Effervescent tablets ATSTS long

ATSTS Long is a mucolytic, expectorant.

Used to dilute sputum in diseases of the respiratory system, accompanied by the formation of thick mucus. Active ingredient Acetylcysteine is an amino acid derived cysteine. The mucolytic effect of the drug is of a chemical nature.

On this page you will find all information about ACT Long: the full instruction on the application to this medication, average prices in pharmacies, complete and incomplete analogs of the drug, as well as reviews of people who have already applied ACTS long. Want to leave your opinion? Please write in the comments.

Clinical and pharmacological group

Mucolytic drug.

Conditions of leave from pharmacies

Available without a prescription.

Price list

How much does ATSTS long? The average price in pharmacies is at the level of450 rubles.

Form of issue and composition

White round tablets with a risk, with a smooth surface with the smell of blackberries:

One effervescent tablet contains active ingredient: acetylcysteine 600 mg

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Auxiliary substances: anhydrous citric acid (1385.0 mg), sodium hydrogen carbonate (613.4 mg), sodium carbonate anhydrous (320.0 mg), mannitol (150.0 mg), anhydrous anhydrous (150.0 mg), ascorbic acid (75.0 mg), sodium cyclamate (30.0 mg), sodium saccharate 2НгО (5.0 mg), sodium citrate 2НгО (1.6 mg), blackberry flavoring В (40.0 mg).

Pharmacological effect

Acetylcysteine - an active substance of tablets ATSTS Long, with an expectorant effect, facilitates the removal of sputum due to exposure to its rheological properties. It is a derivative of cysteine, an aliphatic sulfur-containing amino acid. Acetylcysteine ruptures the disulfide bonds of mucopolysaccharide chains, which causes the depolymerization of sputum mucoproteins and a decrease in the viscosity of mucus, and also contributes to better expectoration and removal of bronchial secretions. The substance retains its effect in the presence of purulent sputum.

Acetylcysteine has antioxidant and pneumoprotective effects due to its binding by reactive sulfhydryl groups of oxidative radicals and, consequently, their neutralization. In addition, it promotes the formation of glutathione - an important component of the process of chemical detoxification of the body and the antioxidant system. The antioxidant activity of the substance promotes an increase in intracellular protection against the negative effect of free radical oxidation, which occurs in an intensive inflammatory process.

In the case of preventive use of the drug, there is a decrease in severity and

Indications for use

The preparation of ACT Long is indicated for all pathologies associated with accumulation in the upper respiratory tract, bronchial tree of thick viscous sputum, for example:

bronchiectatic disease;
sinusitis;
laryngitis;
cystic fibrosis;
chronic and acute bronchitis;
bronchiolitis;
bronchial asthma;
tracheitis;
average exudative otitis media.

Contraindications

Hypersensitivity to acetylcysteine or other constituents of the drug, pregnancy, breast-feeding, children under 14 years.

With caution - peptic ulcer of the stomach and duodenum in the stage of exacerbation; hemoptysis, pulmonary hemorrhage, varicose veins of the esophagus, bronchial asthma, adrenal diseases, hepatic and / or renal failure.

Application in pregnancy and lactation

According to the instructions, ACT Long is contraindicated for use during pregnancy and lactation, which is associated with with the lack of data confirming the safety / efficacy of therapy in this group of patients.

Instructions for use

In the instructions for use, it is indicated that ACS long is taken internally after a meal. The effervescent tablets should be dissolved in 1 glass of water.

Adults and adolescents older than 14 years are recommended to prescribe a drug of 200 mg (ATSTS 200) 2-3 times / day, which corresponds to 400-600 mg of acetylcysteine per day,or 600 mg (ATSTS Long) 1 time / day.

Tablets should be taken immediately after dissolution, in exceptional cases, you can leave the finished solution for 2 hours. Additional fluid intake enhances the mucolytic effect of the drug.

Side effects

Uncontrolled reception is fraught with the occurrence of side effects. In this case, the respiratory and digestive systems usually suffer. On the background of bronchial asthma, bronchospasm appear. Less painful dyspnea is observed less often.

