Actulose Concentrated Oral Solution

Brand Name:	Actulose
Generic:	Lactulose
Weight:	3.35 gm/5 ml
Type:	Concentrated Oral Solution
Therapeutic Class:	Osmotic purgatives
Manufacturer:	Silva Pharmaceuticals Ltd.
Price:	84.00
Last Updated:	2020-11-19 18:15:00

Actulose Concentrated Oral Solution Uses

Actulose Concentrated Oral Solution contains Lactulose. Actulose uses:

Actulose Concentrated Oral Solution is used in the treatment of chronic and habitual constipation, treatment of acute and the prevention and treatment of chronic Portal-systemic encephalopathy including the stages of hepatic pre-coma and coma.

Actulose Concentrated Oral Solution is a hyperosmolar laxative which is used as an effective treatment approach for constipation. It is a non-absorbable disaccharide which draws water into the bowel; causes distention through fluid accumulation, thus promotes soft stool and accelerates bowel motion.

Actulose Concentrated Oral Solution Doses

Actulose Concentrated Oral Solution contains Lactulose 3.35 gm/5 ml. Actulose doses:

Adults (including elderly): 3 tea spoonful or 15 ml twice daily

Children 5 to 10 years: 2 tea spoonful or 10 ml twice daily

Children under 5 years: 1 tea spoonful or 5 ml twice daily

Babies under 1 year: ½ tea spoonful or 2.5 ml twice daily (paediatric dose should be given after breakfast)

Each dose of Actulose Concentrated Oral Solution may, if necessary, be taken with water or fruit juices, usually once a day, preferably in the morning. If a dose is forgotten it should be taken as soon as one remembers up to 8 hours before bedtime. If later, wait for next scheduled dose (don’t double this dose). Don’t take at bedtime. Usual time lapse before drug works is 30 minutes to 3 hours.

 

Side Effects

Life threatening: None expected

Common: Increased thirst, cramps, nausea, diarrhoea, flatulence

Infrequent: Irregular heart beat, muscle cramps

Rare: Dizziness, confusion, fatigue, weakness.

Introduction

Actulose Concentrated Oral Solution causes a decrease in blood ammonia concentration and reduces the degree of portal-systemic encephalopathy. These actions are considered to be results of the following:

• Bacterial degradation of lactulose in the colon acidifies the colonic contents.
• This acidification of colonic contents results in the retention of ammonia in the colon as the ammonium ion. Since the colonic contents are then more acid than the blood, ammonia can be expected to migrate from the blood into the colon to form the ammonium ion.
• The acid colonic contents convert NH3 to the ammonium ion (NH4)+, trapping it and preventing its absorption.
• The laxative action of the metabolites of lactulose then expels the trapped ammonium ion from the colon.
• Experimental data indicate that lactulose is poorly absorbed. Actulose Concentrated Oral Solution given orally to man and experimental animals resulted in only small amounts reaching the blood. Urinary excretion has been determined to be 3% or less and is essentially complete within 24 hours.
• When incubated with extracts of human small intestinal mucosa, lactulose was not hydrolyzed during a 24-hour period and did not inhibit the activity of these extracts on lactose. Actulose Concentrated Oral Solution reaches the colon essentially unchanged. There it is metabolized by bacteria with the formation of low molecular weight acids that acidify the colon contents.

Actulose Precaution

It should be avoided if one is allergic to any hyperosmotic laxative, have symptoms of appendicitis, inflammatory bowel diseases or intestinal blockage, have missed a bowel movement for only 1 or 2 days. Adverse reactions over age 60 year may be more frequent and severe than in younger persons.

Interaction

Reduced effect with non-absorbable antacids, neomycin and other oral anti-infectives. Concomitant use with other laxatives may falsely suggest that adequate lactulose dosage has been achieved.

Pregnancy Lactation use

In pregnancy no proven problems were detected. Avoid the drug if possible. Consultation with physician is required. It has no side effect during breast feeding. Actulose Concentrated Oral Solution oral solution could be used in infants and children only under medical supervision. It should not be used to ‘flush out’ the system or as a ‘tonic'.

Contraindication

Actulose Concentrated Oral Solution is contraindicated in patients with galactosaemia and intestinal obstruction.

Special Warning

 

Acute Overdose

There have been no reports of accidental overdosage. In the event of acute overdosage it is expected that diarrhoea and abdominal cramps would be the major symptoms.

Interaction with other Medicine

 

Storage Condition

Store between 15-30° C.

Actulose Concentrated Oral Solution price in Bangladesh 84.00