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project

Name/scientific name

LACTULOSE

Self-financed or subsidized by the Hospital Authority

Hospital Authority Drug Formulary

Indications

constipation, hepatic encephalopathy

body system

Gastroenterology

type 

laxative

Drug introduction

Lactulose is a commonly used drug, mainly used to treat constipation and hyperammonemia. It is a synthetic carbohydrate that promotes bowel movement by increasing water content in the intestines and increasing the activity of intestinal flora. It is especially effective for patients with chronic constipation or those who need to soften their stools. In addition, lactulose can also be used to treat hepatic encephalopathy by allowing patients with hyperammonemia to have bowel movements to relieve symptoms.

When taking lactulose, patients should take the dosage as directed by their doctor. Side effects such as diarrhea or abdominal bloating may occur, but are usually mild and improve with continued use. During the period of using lactulose, patients should pay attention to maintaining adequate fluid intake to ensure the effect of the drug.

Overall, lactulose is a safe and effective medication for the treatment of constipation and hyperammonemia. Patients should follow their doctor's advice when using it and pay close attention to any adverse reactions.

Dosage

How to use: LACTULOSE is a laxative, usually taken orally in liquid form. It is recommended to take it in the morning or before bed to ensure best results. It can be taken with or without food, but it is best to avoid taking it with foods containing calcium or magnesium to avoid affecting the effectiveness of the medicine. While taking it, you should drink plenty of water to aid the laxative effect and maintain proper fluid intake.

Dosage Guidelines: The starting dose for adults is usually 15 to 30 ml, 2 to 3 times daily. Dosage may be titrated based on individual needs and response. For children, the dose is based on age and physician recommendations, and the starting dose is usually lower. It is recommended to use it under the guidance of a physician to ensure safety and effectiveness. If you have any adverse reactions or questions, you should consult a medical professional immediately.

side effect

Lactulose is a laxative with common side effects including diarrhea, abdominal pain and flatulence. A small number of people may experience nausea, vomiting, or abdominal discomfort. Long-term heavy use may cause electrolyte imbalances, such as low potassium or low calcium. Some people may be sensitive to lactulose, causing allergic reactions including rash, allergic conjunctivitis, or difficulty breathing. If you develop serious side effects, such as severe diarrhea, vomiting, or difficulty breathing, seek medical advice immediately. When using lactulose, you should follow your doctor's instructions and avoid increasing or decreasing the dosage on your own.

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Taboo

Drug name: LACTULOSE

Taboo groups:
1. People who are allergic to LACTULOSE are prohibited from using it.
2. Diabetic patients should avoid using LACTULOSE as it contains sugar that may affect blood sugar control.
3. Patients with intestinal obstruction or intestinal perforation are prohibited from using LACTULOSE to avoid aggravating the condition.
4. Patients with lactose intolerance or lactose deficiency should avoid using LACTULOSE as it may contain lactose.
5. Pregnant or lactating women should use LACTULOSE under the guidance of a physician to ensure safety.

Please consult your doctor or pharmacist before using LACTULOSE, and use strictly as recommended by your medical professional. If any adverse reactions or concerns arise, discontinue use immediately and seek medical assistance.

Precautions

Precautions for use: This medication is usually used to treat constipation or hyperammonemia. Please make sure to use it under the guidance of a physician and follow the recommended dosage and frequency. During use, drink plenty of fluids to avoid dehydration. It may cause diarrhea or abdominal pain. If you have persistent discomfort, stop using it immediately and consult a doctor.

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  • Medication grading for pregnant women

    Lactulose should be used with caution in pregnant women. Lactulose falls under drug classification B, which means animal studies have not shown harm to the fetus, but human studies are limited. If you are pregnant or planning to become pregnant, you should consult your doctor before using lactulose. Your doctor can evaluate the risks and benefits and guide you on appropriate dosage.

    In addition, care should be taken to avoid using any unnecessary drugs during pregnancy to reduce potential risks to the fetus. If you are using other medicines while pregnant or breastfeeding, you should ask your doctor about any safety concerns. More importantly, always follow your doctor's recommendations and prescriptions, and work closely with your doctor during your medication regimen.

    In short, you should be cautious when using lactulose during pregnancy and consult your doctor before using it to ensure the safety of you and your baby.

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