Patients who are intolerant to lactose should take NOPHALAC oral solution with care. The dose normally used in constipation should not pose a problem for diabetics. The dose used in the treatment of (pre) coma hepaticum is usually much higher and should be taken into consideration for diabetics. Laxatives (of any kind) should be used when absolutely necessary and only after consulting a doctor. Faecal retention abilities could be disturbed during treatment with NOPHALAC oral solution.
Patience with the rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine. It should be taken into consideration that the exoneration reflex could be disturbed during the treatment. In case of insufficient therapeutic effect after several days, consultation of a physician is advised.