Last updated: August 11, 2021

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Welcome to our ACC Akut test. Here we introduce you to the reliable cough remover. The cold season brings with it many annoying peculiarities - coughing is one of them, along with the unpleasant mucus. Acetylcysteine, a well-known and proven active ingredient, loosens the thick mucus caused by colds.

It is also recommended to take in case of current bronchitis. ACC cough expectorant products come in different dosages and dosage forms, which we would like to introduce to you in this test. There is certainly something for everyone! We will show you all the products and answer general questions you should ask yourself before buying. In addition, we give you the most important buying criteria so that you don't have to worry about cough solvents.




The most important

  • In the course of respiratory tract disease, coughing with thick mucus occurs. ACC Acute Cough Loosener helps against this. The active ingredient acetylcysteine loosens this mucus and makes it easier to cough up.
  • Children often have a cold and cannot take all medicines. ACC Children's Juice offers the ideal cough solution for the needs of young patients.
  • ACC offers the perfect dosage form for a wide variety of situations. Whether on the go as a powder in a sachet or as a practical effervescent tablet - there is something for everyone.

ACC Acute: Our Picks

Guide: Questions you should ask yourself before buying ACC Akut

What is ACC Akut and what active ingredient does it contain?

ACC Akut is used as a medication for various complaints but is particularly common for viral infections of the upper and/or lower respiratory tract, the cause of acute/cold-related bronchitis and cough. It loosens mucus and facilitates expectoration in respiratory tract diseases with viscous mucus. (1)

Since 90 % of cases of acute bronchitis are caused by viruses, symptomatic treatment, e.g. by taking ACC Akut, is usually sufficient.

In various studies, treatment with ACC Akut (600 mg) led to a significant improvement in symptoms. The test persons were particularly convinced by the expectorant effect or the facilitation of coughing up. A beneficial effect on the healing of the disease and good tolerability of the preparation was also noted. (1)

ACC Akut-1

Coughs are annoying. Get rid of the cold burden with the right products. ACC Akut loosens mucus and lets you breathe easy again.
(Source: pixabay.com / nastya_gepp)
The active ingredient is acetylcysteine. This has long been known for its expectorant effect. The active ingredient was developed in the 1960s and has since been used successfully in the treatment of coughs caused by colds and phlegm. Acetylcysteine has a triple effect on coughs with thick mucus: it loosens the mucus, makes it easier to cough up and strengthens the body's own bronchial protection.

Furthermore, a scientific study found that acetylcysteine can prevent the formation of biofilms, which play a role in many infectious diseases. In addition, the active ingredient can reduce the viability of (harmful) bacteria in the biofilms (2). In this and other studies, there is also evidence that acetylcysteine can have a positive effect on chronic lung and respiratory diseases such as chronic bronchitis or COPD (2, 5) Another study found a correlation between the active ingredient N-acetylcysteine and increased brain performance. Based on an evaluation of 12 scientific articles, the scientists from Australia came to the conclusion that NAC produced a statistically significant improvement in brain performance (3). However, the study is only of limited general validity.

ACC's range includes products with the active ingredient acetylcysteine in various dosage forms and different dosages. For example as:

  • Effervescent tablets
  • Direct sticks for taking without water
  • Children's juice from 2 years

Can I give ACC Acute to my child?

That depends entirely on the dosage. In the list, you will find an overview of the ACC Acute dosages and from what age you can give them to your child.

Product From when?
ACC Akut 200 mg from 2 years
ACC Akut 600 mg from 14 years
ACC direkt 600 mg from 14 years

However, we recommend ACC Children's Juice especially for children over the age of 2. The juice is ideal for loosening mucus in the respiratory tract and makes it easier to cough up the mucus. ACC Children's Juice meets the needs of small cough patients: It contains no alcohol, sugar or colourings and is also lactose-free. The practical dosage aid makes it easy and safe to take.

The delicious cherry flavour goes down very well with children.

What distinguishes ACC Akut from other manufacturers?

ACC's motto "You cough. We solve" has proven itself over many years. Thanks to many years of experience with the active ingredient acetylcysteine, the products work effectively and reliably. The active ingredient in ACC works in 3 ways: The active ingredient breaks down the cross-link that is responsible for the formation of mucus. This makes it possible to cough up mucus again.

The antioxidant properties of acetylcysteine protect the respiratory tract from free radicals. Thanks to the variety of dosages and dosage forms within the ACC product range, individual cough treatment is easily possible.

Nummer 1 HustenlöserIMS Pharmatrend
ACC Cough Loosener 600 mg is Germany's number 1 cough loosener in terms of sales. ACC recommends taking the cough expectorant by 4 p.m. so that the tough mucus can be loosened and coughed up during the day. (Source: husten.de)

Decision: What types of ACC Acute are there and which is right for you?

You will find a selection of products in the ACC range. These basically differ in the dosage level and the dosage form. In the following paragraphs, we have summarised three types and listed the advantages and disadvantages of each.

What distinguishes the classic ACC Akut and what are its advantages and disadvantages?