A common side effect is pain in the abdomen. Sometimes there is nausea, which transforms into vomiting. Some patients have diarrhea, dyspepsia. Less often there is noise in the organs of hearing. Another common side effect is allergy. Usually there are skin rashes. They are accompanied by an excruciating itch. Lower blood pressure is less common. Anaphylactic reactions occur infrequently.

Other side effects include:

headache;
fever;
lowering platelet aggregation.

Against the background of increased sensitivity, single bleeding is observed. Severe side effects, life-threatening to the patient, have not been observed to date.

Overdose

In case of an overdose, the following manifestations may occur: abdominal pain, vomiting, diarrhea, nausea. Severe symptoms with an overdose were not observed.

In such cases, symptomatic treatment is performed.

special instructions

With the appointment and use of the drug ATSTS Long it is important to consider:

Information for patients with diabetes: 1 tablet of ATSTS Long corresponds to 0.01 XE (bread units);
Abundant drink during treatment enhances the mucolytic effect of acetylcysteine;
Acetylcysteine affects the metabolism of histamine, so do not take pills for patients with intolerance for a long time histamine - this can lead to the appearance of symptoms of hypersensitivity (itching, rhinitis, headache);
Tablets contain sodium compounds, which should be taken into account by patients staying on a salt-free diet;
The tablets contain lactose, so they are not assigned to patients with rare hereditary forms of galactose intolerance, lactase deficiency, or glucose-galactose malabsorption syndrome;
When appointing ATSTS Long, patients with obstructive bronchitis and bronchial asthma require strict systematic control of bronchial patency.

Drug Interactions

Simultaneous administration of antitussive drugs and acetylcysteine can lead to sputum stagnation (since such drugs suppress the cough reflex).
Acetylcysteine can enhance the vasodilator effect of nitroglycerin and vasodilating drugs.
Antibiotics for oral administration (tetracyclines, penicillins, cephalosporins) can interact with thiol group of acetylcysteine, as a result of which it is possible to weaken their antibacterial action. The interval between taking the drug ATSTS Long and antibiotics (except loracarbef and cefixime) should be 2 or more hours.

Reviews

We picked up some of the people's feedback on the ACC Long drug:

Alina. Reception of Ass Long helps me cope with high fever, severe coughing and shortness of breath. I only buy this medication, I take it as instructed. In order not to make a mistake with a choice, I recommend paying attention to the dosage. There are Ass 100, 200 and 600 mg. I once mixed up the dose, so I was sick all day.
Aziz. Almost a week there was a terrible stasis in the nasopharynx, at night could not fall asleep, in the evening my husband bought ATSTS Long (pop) in the course of 3 hours all the sputum came out! Although during the period of the illness I could not even get it out (sorry for the expression), I could not, as if as a lump! Very good preporat! At least in my case! I never left comments about the effect of this or that medicine, but I woke up and could not resist.) Probably the main thing is not to combine with other antibiotics and everything will be OK.. all health dear) do not be ill.
Victoria. My youngest son treats seasonal cold only with the help of Ass Long. The fact that the drug dissolves quickly in water and has a steady smell of blackberries is encouraging, does not cause disgust. To swallow tablets the son since the childhood does not know, on syrups at it or him the gag reflex opens, therefore only we are rescued by this checked up agent.

With the correct application of the drug, reviews about ACT Long are generally positive. Acetylcysteine helps even in cases of severe sputum stagnation, causing difficulty in breathing. But for the treatment of cough due to bronchial asthma and obstructive bronchitis, the drug should be used with caution, as the patients also mention in their reviews.

Compliance with the dosing regimen and reception rules (taken after a meal, making an interval of at least 2 hours with simultaneous use with antibiotics) helps to increase effectiveness of ATSTS Long, however, it is impossible to fully insure against the occurrence of allergic reactions, since the reaction of each patient to the drug is individual.

Analogues

Analogues of ATSTS Long are: Fluuimycil, Acestin, ESPA-NAC, Acetylcysteine, ACC, N-AC-Ratiopharm and others.

Before using analogues, consult your doctor.

Storage conditions and shelf life

Storage temperature should not be more than 30 degrees, store it in a dry, dark place, protect from access of children. After the tablet has been removed, it is necessary to close the tube tightly.

Shelf life 3 years.