This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.

How to use MUCOFLUID 200 mg/ml SOLUTION FOR NEBULIZATION AND SOLUTION FOR ENDOTRACHEOPULMONARY INSTILLATION

Introduction

PACKAGE LEAFLET: INFORMATION FOR THE USER

Mucofluid 200 mg/ml solution for nebulisation and endotracheal instillation

Mesna

Read all of this leaflet carefully before you start using this medicine.

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. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

Contents of the pack:

What Mucofluid is and what it is used for
Before you use Mucofluid
How to use Mucofluid
Possible side effects
Storing Mucofluid
Further information

1. What Mucofluid is and what it is used for

Mucofluid is a mucolytic medicine that binds to certain proteins in mucus fragments and dissolves them, facilitating their elimination.

Via nebulisation, it is used in:

cystic fibrosis,
obstructive respiratory diseases due to mucus plugs.

Via endotracheal instillation, it is used:

to facilitate the aspiration and drainage of retained mucus and secretions in the respiratory tract during anaesthesia or intensive care,

in bronchoscopy, to ensure better visibility of the areas to be examined.

2. Before you use Mucofluid

Do not use Mucofluid

if you are allergic (hypersensitive) to mesna, other compounds with a thiol group or sulfonamides, or any of the other components of Mucofluid.
if you have asthma without mucous obstruction. Or in case of asthmatic status.
if you have severe renal insufficiency.
if you have intolerance to aerosols.
if you are unable to cough or expectorate properly.
in children under 2 years of age.

Take special care with Mucofluid

Mucofluid is exclusively for use via a nebuliser or endotracheal instillation and should only be administered under medical supervision.
Its use is not recommended in children under 12 years of age.
In asthmatic patients, the product should only be administered if there is retention of mucus and bronchial secretions and always in the presence of a doctor or in a healthcare centre.
Any type of device can be used, provided that the circuit through which the product must pass is made of plastic, glass, or stainless steel. Mucofluid should not come into direct contact with rubber or unprotected metal.
A white deposit may form in the devices or circuits, which can be eliminated by rinsing with water.
The solution should ideally be administered at room temperature.
As it is a readily oxidisable product, it is preferable to open the ampoule at the time of use. The solution can be used up to 24 hours after opening, stored below 25°C.
Accidental intravenous injection or oral absorption does not pose a risk to the patient. However, accidental intramuscular injection can cause local tissue necrosis (tissue death due to lack of blood supply).

Using other medicines

Tell your doctor or pharmacist if you are using or have recently used any other medicines, including those obtained without a prescription.

Mucofluid can be used simultaneously with other medicines, such as antibiotics (to treat infections), bronchodilators (to treat respiratory disorders of an asthmatic type), corticosteroids (to treat inflammatory processes), and anaesthetics when these are administered intravenously.

It is recommended not to mix Mucofluid in the same solution with aminoglycosides (streptomycin, kanamycin, neomycin, gentamicin), as these are inactivated. However, there is no problem with the use of all these antibiotics via the systemic route and Mucofluid via local application.

Due to physicochemical incompatibility, it is recommended not to mix Mucofluid in the same solution with:

certain types of antibiotics (oxytetracycline, carbenicillin, and erythromycin)
aminophylline (a medicine for treating asthma)
lipiodol (a radiological contrast medium)
cisplatin (a medicine for treating certain tumours)
nitrogen gas

If you undergo a urine analysis, false positive results may appear in the determination of certain components (sulphites or ketones) due to the presence in the urine of certain substances (disulphides or free thiol groups) after administration of mesna.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

There are insufficient data on the use of mesna in pregnant women.

Mucofluid should not be used during pregnancy except if clearly necessary.

Mucofluid should be avoided during breastfeeding or breastfeeding should be interrupted while receiving treatment with Mucofluid.

Driving and using machines

The influence of Mucofluid on the ability to drive and use machines is nil or insignificant.

3. How to use Mucofluid

Follow the instructions for administration of Mucofluid exactly as indicated by your doctor. Consult your doctor if you have any doubts.

Mucofluid can be administered:

Via nebulisation:The solution can be used undiluted or diluted to an equal extent with distilled water or physiological serum. The solution can be administered preferably with a nasal piece, a mask, or under a chamber.

