Posted by: Tessa | 2020/07/14


Would NAC be a good idea?

Hi Dr. I am 54 and have allergic asthma since a toddler. Diligent with my Nozer 20mg (also suffer from reflux forever), Foxair, sinus rinsing, daily Texa10 tab and Asthavent when I need it. I have since age 50 developed a few other things like hypertension (Enalapril 10mg 2 x day), Citalopram 40mg (depression from pain), B12 - 50mg per day for restless legs, Oxpola 0.5mg per day RLS. Prescribed Flomist but don't use it as I get such a headache each and every time, Simvastatin 10mg per day (2nd month). Supplements are Ferofol (as iron test was a bit low), Venavine (OTC for RLS as it really works) and for 3 months ArthAway Chronic which is not working for me so stopped today. Painkillers are Panado's. So, Dr. says I have 10 out of 10 for Fibromyalgia (IBS, dry eyes, pain points, RLS, facial pain, poor sleep) which is no joke as I cannot take painkillers or anti-inflammatories due to the asthma - they close up my chest. Asthma no problem I take it in my stride. I do tend to get phlegm easily and am prone to a sinus infec or chest infec going South very quickly in bronchitis / pneumonia par the course I suppose, though I try hard to keep well. So, in terms of the asthma (inflammation) and what seems to be this Fibromyalgia would NAC be a good idea do you think? Please note I am at the state and cannot just see or ring up my Dr I only see him about every 4 months. So, if you think it is a good idea and see no interaction with any meds what dosage per day and I would get a good range like Solal for instance. My recent blood tests were all clear for TB, thyroid, full blood count, liver, kidney. Cholesterol was a bit high hence the stattin and iron was a bit low hence the Ferofol. I am thinking of NAC as a friend has respiratory and tendon problems and has never looked back since being on it. The pharmacist suggested I try Traumeel for pain long-term. What do you think Dr? Thank you

Expert's Reply


Asthma Expert
- 2020/07/17

NAC is generally used to thin out or break up thick sputum, especially in those with chronic bronchitis and airways disease. It also has antioxidant properties and has been used in different disease context. It is generally not useful in asthma. I would not recommend it. Some people who tried feel that it helps to bring up phlegm more easily. However, I would advise stopping if there's no benefit seen after 6 weeks.

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