Why is this medication prescribed?

Enulose is a brand name for lactulose, which is a type of synthetic sugar that is commonly prescribed for the treatment of constipation and hepatic encephalopathy. Here’s why it’s prescribed for these conditions:

• Constipation: Lactulose is often used to relieve constipation by increasing the water content and volume of stool, which helps to promote bowel movements. It works by drawing water into the colon, softening the stool and stimulating bowel movements.
• Hepatic Encephalopathy: Hepatic encephalopathy is a complication of liver disease in which toxins build up in the bloodstream and affect brain function. Lactulose is prescribed to help reduce the levels of ammonia in the blood by promoting the excretion of ammonia through the stool. By lowering ammonia levels, lactulose helps to improve the symptoms of hepatic encephalopathy, such as confusion, disorientation, and changes in mood and behavior.

How should this medicine be used?

How to use Enulose (lactulose):

• Follow Doctor’s Instructions: Always use Enulose exactly as prescribed by your doctor. Do not use more or less of it or use it more often than prescribed.
• Dosage: The dosage of Enulose will vary depending on the condition being treated and individual factors such as age and medical history. Your doctor will determine the appropriate dosage for you.
• Administration: Enulose is usually taken orally, either as a liquid or a syrup. It can be taken with or without food. Make sure to shake the bottle well before each use if it is a liquid suspension.
• Measuring Device: Use a special measuring device (such as a dosing syringe or cup) to measure the correct dose of Enulose. Do not use a household spoon as it may not provide the correct dosage.
• Hydration: It’s important to drink plenty of fluids while taking Enulose to prevent dehydration, especially if you are using it to treat constipation.
• Regular Use: For best results, take Enulose regularly at the same time(s) each day.
• Duration of Use: Do not stop taking Enulose without consulting your doctor, even if you start to feel better. Your doctor may need to gradually decrease your dose to prevent withdrawal symptoms.
• Side Effects: Like all medications, Enulose may cause side effects. Common side effects include bloating, gas, stomach cramps, and diarrhea. If any of these side effects persist or worsen, contact your doctor promptly.
• Storage: Store Enulose at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Remember, always consult your doctor or healthcare provider for specific instructions and advice regarding the use of Enulose or any other medication.

Other uses for this medicine

• Prebiotic: Lactulose, the active ingredient in Enulose, acts as a prebiotic by promoting the growth of beneficial bacteria in the colon. This can contribute to overall digestive health.
• Hepatic Encephalopathy Management: Enulose is also used to manage hepatic encephalopathy, a condition characterized by confusion, altered consciousness, and coma due to liver dysfunction. It works by reducing the production of ammonia in the colon, which can help alleviate symptoms associated with hepatic encephalopathy.

What special precautions should I follow?

Regarding special precautions for Enulose, here are some key points to consider:

• Medical History: Before taking Enulose, inform your doctor about any medical conditions you have, especially diabetes, gastrointestinal disorders, or kidney problems.
• Allergies: Inform your doctor if you have any allergies to lactulose or any other medications.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of using Enulose with your doctor.
• Drug Interactions: Inform your doctor about all the medications, supplements, and herbal products you are currently taking, as Enulose may interact with certain medications.
• Fluid Intake: Ensure adequate fluid intake while taking Enulose to prevent dehydration, particularly if you are using it to treat constipation.
• Electrolyte Imbalance: Prolonged use of Enulose may lead to electrolyte imbalances, particularly low potassium levels. Your doctor may recommend periodic monitoring of electrolyte levels.
• Diabetes: Lactulose may affect blood glucose levels and may require adjustments in diabetic medication dosages. Monitor blood glucose levels closely if you have diabetes.
• Lactose Intolerance: Individuals with lactose intolerance should use Enulose with caution, as it contains lactose. However, lactulose is generally well-tolerated by individuals with lactose intolerance because it is broken down differently in the digestive tract.

Always follow your doctor’s instructions and guidance regarding the use of Enulose, and do not hesitate to ask any questions or voice any concerns you may have about the medication.

What special dietary instructions should I follow?

