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Lactulose 3.3g /5ml Oral Solution

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For oral use. Dosage for constipation:-Adults: 15 ml twice daily.

Children 5 to 10 year.: 10 ml twice daily Children under 5 years: 5 ml twice daily Babies under 1 year: 2.5 ml twice daily or as directed by your doctor.

Dosage for other conditions -as directed by your doctor.

Take with water or fruit juice if required.

Please read the package leaflet before use.

Keep out o, the sight and reach of children.

Storage

Do not store above 25°C. Do not refrigerate or freeze. Use within 6 months of first opening then discard.


Exp:

BN:


Lactulose 3.3g/5ml Oral Solution 300ml

5ml of Lactulose Solution contains 3.3g of Lactulose. Each 5 ml also contains not more than 0.53g of Galactose and not more than 0.40g of Lactose

MA Holder

Resolution Chemicals Ltd., Wedgwood Way,

Stevenage Herts, SG1 4QT

Distributed by: Actavis, Barnstaple, EX32 8NS, UK

PL 10321/0001


3.3g

5ml


AAAG2379


PEEL HERE


Braille text reads as follows:


• •

• •

lactulose

• ••

• •

• •

• •

• •

• •

#3.3 [ls]g

• • •

• •

• • • t , ••

/#5ml

• • •

• •

• • •

• •

• • •

• •

solution


t

f


Labelxtra 6 Panel


FRONT


Flat size 494 x 55mm Folded Size 55 x 83 / 85


79mm


83mm


82mm


82mm


(Dosage continued) To treat hepatic encephalopathy:


55mm


Higher doses of Lactulose Solution are required Starting dose

Adults    30-50ml three times daily (6-10 x 5ml spoonful)

Elderly    as above

Children    not to be taken (lactulose is not suitable for

children with this condition)

Your doctor may adjust your dose until two or three soft stools are produced a day.

If you take more Lactulose Solution than you should

Contact your nearest casualty department or tell your doctor or pharmacist straight away. Take this leaflet and any remaining solution with you so that the medical staff know exactly what you have taken.


If you forget to take Lactulose Solution

If you forget to take a dose of Lactulose Solution, take it as soon as you remember. If it is almost time for your next dose though do not double the dose - just carry on as before.

0 POSSIBLE SIDE EFFECTS

Like all medicines, Lactulose Solution can cause side effects, although not everybody gets them. If any of these side effects become troublesome, stop taking the medicine and see your doctor as soon as possible.

The most common side effects probably affecting up to 1 in 10 people are: bloated stomach, excess wind or stomach cramps. You may suffer from these in the first few days of taking your medicine. These usually go away on continuation of your treatment.


If you are taking large doses of Lactulose Solution to treat hepatic encephalopathy you may also suffer from diarrhoea, nausea (feeling sick), vomiting (being sick), flatulence and stomach pain. If this is the case, tell your doctor as he can adjust your dose to obtain just two or three soft stools a day.

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card scheme at www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.

0 HOW TO STORE LACTULOSE SOLUTION

Keep out of the sight and reach of children.

Do not store above 25°C. Do not refrigerate or freeze. Do not use Lactulose Solution after the expiry date which is stated on the bottle


REVERSE


after EXP. The expiry date refers to the last day of that month.

Use within 6 months of first opening and discard any remaining solution.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6 FURTHER INFORMATION

What Lactulose Solution contains

The active substance is Lactulose

The other ingredients are: Lactose and Galactose

What Lactulose Solution looks like and contents of the pack

Lactulose Solution is a clear, colourless or pale brownish yellow liquid.


494mm


85mm


PACKAGE LEAFLET: INFORMATION FOR THE USER

Lactulose 3.3g/5ml Oral Solution

{Active substance: Lactulose}

Read all of this leaflet carefully before you start using this

medicine.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.

•    If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.


