Acepiro 600 mg effervescent tablets

• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Acepiro 600 mg Effervescent Tablets is and what it is used for
2. What you need to know before you take Acepiro 600 mg Effervescent Tablets
3. How to take Acepiro 600 mg Effervescent Tablets
4. Possible side effects
5. How to store Acepiro 600 mg Effervescent Tablets
6. Contents of the pack and other information

• If you are allergic to acetylcysteine or any of the other ingredients of this medicine (listed in section 6).
• In children under 2 years. Medicines that dissolve phlegm can block the airways of young children, Acepiro 600 mg Effervescent Tablets must not be used in children under 2 years of age.
• Due to the high active substance content, Acepiro 600 mg Effervescent Tablets must not be used in children and adolescents. Medicines in a suitable strength are available for this.

Talk to your doctor or pharmacist before taking Acepiro 600 mg Effervescent Tablets.

• If you suffer from bronchial asthma, do not take this medicine.
• Very rare skin reactions called Stevens-Johnson syndrome and Lyell syndrome have been seen in people taking acetylcysteine. If you notice any changes to your skin or if you get ulcers inside your mouth, throat or nose, stop using this medicine and talk to your doctor straightaway.
• Speak with your doctor if you have problems coughing up phlegm, as you may need help to drain the phlegm from your airways. The use of Acepiro 600 mg Effervescent Tablets may, particularly at the start of treatment, lead to a loosening and therefore increased volume of bronchial secretion. If you are not sufficiently capable of coughing this up, your doctor will take appropriate measures.
• Caution is required if you have a past or present history of a stomach or duodenal ulcer, especially when used concomitantly with other medicinal products known to irritate the mucous membrane of the gastrointestinal tract.
• Caution is required in patients with histamine intolerance. Prolonged treatment should be avoided in these patients because Acepiro 600 mg Effervescent Tablets influences histamine metabolism and may lead to symptoms of intolerance (e.g. headache, runny nose, itching).
• If you are on a restricted salt diet (see ‘Acepiro 600 mg Effervescent Tablets contains sodium’).
• If you have hereditary problems with some sugars (see ‘Acepiro 600 mg Effervescent Tablets contains sorbitol’).
• If you have liver or kidney problems.
• Effervescent tablets can be a choking hazard if swallowed whole, especially in the elderly. Ensure that the tablet is fully dissolved before you take it.

Consult your doctor if any of the abovementioned warnings apply to you, or have applied to you in the past.

Do not give this medicine to children and adolescents (see above ‘Do not take Acepiro 600 mg Effervescent Tablets’).

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.

You must tell your doctor or pharmacist if you are taking any of the following medicines:

• Antibiotics. This medicine can prevent antibiotics (medicines which control or prevent infections) from working properly. If you are taking antibiotics, make sure you take this medicine two hours before or after taking your antibiotics.
• Cough medicines, which should not be used at the same time as Acepiro 600 mg Effervescent Tablets, as you must be able to cough up the loosened phlegm.
• Medicines to treat angina attacks, (tightness in your chest, neck and arm), Acepiro 600 mg Effervescent Tablets may increase the blood pressure-lowering effect of nitroglycerin (a medicine used to treat angina). Your doctor will need to monitor your blood pressure if you use nitroglycerin and Acepiro 600 mg Effervescent Tablets at the same time.
• Medicines to treat high blood pressure (hypertension). Acepiro 600 mg Effervescent Tablets may increase the blood pressure lowering effect of angiotensin-converting enzyme (ACE) inhibitors (medicines used to treat high blood pressure). You should not take Acepiro 600 mg Effervescent Tablets if you are also taking ACE inhibitors.
• Activated charcoal, used to treat poisoning.
• Changes in the determination of laboratory parameters
  • Acetylcysteine may affect the assay of salicylates.
  • Acetylcysteine may affect the results of the determination of ketone bodies in urine tests.

This medicine can make medicines and supplements containing metals like iron, zinc, copper and manganese less effective. If you are taking a supplement that contains metals, make sure you take it at a different time of the day to Acepiro 600 mg Effervescent Tablets.

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. There is little information about the use of acetylcysteine during pregnancy or breastfeeding and your doctor will only recommend this medicine if the benefits of taking it outweigh the risks.

Acepiro 600 mg Effervescent Tablets has no influence on the ability to drive and use machines.

This medicine contains 138.79 mg sodium (main component of cooking/table salt) in each effervescent tablet. This is equivalent to 6.94 % of the recommended maximum daily dietary intake of sodium for an adult.

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

This medicine also contains 0.52 mg sorbitol (E420) in each effervescent tablet.

Taking too much medicine may cause you to feel or be sick, or give you diarrhoea.

If you have taken too many tablets, contact your doctor or pharmacist straightaway.

Do not take a double dose to make up for a forgotten dose. Take your tablet as soon as you remember, unless it is almost time for your next dose. If it is almost time for your next dose, then just take the next dose as usual.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via:

United Kingdom (Northern Ireland)

or search for MHRA Yellow Card in the Google Play or Apple App Store

By reporting side effects, you can help provide more information on the safety of this medicine.

• The active substance is acetylcysteine. Each effervescent tablet contains 600 mg acetylcysteine.
• The other ingredients are citric acid (E330), ascorbic acid (E300), sodium citrate dihydrate (E331), sodium cyclamate (E952), saccharin sodium (E954), mannitol (E421), sodium hydrogen carbonate (E500), sodium carbonate (E500), lactose, lemon flavour (containing natural flavouring preparations, natural flavouring substances, flavouring substances, mannitol (E421), maltodextrin, gluconolactone (E575), sorbitol (E420), silica, colloidal anhydrous (E551)).

Acepiro 600 mg Effervescent Tablets are round, white tablets with a score line on one side.

The tablets come in a strip of paper lined with aluminium. Acepiro 600 mg Effervescent Tablets are available in cartons of 20 or 30 tablets. Not all pack sizes may be marketed.