Drug Interaction Report

If you are using lactulose for the treatment of a condition known as portal-systemic encephalopathy, you should talk to your doctor before using it with magnesium citrate. The loose stools produced by treatment with magnesium citrate may make it difficult to know when you have achieved an adequate dosage of lactulose. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

If you are using lactulose for the treatment of a condition known as portal-systemic encephalopathy, you should talk to your doctor before using it with bisacodyl. The loose stools produced by treatment with bisacodyl may make it difficult to know when you have achieved an adequate dosage of lactulose. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

The recommended maximum number of medicines in the 'osmotic laxatives' category to be taken concurrently is usually one. Your list includes two medicines belonging to the 'osmotic laxatives' category:

• lactulose
• Royvac Bowel Evacuant (bisacodyl / magnesium citrate)

Note: In certain circumstances, the benefits of taking this combination of drugs may outweigh any risks. Always consult your healthcare provider before making changes to your medications or dosage.