topicNac Respiratory Support Meta-Analysis
claimBeyond established risk factors such as smoking and exposure to pollutants increasing evidence emphasizes the role of oxidative stress (OS) in COPD pathophysiology.
evidence level1
citationLópez-Denis M (2026)
sourceAntioxidants as Therapeutic Tools in the Management of COPD: A Systematic Review with Meta-Analysis.
topicNac Respiratory Support Meta-Analysis
claimN-acetylcysteine-based interventions were associated with a significant reduction in exacerbation risk (risk ratio 0.80; 95% confidence interval 0.66-0.98), corresponding to a 20% relative reduction.
evidence level1
citationLópez-Denis M (2026)
sourceAntioxidants as Therapeutic Tools in the Management of COPD: A Systematic Review with Meta-Analysis.
topicNac Respiratory Support Meta-Analysis
claimChronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide.
evidence level1
citationLópez-Denis M (2026)
sourceAntioxidants as Therapeutic Tools in the Management of COPD: A Systematic Review with Meta-Analysis.
topicNac Respiratory Support Meta-Analysis
claimThis document consolidates existing evidence to this effect, and adds insights from practicing clinicians to guide about use of NAC in clinical practice.
evidence level2
citationBarne M (2026)
sourceN-acetylcysteine: evidence based consensus document on the therapeutic advantages in respiratory diseases (NECTAR).
topicNac Respiratory Support Meta-Analysis
claimConclusion This consensus underscores the role of NAC in chronic respiratory diseases beyond its mucolytic properties and reiterates that NAC's antioxidant, anti-inflammatory, immunomodulatory and anti-biofilm properties provide significant clinical utility.
evidence level2
citationBarne M (2026)
sourceN-acetylcysteine: evidence based consensus document on the therapeutic advantages in respiratory diseases (NECTAR).
topicNac Respiratory Support Meta-Analysis
claimWhile promising for TB and respiratory infections, further evidence is required.
evidence level2
citationBarne M (2026)
sourceN-acetylcysteine: evidence based consensus document on the therapeutic advantages in respiratory diseases (NECTAR).
topicNac Respiratory Support Meta-Analysis
claimBackground N-acetylcysteine (NAC) is a key precursor of glutathione (GSH), the lung's principal antioxidant.
evidence level2
citationBarne M (2026)
sourceN-acetylcysteine: evidence based consensus document on the therapeutic advantages in respiratory diseases (NECTAR).