Envilax Syrup (Lactulose Concentrate)

Adult dose

Chronic constipation: Administer before breakfast. In usual cases, initially administer 15–30 mL once daily before breakfast for the first 2–3 days, then continue with 10–15 mL once daily thereafter. In severe cases, up to 45 mL can be administered.

Child dose

Children (7 to 14 years): Initially administer 15 mL once daily for the first 2–3 days, then continue with 10 mL once daily thereafter. Infants (1 to 6 years): Administer 5 to 10 mL once daily. Babies (under 12 months): 1

This medication should not be taken by patients with inflammatory bowel diseases or gastrointestinal obstruction. It should also not be used if there is unexplained abdominal pain or a risk of gastrointestinal perforation. People who have hypersensitivity to this medication or genetic issues related to lactose intolerance should also avoid taking it. Women who are pregnant or breastfeeding, as well as infants and children, must consult a physician or pharmacist before taking this medication. Caution is also needed for the elderly, diabetic patients, and those with electrolyte imbalances, and their pre-treatment status should be verified. Additionally, it is important to consult with a professional as interactions with other medications may occur when taken concurrently. If constipation does not improve after a week of use or if there are sudden changes in bowel habits, treatment should be discontinued immediately, and medical advice should be sought. Overdosage may result in abdominal cramps, diarrhea, and electrolyte loss; therefore, if any abnormal symptoms appear, use should be stopped and appropriate treatment received. Long-term or excessive use may lead to dependency on the medication for bowel reflex, requiring caution. If diarrhea or loose stools occur, the dosage should be reduced or stopped, and gastrointestinal symptoms should be carefully monitored. When undergoing a colonoscopy while taking this medication, there is a risk of hydrogen gas explosion in the intestines, so the intestines must be completely cleaned before the procedure. Long-term use may lead to fluid loss or electrolyte abnormalities, necessitating regular checks. Prolonged use in children may increase the risk of dental caries, so special attention should be paid to oral hygiene. It is safer for pregnant and breastfeeding women to consult a specialist before taking this medication. This medication should be kept out of the reach of children and stored tightly closed in its original container to maintain its quality.

Mild side effects

• Belching, spasmodic abdominal discomfort, diarrhea, abdominal distention, abdominal pain, loss of appetite, nausea, vomiting
• Electrolyte loss, hypokalemia, hypernatremia
• Risk of dental caries

This medication should be stored in a tightly closed container to prevent the ingress of air and moisture. The storage temperature should be maintained between 1 degree and 30 degrees Celsius at room temperature.

Appearance

A colorless to pale yellow crystalline syrup

Package unit

15 milliliters/packet, 20 packets/box [(15 milliliters/packet X 20)]