Lactulose syrup
What is lactulose and what is it used for?
Lactulose is a medication that belongs to a class of drugs called laxatives. It is used to help relieve constipation by making your stools softer and easier to pass. It works by drawing water into the intestines. It is also used in cases of hepatic encephalopathy (a decrease in brain function due to acute liver disease) by reducing the amount of ammonia in the blood.
Do not consume lactulose:
If you are allergic to lactulose or any of the ingredients in this medicine, tell your doctor about the allergy and any symptoms you experience.
• If you have galactosemia (inability to digest galactose).
If you are suffering from a blockage in your intestines.
If you have a perforation in your intestines.
If you are unconscious or physically weak.
If you have problems with the swallowing reflex.
If you are suffering from dehydration and a lack of fluids in your body.
• If you suffer from galactose or fructose intolerance.
If you have problems absorbing glucose and galactose.
• If you have a lactase deficiency (an enzyme responsible for breaking down lactose).
Precautions and warnings:
Speak to your doctor or pharmacist if you experience an allergic reaction such as shortness of breath, skin rash, swelling of the face or neck.
Speak to your doctor or pharmacist if you are experiencing unexplained abdominal pain.
• If you suffer from diabetes (high blood glucose levels).
• If you suffer from lactose intolerance (the inability to digest lactose normally).
Make sure to drink plenty of fluids (about 2 liters of water daily) while taking this medication. Contact your doctor if you do not feel better within a few days of using the medication.
You may need higher doses if you are taking this medication to treat hepatic encephalopathy (a decrease in brain function caused by severe liver disease). Therefore, your blood glucose levels may rise due to the increased amount of sugar absorbed into the bloodstream. Be sure to tell your doctor if you have diabetes and liver problems so they can adjust your diabetes medication doses.
Do not use the medication for longer than necessary to prevent dehydration and electrolyte imbalance.
• You should reduce your intake of the medication if you experience abdominal pain, vomiting, nausea, and bloating.
Do not give the medicine to patients under the age of 14 without first consulting a doctor for a prescription.
Possible side effects of lactulose:
Possible side effects of lactulose include allergic reactions, flatulence (usually going away after a few days), nausea, abdominal pain, diarrhea and vomiting.
Other medications and lactulose:
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any medications.
Avoid taking other oral medications within several hours before, during, or after taking lactulose in order to prevent poor absorption of the drug.
Avoid taking other laxatives at the same time to prevent excessive side effects in the digestive system.
How to take lactulose:
Dosage for softening stools and relieving constipation:
Adults and adolescents:
The recommended starting dose is 15-45 ml (10-30 g) followed by a maintenance dose of 15-30 ml (10-20 g).
Children (7-14 years old):
The recommended starting dose is 15 ml (10 g) followed by a maintenance dose of 10-15 ml (7-10 g).
Children (1-6 years):
The recommended starting and maintenance dose is 5-10 ml (3-7 g).
Infants under one year old:
The recommended starting and maintenance dose is up to 5 ml (up to 3 g).
Dosage for hepatic encephalopathy (adults):
The recommended initial dose is 30-45 ml orally three to four times a day, followed by a maintenance dose that is adjusted according to your response until you start producing two or three bowel movements per day.
The dose can be taken as one daily dose or it can be divided into two daily doses.
You can use the measuring cup provided with the package to measure the dose.
It may take a few days for the medication to start working. The maintenance dose will be determined based on your response.
You can take the medicine regardless of meals.
How to store lactulose:
Keep medicine out of reach of children and pets.
The medicine should not be stored above 25°C. Do not store it in the refrigerator.
Do not use the medicine after the expiry date stated on the carton.
The expiry date is the same after the package is opened.
• Store the medicine in its original container to protect it from moisture.
Do not dispose of the medicine in wastewater or household waste.