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D-Lac 3.35 gm/5 mlConstipation (Chronic Constipation): In every case of chronic constipation, initial treatment should consist of a diet rich in fiber (vegetables, salads, fruits etc.) a generous amount of liquids and much physical exercise. D-Lac 3.35 gm/5 ml is only to be taken when these measures prove insufficient.... Read moreTheropeutic ClassOsmotic purgativesPharmacologyD-Lac 3.35 gm/5 ml is a synthetic disaccharide. D-Lac 3.35 gm/5 ml is metabolized in the colon by the saccharolytic bacteria, producing low molecular weight organic acids (mainly lactic acid), which lowers the pH of the colon contents, promote the retention of water by an osmotic effect; thus increasing peristaltic activity. D-Lac 3.35 gm/5 ml is minimally absorbed; therefore, the pharmacokinetics of the absorbed material are not relevant to the principal therapeutic action.Dosage & Administration of D-Lac 3.35 gm/5 mlIn constipation ( chronic constipation): Adults: Initially 3-6 tea-spoons daily, In long-term therapy 1?-6 tea-spoons daily Children up to 14 years: Initially 3 tea-spoons daily, In long-term therapy 1-2 tea-spoons daily Infants and toddlers: Initially 1-2 tea-spoons daily, In long-term therapy 1 tea-spoon daily In damaged intestinal flora: Adults: 1-2 tea-spoons daily Children: 1 tea-spoon daily For reduction of blood ammonia level: Hyper-ammoniemia in hepatopathy: a maximum of 18-30 tea-spoons daily. In portal systemic encephalopathy: hourly doses of 6-9 tea-spoons of D-Lac 3.35 gm/5 ml solution may be used to induce the rapid laxation. When the laxative effect has been achieved, the dose may then be reduced. Interaction of D-Lac 3.35 gm/5 mlThere is no significant drug interactions with D-Lac 3.35 gm/5 ml. The glycosidic effect of cardiac glycosides can be intensified by potassium deficiency in abuse.ContraindicationsHypersensitivity to either galactose and or lactose; galactose-free diet, gastro-cardial symptom complex, suspected intestinal obstruction.Side Effects of D-Lac 3.35 gm/5 mlOccasionally flatulence, cramp and abdominal discomfort can occur at the beginning of treatment; this is rapidly eliminated by reducing the dose. Overdose can result in diarrhoea. In abuse, loss of electrolytes (primarily potassium).Pregnancy & LactationUS FDA Pregnancy Category of D-Lac 3.35 gm/5 ml is B. Studies show that D-Lac 3.35 gm/5 ml has no adverse effects. Decisions regarding use during pregnancy and lactation must be made by registered physician.Precautions & WarningsD-Lac 3.35 gm/5 ml should be administered with care to patients who are intolerant to D-Lac 3.35 gm/5 ml. The dose used in the treatment of (pre) coma hepaticum is usually much higher and may need to be taken into consideration for diabetics.Overdose Effects of D-Lac 3.35 gm/5 mlThere have been no reports of accidental overdosage. In the event of acute overdosage it is expected that diarrhoea and abdominal cramps would be the major symptoms.Storage ConditionsKeep in a dry place away from light and heat. Keep out of the reach of children.