Why is this medication prescribed?

Constilac Syrup is typically prescribed for the treatment of constipation. Constilac Syrup contains Lactulose, which is a synthetic sugar used to treat chronic constipation by drawing water into the bowel, softening stools, and stimulating bowel movements.

How should this medicine be used?

Here’s how Constilac Syrup is generally used:

• Dosage: The dosage of Constilac Syrup can vary depending on the severity of constipation and the individual’s response to the medication. Your doctor will prescribe the appropriate dosage for you.
• Administration: It is usually taken orally, and the dose may be adjusted by your doctor based on your response to the treatment.
• Instructions: Follow the instructions provided by your doctor or as printed on the medication label. It is important to take the medication exactly as prescribed.
• Duration: Continue taking Constilac Syrup for as long as your doctor has prescribed it, even if your symptoms improve. Abruptly stopping the medication may lead to recurrence of constipation.
• Consistency: Take Constilac Syrup regularly at the same time each day to help maintain regular bowel movements.
• Effectiveness: It may take a couple of days for Constilac Syrup to work effectively. If there is no improvement in your condition after a few days of treatment, consult your doctor.

Always consult with your healthcare provider before starting or stopping any medication, and follow their instructions closely to ensure safe and effective treatment.

Other uses for this medicine

• Hepatic Encephalopathy: Lactulose is also prescribed to manage hepatic encephalopathy, a condition where the liver is unable to remove toxins from the blood, leading to neurological symptoms.
• Prevention of Portal-Systemic Encephalopathy: It may be used to prevent the recurrence of portal-systemic encephalopathy in patients with chronic liver disease.

What special precautions should I follow?

When using Constilac Syrup, it’s important to take the following precautions:

• Dosage: Follow your doctor’s prescribed dosage carefully. Adjustments may be necessary based on your response to the medication.
• Monitoring: If you are taking Constilac Syrup for hepatic encephalopathy, your doctor may monitor your ammonia levels regularly to assess the effectiveness of treatment.
• Fluid Intake: Ensure an adequate intake of fluids while taking Constilac Syrup to prevent dehydration and to aid in its effectiveness.
• Lifestyle Changes: Maintain a healthy diet with adequate fiber and regular exercise to support bowel function.
• Medical Conditions: Inform your doctor about any other medical conditions you have, especially diabetes, as Lactulose can affect blood sugar levels.
• Side Effects: Be aware of potential side effects such as bloating, gas, and abdominal discomfort. If these symptoms persist or worsen, consult your doctor.
• Pregnancy and Breastfeeding: Consult your doctor before using Constilac Syrup if you are pregnant, planning to become pregnant, or breastfeeding.
• Children and Elderly: Dosage adjustments may be necessary for children and elderly individuals. Always follow your doctor’s recommendations.
• Medication Interactions: Inform your doctor about all other medications, vitamins, and supplements you are taking, as Constilac Syrup can interact with certain medications.

By following these precautions and guidelines, you can safely and effectively use Constilac Syrup for its intended purposes under the supervision of your healthcare provider.

What special dietary instructions should I follow?

• Fiber Intake: Maintain a balanced diet rich in fiber to support healthy bowel movements. Foods high in fiber include fruits, vegetables, whole grains, and legumes.
• Fluids: Besides taking adequate water, consuming fruit juices and soups can also be beneficial.
• Alcohol and Caffeine: Limit intake of alcohol and caffeine, as these substances can contribute to dehydration and worsen constipation.

What should I do if I forget a dose?

• Take It as Soon as You Remember: If it’s not almost time for your next scheduled dose, take the missed dose as soon as you remember.
• Skip the Missed Dose If It’s Almost Time for the Next Dose: If it’s almost time for your next dose, skip the missed dose and continue with your regular dosing schedule.
• Do Not Double Up on Doses: Do not take a double dose to make up for a missed one. Taking more than the prescribed amount can increase the risk of side effects without providing additional benefits.

What side effects can this medication cause?

Constilac Syrup, which contains Lactulose, may cause some side effects. Not everyone experiences these side effects, and their severity can vary. Common side effects of Constilac Syrup include:

• Gastrointestinal Symptoms: These are the most commonly reported side effects and may include:
  • Bloating
  • Flatulence (gas)
  • Abdominal cramps or discomfort
  • Nausea
• Electrolyte Imbalance: Lactulose can affect electrolyte balance in some individuals, particularly potassium. This may lead to:
  • Dehydration (especially if fluid intake is inadequate)
  • Low potassium levels (hypokalemia)
• Diarrhea: In some cases, Constilac Syrup can cause loose stools or diarrhea, especially with higher doses.
• Vomiting: Some individuals may experience vomiting as a side effect of Constilac Syrup.
• Allergic Reactions: Though rare, allergic reactions such as rash, itching, or swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing may occur. Seek immediate medical attention if you notice any signs of an allergic reaction.
• Flatulence: Increased gas production is a common side effect due to the fermentation of lactulose in the colon.
• Hypoglycemia: In diabetic patients, especially those taking insulin or other blood sugar-lowering medications, Constilac Syrup can lower blood sugar levels, leading to hypoglycemia. Monitor blood glucose levels closely while taking this medication.
• Other: Less common side effects may include headache, weakness, or electrolyte imbalances such as hypernatremia (high sodium levels).

If you experience any severe or persistent side effects while taking Constilac Syrup, or if you develop symptoms of an allergic reaction, it’s important to contact your healthcare provider immediately. They can provide guidance on whether to continue taking the medication and may adjust your dosage or recommend an alternative treatment if necessary.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Storage: Store Constilac Syrup at room temperature away from moisture, heat, and light. Keep it tightly closed in its original container.
• Do Not Freeze: Avoid freezing Constilac Syrup.
• Keep Out of Reach of Children: Store the medication in a secure place where children and pets cannot access it.
• Disposal: Dispose of Constilac Syrup properly as per local regulations or guidelines. Do not flush it down the toilet unless instructed to do so. Ask your pharmacist or healthcare provider about the best way to dispose of unused medication.

In case of emergency/overdose

• Symptoms of Overdose: Symptoms of Constilac Syrup overdose may include severe diarrhea, electrolyte imbalance (such as low potassium levels), and dehydration.
• Seek Medical Attention: If you suspect an overdose or experience severe symptoms after taking Constilac Syrup, seek emergency medical attention immediately.
• Treatment: Treatment for overdose may involve supportive care to restore electrolyte balance and manage symptoms.

What other information should I know?

• Effectiveness: It may take a few days for Constilac Syrup to produce the desired effects in relieving constipation. Stick to your prescribed dosage and schedule as directed by your healthcare provider.
• Monitoring: Your doctor may periodically monitor your bowel function and electrolyte levels while you are taking Constilac Syrup, especially if you are using it for conditions like hepatic encephalopathy.
• Medical Tests: Inform healthcare providers performing laboratory tests that you are taking Constilac Syrup, as it can affect certain test results, such as urine glucose tests.
• Regular Use: Constilac Syrup is typically used for chronic constipation or specific liver-related conditions. It is not usually meant for short-term or occasional use unless directed by your doctor.
• Follow-up: Attend follow-up appointments as recommended by your doctor to assess the effectiveness of Constilac Syrup and monitor for any potential side effects or complications.

Always consult your healthcare provider or pharmacist if you have any questions or concerns about the storage, disposal, usage, or potential side effects of Constilac Syrup. They can provide personalized guidance based on your medical history and current health status.