Lactulose | Portalac syrup, 500 ml

Special Price $20.37 Regular Price $29.00
In stock
SKU
BID462087
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Latin name

Portalak
Latin name

Portalak

Release form

Syrup

Packing

Bottle 500 ml.

Pharmacological action

Portalac - hypoazotemic, stimulating intestinal motility, laxative.

Pharmacodynamics

Has a hyperosmotic, laxative effect, stimulates intestinal motility, improves absorption of phosphates and Ca2 + salts, promotes the elimination of ammonium ions. Under the influence of lactulose, Lactobacillus acidophilus, Lactobacillus bifidus multiplies in the intestine, which in turn leads to a decrease in pH in the lumen of the large intestine and the activation of its peristalsis. Along with this, the volume increases and the stool softens. The drug has a laxative effect, without directly affecting the mucous membrane and smooth muscles of the large intestine.

Under the influence of lactulose, the formation of nitrogen-containing toxic substances in the proximal colon decreases and their absorption into the systemic circulation.

The concentration of ammonium ions in the blood decreases by 25–50%, reduces the severity of hepatic encephalopathy, improves mental state and normalizes EEG.

The drug has the ability to inhibit the growth of salmonella in the large intestine.

The action of the drug occurs 24–48 hours after ingestion, as the drug passes through the digestive tract.

Pharmacokinetics

Lactulose is practically not absorbed from the gastrointestinal tract (no more than 3% of the accepted dose is absorbed), does not reduce the absorption of vitamins, and is not addictive.

Indications

constipation of various etiologies (including chronic)

the need for softening the stool for medical purposes (for hemorrhoids, the need for surgery on the colon and / or anus, pain after removal of hemorrhoids, the postoperative period)

intestinal dysbiosis

hepatic encephalopathy

hepatic procoma and coma )

hyperammonemia

enteritis caused by salmonella, shigella, salmonella carriage

putrefactive dyspepsia syndrome (in young children as a result of acute eating about etching).

Contraindications

hypersensitivity to lactulose or other components of the drug

galactosemia

bowel obstruction

rectal bleeding (which is not caused by hemorrhoids)

colo- or ileostomy

suspicion of app.

With caution, the drug is prescribed for patients with gastrocardial syndrome: treatment is started with low doses and increased gradually to avoid flatulence.

Due to the presence of small amounts of sugars in the preparation (15 ml of syrup contain up to 1.7 g of galactose and up to 1 g of lactose), care must be taken when prescribing the drug to patients with diabetes mellitus and with lactose intolerance.

Use during pregnancy and lactation

Lactulose can be used safely in pregnant and lactating mothers.

Composition

100 ml syrup contains:

Active ingredient:

lactulose concentrate66.7 g

Excipients:

purified water.

Dosage and administration

Portalac is taken orally, in the morning during or after a meal, once or divided into 2 doses, washed down with water or another liquid. The dose of Portalac is selected individually. The initial dose (3 days) is:

Children under 1 year of 5 ml (1 teaspoon)

Children from 1 year to 6 years of 5-10 ml (1-2 teaspoons)

Children from 6 to 14 years of 15 ml (1 tablespoon )

Adults 15-45 ml.

Side effects

Side effects are usually mild and reversible and are the result of excess doses.

Cramping, discomfort, or abdominal pain, as well as diarrhea, can be eliminated by reducing the dose. Flatulence that appears at the beginning of treatment, as a rule, disappears after 1-2 days.

Cases of skin reactions (rash) have been reported.

With prolonged therapy and the use of high doses of lactulose in the treatment of hepatic encephalopathy, a violation of the water-electrolyte balance may develop, and as a result, cramps, nausea, headache, dizziness, arrhythmia, myalgia, fatigue, weakness.

Drug Interaction

No clinically reliable interaction with other drugs was observed when therapeutic doses of lactulose were used.

However, it is not recommended to take Portalak® for 2 hours after receiving another medication.

When taken at the same time, lactulose can interfere with the action of drugs that release an unfavorable environment into the colon (for example, drugs containing mesalazine).

Antibiotics (neomycin) and antacids reduce the effect.

Overdose

Symptoms: too high doses of the drug can cause diarrhea and impaired electrolyte balance.

Treatment: Withdrawal.

Storage conditions

At a temperature not exceeding 25 РC.

The Expiration of

is 3 years.

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