WELCOME TO PHARMA EASE EBAY STORE
Lactulose 3.3g/5ml Oral Solution
2 x 500ml
Suitable for:
Adults and children ( see dosage)
***You must be at least 16 years old to purchase this product.
How to use:
Please read the enclosed leaflet carefully before use. Follow the direction.
For oral use only.
Constipation:
| Starting dose | Maintenance dose | ||||||||||
| Adult and adolescents over 14 years | 15-45 ml | corresponding to 10-30 g lactulose | 15-30 ml | corresponding to 10-20 g lactulose | |||||||
| Children (7-14 years) | 15 ml | See GP or speak to Pharmacist | 10-15 ml | corresponding to 7-10 g lactulose | |||||||
| Children (1-6 years) | 5-10 ml | See GP or speak to Pharmacist | |||||||||
thereafter the dose can be reduced individually.
The daily dose should be taken once during breakfast. It can be taken for 2-3 until the desired effect is achieved since Lactulose oral solution is not degraded until it reaches the colon.
Portal systemic encephalopathy (Liver disease that affects the brain)
Adults:
Beginning with 30 - 50 ml 3 times daily (corresponding to 60 - 100 g lactulose). The dosage has to be adopted to get 2-3 soft stools daily, pH of the stools should be between 5.0 to 5.5.
Children:
See GP or speak to Pharmacist.
In elderly patients and patients with renal or hepatic insufficiency no special dosage recommendations exist.
Hazards and Cautions:
Before you take Lactulose Oral Solution
Do not take Lactulose oral solution:
- if you are allergic (hypersensitive) to any of the components of Lactulose oral solution.
- if you suffer from galactosaemia (a severe genetic disorder where you cannot digest galactose).
- acute inflammatory bowel disease (like Crohn's disease or ulcerative colitis), blockage in your bowel (apart from normal constipation), digestive perforation or risk of digestive perforation, abdominal pain or undetermined cause.
Please tell your doctor before taking Lactulose oral solution:
- if you suffer from gastro-cardiac syndrome (Roemheld syndrome)
- if you have symptoms like meterorism or bloating after using it, stop the treatment and consult your doctor.
Lactulose oral solution should not normally be given to infants and smaller children as it can disturb the normal reflexes for passing stools. In special circumstances your doctor may prescrive Lactulose oral solution for a child, infant or baby. In these cases your doctor will supervise the treatment carefully.
Storage:
Do not store above 25°C.
Keep out of the sight and reach of children.
Do no use Lactulose oral solution after the expiry date which is stated on the label of the bottle (EXP: mm yyyy). The expiry date refers to the last day of that month.
Contains traces of sugar (e.g. Lactose, Galactose, Epilactose, Tagatose, Fructose).
Active ingredients
Lactulose (as Lactulose liquid). 5 ml of Lactulose oral solution contains 3.3 g Lactulose.
Ingredients
Acitve Ingredients: Lactulose (as Lactulose liquid). 5 ml of Lactulose oral solution contains 3.3 g Lactulose.
Important:
****We need to ensure that this medicine is suitable for the person it is intended for. Therefore a pharmacist may be required to contact you by phone to find out some additional information. If they are unable to speak to you when required your order may be delayed or the pharmacy medicine part of your order cancelled.
Please ensure your contact details are correct before ordering this medicine.****
Information:
Superintendent Pharmacist: Mr Muhammad Rafiq
GPhC Reg No: 2065278
NPA Membership No. 62259
Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.
Always take this medicine exactly as described in this leaflet or as your doctor, pharmacist or nurse has told you.
•
Keep this leaflet. You may need to read it again.
•
Ask your pharmacist if you need more information or advice.
•
If you get any side effects talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.
See section 4.
•
You must talk to a doctor
if you do not feel better or if you feel worse
after several days.
What
is in this leaflet
1. What Lactulose Solution is and what it is used for
2.
What you need to know
before you take Lactulose
Solution
3.
How to take Lactulose Solution
4.
Possible side effects
5.
How to store Lactulose Solution
6. Contents of the pack and other information
1.
What Lactulose Solution is and what it is used for
Lactulose is a laxative. It makes the stool softer and easier to pass, by drawing water into the bowel. It is not absorbed into your body.
It is used to treat:
•
constipation (infrequent bowel movements, hard and dry stools)
•
hepatic encephalopathy (a liver disease causing confusion, tremor,
decreased level of consciousness including
coma). This is also known as a 'hepatic coma'.
