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ACC 600 mg Powder

Prescription review online

Prescription review online

A doctor will review your case and decide whether a prescription is medically appropriate.

Talk to a doctor about this medicine

Talk to a doctor about this medicine

Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
More times
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Acc Optima Active

Contents of the leaflet

  1. Package Leaflet: Information for the Patient
  2. ACC Optima Active, 600 mg, Oral Powder in Sachet
    1. Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.
    2. Table of Contents of the Package Leaflet
  3. What is ACC Optima Active and what is it used for
  4. Important information before taking ACC Optima Active
    1. When not to take ACC Optima Active
    2. Warnings and precautions
    3. Children and adolescents
    4. ACC Optima Active and other medicines
    5. Lab tests
    6. Pregnancy and breastfeeding
    7. Pregnancy
    8. Breastfeeding
    9. Driving and using machines
    10. ACC Optima Active contains aspartame, sorbitol, and sodium
  5. How to take ACC Optima Active
    1. Method of administration
    2. Duration of treatment
    3. Taking a higher dose of ACC Optima Active than recommended
    4. Missing a dose of ACC Optima Active
  6. Possible side effects
    1. Reporting side effects
  7. How to store ACC Optima Active
  8. Contents of the pack and other information
    1. What ACC Optima Active contains
    2. What ACC Optima Active looks like and contents of the pack
    3. Marketing authorization holder
    4. Manufacturer
    5. For more information about the medicine and its names in the Member States of the European Economic Area, please contact:

Package Leaflet: Information for the Patient

ACC Optima Active, 600 mg, Oral Powder in Sachet

Acetylcysteine

Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in the package leaflet for the patient or as directed by a doctor or pharmacist.

  • This package leaflet should be kept in case it needs to be read again.
  • If advice or additional information is needed, a pharmacist should be consulted.
  • If the patient experiences any side effects, including any possible side effects not listed in the package leaflet, they should inform their doctor or pharmacist. See section 4.
  • The medicine ACC Optima Active should not be taken without a doctor's recommendation for more than 14 days.
  • If there is no improvement or the patient feels worse after 4 to 5 days, they should contact their doctor.

Table of Contents of the Package Leaflet

  • 1. What is ACC Optima Active and what is it used for
  • 2. Important information before taking ACC Optima Active
  • 3. How to take ACC Optima Active
  • 4. Possible side effects
  • 5. How to store ACC Optima Active
  • 6. Contents of the pack and other information
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

1. What is ACC Optima Active and what is it used for

ACC Optima Active contains the active substance acetylcysteine, which thins the thick mucus in the airways.
ACC Optima Active is used to thin mucus and make it easier to cough up
in patients with respiratory diseases that produce thick mucus.
The medicine should only be taken by adults.

2. Important information before taking ACC Optima Active

When not to take ACC Optima Active

if the patient is allergicto acetylcysteine or any of the other ingredients of this medicine (listed in section 6).
The medicine should not be taken by children under 2 years of age.

Warnings and precautions

Before taking ACC Optima Active, the patient should discuss it with their doctor or pharmacist if they:
have skin lesions
During treatment with acetylcysteine, very rare severe skin reactions, such as Stevens-Johnson syndrome and Lyell's syndrome, have been reported. If new skin lesions or mucous membrane lesions occur, the patient should stop taking the medicine and seek medical attention immediately.
have bronchial asthma
currently have or have had stomach or intestinal ulcers;
are allergic to histamine
The patient should avoid taking ACC Optima Active for a longer period, as the medicine affects histamine metabolism and may cause intolerance symptoms (e.g., headache, vasomotor rhinitis, itching).
do not tolerate fructose, as the medicine contains sorbitol
have phenylketonuria, as the medicine contains a component that is a source of phenylalanine
have problems with coughing up mucus
Taking ACC Optima Active, especially at the beginning of treatment, may cause thinning and increased production of bronchial mucus. If the patient is unable to cough up the mucus, the doctor will take appropriate action.
ACC Optima Active should not be taken by patients with liver or kidney failure to avoid additional administration of nitrogen compounds to the body.

Children and adolescents

In children under 2 years of age, mucolytics (medicines that thin and liquefy mucus in the airways) may cause airway narrowing due to the characteristics and function of the airways in this age group and limited ability to cough up mucus. Therefore, mucolytics should not be taken by children under 2 years of age.
ACC Optima Active is not intended for use in children and adolescents. For these patients, the medicine is available in other pharmaceutical forms.

