Lactulose 10g/15ml Oral Solution Sachets x 10

Lactulose 10g/15ml Oral Solution Sachets are used to treat the symptoms of constipation. They contain a laxative called lactulose which makes the stool softer and easier to pass by drawing water into the bowel. It is not absorbed into your body.

The sachets are suitable for adults and children from the age of 7 years.

Directions

Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Take your doses at the same time each day.

The dose may be given once daily, for example during breakfast, or divided into two or three doses a day.

Swallow the medicine quickly. Do not keep it in your mouth.

You can take Lactulose oral solution undiluted or diluted in some liquid.

During the treatment with laxatives you should drink sufficient amounts of fluids (approx. 2 litres per day, equal to 6-8 glasses).

It can take 2-3 days until the desired effect has been achieved since Lactulose is not degraded until it reaches the colon.

Do not give Lactulose to children before consulting your doctor for prescription and careful supervision.

You must talk to a doctor if you do not feel better or if you feel worse after 3 days.

Adults

Starting dose: 15-45ml daily (1-3 sachets, corresponding to 10-30g lactulose)

Maintenance dose: 15-30ml daily (1-2 sachets, corresponding to 10-20g lactulose).

Thereafter the dose can be reduced individually.

In elderly patients and patients with kidney or liver disease no special dosage recommendations exist.

Adolescents over 14 years

Starting dose: 15-45ml daily (1-3 sachets, corresponding to 10-30g lactulose)

Maintenance dose: 15-30ml daily (1-2 sachets, corresponding to 10-20g lactulose).

Thereafter the dose can be reduced individually.

Children 7-14 years

Starting dose: 15ml daily (1 sachet, corresponding to 10g lactulose)

Maintenance dose: 15ml daily (1 sachet, corresponding to 10g lactulose)

Thereafter the dose can be reduced individually.

Ingredients

Active Ingredient: Lactulose 10g.

Ingredients

Lactulose can be taken with or without food. There are no restrictions on what you can eat or drink.

Long-term use of unadjusted dosages (exceeding 2-3 soft stools per day) or misuse can lead to diarrhoea and disturbance of the electrolyte balance.

If you are an elderly patient or a patient in bad general condition and take lactulose for a more than 6 months period, your doctor will regularly check your blood electrolytes.

During the treatment with laxatives you should drink sufficient amounts of fluids (approx. 2 litres per day, equal to 6-8 glasses).

Lactulose should not normally be given to infants and smaller children as it can disturb the normal reflexes for passing stools. In special circumstances your doctor may prescribe Lactulose for a child, infant or baby. In these cases your doctor will supervise the treatment carefully.

Lactulose may contain small amounts of sugars (lactose, galactose or epilactose). If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.

Lactulose may contain more than 5g lactose/galactose/epilactose depending upon the dose taken. This should be taken into account in patients with diabetes mellitus.

15ml of Lactulose containd 42.7 KJ (10.2 kcals) = 0.21 BU.

If you are allergic to lactulose or any of the other ingredients of this medicine.

If you suffer from galactosaemia (a severe genetic disorder where you cannot digest galactose), acute inflammatory bowel disease (like Crohn's disease or ulcerative colitis), blockage in your bowel (apart from normal constipation), digestive perforation or risk of digestive perforation or unexplained abdominal pain.

If you suffer from gastro-cardiac syndrome (Roemheld syndrome).

If you have symptoms like excess gas in your bowels or bloating after using it, stop the treatment and consult your doctor. In these cases your doctor will supervise the treatment carefully.

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby.

Lactulose may increase the loss of potassium caused by other drugs (e.g. thiazides, steroids and amphothericin B).

Use of cardiac glycosides (e.g. digoxin) along with Lactulose can increase the effect of the glycosides by decreasing potassium in the blood.

With increasing dosage a decrease of pH-value in the colon is found. Therefore drugs which are released in the colon pH-dependently (e.g. 5-ASA) can be inactivated.

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