LAEVOLAC Oral solution Ref.[49844] Active ingredients: Lactulose

Source: Health Products Regulatory Authority (IE)  Revision Year: 2016  Publisher: Fresenius Kabi Austria GmbH, HafnerstraรŸe 36, 8055 Graz, Austria

4.1. Therapeutic indications

Symptomatic Treatment of Constipation.

Laevolac Plum 10 g/15 ml oral solution is indicated in adults and in children and adolescents aged 7 to 18 years.

4.2. Posology and method of administration

Posology

Laevolac Plum may be administered diluted or undiluted. The dose should be titrated according to the clinical response. Lactulose may be given as a single daily dose or in two to three divided doses.

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. The starting dose can be adjusted after adequate treatment effect individually (maintenance dose). Several days (2-3 days) of treatment may be needed in some patients before adequate treatment effect occurs. In case of single daily dose, this should be taken at the same time of the day, e.g. during breakfast. During the therapy with laxatives it is recommended to drink sufficient amounts of fluids (1.5-2 l/day, equal to 6-8 glasses).

If diarrhoea occurs, the dosing regimen should be reduced.

 Starting dose Maintenance dose
Adults15-45 ml
daily
1-3 sachets,
corresponding to
10-30 g
lactulose
15-30 ml
daily
1-2 sachets,
corresponding to
10-20 g
lactulose

In elderly patients (โ‰ฅ65 years) and patients with renal or hepatic insufficiency no special dosage recommendations exist.

Paediatric population

 Starting dose Maintenance dose
Adolescents over
14 years
15-45 ml
daily
1-3 sachets,
corresponding to
10-30 g
lactulose
15-30 ml
daily
1-2 sachets,
corresponding to
10-20 g
lactulose
Children and
Adolescents
(7-14 years)
15 ml
daily
1 sachet,
corresponding to
10 g
lactulose
15 ml
daily
1 sachet,
corresponding to
10 g
lactulose

For a precise dosing for babies, toddlers and children up to 6 years, lactulose is available in bottles.

Method of administration

Oral use.

The duration of treatment has to be adopted according to the symptoms.

4.9. Overdose

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

Symptom: Diarrhoea 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

3 years.

Partially used sachets have to be discarded.

6.4. Special precautions for storage

Do not store above 25ยฐC.

6.5. Nature and contents of container

Sachets containing 15 ml made of polyester/aluminium/polyethylene layer membrane: 10 and 20 sachets.

Not all pack sizes may be marketed.

6.6. Special precautions for disposal and other handling

No special requirements.

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