Skip to content
Back to Acute Bronchitis & Cough

ingestible · for acute bronchitis & cough

N-Acetylcysteine (NAC)

Reviewed by the Nimbera editorial team · Last updated May 2026

Cazzola et al. (2015) meta-analysis of 13 RCTs, n=4,155 patients with chronic bronchitis or COPD; NAC significantly reduced exacerbation rate (relative risk 0.75, 95% CI 0.66-0.84) vs. placebo. Dose of 600 mg/day effective without obstruction (PMID 26324807).$10-$25 for a month's supply of 600 mg capsules.

How to use

Take 600 mg NAC orally once or twice daily with food and a full glass of water. Available as effervescent tablets (dissolve in water) or standard capsules. For acute bronchitis, continue for 5-10 days. For chronic bronchitis prevention, longer courses are used under medical supervision.

How it works

NAC is a precursor to glutathione and directly cleaves disulfide bonds in mucus glycoproteins, reducing sputum viscosity and making mucus easier to clear. It also replenishes glutathione in bronchial epithelial cells, reducing oxidative stress and inflammatory signaling that perpetuates airway inflammation.

Where to buy

NAC supplements at health food stores, pharmacies, and online (Jarrow, NOW Foods, Thorne). Effervescent sachets are common in European pharmacies (e.g., Fluimucil). Also available as prescription mucolytic in some countries.

Typical cost: $10-$25 for a month's supply of 600 mg capsules.

Safety notes

May interact with nitroglycerin (causes headache) and activated charcoal. Rare side effects include nausea, vomiting, and skin rash. Those with asthma should use with caution as inhaled NAC can trigger bronchospasm. Consult a doctor before use if you take blood thinners.

Drug & supplement interactions

  • Always tell your doctor or pharmacist about any supplements you take.
  • Interactions can occur with prescription medications, blood thinners, and immunosuppressants.
  • Herbal remedies can affect how the body absorbs or metabolises drugs.
  • Check drugs.com interactions checker before starting.

This information is compiled from primary clinical literature and is for informational purposes only. It is not a substitute for professional medical advice. Read our full disclaimer.