Meds and you

27 September 2013


Carbocisteiene (Also known as N-carbocisteiene)


Carbocisteiene - Client

(Also known as N-carbocisteiene)

Carbocisteiene is the active ingredient of Betaphlem Capsules (Nappi Code: ), Betaphlem Syrup (Nappi Code: ), Bronchette Syrup (Nappi Code: ), Co-Flem Syrup (Nappi Code: ), Flemex Capsules (Nappi Code: ), Flemex Syrup (Nappi Code: ), Flemgo Syrup (Nappi Code: ), Flemlite Syrup (Nappi Code: ), Mucolynct Syrup (Nappi Code: ), Mucospect Syrup (Nappi Code: ) & Mucospect Capsules (Nappi Code: ).

General information
Carbocisteiene is a mucolytic. Mucolytics are drugs that dissolve or break down mucus. This reduces the thickness of mucus and phlegm, making it easier to cough up.

In South Africa carbocisteiene is registered for the treatment or thinning of excessive or thickened mucus secretion associated with non-infectious respiratory tract disorders and cystic fibrosis.

This medication does not cure the underlying condition, but simply keeps the symptoms under control. For it to be effective, it has to be taken regularly, even if you do not notice an immediate effect.

How does carbocisteiene work?
This medication works by breaking some of the chemical bonds between the molecules in mucus. This makes bronchial mucus less thick and sticky and makes it easier to cough up.

Fast facts

Drug schedule: schedule 2

Available as: carbocisteiene is available as capsules and as syrup.

What does it do? Carbocisteiene dissolves or breaks down mucus.

Overdose risk: low

Dependence risk: low

Is carbocisteiene available as a generic? yes

Is carbocisteiene available on prescription only? no

User information
Stopping this medicine: treatment with this medication can be safely stopped when no longer needed.

Special precautions
Consult your doctor before using this drug if:

  • you have a history of stomach ulcers

Pregnancy: avoid. Potential risks to the foetus have been reported. Consult your doctor before use, or if you are planning to fall pregnant.

Breastfeeding: avoid. It is unknown how this medication may affect your baby. Consult your doctor before use.

Porphyria: avoid. It is unknown how this medication may affect your condition. Consult your doctor before use.

Infants and children: this medication is not intended for use in children under the age of 2 years.

The elderly: no special precautions need to be taken.

Driving and hazardous work: no special precautions need to be taken.

Alcohol: avoid concomitant use of alcohol with this medication.

Possible side effects

Side effect


Consult your doctor



Only if severe

In all cases
















skin reactions – allergic




Drug interactions
No interactions known.

Overdose action
A small overdose is no cause for concern. In case of intentional large overdose, seek emergency medical attention.

Recommended dosage
Adults, oral: 750mg three times daily.

Interesting fact
This drug has been shown to reduce cravings associated with chronic cocaine use.

This material is not intended to substitute medical advice, but is for informational purposes only. Please consult a physician for specific treatment and recommendations.


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