2.
What you need to know before you take Lactulose Solution
Do not take Lactulose Solution if:
•
you are allergic (hypersensitive) to lactulose or any of the other ingredients (listed in Section 6)
•
you have a rare problem called 'galactosaemia'
•
you have a blockage caused by anything else but normal constipation, digestive perforation or risk of digestive perforation.
Do not take Lactulose Solution if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking Lactulose Solution.
Warnings and precautions
Talk to your doctor or pharmacist before taking Lactulose Solution if you suffer from any medical conditions or illnesses, in particular:
•
if you suffer from unexplained tummy ache
•
if you are unable to digest milk sugar (lactose intolerant)
•
if you have diabetes.
If you have diabetes and are treated for hepatic encephalopathy, your dose of Lactulose Solution will be higher. This high dose contains a large amount of sugar. Therefore, you may need to adjust the dose of your anti-diabetic medicine.
Chronic use of unadjusted dosages
(exceeding 2-3 soft stools per day) or misuse can lead to diarrhoea and disturbance of the electrolyte balance.
During the treatment with laxatives you should drink sufficient amounts of fluids (approx. 2 litres/day, equal to 6-8 glasses).
If you take Lactulose Solution for several days and there is no improvement in your condition or if your symptoms worsen, please contact your doctor.
Children
In special circumstances your doctor may prescribe Lactulose Solution for a child, infant or baby. In these cases your doctor will supervise the treatment
carefully. Lactulose Solution should only be given to infants and smaller children if
indicated as it can influence the normal reflexes
for passing stools.
Other medicines and
Lactulose Solution
Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.
Lactulose Solution with food and drink
Lactulose Solution can be taken with or without food. There are no restrictions on what you can eat or drink.
Pregnancy, breast-feeding and fertility
Talk to your doctor or pharmacist before taking this medicine if you are pregnant, might become pregnant or are breast-feeding. Lactulose Solution can be used during pregnancy
and when breast-feeding if necessary.
No effects on fertility are to be expected.
Driving and using machines
Lactulose Solution has no or negligible influence on your ability to drive safely or use machines.
Lactulose Solution contains lactose, galactose and fructose
Lactulose Solution may contain small amounts of milk sugar (lactose), galactose, epilactose and fructose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
3.
How to take Lactulose Solution
Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
Taking this medicine
Take this medicine from a spoon or measuring cup. You can mix it with fruit juice or water. It is recommended that you drink plenty of fluids (approximately 6-8 glasses throughout the day).
Swallow the dose immediately. Do not keep it in your mouth as the sugar content may lead to tooth decay, particularly if Lactulose Solution is taken
for long periods.
Lactulose takes 2 to 3 days to start working. After this time you may be able to reduce the dose you take according to your needs. Lactulose may be taken either as a single daily dose or in 2 divided doses; if taken as a single daily dose then this should be at the same time each day, for example during
breakfast.
Constipation
Adults and adolescents: The starting dose is 15 - 45ml daily. After this, the dose can be adjusted to 15 - 30ml daily.
Children 7 to 14 years: The starting dose is 15ml daily. After this, the dose can be adjusted to 10 - 15ml daily.
Children 1 to 6 years: The usual dose is 5 - 10ml daily.
Infants under 1 year: The usual dose is up to 5ml daily.
Use in Children: Use of laxatives in children, infants, and babies should be exceptional and under medical supervision because it can influence the normal reflexes
for passing stools.
Please do not give Lactulose Solution to children (under 14 years) before consulting your doctor for prescription and careful supervision.
Hepatic encephalopathy (adults only)
Adults: The usual starting dose is 30 - 45ml 3 to 4 times a day.
Use in Children:
No information is available for treatment of children (newborn
to 18 years of age) with hepatic
encephalopathy.
Use in elderly patients
and patients with renal or hepatic insufficiency: No special
dosage recommendations exist.
If you take more Lactulose
Solution than you should
If you take more Lactulose Solution than you should stop taking and talk to a doctor or pharmacist. You may have diarrhoea and abdominal pain.
If you forget to take Lactulose Solution
If you forget a dose of Lactulose Solution, do not worry. Just take the next dose at the usual time. Do not take a double dose to make up for a forgotten dose.
If you stop taking Lactulose Solution
Do not stop or change the treatment before talking to your doctor. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects have been reported:
Very common (may affect more than 1 in 10 people)
•
diarrhoea.
