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Acetylcysteine Pensa 200 mg Powder for Oral Solution

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About the medicine

How to use Acetylcysteine Pensa 200 mg Powder for Oral Solution

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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

Package Leaflet: Information for the User

Acetylcysteine Pensa 200 mg Powder for Oral Solution EFG

Read all of this leaflet carefully before you start taking 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 Package Leaflet

  1. What is Acetylcysteine Pensa and what is it used for
  2. Before taking Acetylcysteine Pensa
  3. How to take Acetylcysteine Pensa
  4. Possible side effects
  5. Storage of Acetylcysteine Pensa
  6. Further information

1. What is Acetylcysteine Pensa and what is it used for

Acetylcysteine belongs to a group of medicines called mucolytics.

Acetylcysteine Pensa is used to thin out excessive and/or thick bronchial secretions. It is indicated for supportive treatment of respiratory processes with hypersecretion, excessive or thick mucus, such as:

  • bronchitis (inflammation of the bronchi) acute and chronic,
  • chronic obstructive pulmonary disease,
  • emphysema (inflammation of the lung alveoli, which reduces respiratory function),
  • atelectasis (decrease in lung volume) due to mucous obstruction.
Doctor consultation

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2. Before taking Acetylcysteine Pensa

Do not take Acetylcysteine Pensa

  • if you are allergic (hypersensitive) to acetylcysteine or any of the other components of Acetylcysteine Pensa.
  • if you have stomach or duodenal ulcers.
  • if you have asthma or other severe respiratory insufficiency.
  • if you are a child under 2 years of age.

Be careful with Acetylcysteine Pensa

  • The presence of a slight sulfurous odor in the preparation does not indicate that it is altered, but rather it is characteristic of the active ingredient acetylcysteine.

Use of other medicines

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

No incompatibilities with other medicines have been detected, although it is recommended not to take this medicine with:

  • Antitussives (medicines used to calm coughs).
  • Medicines that decrease bronchial secretions (Atropine).

Taking Acetylcysteine Pensa with food and drinks

No interactions have been described if Acetylcysteine Pensa is taken with food and drinks.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medicine.

Pregnancy:

Your doctor will assess the need to use this medicine. It should only be used in pregnancy when, in your doctor's opinion, the benefits outweigh the possible risks.

Breastfeeding:

Your doctor will assess the need to use this medicine. It should only be used during breastfeeding when, in your doctor's opinion, the benefits outweigh the possible risks.

Driving and using machines

It has not been described that acetylcysteine affects the ability to drive and/or use machines.

Important information about some of the components of Acetylcysteine Pensa

This medicine may be harmful to people with phenylketonuria because it contains aspartame, which is a source of phenylalanine.

This medicine may cause allergic reactions because it contains orange yellow S (E-110). It can cause asthma, especially in patients allergic to acetylsalicylic acid.

3. How to take Acetylcysteine Pensa

Follow the administration instructions of Acetylcysteine Pensa exactly as indicated by your doctor. Consult your doctor or pharmacist if you have any doubts.

Remember to take your medicine.

Your doctor will indicate the duration of treatment with Acetylcysteine Pensa. Do not stop treatment before, as you will not achieve the desired effect.

Adults and children over 7 years: The recommended daily dose is 200 mg of acetylcysteine 3 times a day (1 sachet of Acetylcysteine Pensa 3 times a day), not exceeding the daily dose of 600 mg.

For children under 7 years, the recommended doses are lower and this presentation is not suitable, although this presentation can be used in cases of pulmonary complications of cystic fibrosis.

In cases of pulmonary complications of cystic fibrosis, the recommended average dose of acetylcysteine is as follows:

  • Adults and children over 7 years: 200 to 400 mg of acetylcysteine every 8 hours.
  • Children between 2 and 7 years: 200 mg of acetylcysteine every 8 hours.

Method of administration:

Acetylcysteine Pensa is administered orally. The contents of the sachets should be dissolved in sufficient water and ingested when completely dissolved.

If you take more Acetylcysteine Pensa than you should

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

In case of excessive or accidental intake of Acetylcysteine Pensa, go to a Medical Center or consult the Toxicology Information Service, telephone 91 562 04 20, indicating the product and the amount ingested.

If you forget to take Acetylcysteine Pensa

Do not take a double dose to make up for forgotten doses. Take the forgotten dose as soon as possible. However, if it is close to the time for the next dose, wait until then to continue treatment.

If you stop treatment with Acetylcysteine Pensa

Do not stop treatment before, as you will not achieve the expected effect.

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

4. Possible side effects

Like all medicines, Acetylcysteine Pensa can cause side effects, although not everyone gets them.

Occasionally, mild and transient side effects have appeared, the most frequent being stomach and intestinal disorders: nausea, vomiting, and diarrhea.

Rarely, allergic reactions accompanied by skin redness and difficulty breathing may occur. If these symptoms appear, it is recommended to stop treatment and consult a doctor.

If you consider that any of the side effects you are experiencing is serious or if you notice any side effect not mentioned in this leaflet, inform your doctor or pharmacist.

5. Storage of Acetylcysteine Pensa

Keep out of the reach and sight of children.

Do not store above 30°C.

Expiration date:

Do not use Acetylcysteine Pensa after the expiration date stated on the packaging after "CAD". The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Deposit the packaging and medicines you no longer need at the pharmacy's SIGRE point . In case of doubt, ask your pharmacist how to dispose of the packaging and medicines you no longer need. This way, you will help protect the environment.

6. Further information

Composition of Acetylcysteine Pensa

  • The active ingredient is acetylcysteine.
  • The other components are: aspartame (E-951), mannitol (E-421), colloidal anhydrous silica, orange yellow S coloring (E-110), and orange flavor.

Appearance of the product and packaging content

Acetylcysteine Pensa is presented in the form of sachets containing 200 mg of acetylcysteine. It is presented in packaging containing 30 sachets.

Marketing authorization holder

Towa Pharmaceutical, S.A.

C/ de Sant Martí, 75-97

08107 Martorelles (Barcelona)

Spain

Manufacturer

Laboratorios Cinfa, S.A.

C/ Olaz-Chipi, 10 – Polígono Industrial Areta

31620 Huarte- Pamplona

This leaflet was approved in May 2011

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 Pensa 200 mg Powder for Oral Solution

Discuss questions about Acetylcysteine Pensa 200 mg Powder for Oral Solution, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

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  • Medical support during travel or after relocation
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Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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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.

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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.

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Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Tomasz Grzelewski

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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: 

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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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Daniel Cichi

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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: 

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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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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
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  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
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  • 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:

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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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Frequently Asked Questions

Is a prescription required for Acetylcysteine Pensa 200 mg Powder for Oral Solution?
Acetylcysteine Pensa 200 mg Powder for Oral Solution 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 Pensa 200 mg Powder for Oral Solution?
The active ingredient in Acetylcysteine Pensa 200 mg Powder for Oral Solution is acetylcysteine. This information helps identify medicines with the same composition but different brand names.
Who manufactures Acetylcysteine Pensa 200 mg Powder for Oral Solution?
Acetylcysteine Pensa 200 mg Powder for Oral Solution is manufactured by Towa Pharmaceutical S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of Acetylcysteine Pensa 200 mg Powder for Oral Solution 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 Pensa 200 mg Powder for Oral Solution 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 Pensa 200 mg Powder for Oral Solution?
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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