All About Cough Updated 2023

ALL ABOUT COUGH

Coughing is one of the most common reasons for people to seek medical advice.¹ Find out more about the causes of cough and the different types of cough.

WHAT IS A COUGH?

A cough is a natural reflex that happens when your body needs to clear mucus or irritants out of your airways.^2,3 Coughing now and then is normal, but sometimes a cough can be a symptom of an underlying condition like a cold or flu.^1,2

A persistent cough can impact your quality of life,¹ causing issues like:

*ACC^® Long is suitable for adults and adolescents from the age of 14 years.¹
ACC^® 200 powder for oral solution is suitable for adults and children from the age of 6 years.²

Download ACC® Long Professional Information PDF

Download ACC® 200 POS Professional Information PDF

UNDERLYING CAUSES OF COUGH

Common causes of an acute cough (lasting less than 3 weeks):³

Common cold²
Influenza (flu)²
Sinusitis (sinus and nasal infection)²
Inhaling irritants or allergens²

Common causes of a persistent or chronic cough (lasting longer than 8 weeks in adults or 4 weeks in children):⁴

Asthma²
Chronic sinusitis (sinus and nasal infection)²
Some types of allergies²
Bronchitis²

WET COUGH VS DRY COUGH

Wet (productive) cough

A wet cough is a type of cough where excess mucus is produced from your respiratory tract.^5,6 This means that when you cough, it has a “wet” sound and you’ll bring sticky fluid (mucus) up into your mouth.⁶ Because of this, it’s also called a productive cough.^5,6

When you have a wet cough, you’ll usually have other symptoms like a runny or snotty nose.⁶ You may also feel a “dripping” sensation at the back of your throat (known as post-nasal drip).⁶

Dry (non-productive) cough

A dry cough is a type of cough where little or no mucus is produced from your respiratory tract.⁵ It’s also known as a non-productive cough.^5,6 With a dry cough, you won’t bring up mucus into your mouth, but you will usually feel irritation, scratching or tickling sensations in your throat, which can trigger coughing fits.^3,6

TREATING A COUGH

The right treatment will depend on what type of cough you have and the underlying issue that may be causing it.⁴

A cough caused by a common cold or flu virus will usually get better on its own,⁴ but here are some steps you can take to manage your symptoms and recover faster:


*Did you know?* If you have a wet, chesty cough, medications known as mucolytics can help.^9-11 These medications break down the excess mucus in your airways, making it thinner and less sticky, so it’s easier for you to cough the mucus out and get rid of it.^9-11 Find out more.

Ask your doctor or pharmacist about the right ACC^® product for you and your family.

For more information, click to download the ACC^® product package leaflets.

ACC® Long effervescent tablets

ACC® 200 powder for oral solution

References
^{1. Chung KF, Widdicombe JG, Boushey HA. Cough: causes, mechanisms and therapy. 2003; Chapter 1:3-10.} ^{2. Cough. NHS Inform. Accessed May 30, 2022. https://nhsinform-n2.azurewebsites.net/illnesses-and-conditions/lungs-and-airways/cough.} ^{3. Dicpinigaitis PV, Colice GL, Goolsby MJ, et al. Acute cough: A diagnostic and therapeutic challenge. Cough. 2009;5:11.} ^{4. Evaluation of chronic cough. BMJ Best Practice. June 4, 2021.} ^{5. Murata A, Taniguchi Y, Hashimoto Y, et al. Discrimination of productive and non-productive cough by sound analysis. Intern Med. 1998;37:732-735.} ^{6. Types of coughs. Healthline. April 23, 2020. Accessed May 30, 2022. https://www.healthline.com/health/types-of-coughs.} ^{7. Common cold: symptoms, remedies, treatment, and more. Healthline. December 3, 2022. Accessed May 30, 2022. https://www.healthline.com/health/cold-flu/cold.} ^{8. Cold remedies: what works, what doesn’t. Mayo Clinic. September 23, 2021. Accessed May 30, 2022. https://www.mayoclinic.org/diseases-conditions/common-cold/in-depth/cold-remedies/art-20046403.} ^{9. Hexal AG. ACC long 600 mg (effervescent tablets). Patient information. February 2020.} ^{10. Hexal AG. ACC 200 mg (powder for oral solution). Patient information. January 2020.} ^{11. Zaitseva OV. Rational choice of mucolytic therapy in treatment of respiratory diseases in children. Russian Medical Journal. 2009;17(19):1217-1221.}

