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ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS

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About the medicine

How to use ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Leaflet: Information for the user

Acetilcisteína ratiopharm 600 mg effervescent tablets EFG

Read the entire leaflet carefully before starting to take the medicine, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any doubts, consult your doctor or pharmacist.
  • This medicine has been prescribed to you only, and you should not give it to others, even if they have the same symptoms, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this leaflet. See section 4.

Contents of the leaflet:

  1. What is Acetilcisteína ratiopharm and what is it used for
  2. What you need to know before taking Acetilcisteína ratiopharm
  3. How to take Acetilcisteína ratiopharm
  4. Possible side effects
  5. Storage of Acetilcisteína ratiopharm
  6. Package contents and additional information

1. What is Acetilcisteína ratiopharm and what is it used for

Acetilcisteína ratiopharm 600 mg is a medicine that belongs to the group of mucolytic/expectorant medicines.

Acetilcisteína is indicated as a complementary treatment in respiratory processes that involve excessive or thick mucus, such as acute and chronic bronchitis, chronic obstructive pulmonary disease (COPD), emphysema, atelectasis due to mucous obstruction: pulmonary complications of cystic fibrosis and other related pathologies.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Acetilcisteína ratiopharm

Do not take Acetilcisteína ratiopharm if

  • you are allergic to acetilcisteína or any of the other components of this medicine (listed in section 6)
  • you have a gastrointestinal ulcer
  • you have asthma or severe respiratory failure
  • you have phenylketonuria

Warnings and precautions

Consult your doctor or pharmacist before starting to take this medicine.

Very rarely, severe skin reactions such as Stevens-Johnson syndrome and Lyell syndrome have been reported, associated with the administration of acetilcisteína. If skin changes or mucous membrane changes occur, medical advice should be sought immediately and acetilcisteína should be discontinued.

The detection of a sulfur smell does not indicate that the preparation is altered; this smell is characteristic of the active ingredient.

Other medicines and Acetilcisteína ratiopharm

Tell your doctor or pharmacist if you are using, have recently used, or may need to use any other medicine.

No significant interactions with other medicines or analytical interference have been described, although it is recommended not to associate with antitussives or medicines that decrease bronchial secretions (atropine).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Administration of this medicine during pregnancy or breastfeeding should be done under medical supervision.

Acetilcisteína ratiopharm contains aspartame, sodium, and sucrose

This medicine contains 20 mg of aspartame per effervescent tablet. Aspartame contains a source of phenylalanine that may be harmful in cases of phenylketonuria (PKU), a rare genetic disease in which phenylalanine accumulates because the body is unable to eliminate it properly.

This medicine contains 150.23 mg of sodium (main component of table salt/cooking salt) in each effervescent tablet. This is equivalent to 7.51% of the maximum daily sodium intake recommended for an adult.

This medicine contains sucrose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medicine.

3. How to take Acetilcisteína ratiopharm

Follow exactly the administration instructions of this medicine indicated by your doctor or pharmacist. In case of doubt, consult your doctor or pharmacist again.

Acetilcisteína ratiopharm is for oral administration.

Remember to take your medicine.

Your doctor will indicate the duration of your treatment with Acetilcisteína ratiopharm.

Do not stop treatment before consulting your doctor.

The normal dose is:

Adults and children over 7 years: 600 mg per day, administered in 1 daily dose (600 mg) or in 3 doses (200 mg), every 8 hours.

Children from 2 to 7 years: 300 mg per day, divided into 3 doses (100 mg), every 8 hours.

In children under 7 years, for a better dose adjustment, the use of Acetilcisteína ratiopharm 200 mg sachets is recommended.

Do not administer this medicine to children under 2 years.

Cystic fibrosis

Adults and children over 7 years: 200-400 mg every 8 hours.

Children from 2 to 7 years: 200-400 mg every 8 hours.

