Hepatic encephalopathy: Patients with severe hepatic impairment are unable to detoxify ammonia (produced by bacterial metabolism of fecal urea) coming from colon. Lactulose broken down and acidifies the colon and convert ammonia (NH3) to polar ammonium (NH4+) and is excreted in the stool.
Distribution: It is distributed locally, mainly in the colon
Metabolism: Lactulose undergoes metabolism by colonic bacteria
Excretion: Unabsorbed part is excreted through faeces and absorbed part in the urine.
2.Patient require electrocautery procedures during protoscopy and colonoscopy
3.Along with other laxatives
4.Long term use
5 Those who develop gastrointestinal symptoms (flatus, bloating, diarrhea) with the use of dietary fiber
6.Those with lactose intolerance
3.After barium examination
4.To restore bowel movement after haemorrhoidectomy
Constipation: Doses of 10 to 20 grams daily and if needed dose can be increased to 40 grams/ day
Hepatic encephalopathy: 60 - 120 grams daily.
Syrup: 7.5 - 15 ml to be taken 3 - 4 times daily (Syrup corresponding to 5 to 10 grams of Lactulose) if needed dose can be increased to 30 to 45 ml 3 - 4 times daily
Home Delivery for Lactulose in Your City
Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including lactulose.
However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for lactulose and other medicines and health products. Home delivery services for lactulose may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.
Please be aware that you should take lactulose only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for lactulose before they complete the sale. You can get this information while placing the order for lactulose with the pharmacy.
Lactulose is a generic medicine name and there are several brands available for it. Some of the brands for lactulose might be better known than lactulose itself. If the pharmacy that's willing to deliver medicines to your home doesn't have lactulose in stock, you can ask for one of the branded alternatives for lactulose.