References

^{1. Chung KF, Widdicombe JG, Boushey HA. Cough: causes, mechanisms and therapy. 2003; Chapter 1:3-10.}

^{2. Cough. NHS Inform. Accessed May 30, 2022. https://nhsinform-n2.azurewebsites.net/illnesses-and-conditions/lungs-and-airways/cough.}

^{3. Dicpinigaitis PV, Colice GL, Goolsby MJ, et al. Acute cough: A diagnostic and therapeutic challenge. Cough. 2009;5:11.}

^{4. Evaluation of chronic cough. BMJ Best Practice. June 4, 2021.}

^{5. Murata A, Taniguchi Y, Hashimoto Y, et al. Discrimination of productive and non-productive cough by sound analysis. Intern Med. 1998;37:732-735.}

^{6. Types of coughs. Healthline. April 23, 2020. Accessed May 30, 2022. https://www.healthline.com/health/types-of-coughs.}

^{7. Common cold: symptoms, remedies, treatment, and more. Healthline. December 3, 2022. Accessed May 30, 2022. https://www.healthline.com/health/cold-flu/cold.}

^{8. Cold remedies: what works, what doesn’t. Mayo Clinic. September 23, 2021. Accessed May 30, 2022. https://www.mayoclinic.org/diseases-conditions/common-cold/in-depth/cold-remedies/art-20046403.}

^{9. Hexal AG. ACC long 600 mg (effervescent tablets). Patient information. February 2020.}

^{10. Hexal AG. ACC 200 mg (powder for oral solution). Patient information. January 2020.}

^{11. Zaitseva OV. Rational choice of mucolytic therapy in treatment of respiratory diseases in children. Russian Medical Journal. 2009;17(19):1217-1221.}


PRESENTATION: ACC^® 200 mg: One Sachet with 3 g powder contains 200 mg acetylcysteine. ACC^® long: One effervescent tablet contains 600 mg acetylcysteine. INDICATION: ACC 200 & ACC long: contains the active substance acetylcysteine and liquefies viscous mucus in the airways. ACC 200 mg powder for oral solution is used to loosen mucus and to ease coughing up in cases of respiratory diseases with viscous mucus in children from 6 years, adolescents and adults. ACC long is used to loosen mucus and to ease coughing up in cases of cold – induced bronchitis in adolescents over 14 years of age and adults. DOSAGE: ACC 200: Children and adolescents from 6-13 years: 1 sachet 2 times daily. Adults and adolescents aged 14 years and older: 1 sachet 2-3 times daily. Treatment of mucoviscidosis in children aged over 6 years: 1 sachet 3 times daily. ACC long: For adults and adolescents over the age of 14 year, ½ effervescent tablet twice daily or 1 effervescent tablet once daily .OVERDOSING: ACC 200 & ACC long : Irritations in the stomach and bowel tract may occur, such as abdominal pain, nausea, vomiting, diarrhoea. if an overdose is suspected, please inform your doctor CONTRAINDICATIONS: ACC 200 & ACC long :allergic to acetylcysteine, , or any of the ingredients of this medicine. ACC 200: children under 2 years of age, children under 6 years of age. ACC long: children and adolescent under 14 years. PRECAUTIONS/WARNINGS: ACC 200& ACC long: Caution is advised if you have bronchial asthma and a history of stomach or bowel ulcers or currently have them, patients with hypersensitivity to histamine. An inability to cough up mucous. If skin and mucosal changes newly occur, medical advice should be sought without delay and use of acetylcysteine be terminated. INTERACTIONS: ACC 200 & ACC long: Antibiotics ,tetracyclines, aminoglycosides, penicillins, Cough-relieving agents, , Activated charcoal ,Nitroglycerin. ACC long: carbamazepine. Pregnancy and lactation: ACC 200 & ACC long: you should use ACC long during pregnancy and lactation only if your attending physician considers this absolutely necessary. Take ACC 200 or ACC long after meals. ACC 200 & ACC long is not known to influence the ability to drive or operate machines. SIDE EFFECTS: ACC Long: Two serious side effects are the severe skin reactions such as Stevens-Johnson syndrome (painful red or purplish rash that spreads and blisters) and / or Lyell Syndrome (mucosal lesions only or both mucosal and skin lesions including bubble formations). They have been reported in temporal association with the use of acetylcysteine. In most of these reported cases, at least one additional drug that could potentially have intensified the described mucocutaneous effects was being taken at the same time. If skin or mucous membrane abnormalities develop, medical advice should therefore immediately be sought and the use of acetylcysteine discontinued. PHARMACEUTICAL PRECAUTIONS: ACC 200 & ACC Long: Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the sachet and the carton after EXP.The expiry date refers to the last day of that month. ACC 200: Store Below 25°C, in a dry place, ACC long: Do not store above 25°C.keep the tube tightly closed in order to protect from moisture .NOTE: Before prescribing, please read full prescribing information. REFERENCE: ACC 200: Approved PIL, revision date January 2020. ACC long: Approved PIL, revision date February 2020. BSS DATE: June 2021

