Abstract
The optimal choice of effective and safe mucolytic drug is an important issue, especially in pediatric practice. A role of N-acetylcysteine (NAC) for treatment of upper and lower respiratory infections in children has been discussed in this review. Randomised controlled trials confirmed significant mucolytic effect and safety of NAC in children > 2 years old without excessive increase in bronchorrhea. Compared to other mucolytics NAC has additional therapeutic properties such as antioxidant and antitoxic (particularly, in paracetamol poisoning). NAC could destroy bacterial biofilms and prevent their occurrence. Original NAC (Fluimucil®) is available in different drug formulations: granules and tablets for oral solution, solution for inhalation and parenteral use. Since 2016, Fluimucil has been available as oral solution for children ≥ 2 years old with ease dosing.
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