83mm

◄-►

In this leaflet:

_l| What Lactulose Solution is and what it is used for

_2| Before you take Lactulose Solution

^3| How to take Lactulose Solution

4 Possible side effects

_5| How to store Lactulose Solution

16 Further information

0 WHAT LACTULOSE SOLUTION IS AND WHAT IT IS USED FOR

Lactulose Solution belongs to a group of medicines called laxatives. It is used in the treatment of:

Chronic (long term) constipation: Constipation is a common complaint often due to not enough roughage or fibre in the diet,


82mm


82mm


dehydration, immobility, illness or stress. Sometimes constipation may be due to more serious reasons. You should consult with your doctor if you suffer from constipation for a period of greater than 4 weeks.

Lactulose can help your bowels to move, and pass a stool if you are constipated. Lactulose does not enter the bloodstream. It acts by drawing water into the bowel and so softening the stool or motion. In this way Lactulose can encourage a normal bowel motion.

Chronic portal systemic encephalopathy (hepatic coma): This is an uncommon condition where substances such as ammonia go into the blood stream. It can sometimes occur in patients with severe liver disease. Your doctor may prescribe Lactulose for you if you suffer from liver disease and he believes that you may develop or have developed hepatic encephalopathy.

Lactulose is broken down by the normal bacteria (germs) in the bowel


to form acid which stops the formation and absorption of ammonia from the bowel into the blood stream. In this way it helps to treat hepatic encephalopathy.

0 BEFORE YOU TAKE LACTULOSE SOLUTION

Do not take Lactulose Solution if:

•    you know that you are allergic (causing itching, reddening of the skin or difficulty in breathing) to Lactulose Solution or any of the other ingredients of Lactulose Solution listed at the end of this leaflet;

•    you are suffering from a blockage in your gut or intestine;

•    you suffer from a rare inherited condition of the metabolism called galactosaemia (an increase in a sugar called galactose in the blood).

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines that you have obtained without a prescription.


t

f


83mm


85mm


5ml of Lactulose Solution contains 3.3g of Lactulose.

Each 5ml also contains not more than 0.53g of Galactose and not more than 0.40g of lactose

Lactulose Solution is available in 200, 300, 500, 1000, 5000ml plastic bottles.

Marketing Authorisation Holder

Resolution Chemicals Ltd.,

Wedgwood Way, Stevenage Herts., SG1 4QT.

Manufacturer

Central Pharma Limited Caxton Road, Bedford, MK41 0XZ


This leaflet was last revised in June 2014


AAAG2385


Lactulose 3.3g/5ml Oral Solution

300ml

5ml of Lactulose Solution contains 3.3g of Lactulose.

Each 5 ml also contains not more than 0.53g of Galactose and not more than 0.40g of Lactose

MA Holder

Resolution Chemicals Ltd., Wedgwood Way, Stevenage Herts,

SG1 4QT

Distributed by: Actavis, Barnstaple, EX32 8NS, UK

PL 10321/0001    @    AAAG2385


FRONT PANEL


3.3g


5ml


83mm


79mm


Taking Lactulose Solution with food and drink

Lactulose Solution may be taken with a drink such as water or fruit juice.

Pregnancy and breast-feeding

It is always best to avoid the use of medicines during pregnancy if possible. However, it is safe to take Lactulose Solution during pregnancy and when breast-feeding, as long as you follow the dosage recommendations.

Driving and using machines

There should be no problems when taking Lactulose Solution.

Important information about some of the ingredients of Lactulose Solution

Lactulose Solution contains Lactose and Galactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before using this medicine.


HOW TO TAKE LACTULOSE SOLUTION

Lactulose Solution is for oral use only

The effects of Lactulose may not be seen for up to 48 hours, therefore it is important to continue taking your medicine regularly.

To treat constipation:

The table below gives the starting doses of Lactulose Solution depending on your age. However, the dose may be adjusted by your doctor depending on your needs to have the desired effect.


Adults

Children 5 to 10 years Children under 5 years Babies under 1 year


Starting dose

15ml twice daily (3 x 5ml spoonful)

10ml twice daily (2 x 5ml spoonful)

5ml twice daily (l x 5ml spoonful 2.5ml twice daily (/ x 5ml spoonful) pto


A


55mm




For oral use. Dosage for constipation:-Adults: 15 ml twice daily.    *#

children 5 to 10 years: 10 ml twice d'ily Children under 5 years: 5 ml twice daily Babies under 1 year: 2.5 ml twice daily or as directed by your doctor.