The usual therapeutic dose is 3 ml (600 mg) to 6 ml (1200 mg) of the undiluted product per day, divided into 3 to 4 administrations per day.

The maximum dose is 24 ml (4.8 g) of undiluted product per day.

Via endotracheal instillation:The solution should be diluted to an equal extent with distilled water or physiological serum. The solution can be administered via an endotracheal tube or tracheotomy cannula.

The usual therapeutic dose is 1 ml or 2 ml of the 10% diluted solution per hour.

The maximum dose is 24 ml (4.8 g) per day.

Treatment should be reduced to the shortest possible period, and if there is no sufficiently rapid improvement, the clinical situation should be reassessed with possible adjustment of treatment. In cystic fibrosis, Mucofluid will be administered according to symptoms.

If you use more Mucofluid than you should:

No cases of overdose have been reported.

After using large volumes of solution and the sudden liquefaction of mucus, partial pulmonary congestion (partial accumulation of fluid in the lungs) may occur, causing transient ventilation disorders. The patient should be strictly monitored and symptomatic treatment should be performed.

In case of overdose or accidental ingestion, consult the Toxicology Information Service. Telephone (91) 562 04 20.

If you forget to use Mucofluid:

Do not use a double dose to make up for forgotten doses.

If you stop using Mucofluid:

Do not stop using Mucofluid without consulting your doctor first.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Mucofluid can cause side effects, although not everybody gets them.

The side effects described with Mucofluid are:

- Chest pain.

- Hypersensitivity (allergy).

- Cough.

- Bronchospasm (contraction of the bronchi, causing narrowing and difficulty breathing).

Disgeusia (alteration in the sense of taste (bad taste, bitter taste,...)).

- Angioneurotic oedema (hives or swelling under the skin).

- Erythematous rash (red skin rash).

- Urticaria (itching).

There is a possibility of bronchospasm, particularly in sensitive asthmatic patients. Vomiting and digestive discomfort caused by excessive fluidification and ingestion of mucus may occur, especially in children.

Sometimes, a sensation of retrosternal burning (central chest area, behind the sternum) may occur with the solution at a concentration of 200 mg/ml (in this case, the solution should be diluted to 100 mg/ml).

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet.

5. Storing Mucofluid

Keep out of the reach and sight of children.

Do not use this medicine after the expiry date stated on the packaging after EXP. The expiry date is the last day of the month indicated.

This medicine does not require any special storage conditions.

As it is a readily oxidisable product, it is preferable to open the ampoule at the time of use. The solution can be used up to 24 hours after opening, stored below 25°C.

Medicines should not be disposed of via wastewater or household waste. Place the packaging and any unused medicine in the pharmacy's SIGRE collection point. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Further information

Composition of Mucofluid

The active ingredient is mesna. Each ml of Mucofluid contains 200 mg of mesna. Each 3 ml ampoule contains 600 mg of mesna.

The other ingredients are: disodium edetate, sodium hydroxide (for pH adjustment), and water for injectable preparations.

Appearance and packaging of the product

Mucofluid is a clear, colourless solution.

The solution is supplied in a colourless glass ampoule.

Mucofluid is marketed in packs of 6 ampoules of 3 ml of solution.

Marketing authorisation holder and manufacturer

Marketing authorisation holder:

IONFARMA, S.L.

Peru, 228

08020 Barcelona-Spain

Manufacturer:

Laboratorios Reig Jofré, S.A.

Gran Capitan, 10

08970 Sant Joan Despí (Barcelona)

This leaflet was approved in September 2023.

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

How much does MUCOFLUID 200 mg/ml SOLUTION FOR NEBULIZATION AND SOLUTION FOR ENDOTRACHEOPULMONARY INSTILLATION cost in Spain ( 2025)?

The average price of MUCOFLUID 200 mg/ml SOLUTION FOR NEBULIZATION AND SOLUTION FOR ENDOTRACHEOPULMONARY INSTILLATION in November, 2025 is around 16.05 EUR. Prices may vary depending on the region, pharmacy, and whether a prescription is required. Always check with a local pharmacy or online source for the most accurate information.

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.

MUCOFLUID 200 mg/ml SOLUTION FOR NEBULIZATION AND SOLUTION FOR ENDOTRACHEOPULMONARY INSTILLATION

Karim BenHarbi

Anna Biriukova

Karim BenHarbi

Anna Biriukova