In studies of mice, rats, and rabbits, doses of Lactulose solution up to 6 or 12 mL/kg/day produced no deleterious effects on breeding, conception, or parturition. Keep out of reach of children. Do not freeze. Dosage Considerations – Should be Given as Follows: This document does not contain all possible side effects and others may occur. There might be some side-effects of lactulose such as diarrhea, abdominal cramping or bloating.In cases of overdose, patient might have symptoms of severe diarrhea, hypovolemia and electrolyte imbalance, which might flare up symptoms of encephalopathy, thus overdosing should be … Side Effects & Safety When taken by mouth: Blond psyllium is LIKELY SAFE for most people when taken by mouth with plenty of fluids. Continuous long-term therapy is indicated to lessen the severity and prevent the recurrence of portal-systemic encephalopathy. Lactulose is a prescription drug used by mouth or rectally to treat or prevent complications of liver disease (hepatic encephalopathy). Controlled studies have shown that Lactulose solution therapy reduces the blood ammonia levels by 25 to 50%; this is generally paralleled by the improvement in the patients’ mental state and by an improvement in EEG patterns. Viscosity will return to normal upon warming to room temperature. Precise frequency data are not available. It is freely soluble in water. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Possible side effects The main side effect of taking milk of magnesia, or any laxative, is diarrhea. Theoretically, the elimination of certain colonic bacteria by neomycin and possibly other anti-infective agents may interfere with the desired degradation of Lactulose and thus prevent the acidification of colonic contents. Administration of Lactulose solution in the diet of mice for 18 months in concentrations of 3 and 10 percent (v/w) did not produce any evidence of carcinogenicity. It is made in the body. Ornithine is used for improving athletic performance, reducing glutamine poisoning in the treatment of a brain condition due to liver disease (hepatic encephalopathy), and for wound healing.. Don't confuse ornithine with ornithine alpha-ketoglutarate (OKG). Lactulose given orally to man and experimental animals resulted in only small amounts reaching the blood. Adult: The usual adult, oral dosage is 2 to 3 tablespoonfuls (30 mL to 45 mL, containing 20 grams to 30 grams of Lactulose) three or four times daily. Hourly doses of 30 mL to 45 mL of Lactulose solution may be used to induce the rapid laxation indicated in the initial phase of the therapy of portal-systemic encephalopathy. Cleansing enemas containing soap suds or other alkaline agents should not be used. Accumulation of H2 gas in significant concentration in the presence of an electrical spark may result in an explosive reaction. It is not known whether this drug is excreted in human milk. The liver is located in the upper right side of the abdomen below the ribs. It has the following structural formula: The molecular weight is 342.30. See additional information. Lactulose given orally in the recommended doses, should be started before Lactulose by enema is stopped entirely. Lactulose is available under the following different brand names: Enulose, Kristalose, Constulose, and Generlac. Other brands: Constulose, Enulose, Generlac, Kristalose, MiraLAX, polyethylene glycol 3350, Linzess, Amitiza, Xifaxan, rifaximin, neomycin, linaclotide, Movantik, docusate / senna. This medication contains lactulose. Experimental data indicate that Lactulose is poorly absorbed. For the prevention and treatment of portal-systemic encephalopathy, including the stages of hepatic pre-coma and coma. Lactulose is used in the treatment of chronic constipation in patients of all ages as a long-term treatment. Prolonged exposure to temperatures above 86°F (30°C) or to direct light may cause extreme darkening and turbidity which may be pharmaceutically objectionable. Infants receiving Lactulose may develop hyponatremia and dehydration. Dialysis: Dialysis data are not available for Lactulose. Nausea and vomiting have been reported. Continuous long-term therapy is indicated to lessen the severity and prevent the recurrence of portal-systemic encephalopathy. This information does not contain all possible interactions or adverse effects. Sign and Symptoms: There have been no reports of accidental overdosage. Lactulose may produce gaseous distention with flatulence or belching and abdominal discomfort such as cramping in about 20% of patients. To report SUSPECTED ADVERSE REACTIONS, contact Torrent Pharma Inc. at 1-800-912-9561 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 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