Consultation of a physician is advised in case of: Painful abdominal symptoms of undetermined cause before the treatment is started.
Insufficient therapeutic effect after several days.
Lactulose should be administered with care to patients who are intolerant to lactose (see Description).
The dose normally used in constipation should not pose a problem for diabetics. The dose used in the treatment of HE is usually much higher and may need to be taken into consideration for diabetics.
Chronic use of unadjusted doses and misuse can lead to diarrhea and disturbance of the electrolyte balance.
This product contains lactose, galactose and small amounts of fructose. Therefore, patients with the rare hereditary problem of galactose or fructose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicine.
Pediatric population: Use of laxatives in children should be exceptional and under medical supervision.
It should be taken into account that the defecation reflex could be disturbed during the treatment.
Effects on ability to drive and use machines: Lactulose has no or negligible influence on the ability to drive and use machines.