Lactulose is used in constipation and Hepatic encephalopathy. It may also be used to treat and prevent complications of liver disease (hepatic encephalopathy).
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Avolac Oral Solution contains Lactulose, which is classified as a laxative and is used to treat constipation characterized by infrequent bowel movements and hard, dry stools. Additionally, it is prescribed for hepatic encephalopathy, a condition where liver disease leads to a decline in brain function, causing symptoms such as confusion, tremors, and decreased consciousness, which may progress to hepatic coma.
Avolac Oral Solution is not recommended for patients with serious genetic disorders like galactosemia, acute inflammatory bowel disease, bowel blockage (apart from regular constipation), gastrointestinal perforation, or stomach pain of unknown origin. During the treatment with Avolac Oral Solution, it is essential to stay well-hydrated by consuming about 6 to 8 glasses of fluids daily.
Before taking Avolac Oral Solution, inform your doctor if you have lactose intolerance, diabetes, or Roemheld syndrome. Pregnant and breastfeeding women should use Avolac Oral Solution with caution, only if specifically advised by their doctor. While it is generally not recommended for infants and young children, there might be certain circumstances where your child's doctor may prescribe it.
Elderly patients (aged 65 years and above) should take Avolac Oral Solution with caution, and their doctor may monitor their blood electrolyte levels if the medicine is used for an extended period, especially in patients with poor general health.
No interaction found
Avolac Oral Solution is not recommended if you are pregnant as enough data is not available to understand its safety and efficiency. Consult your doctor before taking this medicine.
Avolac Oral Solution is not recommended to be taken while breastfeeding as it is not known if this medicine is present in breast milk or not. Discuss all the risks and benefits with your doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or discontinue the medicine based on your clinical condition.
Avolac Oral Solution has almost no effect on driving ability. However, if you experience any effects after taking this medicine that may affect your ability to drive safely, it is advised to avoid driving.
There is no interaction between renal impairment and consuming this drug. So dose alteration is not needed.
There is no data available. Please consult a doctor before consuming the drug.
Treats:
Avolac Oral Solution helps in softening stools by breaking down in the colon and extracting water into the colon. It decreases ammonia in the blood by drawing it into the colon and removing it from the body.
Lactulose is a type of laxative that promotes peristalsis in the colon by creating an osmotic effect, leading to increased water retention and distention. This stimulates bowel movements and helps alleviate constipation.
In the context of hepatic encephalopathy, lactulose has an additional mechanism of action. It works by reducing the absorption of ammonium ions and other toxic nitrogenous compounds in the colon. These substances are byproducts of protein metabolism, and in liver disease, particularly in hepatic encephalopathy, the liver may not be able to adequately remove these toxins from the bloodstream. This can lead to elevated blood ammonia concentrations, which can contribute to the neurological symptoms seen in hepatic encephalopathy.
Lactulose helps lower blood ammonia levels by drawing ammonia from the bloodstream into the colon, where it is converted into ammonium ions. The presence of ammonium ions in the colon causes an acidic environment, which favors the conversion of ammonia (NH3) into ammonium (NH4+). Ammonium ions are less readily absorbed by the intestines, reducing the overall ammonia load in the blood.
By reducing blood ammonia concentrations, lactulose can improve the symptoms associated with hepatic encephalopathy, such as confusion, tremors, and decreased level of consciousness. It is an essential part of the management and treatment of hepatic encephalopathy in patients with liver disease.
The adult dose for Avolac Oral Solution varies depending on the purpose of use:
For Constipation:
For Portal Systemic Encephalopathy Prophylaxis:
The child's dose for Avolac Oral Solution is as follows:
For Constipation:
For Portal Systemic Encephalopathy Prophylaxis in Infants:
For Portal Systemic Encephalopathy Prophylaxis in Children and Adolescents:
When taking Avolac Oral Solution, it is essential to follow your physician's advice. Remember to shake the bottle well before use, use a measuring cup or spoon, and swallow the medicine immediately without keeping it in your mouth for too long. You can mix the medicine with fruit juice or water. Staying well-hydrated by consuming 6-8 glasses of fluids daily is recommended.
Always adhere to the prescribed dose and duration of treatment, as your doctor will determine the appropriate dosage based on your age, body weight, and medical condition.
Avolac Oral Solution should not be taken if you have certain conditions or allergies. It is contraindicated for individuals with:
Lactulose is classified under Pregnancy Category B by the US FDA. Pregnancy Category B indicates that animal studies have not shown any adverse effects on the fetus, but there are no adequate and well-controlled studies on pregnant women.
While there is no evidence of harm from Lactulose use during pregnancy, decisions regarding its use during pregnancy and lactation should be made by a registered physician. The doctor will consider the potential benefits of the medication for the pregnant or breastfeeding individual, as well as the possible risks to the fetus or infant. The physician will weigh these factors to determine the most appropriate course of action for the individual's health and the well-being of their baby. It's important to follow the healthcare provider's advice and recommendations to ensure a safe and healthy pregnancy and breastfeeding experience.
It's essential to inform your doctor if you have any of the following conditions before taking Avolac Oral Solution:
If you are pregnant or breastfeeding, consult your doctor before taking this oral solution.
Misuse or chronic use of Avolac Oral Solution may lead to diarrhea and electrolyte imbalances. Therefore, it should only be taken as advised by the doctor to ensure safe and appropriate use of the medication. Always follow your doctor's instructions and dosages to avoid any potential complications or adverse effects.
Store below 25°C in a dry place away from light. Keep the medicines in a safe place, out of the reach of children. Do not use later than the date of expiry. To be dispensed only on the prescription of a registered physician.
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