Composition Lactulosum Takeda Forte syrup:

The active substance is lactulose (in the form of liquid lactulose). 1 ml of syrup contains 667mg of lactulose. The remaining ingredient is purified water.

Action Lactulosum Takeda Forte syrup:

The active substance of Lactulosum Takeda Forte is lactulose. It is a synthetic disaccharide which, when administered orally, does not decompose with the participation of digestive enzymes, and is also not properly absorbed from the gastrointestinal tract. However, in the large intestine in contact with bacteria decomposes to organic acids, especially lactic acid, thanks to which it acidifies the contents of the large intestine. The products of lactulose degradation increase the volume of the contents of the intestine, stimulate peristalsis and have a laxative effect. In addition, lactulose reduces the concentration of ammonia in the blood in patients with encephalopathy.

Application:
Lactulosum Takeda Forte syrup indicated for use in chronic constipation and in encephalopathy in the course of hepatic failure (pre-coma and hepatic coma).

Additional information:
Keep the product out of reach of children at room temperature. The drug contains lactose, galactose and small amounts of fructose. The use of pregnant women and lactation, as well as women who suspect that they may be pregnant should consult a doctor.

Contraindications:
Do not use in case of hypersensitivity to lactulose. Do not use in cases of intestinal obstruction or increased galactose concentration in the blood (galactosemia). Do not use in the case of gastrointestinal perforation or the risk of its occurrence (eg in people with intestinal disease including Crohn's disease or ulcerative colitis). It is not recommended for hereditary intolerance to galactose or fructose, lactase deficiency (Lapp type) and malabsorption of glucose-galactose.

Side effects: Side effects
may occur with some people during treatment. When using lactulose as a laxative - stomach and intestinal disorders: mild, transient bloating, abdominal pain, sometimes nausea. Cases of diarrhea have been reported very rarely, but they have receded after the first 5 hours of starting the medicine. When using high doses of lactulose in hepatic encephalopathy - stomach and intestinal disorders: flatulence, abdominal pain, nausea, diarrhea, isolated cases of intestinal vesicular dysmenorrhea; Metabolism and nutrition disorders: lowering of potassium in the blood serum below the norm (hypokalaemia), increase in serum sodium concentration above the norm (hypernatremia).

Dosage Lactulosum Takeda Forte syrup:

Use as directed by your doctor or follow the instructions on the leaflet. Take orally. The solution can be used undiluted or diluted with water or juice. The preparation should be swallowed quickly without too much holding in the mouth. Dosage should be adjusted individually. The drug used in one daily dose should be taken at the same time (eg during breakfast). When taking a laxative, you should drink at least 1.5-2 liters of liquids (about 6-8 glasses). Chronic constipation: the drug can be taken in a single daily dose or in two divided doses. After a few days of treatment, the initial dose can be adjusted to the maintenance dose depending on the response received. As a rule, the therapeutic effect can be observed after 2-3 days of treatment. Dosage in adults and adolescents: initial dose - 15-45ml; maintenance dose - 15-30ml. In children from 7 to 14 years of age: initial dose - 15ml; maintenance dose - 10-15ml. In children from 1 to 6 years of age: initial dose - 5-10ml; maintenance dose - 5-10ml. In infants under the age of 1: initial dose - up to 5ml; maintenance dose - up to 5ml (5ml of syrup contains 3.3g lactulose). Hepatic failure, pre-comedic conditions, hepatic coma in adults: starting dose - 3-4 times a day for 30-45ml. The dose is determined individually, it should be changed every 1-2 days, so that the number of bowel movements was 2-3 times a day. If you do not improve or observe deterioration after finishing the first pack, contact your doctor (not for chronic constipation). year of life: initial dose - 15ml; maintenance dose - 10-15ml. In children from 1 to 6 years of age: initial dose - 5-10ml; maintenance dose - 5-10ml. In infants under the age of 1: initial dose - up to 5ml; maintenance dose - up to 5ml (5ml of syrup contains 3.3g lactulose). Hepatic failure, pre-comedic conditions, hepatic coma in adults: starting dose - 3-4 times a day for 30-45ml. The dose is determined individually, it should be changed every 1-2 days, so that the number of bowel movements was 2-3 times a day. If you do not improve or observe deterioration after finishing the first pack, contact your doctor (not for chronic constipation). year of life: initial dose - 15ml; maintenance dose - 10-15ml. In children from 1 to 6 years of age: initial dose - 5-10ml; maintenance dose - 5-10ml. In infants under the age of 1: initial dose - up to 5ml; maintenance dose - up to 5ml (5ml of syrup contains 3.3g lactulose). Hepatic failure, pre-comedic conditions, hepatic coma in adults: starting dose - 3-4 times a day for 30-45ml. The dose is determined individually, it should be changed every 1-2 days, so that the number of bowel movements was 2-3 times a day. If you do not improve or observe deterioration after finishing the first pack, contact your doctor (not for chronic constipation). In infants under the age of 1: initial dose - up to 5ml; maintenance dose - up to 5ml (5ml of syrup contains 3.3g lactulose). Hepatic failure, pre-comedic conditions, hepatic coma in adults: starting dose - 3-4 times a day for 30-45ml. The dose is determined individually, it should be changed every 1-2 days, so that the number of bowel movements was 2-3 times a day. If you do not improve or observe deterioration after finishing the first pack, contact your doctor (not for chronic constipation). In infants under the age of 1: initial dose - up to 5ml; maintenance dose - up to 5ml (5ml of syrup contains 3.3g lactulose). Hepatic failure, pre-comedic conditions, hepatic coma in adults: starting dose - 3-4 times a day for 30-45ml. The dose is determined individually, it should be changed every 1-2 days, so that the number of bowel movements was 2-3 times a day. If you do not improve or observe deterioration after finishing the first pack, contact your doctor (not for chronic constipation). it should be changed every 1-2 days so that the number of bowel movements is 2-3 times a day. If you do not improve or observe deterioration after finishing the first pack, contact your doctor (not for chronic constipation). it should be changed every 1-2 days so that the number of bowel movements is 2-3 times a day. If you do not improve or observe deterioration after finishing the first pack, contact your doctor (not for chronic constipation).