The classic ACC Akut cough expectorant comes in a 200 mg dosage. The effervescent tablets dissolve quickly in water and are well tolerated. The 3-fold effect is ensured thanks to the active ingredient acetylcysteine: Acetylcysteine loosens mucus, makes it easier to cough up and strengthens the body's own bronchial protection.

The low dosage is already suitable for children from 2 years of age. The delicious blackberry flavour goes down well with adults and children. You can also control the dosage based on frequency - please refer to the package leaflet. Depending on age, you can take ACC Akut 2 to 3 times a day.
Advantages
  • Active ingredient acetylcysteine
  • Quickly dissolving, well tolerated
  • Delicious blackberry flavour
  • Already suitable for children from 2 years of age
Disadvantages
  • Hypersensitivity may occur
  • Effervescent tablet awkward

What distinguishes ACC direct and what are the advantages and disadvantages?

ACC direct 600 mg is the ideal solution for those with a cough in-between times. It is taken quickly and practically without water. Whether in the office or when travelling - ACC direkt is always at hand. The active ingredient acetylcysteine also works its magic in this product: The bronchial protection is strengthened, coughing up is made easier and mucus is loosened.

The powder in the direct stick tastes fruity-fresh like blackberry and stimulates the flow of saliva, making it easier to swallow. ACC direct is produced using the innovative hot-melt coating process. This process serves to improve the taste.
Advantages
  • Convenient to take without water
  • Ideal for on-the-go use
  • Fruity, fresh blackberry flavour
Disadvantages
  • Hypersensitivity may occur
  • Only for children 14 years and older

What distinguishes ACC Children's Juice and what are the advantages and disadvantages?

ACC also thinks about children. ACC's cough expectorant is available in the form of a children's juice especially for the youngest patients. This can be taken by children from the age of 2.

ACC Akut-2

In the early years, children are susceptible to colds. Therefore, observe your child's cough carefully and consult the paediatrician if you are unsure.
(Source: pixabay.com / Semevent)

The active ingredient acetylcysteine dissolves mucus and makes it easier to cough up in respiratory diseases with thick mucus. The solution contains 20 mg/ml acetylcysteine and is without sugar, alcohol or colouring. The medicine is also lactose-free. In addition, the delicious cherry flavour makes for a pleasant cough ritual. Thanks to the practical dosing aid, you can make sure that your child takes the right amount of cough syrup.

Advantages
  • For children from 2 years of age
  • With practical dosing aid
  • Without sugar, alcohol or colouring
  • Lactose-free
  • With delicious cherry flavour
Disadvantages
  • Side effects not excluded
  • Limited shelf life

Buying criteria: Use these factors to compare and evaluate ACC Akut

The ACC product range is versatile. ACC offers the right product for every cough sufferer. We have listed the most important buying criteria below.

Dosage form

Basically, ACC products can be taken in three different ways:

  • Effervescent tablets: Easy to dissolve in water and take
  • Direct sticks (sachets): Ideal for on the go, without water, powder is placed directly on the tongue and swallowed
  • Liquid as children's juice: With practical dosing aid - measuring cup or syringe filling

Effervescent tablets also serve as an extra portion of fluid intake.

Dosage

Depending on the product, the dosage of the active ingredient acetylcysteine may be lower or higher. The small table gives an insight into the different dosages of the individual products.

Product type Dosages Acetylcysteine
ACC Acute 200 mg and 600 mg
ACC Direct 600 mg
Child juice 20 mg/ml

Flavour

Cough expectorants should not only work well, they should also taste good. After all, the fight against tough cough mucus is already arduous enough. With the ACC Akut 600 mg effervescent tablets, you can choose between blackberry flavour and lemon flavour (ACC Akut mg Z). The 200 mg dosage is also available in blackberry flavour. The Direct sticks taste fruity-fresh like blackberry and the ACC children's juice tastes like delicious cherry.

ACC Akut-3

Colds come and go. It takes a good dose of patience. What's the saying? Wait and see and drink tea.
(Source: pixabay.com / silviarita)

Interesting facts about ACC Acute

What is the best way to take ACC Akut?

Below, we have summarised the most important points on the type and duration of use of the various ACC products:

How to use ACC Akut 200 mg

  • Take ACC 200 mg Cough Loosener after meals.
  • Dissolve the effervescent tablet in a glass of drinking water and drink the contents of the glass completely.
  • If the symptoms worsen or do not improve after 4-5 days, you should consult a doctor.
Age Total daily dose
Children 2-5 years 2-3 times daily ½ effervescent tablet each
Children and adolescents 6-14 years 2 times daily 1 effervescent tablet each
Adolescents 14+ and adults 2-3 times daily 1 effervescent tablet each

Our recommendation: The tablets should be taken before 4 pm. If taken in the evening, there may be increased expectoration during the night, which can disturb restful sleep.

