• American family physician · Aug 2009

    Review

    N-acetylcysteine: multiple clinical applications.

    • Paul J Millea.
    • Mid-Atlantic Permanente Medical Group, P.C., Falls Church, VA 22046, USA. paulmillea@gmail.com
    • Am Fam Physician. 2009 Aug 1; 80 (3): 265-9.

    AbstractN-acetylcysteine is the acetylated variant of the amino acid L-cysteine and is widely used as the specific antidote for acetaminophen overdose. Other applications for N-acetylcysteine supplementation supported by scientific evidence include prevention of chronic obstructive pulmonary disease exacerbation, prevention of contrast-induced kidney damage during imaging procedures, attenuation of illness from the influenza virus when started before infection, treatment of pulmonary fibrosis, and treatment of infertility in patients with clomiphene-resistant polycystic ovary syndrome. Preliminary studies suggest that N-acetylcysteine may also have a role as a cancer chemopreventive, an adjunct in the eradication of Helicobacter pylori, and prophylaxis of gentamicin-induced hearing loss in patients on renal dialysis.

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