Dufalac liquid laxative

Dufalac syrup active ingredient: Lactulose. What is lactulose and what is its use: It is used to help relieve constipation by making your stool softer and easier to pass. It works by drawing water into the intestines. It is also used in cases of hepatic encephalopathy by reducing the amount of ammonia in the blood. Do not take lactulose: • If you are allergic to lactulose or any of the ingredients of this medicine. Tell your doctor about the allergy and the signs you have. • If you have galactosemia (inability to digest galactose). • If you have a blockage in your intestines. • If you have a perforation in your intestines. • If you are unconscious or physically weak. • If you have swallowing reflex problems. • If you are dehydrated and have low fluids in your body. • If you are intolerant to galactose or fructose. • If you have problems absorbing glucose and galactose. • If you have a lactase deficiency (an enzyme responsible for breaking down lactose). Precautions and warnings: • Talk to your doctor or pharmacist if you experience an allergic reaction such as shortness of breath, rash, swelling in the face or neck. • Talk to your doctor or pharmacist if you have unexplained abdominal pain. • If you have diabetes (high blood glucose levels). • If you are intolerant to lactose (inability to digest lactose naturally). • Make sure to drink plenty of fluids (about 2 liters of water daily) while taking this medicine. Contact your doctor if you do not feel comfortable within a few days of using the medicine. • You may need higher doses if you are taking this medicine to treat hepatic encephalopathy (a decrease in brain functions caused by severe liver disease). Therefore, blood glucose levels may rise due to increased sugar absorption into the blood. Make sure to inform your doctor if you have diabetes and liver problems so they can adjust your diabetes medications. • Do not use the medicine for longer than necessary to prevent dehydration and electrolyte imbalance. • The dose should be reduced if you experience abdominal pain, vomiting, nausea, or bloating. • Do not give the medicine to patients under 14 years old without consulting a doctor first. Possible side effects of lactulose: Possible side effects include allergic reactions, bloating (usually resolves 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 other medications. • Avoid taking other oral medications several hours before, during, or after taking lactulose to prevent reduced absorption of the medication. • Avoid taking other laxatives at the same time to prevent excessive gastrointestinal side effects. How to take lactulose: Dose for stool softening and 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): 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 1 year: The starting and maintenance dose is up to 5 ml (up to 3 g). Dose for hepatic encephalopathy (adults): The initial recommended dose is 30-45 ml orally three to four times daily, followed by a maintenance dose adjusted according to your response until you start producing stool two or three times daily. • The dose can be taken as a single daily dose or divided into two doses per day. • You can use the measuring cup attached to the packaging to measure the dose. • It may take a few days for the medicine to start working. The maintenance dose is determined based on your response. • You can take the medicine regardless of meals. How to store lactulose: • Keep the medicine out of reach of children and pets. • Do not store the medicine above 25°C. Do not refrigerate or keep in the fridge. • Do not use the medicine after the expiration date printed on the package.