Application ACC Acute Direct 600 mg

  • Put the powder of a sachet directly on your tongue. The powder stimulates salivation so that it can be swallowed easily.
  • Note that the powder should not be chewed before swallowing.
  • ACC direct can be taken without water.
Age Dosage
Adults and adolescents 14 years and older 1 sachet 1 time daily (600 mg acetylcysteine

Application ACC Children's Juice

  • ACC Children's Juice should be taken after meals.
  • With practical dosage aid: ACC Kindersaft is taken with the aid of a special application syringe or measuring cup enclosed in the pack.
  • If the clinical picture worsens or there is no improvement after 4-5 days, you should consult a doctor with your little patient.
Age Total daily dosage
Children from 2-5 years 2-3 times daily each 5 ml
Children from 6-14 years 2 times daily each 10 ml
Adolescents from 14 years and adults 3 times daily each 10 ml

10 ml of solution to be taken corresponds to half a measuring cup or 2 syringe fillings.

Can I take ACC Akut with antibiotics?

When taking antibiotics and ACC Akut, keep the time interval between them in mind. To avoid a possible influence of acetylcysteine on the effectiveness of your antibiotic, it should be taken separately and at least 2 hours apart. Exceptions to this are medicines with the active ingredients loracarbef and cefixime. These can be taken at the same time as acetylcysteine. Nevertheless, observe the current package inserts for medicinal products.

What side effects can occur when taking ACC Acute?

Like any other medicine, side effects may occur when taking ACC products. Please be sure to read the package leaflet for the respective product! Occasional side effects may include: Headache, fever, allergic reactions (itching, wheals, skin rash, shortness of breath, swelling of the skin and mucous membranes, acceleration of the heart rate and lowering of blood pressure), ringing in the ears (tinnitus) You shouldnot take ACC Acute if you are allergic to any of the following ingredients:

  • Acetylcysteine, ascorbic acid (vitamin C), citric acid, lactose, mannitol, sodium carbonate, sodium citrate, sodium hydrogen carbonate, saccharin sodium, blackberry flavouring (contains sorbitol)

A scientific study in Science Translational Medicine also showed a correlation between the active ingredient acetylcysteine, vitamin E and cancer cell growth in mice. Acetylcysteine would not only protect healthy cells, but also cancer cells. In mice, this promotes the growth of lung cancer. (4) Due to the fact that NAC can accelerate cancer growth, some researchers express concern because this agent is often used to loosen mucus (4). NAC, which is the active ingredient in ACC acute, can therefore also have negative effects.

If in doubt, talk to your doctor or pharmacist about your concerns and get individual advice.

Can I take ACC Akut during pregnancy and breastfeeding?

Are you pregnant or do you think you might be? Or are you currently breastfeeding? Then you should ask your doctor or pharmacist for advice before taking ACC. As there is insufficient empirical data on the use of acetylcysteine in pregnant women, you should only use ACC Acute Cough Remover during pregnancy if your doctor considers it absolutely necessary. The same applies to use during breastfeeding.

Image source: lightfieldstudios/ 123rf.com

References (5)

1. Grenz Sandra. N-Acetylcystein in der Selbstmedikation. In: Phramazeutische Zeitung (2015); Vol. 7 (2015).
Source

2. Blasi F., Page C., Rossolini G.M. et al. The effect of N-acetylcysteine on biofilms: Implications for the treatment of respiratory tract infections. In: Respir Med (2016); Vol. 117, pp. 190-197.
Source

3. Skvarcac David R., Dean Olivia M., Byrnea Linda K., et al. The effect of N-acetylcysteine (NAC) on human cognition – A systematic review. In: Neuroscience & Biobehavioral Reviews (2017); Vol. 78, pp. 44-56.
Source

4. Sayin Volkan I., Ibrahim Mohamed X., Larson Erik et al. Antioxidants Accelerate Lung Cancer Progression in Mice. In: Science Translational Medicine (2014); Vol. 6, Number 221, pp. 221ra15.
Source

5. Gillissen Adrian. N-Acetylcystein. Neue Erkenntnisse zu einem bewährten Wirkstoff. In: Phramazeutische Zeitung (2010). Vol. 40 (2010).
Source

Why you can trust me?

Wissenschaftlicher Artikel
Grenz Sandra. N-Acetylcystein in der Selbstmedikation. In: Phramazeutische Zeitung (2015); Vol. 7 (2015).
Go to source
Wissenschaftliche Studie
Blasi F., Page C., Rossolini G.M. et al. The effect of N-acetylcysteine on biofilms: Implications for the treatment of respiratory tract infections. In: Respir Med (2016); Vol. 117, pp. 190-197.
Go to source
Wissenschaftlicher Artikel
Skvarcac David R., Dean Olivia M., Byrnea Linda K., et al. The effect of N-acetylcysteine (NAC) on human cognition – A systematic review. In: Neuroscience & Biobehavioral Reviews (2017); Vol. 78, pp. 44-56.
Go to source
Wissenschaftliche Studie
Sayin Volkan I., Ibrahim Mohamed X., Larson Erik et al. Antioxidants Accelerate Lung Cancer Progression in Mice. In: Science Translational Medicine (2014); Vol. 6, Number 221, pp. 221ra15.
Go to source
Wissenschaftlicher Artikel
Gillissen Adrian. N-Acetylcystein. Neue Erkenntnisse zu einem bewährten Wirkstoff. In: Phramazeutische Zeitung (2010). Vol. 40 (2010).
Go to source
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