ACC Optima Active and other medicines

The patient should tell their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take. This is especially important for the following medicines:
cough suppressants
Taking ACC Optima Active and cough suppressants at the same time may cause dangerous accumulation of mucus due to reduced cough reflex. The use of these medicines requires careful diagnosis of the type of cough. Before taking such a combination of medicines, the patient should consult their doctor.
antibiotics
To avoid the effect of antibiotics on the efficacy of acetylcysteine, the patient should wait at least 2 hours between taking the two medicines. This does not apply to medicines whose active substance is cefixime or loracarbef. Due to the lack of interaction, these medicines can be taken at the same time as acetylcysteine.
activated charcoal
Activated charcoal may reduce the effect of acetylcysteine.
glyceryl trinitrate (nitroglycerin)
When taking glyceryl trinitrate and acetylcysteine at the same time, the dilation of blood vessels and reduction of platelet activity are enhanced. The doctor will monitor whether the patient experiences a decrease in blood pressure (which may be significant), which may be indicated by a headache.

Lab tests

If the patient is to undergo the listed tests, they should inform their doctor about taking ACC Optima Active, as it may affect the test results:

  • salicylates: medicines used to treat pain, inflammation, or rheumatism,
  • ketone bodies in urine.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before taking this medicine.

Pregnancy

Due to insufficient experience with the use of acetylcysteine in pregnant women, ACC Optima Active can be taken during pregnancy only if the doctor considers it absolutely necessary.

Breastfeeding

There is no available data on the penetration of acetylcysteine into breast milk, so ACC Optima Active can be taken during breastfeeding only if the doctor considers it absolutely necessary.

Driving and using machines

It is not known whether ACC Optima Active affects the ability to drive or use machines, or if this effect is insignificant.

ACC Optima Active contains aspartame, sorbitol, and sodium

This medicine contains 0.5 mg of aspartame in each sachet. Aspartame is a source of phenylalanine. It may be harmful to patients with phenylketonuria. This is a rare genetic disorder in which phenylalanine accumulates in the body due to its impaired excretion.
This medicine contains up to 527 mg of sorbitol in each sachet. Sorbitol is a source of fructose. If the patient has previously been diagnosed with intolerance to some sugars or has been diagnosed with hereditary fructose intolerance, a rare genetic disorder in which the patient's body does not break down fructose, they should consult their doctor before taking the medicine or giving it to their child.
This medicine contains less than 1 mmol (23 mg) of sodium per sachet, which means the medicine is considered "sodium-free".

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to take ACC Optima Active

This medicine should always be taken exactly as described in the package leaflet for the patient or as directed by a doctor or pharmacist. If in doubt, the patient should consult their doctor or pharmacist.
The medicine is taken only by adults.
If the doctor has not recommended otherwise, the recommended dose is 1 sachet once a day.

Method of administration

The oral powder contained in one sachet of ACC Optima Active should be poured directly onto the tongue. The powder stimulates saliva production, making it easy to swallow.
Note: the oral powder should not be chewed before swallowing.
Water is not necessary to swallow the powder.
It is not recommended to dissolve ACC Optima Active with other medicines.
Note:
A possible sulfur smell does not indicate changes in the medicinal product but is characteristic of the active substance of this product.
Patient with advanced age and weakened patients
Patients with weakened cough reflex (patients with advanced age and weakened patients) should take the medicine preferably in the morning.

Duration of treatment

  • ACC Optima Active should not be taken for more than 14 days without a doctor's recommendation.
  • If there is no improvement or the patient feels worse after 4 to 5 days, they should contact their doctor.

Overdose of the medicine may cause stomach and intestinal irritation with symptoms such as abdominal pain, nausea, vomiting, diarrhea.
So far, no severe side effects or symptoms of poisoning have been observed, even after significant overdose. However, if an overdose of ACC Optima Active is suspected, the patient should consult their doctor.

Missing a dose of ACC Optima Active

A double dose should not be taken to make up for a missed dose. The next dose should be taken at the usual time.
If the patient has any further doubts about taking this medicine, they should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, ACC Optima Active can cause side effects, although not everybody gets them.
If the patient experiences symptoms of an allergic reaction or a severe skin reaction, they should stop takingACC Optima Active and seek medical attention immediately.
Uncommonside effects (may occur in less than 1 in 100 people):
allergic reactions (itching and hives, severe swelling of the subcutaneous tissue [angioedema] and skin rash)
rapid heartbeat (tachycardia)
low blood pressure (hypotension)
headache
ringing in the ears (tinnitus)
inflammation of the mucous membrane of the mouth (stomatitis)
abdominal pain, nausea, vomiting, and diarrhea
fever
Rareside effects (may occur in less than 1 in 1000 people):
shortness of breath, bronchospasm (mainly in patients with hyperreactive airways in bronchial asthma)
digestive disorders (dyspepsia)
Very rareside effects (may occur in less than 1 in 10,000 people):
severe allergic reactions, up to anaphylactic shock
severe skin reactions, such as Stevens-Johnson syndrome and Lyell's syndrome*
bleeding (hemorrhage), partly related to hypersensitivity reactions
Side effects with unknown frequency(frequency cannot be estimated from the available data):
water accumulation in the face (facial edema)
reduced platelet aggregation
* Very rare severe skin reactions, such as Stevens-Johnson syndrome and toxic epidermal necrolysis, have been reported in temporal association with the use of acetylcysteine. In most of these cases, the patient was taking at least one other medicine that could have exacerbated the disorders affecting the mucous membranes and skin.
If skin or mucous membrane lesions occur, the patient should stop taking acetylcysteine and seek medical attention immediately.