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ALL ABOUT COUGH

Coughing is one of the most common reasons for people to seek medical advice.1 Find out more about the causes of cough and the different types of cough.

WHAT IS A COUGH?

A cough is a natural reflex that happens when your body needs to clear mucus or irritants out of your airways.2,3 Coughing now and then is normal, but sometimes a cough can be a symptom of an underlying condition like a cold or flu.1,2

A persistent cough can impact your quality of life,1 causing issues like:

*ACC® Long is suitable for adults and adolescents from the age of 14 years.1 ACC® 200 powder for oral solution is suitable for adults and children from the age of 6 years.2

UNDERLYING CAUSES OF COUGH

Common causes of an acute cough (lasting less than 3 weeks):3

Common cold2

Influenza (flu)2

Sinusitis (sinus and nasal infection)2

Inhaling irritants or allergens2

Common causes of a persistent or chronic cough (lasting longer than 8 weeks in adults or 4 weeks in children):4

Asthma2

Chronic sinusitis (sinus and nasal infection)2

Some types of allergies2

Bronchitis2

WET COUGH VS DRY COUGH

Wet (productive) cough

A wet cough is a type of cough where excess mucus is produced from your respiratory tract.5,6 This means that when you cough, it has a “wet” sound and you’ll bring sticky fluid (mucus) up into your mouth.6 Because of this, it’s also called a productive cough.5,6

When you have a wet cough, you’ll usually have other symptoms like a runny or snotty nose.6 You may also feel a “dripping” sensation at the back of your throat (known as post-nasal drip).6

Dry (non-productive) cough

TREATING A COUGH

The right treatment will depend on what type of cough you have and the underlying issue that may be causing it.4

A cough caused by a common cold or flu virus will usually get better on its own,4 but here are some steps you can take to manage your symptoms and recover faster:

Coughing is one of the most common reasons for people to seek medical advice.¹ Find out more about the causes of cough and the different types of cough.

A cough is a natural reflex that happens when your body needs to clear mucus or irritants out of your airways.^2,3 Coughing now and then is normal, but sometimes a cough can be a symptom of an underlying condition like a cold or flu.^1,2

A persistent cough can impact your quality of life,¹ causing issues like:

*ACC^® Long is suitable for adults and adolescents from the age of 14 years.¹
ACC^® 200 powder for oral solution is suitable for adults and children from the age of 6 years.²

Common causes of an acute cough (lasting less than 3 weeks):³

Common cold²

Influenza (flu)²

Sinusitis (sinus and nasal infection)²

Inhaling irritants or allergens²

Common causes of a persistent or chronic cough (lasting longer than 8 weeks in adults or 4 weeks in children):⁴

Asthma²

Chronic sinusitis (sinus and nasal infection)²

Some types of allergies²

Bronchitis²

A wet cough is a type of cough where excess mucus is produced from your respiratory tract.^5,6 This means that when you cough, it has a “wet” sound and you’ll bring sticky fluid (mucus) up into your mouth.⁶ Because of this, it’s also called a productive cough.^5,6

When you have a wet cough, you’ll usually have other symptoms like a runny or snotty nose.⁶ You may also feel a “dripping” sensation at the back of your throat (known as post-nasal drip).⁶

The right treatment will depend on what type of cough you have and the underlying issue that may be causing it.⁴

A cough caused by a common cold or flu virus will usually get better on its own,⁴ but here are some steps you can take to manage your symptoms and recover faster: