Composition
Susp/Syp: Per 5 ml: Lactulose 3.35 gm. Powd: Per Sachet: Lactulose 10 gm.
Indications & Dosage
Constipation: Adult: Initially 15 ml twice daily, Children 1-11 months: 2.5 ml twice daily; 1-4 yrs: 2.5-10 ml twice daily; 5-17 yrs: 5-20 ml twice daily. Doses to be adjusted according to response. Hepatic encephalopathy (portal systemic encephalopathy): Adult: Adjusted according to response to 30-50 ml 3 times a day, subsequently adjusted to produce 2-3soft stools per day. Lactulose may take up to 48 hours to act.
Contraindications
Galactosaemia, intestinal obstruction.
Precautions
Lactose intolerance.
Pregnancy
Caution advised
Lactation
Caution advised
Side Effects
Hypokalemia, hyponatremia, dehydration, abdominal discomfort, cramps, flatulence, nausea, vomiting, diarrhea