Lysomucil 600 14 zakj

Lysomucil 600 14 zakj

ZAMBON
1406313
€7.98
Tax included
Therapeutic Indications:

 

Lysomucil 600 14 zakj

.

Therapeutic Indications:

Chronic bronchitis.

In cases of chronic bronchitis (COPD - Chronic Obstructive Pulmonary Disease ) characterized by chronic cough, mucus formation and progressive shortness of breath and caused by chronic inflammation of the airways and oxidative stress - while maintaining a minimal lung function, + / - 50% of normal value - is a long term treatment with acetylcysteine indicated the risk and severity of exacerbations reduction.
Mucoviscidose.

In case of cystic fibrosis is an oral treatment because of its greater flexibility with an aerosol treatment supplement.
Acute respiratory diseases.

proposed as symptomatic treatment for fluidising of muceuze and mucopurulente secretions in disorders of the upper and lower airways.
Treatment of acute paracetamol intoxication.


Qualitative and quantitative composition:


The active ingredient is acetylcysteine. An effervescent tablet or a bag of granules for oral solution contains 600 mg of acetylcysteine.
For excipients, see List of excipients.

Pharmaceutical form:


Effervescent Tablets.
Granules for oral solution (bags).

Posology and method of administration:


DOSAGE.
Chronic bronchitis.

From 7 years: 600 mg per day in an intake: 1 or 1 pocket Lysomucil effervescent tablet 600 mg per day.
Mucoviscidose.

From 6 years : 1 of 1 bag Lysomucil effervescent tablet 600 mg per day.
processing times may take a few weeks, several months to life, and may be interrupted by periods without treatment, the duration of which depends on the general state of the patient.
Treatment of acute respiratory diseases.

From 7 years: 1 sachet or 1 effervescent tablet Lysomucil 600 mg per day.
Treatment of an acute paracetamol intoxication by the oral route.

To combat the hepatotoxic effects of paracetamol poisoning with high doses are used.
Two methods were validated: via intravenous and oral.
Preference is given to an intravenous treatment. For an oral treatment to the use of Lysomucil 600 mg granules for oral solution is preferable, because the absence of sodium salts in the formula. In its absence, the Lysomucil 600 mg effervescent tablets as antidote for overdose with paracetamol use. The oral therapy may also be given further treatment after an initial intravenous loading dose of acetylcysteine.
For the oral treatment patients are cooperative, which is not expected that they will lose consciousness into account.
The patient vomit or do perform gastric lavage if the ingestion is recent.
No active medicinal charcoal administration, which allows the effectiveness of orally administered acetylcysteine reduced.
If history shows that any ingested dose higher than 8 g (adult) or 150 mg / kg (child) or if there is risk of an already existing liver disease (chronic alcoholism or drugs that induce liver enzymes) immediate treatment with acetylcysteine should be started without the results of the analysis to wait (see dosage below).
a dosage of paracetamol at least 4 hours after ingestion run. If the plasma concentration over a threshold where no risk of liver damage, treatment with acetylcysteine should be discontinued.
Dosage of acetylcysteine per os:
The starting dose: 140 mg / kg body weight.
Maintenance Dose: 70, mg / kg body weight administered every 4 hours, 17 doses in total.
If the patient vomits within one hour after administration of acetylcysteine dose should be repeated.
Note: For severe vomiting, the preferred to be intravenous administration of acetylcysteine (starting dose: 150 mg / kg in 250 ml glucose 5%, administered in 60 minutes).
Note: The best treatment is performed within 10 hours after intoxication, in with the following therapeutic measures: control of the plasma concentration of paracetamol, gastric lavage, control of acidosis, maintenance of water-electrolyte balance, administration of vitamin K and fresh plasma, the correction of hyperglycaemia.
acetylcysteine reduces the risk of liver damage where within 10 hours after ingestion of a toxic dose of paracetamol administered. Recent studies have shown that in case of late delivery (from 16 hours after the intoxication) there exists a possible protective effect. In cases of severe poisoning with fulminant hepatic necrosis, the late administration of acetylcysteine reduces mortality.
See also section 'Pharmaco properties.
METHOD OF ADMINISTRATION.

General .
effervescent tablets, sachets (granules for oral solution):
The amount in half a glass of water or other non-alcoholic beverages (eg milk, juice) solution. In this way one obtains a preparation with a pleasant taste that can be taken as such. Partially used bags should be kept to a later intake (it is recommended that the other half within 24 hours use). However, solutions should be used immediately.
In small children, the resulting solution be administered with a spoon or the bottle are mixed.
The presence of a sulfur smell when opening the package does not point to degeneration of the product but is characteristic of the active ingredient.
Instructions for paracetamol intoxication.

