Quốc gia: Malaysia
Ngôn ngữ: Tiếng Anh
Nguồn: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
Lactulose
MEDISPEC (M) SDN.BHD
Lactulose
100ml mL
SQUARE PHARMACEUTICALS LTD
OSMOLAX LACTULOSE ORAL SOLUTION USP 0.68G/ML Lactulose USP 0.68 g/ml 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What _Osmolax Solution_ is used for 2. How _Osmolax Solution_ works 3. Before you use _Osmolax Solution_ 4. How to use _Osmolax Solution_ 5. While you are using it 6. Side effects 7. Storage and Disposal of _Osmolax _ _Solution_ 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT _Osmolax Solution_ IS USED FOR Chronic Constipation: Regulation of the physiological rhythm of the colon. Portal Systemic Encephalopathy (PSE): Treatment and prevention of hepatic coma or pre-coma. Where a soft stool is considered as medical benefit (haemorrhoids, post- colon/anal surgery) HOW _Osmolax Solution_ WORKS Lactulose is a disaccharide, which is not hydrolyzed in the small intestine. It cannot be absorbed and is transported to the colon with water to retain the osmotic balance. It provides a natural substrate for the saccharolytic bacterial flora in the colon. In the colon, several species of bacteria can hydrolyze Lactulose to the monosaccharides galactose and fructose. By encouraging this normal metabolic activity of the bacteria, the osmotic pressure of the colonic contents is doubled and more water is drawn into the bowel. Further metabolism of the monosaccharides leads to the production of acetic acids and the subsequent lowering of colonic pH. This acidification of the colonic contents is considered to be the main reason for the effectiveness of Lactulose solution. In chronic portal systemic encephalopathy it may be associated with the decrease in the relative concentration of free ammonia, the major agent involved in the cerebral disturbance. BEFORE YOU USE _Osmolax Solution_ - _When you must not use it _ - If you are allergic to lactulose or any of the other ingredients of Osmolax Solution - If you have symptoms of stomach ache, vomiting and fever. - If you are lactose intolerant. _Pregnancy and lactation _ If laxative therapy is Đọc toàn bộ tài liệu
PRODUCT NAME Osmolax Solution (Lactulose USP 0.68 G/ML) NAME AND STRENGTH OF ACTIVE INGREDIENT(S) Lactulose 97.14ml IN 100ml EACH 5 ML CONTAINS: LACTULOSE USP 3.4 GM AS LACTULOSE CONCENTRATE USP PRODUCT DESCRIPTION A clear colorless to light amber syrupy liquid, lemon-orange flavored having sweet taste, filled and sealed in amber color PET bottle with SQUARE printed and white color cap. Free from any visible foreign particles. PHARMACODYNAMICS PHARMACOLOGY: In the colon, lactulose is broken down by colonic bacteria into low molecular organic acids. These acids lead to a lowering of pH in the colonic lumen and via an osmotic effect to an increase of the volume of the colonic contents. These effects stimulate the peristalsis of the colon and normalize the consistency of the stools. The constipation is cleared and the physiological rhythm of the colon is reinstated. In portal systemic encephalopathy (PSE) c.q. (pre) coma hepaticum, the effect has been attributed to suppression of proteolytic bacteria by an increase of acidophilic bacteria (eg, lactobacillus), trapping of ammonia in the ionic form by the acidification of the colonic contents, catharsis due to the low pH in the colon as well as an osmotic effect and alteration of the bacterial nitrogen metabolism by stimulating the bacteria to utilize ammonia for bacterial protein synthesis. Within this context, however, it should be realized that hyperammonia alone cannot explain the neuropsychiatric manifestations of PSE. The ammonia however might serve as a model compound for other nitrogenous substances. PHARMACOKINETICS PHARMACOKINETICS: Lactulose is scantily absorbed after oral administration. Not being absorbed as such, it reaches the colon unchanged. There, it is metabolized by the colonic bacterial flora. Metabolism is complete at doses up to 25-50 g (40-75 mL): At higher dosages, a part may be excreted unchanged. INDICATION Chronic Constipation: Regulation of the physiological rhythm of the colon. Portal Systemic Encephalopathy (PSE): Treatment and preventio Đọc toàn bộ tài liệu