about its inefficiency. Doctors explain this fact by an incorrect treatment regimen or a complicated course of the disease.
ACS for cough instructions for use and dosage
Children, if they have difficulty separating sputum, as well as with a wet cough, is prescribed ACS for cough. Instructions for use and dosage of the drug are described below in the article.
ACS for cough - instruction for use and reception rules
The preparation of ACC is released in several forms, namely, in two. The first of these is a pellet in a sachet. Of these, a solution of ATSTS 100 is prepared. The second is produced in a bottle and syrup is prepared. The second kind appeared on the market. It is more preferable for children from the age of ten days of life to two years. Although the active chemicals are exactly the same.
ATSTS from cough for children is prescribed by a doctor in the presence of a wet cough. That is, when the viscous mucus forms in the bronchi, and it is unable to retreat independently. ATSTS from cough instructions for use indicate such indications:
1. the presence of acute or chronic bronchitis;
3. bronchitis obstructive;
4. bronchial asthma;
8. chronic or acute sinusitis;
9. chronic obstructive pulmonary disease;
10. preventive reception after complications in operations;
11. poisoning with paracetamol.
Pharmacological groups of the drug ATSTS - detoxification (contains antidotes). Stimulates the motor function of the respiratory tract.
ACS for cough - dosage for use
Application and dosage of ATSTS: infants from the 10th day of life and children under two years of age take, ml syrup. Or acetylcysteine fifty mg two to three times a day (a daily dose of one hundred and fifty mg). Children from two to six years - 5 ml of syrup or (acetylcysteine one mg 2-3 times a day, three hundred mg in day); children from six to fourteen years old - 5 ml or (acetylcysteine 200 mg 2-3 times a day, four hundred mg). Observe that the child takes a lot of fluids during the day. The last dose should be no later than four hours before bedtime.
The course of treatment is five to seven days. In severe cases, the course of treatment for ATSs from cough is determined by the doctor. Syrup ATSTS calculated for 1 course of treatment.
Side effects of ATSTS: nausea, heartburn, vomiting, noise or ringing in the ears, urticaria are possible.