Lactulose

Generic name: Lactulose
Brand names: Chronulac Syrup

Why is Lactulose prescribed?

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Chronulac treats constipation. In people who are chronically constipated, Chronulac increases the number and frequency of bowel movements.

Most important fact about Lactulose

It may take 24 to 48 hours to produce a normal bowel movement.

How should you take Lactulose?

Take Lactulose exactly as prescribed. If you find the taste of Chronulac unpleasant, it can be mixed with water, fruit juice, or milk.

--If you miss a dose...

Take the forgotten dose as soon as you remember; but do not try to "catch up" by taking a double dose.

--Storage instructions...

Store at room temperature. Avoid excessive heat or direct light. The liquid may darken in color, which is normal. Do not freeze.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Chronulac.

• Side effects may include:
  Diarrhea, gas (temporary, at the beginning of use), intestinal cramps (temporary, at the beginning of use), nausea, potassium and fluid loss, vomiting

Why should Lactulose not be prescribed?

Chronulac contains galactose, a simple sugar. If you are on a low-galactose diet, do not take Lactulose.

Special warnings about Lactulose

Because of its sugar content, Lactulose should be used with caution if you have diabetes.

If unusual diarrhea occurs, contact your doctor.

Possible food and drug interactions when taking Lactulose

If Chronulac is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Chronulac with non-absorbable antacids such as Maalox and Mylanta.

Special information if you are pregnant or breastfeeding

The effects of Chronulac during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Chronulac may appear in breast milk and could affect a nursing infant. If Lactulose is essential to your health, your doctor may advise you to stop breastfeeding until your treatment is finished.

Recommended dosage

The usual dose is 1 to 2 tablespoonfuls (15 to 30 milliliters) daily. Your doctor may increase the dose to 60 milliliters a day, if necessary.

Safety and effectiveness for children have not been established.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical treatment immediately.

• Symptoms of Chronulac overdose may include:
  Abdominal cramps, diarrhea

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