Lactulose, marketed under the brand name Laxolac, is a synthetic disaccharide used primarily as a laxative to treat constipation and manage hepatic encephalopathy. The syrup formulation is easy to administer and is often preferred for both adults and children.
Key Features
- Volume: Available in a 120ml bottle.
- Active Ingredient: Contains lactulose, which works by drawing water into the intestines, softening stools, and promoting bowel movements.
- Taste: The syrup is typically sweet-tasting, making it more palatable for users.
Indications
Lactulose is indicated for:
- Constipation: Used to relieve occasional or chronic constipation.
- Hepatic Encephalopathy: Helps reduce ammonia levels in the blood in patients with liver disease, improving mental function.
Dosage and Administration
- For Adults:
- Constipation: The usual starting dose is 15 to 30 ml taken once daily. This may be adjusted based on response, with a maximum of about 60 ml per day if needed.
- Hepatic Encephalopathy: Initial doses may range from 30 to 50 ml, taken three times a day, adjusted according to the patient's response.
- For Children:
- Dosage varies by age:
- Ages 5 to 17 years: 5 to 20 ml, taken twice daily.
- Ages 1 to 4 years: 2.5 to 10 ml, taken twice daily.
- Babies (1 month to 11 months): Up to 2.5 ml, taken twice daily.
- Administration Instructions: Lactulose can be taken with or without food. To improve taste, it can be mixed with water or fruit juice.
Side Effects
Common side effects may include:
- Abdominal discomfort or cramps
- Diarrhea
- Nausea
Serious side effects are rare but can include:
- Severe allergic reactions (e.g., rash, difficulty breathing)
- Electrolyte imbalances with prolonged use
Precautions
- Consult Healthcare Provider: Before using lactulose, especially in children or individuals with pre-existing health conditions such as diabetes or galactose intolerance.
- Long-Term Use Monitoring: Long-term use should be monitored by a healthcare professional due to potential electrolyte imbalances.
