Reading a lot about the benefits of NAC 1200mg per day. Asked the wife to pick up some in Holland & Barrett, they were on special @ €7.99 for 30 @ only 600mg, they’re normally €14. This will be a pricey excercise.
I did find these, they look like an option but only 850mg.
Nutrics® NAC N Acetyl Cysteine 850mg 360 Capsules(4 Month Supply) |Made in The UK by Nutrics Laboratories |Suitable for Vegan Vegetarian Halal Kosher amazon.co.uk/dp/B08838NWKR/...
Anyone any recommendations for a cheaper brand that works well?
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ck101
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When prescribed in respiratory conditions, my understanding is that effervescent NAC at a dose of 600mg a day is used. That’s also the dose and type indicated for adults when I’ve checked just now in the BNF. Have you spoken to a medical professional about using NAC and whether it’s appropriate? Even things classed as supplements should really be discussed with someone qualified.
That will be why I can't get it over the counter. I usually stock up when I go to Italy, but the chances of me ever flying again are pretty remote so I get the capsules from Amazon, they are just as good. I use saline in the nebuliser, I never got on with liquid NAC in the nebuliser, Smells awful!
Nebbed NAC is unlicensed and generally only used in extremely specific circumstances in intensive care in the UK. Very occasionally you might find a respiratory specialist using it with someone if all else has failed and the patient is quite unwell, but it’s considered a consultant only decision. The use of mucolytics in COPD is advised where it would be beneficial according to NICE guidance, using either effervescent NAC, or carboceistine. Having dug around a bit, it turns out the effervescent version is the only one licensed for use in the UK. Capsules are not licensed, which is why they’re not used or recommended by the NHS. If your GP is the one refusing the NAC, request a referral to a specialist. Or print out the NICE guidance and give it to them.
I buy the nebbed ones in Italy. I think they are very low dose. They are certainly prescribed to children and are fairly easily available over the counter. In fact the effervescent NAC is only 300 mg. I wasn't refused NAC here per se, just "we don't prescribe mucolytics". I didn't argue because I want to keep on the right side of her! She never argues with me when I need my emergency meds topped up. I suppose we can't have it all! I don't have a lot of mucous, just when an exacerbation is looming so to be honest it's not worth confronting her about it. Some others may have the patience and greater need.
From what I have gleaned Asthma patients are sometimes prescribed with Carbocysteine. I have COPD, no asthma or other lung problems so they won't prescribe mucolytics for me. Well that's my understanding. Thing is my feelings about COPD patients is that we are often short changed in the field of research and development stakes and I sometimes wonder just how much GP's actually know or dare I say care. That's my experience others may have fab Drs.
You don't have to take Carbocystein 3 times a day, just 2 in the morning works well for me. If my dr was reluctant, I'd say the Health Unlocked/BLF COPD website is full of people who say it really helps, and their Drs do prescribe it for COPD where mucus is a problem.
It definitely works for me, makes it thin and bubbly.
I was on 2 tablet's 3 x daily but I reduced it to 1 x 3 daily as was too much constant clearance. I am over 60 so prior to that I had a prepayment prescription yearly
I’ve been using MAC for a number of years. Works very well for me and is tried and tested. Most Doctors know diddly squit about some really good treatments that work. It’s a well known mucus breaker up but because it’s not sold by Big Pharma it gets ignored. medicalnewstoday.com/articl... Is informative . I buy on Amazon in boxes that are letterbox friendly! Also good old salt is risk free compared with some pharmaceutical drugs - in a nebuliser it works well to keep the lungs moist - should be available on prescription for COPD but I had to argue to get mine. Got there in the end! Good luck with NAC and hope it works as well for you 👍😁
I get mine from Amazon. Dr. refused to prescribe a mucolitic, said we don't prescribe those. Well too late I was prescribed it in Italy years ago so I get it from Amazon. I don't take it every day, just when I am congested and it works for me within hours, clears my sinuses too. . IMPORTANT - I am not advocating going against your Dr and do check with them before you take supplements.
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