Shahbalose
Composition:
Each 5 ml of solution contains: 3.335g Lactulose.
Indications:
- For the treatment of constipation.
- For the treatment of hepatic encephalopathy (HE); hepatic coma.
Dosage:
The lactulose solution may be administered diluted or undiluted. Each dose may if necessary be taken with water or fruit juices, etc.
Each dose of lactulose should be swallowed in one and should not be kept in the mouth for an extended period of time.
The posology should be adjusted according to the individual needs of the patient.
In case of single daily dose, this should be taken at the same time, e.g. during breakfast.
During the therapy with laxatives it is recommended to drink sufficient amounts of fluids (1.5–2 litres, equal to 6-8 glasses) during the day.
Dosing in constipation: Lactulose may be given as a single daily dose or in two divided doses, the measuring cup may be used. After a few days the starting dosage may be adjusted to the maintenance dose based upon treatment response. Several days (2-3 days) of treatment may be needed before treatment effect occurs.
| Starting daily dose | Maintenance daily dose | |
| 15-45 ml | 15-30 ml | Adults and adolescents |
| 15 ml | 10-15 ml | Children (7-14 years) |
| 5-10 ml | 5-10 ml | Children (1-6 years) |
| up to 5 ml | up to 5 ml | Infants under 1 year |
Dosing in HE (for adults only): Starting dose: 3 to 4 times daily 30-45 ml (6-9 x 5 ml spoonfuls). This dose may be adjusted to the maintenance dose to achieve two or three soft stools each day.
Package:
Box of carton contains a 100ml glass bottle.