Dosage for other conditions -as directed by your doctoi.

Take with water or fruit juice if required.

Please read the package leaflet before use.

Keep out of the sight and reach of children. storage

Do not store above 25°C. Do not refrigerate or freeze. Use within 6 months of first opening then discard.


0


Lactulose 3.3g/5ml Oral Solution 500ml


3.3g


5ml


PEEL HERE


Exp:

BN:


5ml of Lactulose Solution contains 3.3g of Lactulose. Each 5 ml also contains not more than 0.53g of Galactose and not more than 0.40g of Lactose

MA Holder

Resolution Chemicals Ltd., Wedgwood Way,

Stevenage Herts, SG1 4QT

Distributed by: Actavis, Barnstaple, EX32 8NS, UK

PL 10321/0001


AAAG2384


Braille text reads as follows:


• •

• •

lactulose

• ••

• •

• •

• •

• •

• •

#3.3 [ls]g

• • •

• •

• •

• • ••

/#5ml

• • •

• •

• • •

• •

• • •

• •

solution


t

f


Labelxtra 6 Panel


FRONT


Flat size 494 x 55mm Folded Size 55 x 83 / 85


79mm


83mm


82mm


82mm


83mm


85mm


55mm


(Dosage continued) To treat hepatic encephalopathy:

Higher doses of Lactulose Solution are required Starting dose

Adults    30-50ml three times daily (6-10 x 5ml spoonful)

Elderly    as above

Children    not to be taken (lactulose is not suitable for

children with this condition)

Your doctor may adjust your dose until two or three soft stools are produced a day.

If you take more Lactulose Solution than you should

Contact your nearest casualty department or tell your doctor or pharmacist straight away. Take this leaflet and any remaining solution with you so that the medical staff know exactly what you have taken.


If you forget to take Lactulose Solution

If you forget to take a dose of Lactulose Solution, take it as soon as you remember. If it is almost time for your next dose though do not double the dose - just carry on as before.

0 POSSIBLE SIDE EFFECTS

Like all medicines, Lactulose Solution can cause side effects, although not everybody gets them. If any of these side effects become troublesome, stop taking the medicine and see your doctor as soon as possible.

The most common side effects probably affecting up to 1 in 10 people are: bloated stomach, excess wind or stomach cramps. You may suffer from these in the first few days of taking your medicine. These usually go away on continuation of your treatment.


If you are taking large doses of Lactulose Solution to treat hepatic encephalopathy you may also suffer from diarrhoea, nausea (feeling sick), vomiting (being sick), flatulence and stomach pain. If this is the case, tell your doctor as he can adjust your dose to obtain just two or three soft stools a day.

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card scheme at www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.

0 HOW TO STORE LACTULOSE SOLUTION

Keep out of the sight and reach of children.

Do not store above 25°C. Do not refrigerate or freeze. Do not use Lactulose Solution after the expiry date which is stated on the bottle


REVERSE


after EXP. The expiry date refers to the last day of that month.

Use within 6 months of first opening and discard any remaining solution.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

0 FURTHER INFORMATION

What Lactulose Solution contains

The active substance is Lactulose

The other ingredients are: Lactose and Galactose

What Lactulose Solution looks like and contents of the pack

Lactulose Solution is a clear, colourless or pale brownish yellow liquid.


494mm


5ml of Lactulose Solution contains 3.3g of Lactulose.

Each 5ml also contains not more than 0.53g of Galactose and not more than 0.40g of lactose.

Lactulose Solution is available in 200, 300, 500, 1000, 5000ml plastic bottles.

Marketing Authorisation Holder

Resolution Chemicals Ltd.,

Wedgwood Way, Stevenage Herts., SG1 4QT.

