Chronic & habitual constipation & for patients who will benefit from soft stools. Prevention & treatment of portal systemic encephalopathy (PSE). Hepatic coma.
Chronic & habitual constipation & for patients who will benefit from soft stoolsAdult & childn >10 yr 15-30 mL as a single dose or in 2 divided doses, doses up to 45 mL/day may be used; 5-10 yr 10 mL bid; 1-5 yr 5 mL bid; <1 yr 2.5 mL bid. Adjust doses according to patient's response. 24-48 hr may be needed to produce normal bowel movement for constipation. Prevention & treatment of PSEAdult & elderly Initially 30-50 mL tid. Subsequent doses should be adjusted to produce 2-3 soft stools daily. Prevention of hepatic comaAdult Initially 25 mL tid. Subsequent doses should be adjusted to obtain soft stools.
May be taken with or without food: May be taken w/ meals to reduce GI discomfort. Dilute w/ water, milk, or fruit juice to improve taste.
Special Precautions
Perform a thorough bowel cleansing w/ a nonfermentable soln prior to electrocautery procedures during proctoscopy or colonoscopy. DM, lactose intolerance, unusual diarrhea. Monitor periodically serum electrolytes (ie, K, Cl, CO2) in elderly & debilitated patients using lactulose for >6 mth.
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