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Summary and Recommendations Based on the studies of antioxidant and mucolytics, various respiratory associations and bodies have made the following recommendations: GOLD Executive Summary 2017 44 : Regular treatment with mucolytics such as carbocysteine and N-acetylcysteine may reduce exacerbations and modestly improve health status in patients not receiving inhaled corticosteroids. European Respiratory Society/American Thoracic Society 2017 84 : In COPD with moderate or severe airflow obstruction and exacerbations despite optimal inhaled therapy, we suggest treatment with an oral mucolytic agent to prevent future exacerbations
Remove the needle, apply gentle pressure to the injection site with a clean gauze pad for 12 minutes, and monitor your vital signs if you have a blood pressure cuff or pulse oximeter available
Worth noting Contains a retinoid, which is best introduced gradually