Reporting side effects

If the patient experiences any side effects, including any possible side effects not listed in the package leaflet, they should inform their doctor or pharmacist. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Jerozolimskie Avenue 181C, 02-222 Warsaw
phone: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help gather more information on the safety of the medicine.

5. How to store ACC Optima Active

The medicine should be stored out of sight and reach of children.
The medicine should not be taken after the expiry date stated on the sachet and the carton after "EXP". The expiry date refers to the last day of the month stated.
Store in a temperature below 25°C.
Medicines should not be disposed of via wastewater or household waste containers. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the pack and other information

What ACC Optima Active contains

  • The active substance of the medicine is acetylcysteine. Each sachet contains 600 mg of acetylcysteine.
  • The other ingredients are: tripalmitin, polysorbate 65, sorbitol (E 420), xylitol (E 967), citric acid, sodium dihydrogen citrate, magnesium citrate, sodium carmellose, aspartame (E 951), talc, blackberry flavor "Blackberry B" [contains vanillin, maltodextrin, gluconolactone (E 575), sorbitol (E 420), colloidal silica (E 551), mannitol (E 421), magnesium hydroxycarbonate (E 504 II)], magnesium stearate.

What ACC Optima Active looks like and contents of the pack

ACC Optima Active is a white or slightly yellowish powder with easily crumbling granules (if present), with a blackberry flavor and a possible slight sulfur smell.
The medicine is packaged in sachets made of aluminum/paper foil and placed in a cardboard box.
Each sachet contains 1.6 g of powder.
Pack size: 10 sachets.
Not all pack sizes may be marketed.

Marketing authorization holder

Sandoz GmbH
Biochemiestrasse 10
6250 Kundl, Austria

Manufacturer

Salutas Pharma GmbH
Otto-von-Guericke-Allee 1
39179 Barleben, Germany
Hermes Pharma Ges.m.b.H
Schwimmschulweg 1a
9400 Wolfsberg
Austria

For more information about the medicine and its names in the Member States of the European Economic Area, please contact:

Sandoz Polska Sp. z o.o.
Domaniewska 50 C
02-672 Warsaw
phone: 22 209 70 00
Date of last revision of the package leaflet: 11/2024
Sandoz logo

Online doctors for Acc Optima Active

Discuss questions about Acc Optima Active, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
More times
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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€72
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Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
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Doctor
5.0(1)

Abdullah Alhasan

General medicineCardiology11 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
Book a video appointment
€45
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Doctor
5.0(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment
€71
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Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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€70
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Doctor
5.0(1)

Duarte Meneses

Family medicineGeneral medicine5 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

Book a video appointment
€71
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Doctor
5.0(6)

Mar Tabeshadze

EndocrinologyGeneral medicine11 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
Book a video appointment
€66
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Doctor
5.0(11)

Sergio Correa

General medicineGeriatrics8 years of experience

Dr. Sergio Correa is a licensed general practitioner, aesthetic medicine specialist, and trichologist with experience in emergency care and preventive health. He offers online consultations in English and Spanish, supporting adult patients with a wide range of medical concerns – from acute symptoms to chronic condition management.His areas of focus include:

  • General and urgent care: fever, fatigue, infections, digestive issues, respiratory symptoms, and other common concerns
  • Chronic condition support: hypertension, high cholesterol, diabetes, thyroid issues
  • Aesthetic medicine and dermatology: acne, skin ageing, hyperpigmentation, personalised skincare guidance
  • Trichology: hair loss, scalp conditions, treatment strategies for men and women
  • Preventive care: health check-ups, lifestyle advice, second opinions

Dr. Correa combines medical knowledge with an aesthetic and holistic approach to help patients improve both health and quality of life.

Book a video appointment
€56
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Doctor
0.0(0)

Antonio Cayatte

General medicine44 years of experience

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

  • Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
  • Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning
Book a video appointment
€66
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Get Acc Optima Active Prescription Online

1

Fill in a 2-min form

Tell us your symptoms, history, and what medicine you're requesting.

2

Pick a doctor or let us assign

Choose a specialist or we'll match you with the next available doctor.

3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

Collect from any pharmacy

Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Acc Optima Active?

Acc Optima Active does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Acc Optima Active?

The active ingredient in Acc Optima Active is acetylcysteine. This information helps identify medicines with the same composition but different brand names.

Who manufactures Acc Optima Active?

Acc Optima Active is manufactured by Hermes Arzneimittel GmbH - Division: Hermes Pharma Ges.m.b.H Salutas Pharma GmbH. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Acc Optima Active online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Acc Optima Active is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Acc Optima Active in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Acc Optima Active in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Acc Optima Active?

Other medicines with the same active substance (acetylcysteine) include Acc classic, Acc mini, Acc mini. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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