Issues for surgery
Possible increase in sputum viscosity in patients with bronchiectasis and chronic obstructive pulmonary disease (COPD) if omitted.
Advice in the perioperative period
Elective and emergency surgery
Continue.
Post-operative advice
If patient nil-by-mouth post-operatively consider alternative mucolytics e.g. nebulised sodium chloride.
Interactions with common anaesthetic agents
None.
Interactions with other common medicines used in the perioperative period
None.
Further information
None.
References
Joint Formulary Committee. British National Formulary (online) London: BMJ Group and Pharmaceutical Press. http://www.medicinescomplete.com [Accessed on 5th November 2020]
Summary of Product Characteristics – Mucodyne® (carbocisteine) 375mg Capsules. SANOFI. Accessed via www.medicines.org.uk 05/11/2020 [date of revision of the text March 2020]
Baxter K, Preston CL (eds), Stockley’s Drug Interactions (online) London: Pharmaceutical Press. http://www.medicinescomplete.com [Accessed on 5th November 2020]