NAC is a form of the amino acid cysteine. It thins mucus and helps the body make glutathione. In much of Europe it is sold as a medicine for coughs with mucus.
NAC is not a nutrient, so there is no official daily intake. Only study doses are shown.
Doses used in studies
These are doses tested in research, not personal advice. Some exceed the upper limit because they were short courses or given under medical care.
Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 meta-analysis, 1 randomised trial.How grades work
Fewer flare-ups in COPD or chronic bronchitis
1,200 mg a day
PANTHEON (China) gave people with COPD 600 mg twice a day for a year: flare-ups were fewer, most clearly in moderate disease. A meta-analysis found NAC lowered exacerbations, with high doses (1200 mg a day) needed in confirmed COPD.
Not found as NAC in food; cysteine comes from protein (meat, eggs, legumes).
Interactions
Should not be taken with nitroglycerin (can cause severe headache and low blood pressure). Ask before combining with activated charcoal or some cough medicines.
Safety
Can cause nausea and a sulfur smell. People with asthma should be cautious. NAC for paracetamol (acetaminophen) overdose is a hospital treatment, never self-treatment.
Pregnant, breastfeeding, on medication, or managing a health condition? Check with a doctor or pharmacist before starting a supplement.