LACTECON Oral solution Ref.[50945] Active ingredients: Lactulose

Source: Health Products Regulatory Authority (IE)  Revision Year: 2022  Publisher: Mylan IRE Healthcare Limited, Unit 35/36, Grange Parade, Baldoyle Industrial Estate, Dublin 13, Ireland

4.1. Therapeutic indications

(1) In the symptomatic treatment of constipation.

(2) In the treatment of hepatic encephalopathy.

4.2. Posology and method of administration

The lactulose solution may be administered diluted or undiluted.

A single 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 during the day.

Dosing in constipation

Lactulose may be given as a single daily dose or in two divided doses.

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.

Dosing in hepatic encephalopathv

Adults

Starting dose: 3 to 4 times daily 30-45 ml.

This dose may be adjusted to the maintenance dose to achieve 2 to 3 soft stools per day.

Special populations

Paediatric population

The safety and efficacy of Lactecon in children (newborn to 18 years of age) with hepatic encephalopathy have not been established. No data are available.

Elderly patients

No special dosage recommendations exist, since systemic exposure to lactulose is negligible.

Patients with renal or hepatic insufficiency

No special dosage recommendations exist, since systemic exposure to lactulose is negligible.

Method of administration

Oral use.

For Lactecon in bottles the measuring cup may be used to administer the appropriate dose.

4.9. Overdose

If the dose is too high, the following may occur:

Symptom: diarrhoea, loss of electrolytes and abdominal pain.

Treatment: cessation of treatment or dose reduction. Extensive fluid loss by diarrhoea or vomiting may require correction of electrolyte disturbances.

6.3. Shelf life

Three years.

6.4. Special precautions for storage

Do not store above 25°C. Do not refrigerate.

6.5. Nature and contents of container

Bottles of HDPE with polypropylene closures, containing 200, 300, 500 or 1000 ml; with a polypropylene measuring cup. The graduations on the measuring cup are: 2.5 ml, 5 ml, 10 ml, 15 ml, 20 ml, 25 ml and 30 ml.

Not all pack sizes may be marketed.

6.6. Special precautions for disposal and other handling

No special requirements.

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