Common (may affect up to 1 in 10 people)
• flatulence (wind)
• nausea (feeling
sick)
• vomiting
•
abdominal pain.
Uncommon (may affect up to 1 in 100 people)
•
electrolyte imbalance due to diarrhoea.
Flatulence may occur during the first few days of treatment. As a rule it disappears after a few days. When dosages higher than instructed are used, abdominal pain and diarrhoea
may occur. In such a case the dosage should be decreased.
If you use high doses (normally only associated with hepatic encephalopathy, (HE)) for an extended period of time, you may experience an electrolyte imbalance due to diarrhoea.
How to store Lactulose Solution
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the
expiry date which is stated on the carton or bottle. The expiry date refers to
the last day of that month.
Do not store above 25°C. Do not refrigerate or freeze.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines
you no longer use. These measures
will help protect
the environment.
Contents of the pack and other information
What
Lactulose Solution contains
The active ingredient in Lactulose Solution is lactulose. Each 5ml of Lactulose Solution contains 3.35g of lactulose.
Lactulose Solution does not contain any other ingredients. However, it may contain small amounts of other sugars, such as lactose, galactose, epilactose and fructose.
What
Lactulose Solution looks like and contents of the pack
Lactulose Solution is a clear, colourless to brownish yellow, viscous liquid. It is available in plastic bottles containing 300ml or 500ml. Not all pack sizes may be marketed.
Your order will be shipped once a payment has been received.
Express next day delivery is available via courier at an extra cost, please contact us and let us know if you require express delivery.
Our policy lasts 30 days. If 30 days have gone by since your purchase, unfortunately we can’t offer you a refund or exchange.
To be eligible for a return, your item must be unused and in the same condition that you received it. It must also be in the original packaging.
Several types of goods are exempt from being returned. Perishable goods such as food, flowers, newspapers or magazines cannot be returned. We also do not accept products that are intimate or sanitary goods, hazardous materials, or flammable liquids or gases.
Additional non-returnable items:
* Gift cards
* Downloadable software products
* Some health and personal care items
To complete your return, we require a receipt or proof of purchase.
Please do not send your purchase back to the manufacturer.
There are certain situations where only partial refunds are granted: (if applicable)
* Book with obvious signs of use
* CD, DVD, VHS tape, software, video game, cassette tape, or vinyl record that has been opened.
* Any item not in its original condition, is damaged or missing parts for reasons not due to our error.
* Any item that is returned more than 30 days after delivery
Refunds (if applicable)
Once your return is received and inspected, we will send you an email to notify you that we have received your returned item. We will also notify you of the approval or rejection of your refund.
If you are approved, then your refund will be processed, and a credit will automatically be applied to your credit card or original method of payment, within a certain amount of days.
Late or missing refunds (if applicable)
If you haven’t received a refund yet, first check your bank account again.
Then contact your credit card company, it may take some time before your refund is officially posted.
Next contact your bank. There is often some processing time before a refund is posted.
If you’ve done all of this and you still have not received your refund yet, please contact us Via Ebay Message.
Sale items (if applicable)
Only regular priced items may be refunded, unfortunately sale items cannot be refunded.
Exchanges (if applicable)
We only replace items if they are defective or damaged. If you need to exchange it for the same item, send us via Ebay Message. and send your item to: Pharmaease, 172 Willows Lane, Bolton, BL3 4BU United Kingdom.
Gifts
If the item was marked as a gift when purchased and shipped directly to you, you’ll receive a gift credit for the value of your return. Once the returned item is received, a gift certificate will be mailed to you.
If the item wasn’t marked as a gift when purchased, or the gift giver had the order shipped to themselves to give to you later, we will send a refund to the gift giver and he will find out about your return.
Shipping
To return your product, you should mail your product to: Pharmaease, 172 willows Lane, Bolton, LAN, BL3 4BU, United Kingdom.
You will be responsible for paying for your own shipping costs for returning your item. Shipping costs are non-refundable. If you receive a refund, the cost of return shipping will be deducted from your refund.
Depending on where you live, the time it may take for your exchanged product to reach you, may vary.
If you are shipping an item over £10 you should consider using a trackable shipping service or purchasing shipping insurance. We don’t guarantee that we will receive your returned item.
Information
Categories
Registered Pharmacy
GPhC Reg No: 9010200
MHRA Reg No: C42159
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