Clinical Overview
Acetylcysteine Injection (200mg/ml) is a sterile parenteral mucolytic and life-saving antidote on the WHO Model List of Essential Medicines. In paracetamol (acetaminophen) overdose, it replenishes depleted intracellular hepatic glutathione stores and conjugates directly with toxic NAPQI (N-acetyl-p-benzoquinone imine), preventing fatal hepatic centrilobular necrosis. Indicated as the specific antidote for acute paracetamol overdose and as an intravenous mucolytic in atelectasis / thick mucous plugging.
Active Pharmaceutical Ingredients
Verified Clinical References
Usage Guidelines
Paracetamol overdose antidote: Administer IV infusion (diluted in 5% Dextrose) using the 3-bag protocol: 150 mg/kg over 1 hour, followed by 50 mg/kg over 4 hours, followed by 100 mg/kg over 16 hours (total 300 mg/kg over 21 hours). Initiate as early as possible, ideally within 8 hours of ingestion.
General Administration Advice: Adhere strictly to the prescribed dosage, frequency, and treatment course. For oral medications, swallow with sufficient water. Never stop antibiotics, psychiatric medications, or antihypertensives abruptly without clinical direction.
Possible Side Effects
Common: Anaphylactoid reactions (flushing, rash, pruritus, angioedema in up to 10-15% during first infusion), nausea, vomiting. Rare/Severe: Severe anaphylactic shock, bronchospasm, and hypotension.
*Note: Individual physiological responses vary. While many patients experience few or no side effects, notify your treating physician if adverse reactions persist or if hypersensitivity (angioedema, skin rash, dyspnea) occurs.
Precautions & Warnings
High incidence of non-IgE-mediated anaphylactoid reactions; if flushing or mild urticaria occurs, temporarily halt infusion, administer antihistamines, and restart at a slower rate. Monitor serum paracetamol levels, ALT/AST, INR, and renal function.
Medical Disclaimer: Statutory Clinical Disclaimer: The information provided is for educational and price-transparency purposes only and does not constitute medical advice, pulmonological diagnosis, or respiratory management recommendations. Inhalation therapies and allergy medications should be used strictly under the guidance of a qualified pulmonologist or registered medical practitioner.