Manufacturer

Central Pharma Limited Caxton Road, Bedford, MK41 0XZ

This leaflet was last revised in June 2014


AAAG2392


Lactulose 3.3g/5ml Oral Solution

500ml


3.3g


5ml


5ml of Lactulose Solution contains 3.3g of Lactulose.

Each 5 ml also contains not more than 0.53g of Galactose and not more than 0.40g of Lactose

MA Holder

Resolution Chemicals Ltd., Wedgwood Way, Stevenage Herts, SG1 4QT

Distributed by: Actavis, Barnstaple, EX32 8NS, UK


PL 10321/0001


0


AAAG2392


FRONT PANEL


85mm


83mm


82mm


82mm


83mm


79mm


PACKAGE LEAFLET: INFORMATION FOR THE USER

Lactulose 3.3g/5ml Oral Solution

{Active substance: Lactulose}

Read all of this leaflet carefully before you start using this

medicine.

•    Keep this leaflet. You may need to read it again.

•    If you have any further questions, ask your doctor or pharmacist.

•    This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.

•    If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

_l| What Lactulose Solution is and what it is used for

_2| Before you take Lactulose Solution

^3| How to take Lactulose Solution

4 Possible side effects

_5| How to store Lactulose Solution

16 Further information

0 WHAT LACTULOSE SOLUTION IS AND WHAT IT IS USED FOR

Lactulose Solution belongs to a group of medicines called laxatives. It is used in the treatment of:

Chronic (long term) constipation: Constipation is a common complaint often due to not enough roughage or fibre in the diet,

dehydration, immobility, illness or stress. Sometimes constipation may be due to more serious reasons. You should consult with your doctor if you suffer from constipation for a period of greater than 4 weeks.

Lactulose can help your bowels to move, and pass a stool if you are constipated. Lactulose does not enter the bloodstream. It acts by drawing water into the bowel and so softening the stool or motion. In this way Lactulose can encourage a normal bowel motion.

Chronic portal systemic encephalopathy (hepatic coma): This is an uncommon condition where substances such as ammonia go into the blood stream. It can sometimes occur in patients with severe liver disease. Your doctor may prescribe Lactulose for you if you suffer from liver disease and he believes that you may develop or have developed hepatic encephalopathy.

Lactulose is broken down by the normal bacteria (germs) in the bowel

to form acid which stops the formation and absorption of ammonia from the bowel into the blood stream. In this way it helps to treat hepatic encephalopathy.

0 BEFORE YOU TAKE LACTULOSE SOLUTION

Do not take Lactulose Solution if:

•    you know that you are allergic (causing itching, reddening of the skin or difficulty in breathing) to Lactulose Solution or any of the other ingredients of Lactulose Solution listed at the end of this leaflet;

•    you are suffering from a blockage in your gut or intestine;

•    you suffer from a rare inherited condition of the metabolism called galactosaemia (an increase in a sugar called galactose in the blood).

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines that you have obtained without a prescription.

Taking Lactulose Solution with food and drink

Lactulose Solution may be taken with a drink such as water or fruit juice.

Pregnancy and breast-feeding

It is always best to avoid the use of medicines during pregnancy if possible. However, it is safe to take Lactulose Solution during pregnancy and when breast-feeding, as long as you follow the dosage recommendations.

Driving and using machines

There should be no problems when taking Lactulose Solution.

Important information about some of the ingredients of Lactulose Solution

Lactulose Solution contains Lactose and Galactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before using this medicine.

0 HOW TO TAKE LACTULOSE SOLUTION

Lactulose Solution is for oral use only

The effects of Lactulose may not be seen for up to 48 hours, therefore it is important to continue taking your medicine regularly.

To treat constipation:

The table below gives the starting doses of Lactulose Solution depending on your age. However, the dose may be adjusted by your doctor depending on your needs to have the desired effect.

Starting dose

Adults    15ml twice daily (3 x 5ml spoonful)

Children 5 to 10 years 10ml twice daily (2 x 5ml spoonful) Children under 5 years 5ml twice daily (l x 5ml spoonful)

Babies under 1 year 2.5ml twice daily (/ x 5ml spoonful) PTO

55mm