Acute Porphyria Drugs

R05CB03 - Carbocisteine

Probably Not Porphyrinogenic
PNP

Rationale
Non-CYP metabolism. Absence of reported interactions with CYP-metabolised drugs indicate lack of capacity for CYP-induction or CYP-inhibition.
Chemical description
Modified amino acid, structurally related to cysteine.
Therapeutic characteristics
Mucolytic agent used to thin and loosen mucus in respiratory conditions. It is taken orally in doses up to 750 mg three times daily.
Published experience
No case reports found.
Ipnet drug reports
Uneventful use reported in 2 patients with acute porphyria.
Similar drugs
Explore alternative drugs in similar therapeutic classes
  • R05C EXPECTORANTS, EXCL. COMBINATIONS WITH COUGH SUPPRESSANTS
  • R05CB Mucolytics
References
# Citation details PubMed ID
1. Carbocysteine.
Brown DT. Drug Intell Clin Pharm. 1988; 22(7-8):603-8.
3046890
Drug reference publications
2. DrugBank. Carbocisteine. Available from: https://go.drugbank.com/
Access Date: 2026-April-30
3. Merative™ Micromedex® Drug Interaction Checking (electronic version). Ann Arbor, Michigan, USA: Merative. Available from: https://www.micromedexsolutions.com/
Access Date: 2026-April-30
Drug interaction databases
4. Preston, C.L. (ed). Stockley’s Interaction Checker. London: Pharmaceutical Press. Available from: https://www.medicinescomplete.com/#/interactions/stockley
Access Date: 2026-April-30
Summary of Product Characteristics
5. Summary of Product Characteristics (SmPC). Carbocisteine 375 mg Capsules. Flamingo Pharma (UK) Ltd. Date of revision of text: 24 January 2025. Available from: https://www.medicines.org.uk/emc/
Tradenames

Availnex Acuphlem · Betaphlem · Bronchette · co-Flem · Flemgo · Flemlite · Flusin Mucuos · Lessmusec · Mucokleer · Mucolytic · Mucopan · Mucosolv · Mucospect Mucodyne Muco Rhinathiol · Siroxyl Actithiol · Cinfamucol Carbocisteina · Fluidin · Intermucol · Mucoactiol · Notus Mucolítico · Pectox · Pectox Forte · Viscoteína Lolimucin · Mucopront · Rhinathiol Broncolib · Carbocisteina · Coryfin · Fluifort · Glosid · Katarfluid · Kofituss · Lisomucil · Mucocis · Mucolase · Mucostar · Mucotreis · Recofluid · Solucis · Tusselim Fluidol · Rhinathiol gem · Maku · Pectorex Carbocisteine · Mucodyne · Mucodyne Paediatric Auropect · Flegamax · Flegmax Forte · Mucoflav · Mucopect · Mukolina · Pecto Drill · Pulnozin · Strepsils Bronquisol Flem · Bucoxolflem · Carbocisteina · Flemoxin · Mucosina Mucodyne Mucodin · Mucon Mucolytic · Mucopront · Rhinathiol · Scmc · Solmux Muco Rhinathiol · Siroxyl Benylin · Expudyne · Exputex · Mucotex · Viscolex · Xtex /5 Fluditec Fluditec Fluditec Bronchobos · Bronles · Mucodyne Bronles · Karbocistein · Karbocistein Alpha Fenorin Loviscol · Mucodyne · Mucofan · Mucolex · Pulmoclase Carbocisteina Carbocisteine
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