Special Dietary Instructions:

• Fiber-Rich Diet: Consuming a diet rich in fiber can help enhance the effectiveness of Enulose for treating constipation. Foods high in fiber include fruits, vegetables, whole grains, and legumes.
• Fluid Intake: In addition to adequate fluid intake while taking Enulose, it’s also recommended to increase your intake of water and other fluids to help prevent dehydration and promote bowel regularity.
• Limit Alcohol and Caffeine: Limiting alcohol and caffeine intake may help reduce the risk of dehydration and electrolyte imbalances while taking Enulose.

What should I do if I forget a dose?

If you forget to take a dose of Enulose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. If you have any concerns or questions about missed doses, consult your doctor or healthcare provider for guidance.

What side effects can this medication cause?

Enulose (lactulose) is generally well-tolerated, but like any medication, it can cause side effects in some individuals. Common side effects of Enulose may include:

• Abdominal discomfort: This can include bloating, gas, cramping, and abdominal pain. These symptoms are usually mild and temporary.
• Diarrhea: Enulose can cause loose stools or diarrhea, especially when first starting treatment or if the dosage is too high.
• Nausea and vomiting: Some individuals may experience nausea or vomiting as a side effect of Enulose.
• Electrolyte imbalance: Prolonged use of Enulose may lead to electrolyte imbalances, particularly low potassium levels. Symptoms of electrolyte imbalance may include weakness, fatigue, muscle cramps, and irregular heartbeats.
• Dehydration: In rare cases, excessive fluid loss from diarrhea caused by Enulose can lead to dehydration. Signs of dehydration include excessive thirst, dry mouth, dark urine, and dizziness.
• Hypoglycemia: In diabetic individuals, Enulose may lower blood sugar levels, leading to hypoglycemia. Symptoms of hypoglycemia include sweating, shaking, fast heartbeat, confusion, and fainting.
• Flatulence: Some individuals may experience increased flatulence (passing gas) as a side effect of Enulose.
• Allergic reactions: Although rare, allergic reactions to Enulose can occur. Symptoms of an allergic reaction may include rash, itching, swelling of the face or throat, difficulty breathing, and severe dizziness.

It’s important to note that not everyone will experience these side effects, and many people tolerate Enulose well. If you experience any concerning or persistent side effects while taking Enulose, contact your doctor or healthcare provider for further evaluation and guidance.

Additionally, this list may not include all possible side effects of Enulose. If you have any questions or concerns about side effects, speak with your doctor or pharmacist.

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

Storage and Disposal:

• Storage: Store Enulose at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use. Avoid freezing the medication.
• Do Not Flush: Do not flush Enulose down the toilet or pour it into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed.
• Keep Out of Reach of Children: Store Enulose out of reach of children and pets to prevent accidental ingestion.

In case of emergency/overdose

• Seek Medical Attention: If you suspect an overdose of Enulose or experience severe symptoms such as severe diarrhea, dehydration, electrolyte imbalance, or hypoglycemia, seek immediate medical attention or contact your local poison control center.
• Symptom Management: Treatment for Enulose overdose may involve supportive measures to manage symptoms, such as fluid replacement for dehydration or electrolyte imbalance.

What other information should I know?

• Regular Monitoring: Your doctor may recommend regular monitoring of electrolyte levels, especially if you are using Enulose long-term or at high doses.
• Follow-up: Attend all follow-up appointments with your doctor to monitor your response to Enulose and adjust your treatment plan as needed.
• Drug Interactions: Inform your doctor about all medications, supplements, and herbal products you are taking, as Enulose may interact with certain medications.
• Avoid Abrupt Discontinuation: Do not stop taking Enulose suddenly without consulting your doctor, as it may lead to rebound constipation or worsening of hepatic encephalopathy symptoms.
• Travel Considerations: If you are traveling, ensure that you have an adequate supply of Enulose with you, especially if you will be away for an extended period.
• Patient Information Leaflet: Read the patient information leaflet provided by your pharmacist before starting Enulose and each time you refill your prescription. It contains important information about the medication, including potential side effects and precautions.
• Alert Healthcare Providers: Inform other healthcare providers, including dentists and specialists, that you are taking Enulose before undergoing any procedures or receiving treatment.
• Avoid Alcohol: Limit alcohol consumption while taking Enulose, as it may exacerbate certain side effects and increase the risk of dehydration.

As always, follow your doctor’s instructions and guidance regarding the use of Enulose, and do not hesitate to ask any questions or seek clarification on any concerns you may have about the medication.