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Solmucalm is a cough syrup with two active ingredients: acetylcysteine, an expectorant that dilutes the viscous secretions so that they are easier to cough up, and chlorphenamine, a substance with a calming effect that also alleviates allergic symptoms.
Solmucalm is suitable for the treatment of coughs in acute respiratory diseases such as cold coughs or acute bronchitis.
With a doctor's prescription, Solmucalm can also be used for chronic bronchitis, sinus infections, sore throat and throat infections and coughs in connection with childhood diseases.
Drinking plenty of fluids increases the effectiveness of the Solmucalm syrup. Because smoking contributes to an excessive build-up of bronchial mucus, you can support the effects of the syrup by giving up smoking.
Solmucalm does not contain sugar, but Lycasin 80/55, a sugar-free and tooth-friendly sweetener that is also suitable for diabetics. The calorie content of 5 ml of syrup for children is 10 kcal (42 kJ), that of 10 ml of syrup for adults is 20 kcal (84 kJ).
If you are sensitive to any component of the drug, suffer from stomach ulcers or glaucoma (increased pressure in the eye) or have difficulty urinating, in the case of an acute asthma attack, hypersensitivity reactions (see “What side effects can Solmucalm have?”) Or simultaneous treatment and for up to 2 weeks after you stop taking certain medicines for depression (called MAOIs).
Your doctor knows what to do in such cases.
In addition, Solmucalm must not be used during pregnancy or while breastfeeding (see “Can Solmucalm be taken during pregnancy or while breastfeeding?”).
Since there is no experience with small children, Solmucalm must not be given to children under 3 years of age.
If you suffer from very high blood pressure, cardiovascular disease or epilepsy, please ask your doctor beforehand.
As a precautionary measure, you should inform your doctor or health care professional if you are at risk of gastrointestinal bleeding (latent ulcers, varices in the esophagus), as Solmucalm can cause vomiting. It is also important to inform him if you have bronchial asthma, high blood pressure or other diseases of the respiratory tract, heart, blood vessels or thyroid gland.
You should not take other cough suppressant medicines at the same time as Solmucalm, because these medicines, by inhibiting the cough reflex too much, cause congestion of the bronchi with the mucus liquefied by Solmucalm, which can lead to cramps and an increased risk of respiratory infections.
This medicine can impair your ability to react, drive and use tools or machines! This is particularly true when consuming alcoholic beverages at the same time. In case of doubt, these activities are to be omitted. It is therefore recommended to refrain from alcoholic beverages for the duration of the treatment.
Furthermore, you should not take certain antibiotics at the same time as Solmucalm, but at least 2 hours apart. Your doctor or pharmacist will explain to you which antibiotics this is the case.
As the blood pressure can rise slightly, Solmucalm should not be taken together with phenytoin (for epilepsy).
Combination with the following drugs should also be avoided:
Please inform your doctor or pharmacist if you suffer from other illnesses, have allergies or take other medicines (including those you have bought yourself) or use externally.
If you are planning to become pregnant, if you are pregnant or if you are breastfeeding, you should not take any medicine.
It is known that taking Solmucalm during the last trimester of pregnancy can affect the health of the fetus. For this reason, Solmucalm must not be used during pregnancy.
Solmucalm must not be used during breastfeeding. If you still have to take Solmucalm on a doctor's prescription, you must refrain from breastfeeding.
Unless otherwise prescribed by the doctor, the following dosages are recommended:
Children from 3 to 6 years: 5 ml children's syrup, 3 times a day.
Children from 6 to 12 years: 5 ml children's syrup 3 times a day; In the event of an insufficient response to the therapy, the dosage can be increased to 10 ml 3 times a day.
Adults and adolescents over 12 years: 10 ml of syrup for adults, 3 times a day.
In order to ensure that the drug is well tolerated, it is important to follow these recommendations, as overdosing, i.e. giving an excessive dose, can lead to side effects. Small children are particularly sensitive to overdosing.
Remove the security seal and screw the lid down until the powder it contains falls into the bottle. Shake vigorously until the solution is clear.
To take the medicine, unscrew the lid and pour the prescribed amount of syrup into the measuring cup up to the corresponding mark. After each removal, screw the cover back on carefully.
It is recommended not to take any other medicine at the same time as Solmucalm. The slight smell of sulfur that is noticeable when the bottle is opened disappears quickly and has no influence on the effectiveness of the drug.
If you have a cough that lasts longer than 7 days, you must consult a doctor.
Adhere to the dosage given in the package insert or prescribed by the doctor. If you think that the medicine is too weak or too strong, talk to your doctor or pharmacist.
The following side effects may occur when taking Solmucalm:
common: drowsiness and reduced willingness to react (see “When should you be careful when taking Solmucalm?”);
uncommon: gastrointestinal disorders, such as heartburn, nausea, vomiting, and diarrhea; furthermore dry mouth, nose and throat, constipation, urination problems, visual disturbances (accommodation disturbances), increased intraocular pressure, restlessness (especially in children), nervousness and sleep disorders;
rare: headache, fever or ringing in the ears.
Allergic reactions can occur in sensitive people (skin rash, itching, increased pulse rate, breathing disorders, loss of consciousness).
If this happens, you should stop taking the medicine and talk to your doctor as soon as possible.
If you notice any side effects that are not described here, you should inform your doctor or pharmacist.
The solution in the unopened Solmucalm bottle contains the active ingredient chlorphenamine, which, if accidentally ingested, can cause serious side effects, including poisoning, especially in small children. So it is imperative to keep this medicine out of reach of children.
Store at room temperature (15-25 ° C).
The drug may only be used up to the date marked “EXP” on the pack. Once prepared, the syrup can be kept for 2 weeks at room temperature.
Please bring medicines to the pharmacy that have expired. Your doctor or pharmacist can provide you with further information; these persons have extensive specialist information at their disposal.
Active ingredients: 200 mg acetylcysteine and 4 mg chlorophenamine maleate.
Auxiliary substances: flavorings, preservatives (potassium sorbate E202 and sodium benzoate E211) and other auxiliary substances.
Active ingredients: 100 mg acetylcysteine and 2 mg chlorophenamine maleate.
Excipients: Flavors: vanillin and others, preservatives (potassium sorbate E202 and sodium benzoate E211) and other excipients.
Note: the N-acetylcysteine is contained in the bottle cap, the chlorophenamine maleate in the solution contained in the bottle.
53336 (Swissmedic).
In pharmacies and drugstores, without medical prescription.
IBSA Institut Biochimique SA, CH 6903 Lugano.