In this indication, for a better dose adjustment, the use of Acetilcisteína ratiopharm 200 mg powder for oral solution is recommended.

Do not administer this medicine to children under 2 years.

Dissolve the effervescent tablet in a glass of water, thus obtaining a solution with a pleasant taste that can be drunk directly from the glass. The tablet is not intended to be divided into equal parts.

If you take more Acetilcisteína ratiopharm than you should

If you have taken more than you should, consult your doctor or pharmacist immediately.

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

If you forget to take Acetilcisteína ratiopharm

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

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them.

Immune system disorders

Uncommon:hypersensitivity reactions, for example, pruritus, urticaria, rash, bronchospasm

Nervous system disorders

Uncommon:headache

Ear and labyrinth disorders

Uncommon:tinnitus (ringing in the ears)

Gastrointestinal disorders:

Uncommon:abdominal pain, nausea, vomiting, and diarrhea

Skin and subcutaneous tissue disorders

Very rare:hypersensitivity reactions accompanied by urticaria

Respiratory, thoracic, and mediastinal disorders

Rare:dyspnea (difficulty breathing), bronchospasm (especially in patients with hyperreactive bronchial system in bronchial asthma)

Reporting of side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this leaflet. You can also report them directly through the Spanish Medicines Monitoring System: http://www.notificaram.es/. By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Acetilcisteína ratiopharm

Keep this medicine out of the sight and reach of children.

Do not use Acetilcisteína ratiopharm after the expiration date stated on the packaging after CAD. The expiration date is the last day of the month indicated.

Do not store above 25°C.

Keep in the original packaging to protect from moisture.

Keep the packaging tightly closed.

Medicines should not be disposed of through wastewater or household waste. Deposit the packaging and unused medicines in the SIGRE collection point at the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This will help protect the environment.

6. Package contents and additional information

Composition of Acetilcisteína ratiopharm 600 mg effervescent tablets EFG

  • The active ingredient is acetilcisteína. Each effervescent tablet contains 600 mg of acetilcisteína.
  • The other ingredients are: anhydrous citric acid, sodium hydrogen carbonate, lemon flavor (contains sucrose), polyvinylpyrrolidone, adipic acid, aspartame (E-951), and isopropanol.

Appearance of the product and package contents

Acetilcisteína ratiopharm 600 mg are white to slightly yellowish effervescent tablets, round and biplanar with a notch on one side and a lemon odor. The tablet is not intended to be divided into equal parts.

Each package contains 20 effervescent tablets.

Marketing authorization holder and manufacturer

Holder

ratiopharm España, S.A.

c/ Anabel Segura 11, Edificio Albatros B 1ª planta

28108 Alcobendas, Madrid (Spain)

Manufacturer:

Merckle GmbH

Ludwig Merckle Strasse, 3

D-89143 Blaubeuren

Germany

Date of the last revision of this leaflet: January 2014

"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/"

Online doctors for ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS

Discuss questions about ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

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€55
5.0 (40)
Doctor

Lina Travkina

Family medicine 13 years exp.

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.

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€70
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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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€58
5.0 (5)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques. For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance. Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults. In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.

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€80
5.0 (1055)
Doctor

Andrei Popov

General medicine 7 years exp.

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.

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€80

Frequently Asked Questions

Is a prescription required for ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS?
ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS?
The active ingredient in ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS is acetylcysteine. This information helps identify medicines with the same composition but different brand names.
Who manufactures ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS?
ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS is manufactured by Teva Pharma S.L.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS 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 ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to ACETYLCYSTEINE RATIOPHARM 600 mg EFFERVSCENT TABLETS?
Other medicines with the same active substance (acetylcysteine) include ACETYLCYSTEINE ABEX 600 mg EFFERVSCENT TABLETS, ACETYLCYSTEINE ALTER 600 mg EFFERVSCENT TABLETS, ACETYLCYSTEINE AUROVITAS 200 mg EFFERVSCENT TABLETS. 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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