Tulac 3.35 gm/5 ml (Oral Solution)

100 ml bottle: ৳ 140.00

Medicine Details

Category Details
Generic Lactulose
Company Eskayef pharmaceuticals ltd

Indications

  • Constipation (Chronic Constipation)
  • Intestinal flora disturbances
  • Increased blood ammonia levels

Description

Tulac is a hyperosmolar laxative used for constipation treatment.

Pharmacology

Lactulose is a synthetic disaccharide metabolized in the colon by saccharolytic bacteria, producing low molecular weight organic acids, lowering the pH, and promoting water retention, thus increasing peristaltic activity.

Dosage & Administration

  • Constipation:
    • Adults:
      • Initially 3-6 tea-spoons daily
      • In long-term therapy 1½-6 tea-spoons daily
    • Children up to 14 years:
      • Initially 3 tea-spoons daily
      • In long-term therapy 1-2 tea-spoons daily
    • Infants and toddlers:
      • Initially 1-2 tea-spoons daily
      • In long-term therapy 1 tea-spoon daily
  • Damaged Intestinal Flora:
    • Adults: 1-2 tea-spoons daily
    • Children: 1 tea-spoon daily
  • Reduction of Blood Ammonia Level:
    • Hyper-ammoniemia in hepatopathy: a maximum of 18-30 tea-spoons daily
    • In portal systemic encephalopathy: hourly doses of 6-9 tea-spoons to induce rapid laxation

Interaction

No significant drug interactions with Tulac.

Contraindications

  • Hypersensitivity to galactose and/or lactose
  • galactose-free diet
  • gastro-cardial symptom complex
  • suspected intestinal obstruction

Side Effects

  • Flatulence
  • Cramp
  • Abdominal discomfort
  • Diarrhoea in overdose
  • Loss of electrolytes, primarily potassium in abuse

Pregnancy & Lactation

US FDA Pregnancy Category B. No adverse effects observed, decision should be made by a registered physician.

Precautions & Warnings

Administered with care to patients intolerant to Tulac, higher dose for (pre) coma hepaticum may need consideration for diabetics.

Overdose Effects

Expected symptoms include diarrhoea and abdominal cramps.

Therapeutic Class

Osmotic purgatives

Storage Conditions

Keep in a dry place away from light and heat. Keep out of the reach of children.

Chemical Structure

  • Molecular Formula: C12H22O11
  • Chemical Structure Image: https://medex.com.bd/storage/res/g-res-653-lactulose-chemical-structure-LBdJlB1MefGyTS21429X.svg

Common Questions about Tulac 3.35 gm/5 ml Oral Solution

  • Use: Treats constipation and reduces blood ammonia in liver disease patients
  • Frequency of Use:
    • Once a day for constipation
    • Three or four times a day for liver disease
  • Onset of Action: 2-3 days
  • Purpose: Treats infrequent, hard, and dry stools
  • Laxative: Yes, softens stools by drawing water to the large intestine
  • Side Effects:
    • Diarrhea
    • Flatulence
    • Nausea
    • Vomiting
    • Abdominal pain
  • Duration of Use: As per doctor's advice, up to a week for constipation
  • Restrictions: Not for patients allergic or intolerant to lactose
  • Consequences of Overdose: Abdominal pain, electrolyte imbalance, diarrhea

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