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AcetylcysteineSolution, USP


  • “AN” Rated and therapeutically equivalent to Mucomyst®1*
  • Preservative free
  • Vial closure is not made with natural rubber latex
  • All vials have tear-off seal
  • Not approved for parenteral injection
  • VIAL SAFETY-SEAL OPENING INSTRUCTIONS

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  NDC# Strength Supplied As Shelf Pack Product Info Availability
Strength:

20%

Supplied As:

4 mL vial

NDC#: 0517-7604-25
0517-7604-25

20%

4 mL vial

25 In Stock
  • Shelf Pack 25
  • Availability In Stock

Wholesaler Numbers

  • ABC/SAP 10046076
  • Cardinal 3453263
  • HD Smith 1432491
  • McKesson 1127331
  • Morris & Dickson 456871

Case Information

  • Unit of Sale NDC 7604-25
  • Order Size 25
  • Case Size 32
  • Case Per Tier 50
Strength:

10%

Supplied As:

4 mL vial

NDC#: 0517-7504-25
0517-7504-25

10%

4 mL vial

25 Limited Supply
  • Shelf Pack 25
  • Availability Limited Supply

Wholesaler Numbers

  • ABC/SAP 10046075
  • Cardinal 3453271
  • HD Smith 1432483
  • McKesson 1114008
  • Morris & Dickson 456863

Case Information

  • Unit of Sale NDC 7504-25
  • Order Size 25
  • Case Size 32
  • Case Per Tier 50

*Mucomyst is a registered trademark of E.R. Squibb & Sons, L.L.C.

1Approved Drug Products with Therapeutic Equivalence Evaluations.
https://www.accessdata.fda.gov/scripts/cder/ob/default.cfm. Accessed October 2, 2017.

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Rx Only Acetylcysteine solution is sterile and can be used for inhalation (mucolytic agent) or oral administration (acetaminophen antidote). ACETYLCYSTEINE SOLUTION IS NOT FOR INJECTION INDICATIONS AND USAGE ACETYLCYSTEINE AS A MUCOLYTIC AGENT Acetylcysteine is indicated as adjuvant therapy for patients with abnormal, viscid, or inspissated mucous secretions in such conditions as:
  • Chronic bronchopulmonary disease (chronic emphysema, emphysema with bronchitis, chronic asthmatic bronchitis, tuberculosis, bronchiectasis and primary amyloidosis of the lung)
  • Acute bronchopulmonary disease (pneumonia, bronchitis, tracheobronchitis)
  • Pulmonary complications of cystic fibrosis
  • Tracheostomy care
  • Pulmonary complications associated with surgery
  • Use during anesthesia
  • Post-traumatic chest conditions
  • Atelectasis due to mucous obstruction
  • Diagnostic bronchial studies (bronchograms, bronchospirometry, and bronchial wedge catheterization)
IMPORTANT SAFETY INFORMATION CONTRAINDICATIONS Acetylcysteine is contraindicated in those patients who are sensitive to it. WARNINGS
After proper administration of acetylcysteine, an increased volume of liquefied bronchial secretions may occur. When cough is inadequate, the open airway must be maintained by mechanical suction if necessary. When there is a mechanical block due to foreign body or local accumulation, the airway should be cleared by endotracheal aspiration, with or without bronchoscopy. Asthmatics under treatment with acetylcysteine should be watched carefully. Most patients with bronchospasm are quickly relieved by the use of a bronchodilator given by nebulization. If bronchospasm progresses, the medication should be discontinued immediately.
PRECAUTIONS General
With the administration of acetylcysteine, the patient may initially observe a slight disagreeable odor that is soon not noticeable. With a face mask there may be stickiness on the face after nebulization. This is easily removed by washing with water.
Under certain conditions, a color change may occur in the opened bottle. The light purple color is the result of a chemical reaction which does not significantly affect the safety or mucolytic effectiveness of acetylcysteine. Continued nebulization of acetylcysteine solution with a dry gas will result in an increased concentration of the drug in the nebulizer because of evaporation of the solvent. Extreme concentration may impede nebulization and efficient delivery of the drug. Dilution of the nebulizing solution with appropriate amounts of Sterile Water for Injection, USP, as concentration occurs, will obviate this problem. Pregnancy
Teratogenic Effects — Pregnancy Category B
This drug should be used during pregnancy only if clearly needed. Nursing Mothers It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when acetylcysteine is administered to a nursing woman. ADVERSE REACTIONS Adverse effects have included stomatitis, nausea, vomiting, fever, rhinorrhea, drowsiness, clamminess, chest tightness, and bronchoconstriction. Clinically overt acetylcysteine induced bronchospasm occurs infrequently and unpredictably even in patients with asthmatic bronchitis or bronchitis complicating bronchial asthma. Acquired sensitization to acetylcysteine has been reported rarely. Sensitization has been confirmed after frequent and extended exposure to acetylcysteine. Reports of irritation to the tracheal and bronchial tracts have been received and although hemoptysis has occurred in patients receiving acetylcysteine such findings are not uncommon in patients with bronchopulmonary disease and a causal relationship has not been established. Acetylcysteine should not be placed directly into the chamber of a heated (hot pot) nebulizer. INDICATIONS AND USAGE ACETYLCYSTEINE AS AN ANTIDOTE FOR ACETAMINOPHEN OVERDOSE Acetylcysteine, administered orally, is indicated as an antidote to prevent or lessen hepatic injury which may occur following the ingestion of a potentially hepatotoxic quantity of acetaminophen. It is essential to initiate treatment as soon as possible after the overdose and, in any case, within 24 hours of ingestion. IMPORTANT SAFETY INFORMATION CONTRAINDICATIONS There are no contraindications to oral administration of acetylcysteine in the treatment of acetaminophen overdose. WARNINGS Generalized urticaria has been observed rarely in patients receiving oral acetylcysteine for acetaminophen overdose. If this occurs or other allergic symptoms appear, treatment with acetylcysteine should be discontinued unless it is deemed essential and the allergic symptoms can be otherwise controlled. If encephalopathy due to hepatic failure becomes evident, acetylcysteine treatment should be discontinued to avoid further administration of nitrogenous substances. There are no data indicating that acetylcysteine influences hepatic failure, but this remains a theoretical possibility. PRECAUTIONS Occasionally severe and persistent vomiting occurs as a symptom of acute acetaminophen overdose. Treatment with oral acetylcysteine may aggravate the vomiting. Patients at risk of gastric hemorrhage should be evaluated concerning the risk of upper gastrointestinal hemorrhage versus the risk of developing hepatic toxicity, and treatment with acetylcysteine given accordingly. Dilution of the acetylcysteine minimizes the propensity of oral acetylcysteine to aggravate vomiting. ADVERSE REACTIONS Oral administration of acetylcysteine, especially in the large doses needed to treat acetaminophen overdose, may result in nausea, vomiting and other gastrointestinal symptoms. Rash with or without mild fever has been observed rarely. For additional safety information, please see Full Prescribing Information. You are encouraged to report Adverse Drug Events (ADEs) to American Regent Inc. at 1.800.734.9236
or to the FDA by visiting www.fda.gov/MedWatch or calling 1.800.FDA.1088.