(Lysomucil 600 mg granules for oral solution) dose may
The oral and a nasal-gastric or nasal-small bowel (plastic) tube administration.
The dose should be dissolved in a sufficient amount of water that is at least 10 ml of water per bag with a maximum volume of 300 ml.
starting dose: 140 mg / kg

maintenance dose: 70 mg / kg (every 4 hours, 17 doses in total)

This is a drug, no prolonged use without medical advice, keep away from children, read the leaflet carefully. Ask your doctor or pharmacist. In case of side effects, contact your doctor.

Contraindications:


Known hypersensitivity to acetylcysteine or any of the excipients.

Special warnings and precautions for use:


caution is advised in asthmatics, which acetylcysteine, administered via aerosol, can trigger bronchospasm.
If the patient can not cough, the respiratory by postural drainage, or if necessary by aspiration are kept.
patients with congestive heart failure and arterial hypertension should take into account the presence of sodium salts in effervescent tablets. An effervescent tablet 600 mg acetylcysteine contains approximately 5.9 mEq sodium.
The granules for drinks and effervescent tablets contain aspartame, a sweetener that can not be administered to patients with phenylketonuria.
The granules for oral solution contains sorbitol, allowing patients with a rare hereditary disorder of fructose intolerance should avoid its use.
Based on the theoretical mucolytic effect of acetylcysteine on the maagmucus, avoid untreated patients with active peptic ulcer best use of acetylcysteine. Patients with peptic ulcer in the history of acetylcysteine should be used with caution, especially when other drugs simultaneously with a known irritant effect on the gastric mucosa are taken. Pharmacovigilance, testing and extensive experience with acetylcysteine do not suggest an increased risk of irritating the stomach lining by acetylcysteine at a dose of 600 mg / day.
Voorzorgenbij special treatment of paracetamol intoxication.
Using Lysomucil
600 mg granules for oral solution is preferred, due to absence of sodium salts in the formula.
acetylcysteine When not in the form of an ampoule or granules has, the Lysomucil 600 mg effervescent tablets, taking into account the salt supply. These tablets should not be used in patients with renal and / or and heart failure. Conscious problems during the hours that follow the ingestion of paracetamol should be more like the simultaneous intake of other products.

Pregnancy and lactation:


Pregnancy.

Although side has never been described during pregnancy, caution when using this product during the pregnancy.
an acetaminophen toxicity in pregnant women may be treated with acetylcysteine: a good outcome for mother and child were described. In case of late treatment, the possibility of occurrence of a spontaneous abortion, however, may increase.
Lactation.

In the absence of available data, caution is recommended when using 600 mg during Lysomucil lactation.

Side effects:


Cases of hypersensitivity:
were reports of hypersensitivity reactions after oral administration.
Several cases of hypersensitivity were described following IV use of high doses of acetylcysteine as antidote for acetaminophen intoxication, especially when rapid iv acetylcysteine injected (probably a pseudo-allergic reaction, the proposed mechanism is an exemption of histamine). The symptoms of these reactions include vomiting, nausea, rash, urticaria, vertigo, bronchospasm, tachycardia.
Respiratory:
bronchorroe, bronchospasm, rhinorrhoea (in rare cases, especially after use of acetylcysteine in aërosoltoestellen).
Gastro-intestinal system:
sometimes nausea and vomiting (after oral administration), stomatitis (in rare cases, especially after use of acetylcysteine in aërosoltoestellen).

Effects on ability to drive and use machines:


There are no data to suggest that the medicine the attention or response may change.

Overdose:


The
acetylcysteine toxicity is low. At high doses, the side effects described above. In such case, a symptomatic treatment.

List of excipients:


Lysomucil 600 mg, effervescent tablets:
Sodium bicarbonate - anhydrous citric acid - Aspartame - Lemon Flavor.
Lysomucil 600 mg, granules for oral solution:
Aspartame - ß-carotene (E160) - Orange Aroma - Sorbitol (E420).

Interaction with other medicinal products and other forms of interaction:


Its chelating properties may acetylcysteine bioavailability of the salts of heavy metals such as gold and iron salts and calcium salts decrease. In the absence of precise data on this is the recommended intake of acetylcysteine and salts spreading or choose a different route.
Acetylcysteine after oral administration reduces the bioavailability of orally administered cephalosporins.
Oral acetylcysteine administered not interfere, which of bioavailability, with amoxicillin, erythromycin, doxycycline, bacampicilline, thiamphenicol and amoxycillin in association with clavulanic acid.
with cephalosporins should be spreading their intake of the intake of acetylcysteine or otherwise administer.
The association with other antibiotics was not documented.

Cases of incompatibility:


It is not recommended
Lysomucil 600 mg effervescent tablets or granules for oral solution, once resolved to mix with other drugs.

 

Delivery form
Bags
Type of product
Medicine
Brands
Lysomucil
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