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Physician
Patient

Sedalac
(syrup)

Composition:
Sedalac syrup
Each 5ml contains:
Lactulose................3.35 gm
 
Properties:
Sedalac is a synthetic disaccharide which is poorly absorbed. In the small intestine, Sedalac is not broken down by disaccharides and reaches the colon unchanged where it is degraded by saccharolytic bacteria into low molecular organic acids: acetic acid , formic acid, mainly lactic acid. This results in acidification of the colonic contents, and increased osmotic pressure ensuring the formation of soft stool and the stimulation of bowel movements with large dose the PH of the colon is reduced significantly causing a decrease in the absorption of toxic nitrogenous compounds with a subsequent fall of blood ammonia in patients with hepatic encephalopathy.
 
Indications:
Treatment of chronic constipation.
Adjunctive treatment of hepatic encephalopathy.
Disturbance of the intestinal bacterial flora ( as in cases of long term treatment of antibiotics ).
 
Contra-indications:
Patients with galactosemia.
Intestinal obstruction.
 
Precautions:
Sedalac should be given with caution in diabetic patients as the syrup contains small quantities of galactose and lactose
 
Dosage and administration:
Treatment of constipation:
Adults: 3 teaspoonfuls 2-3 times daily increased to 60 ml if necessary.
Children: Over 6 years: 1-2 teaspoonfuls twice daily.
               1-6 years: 1 teaspoonful twice daily.
Infants: Half teaspoonful twice daily.

Adjunctive treatment of Hepatic encephalopathy:
Initially: up to 3 tablespoonfuls 3 times daily then adjusted to the normal daily dose.

 
Side effects:
Sedalac may produce gaseous distension with flatulence and abdominal discomfort such as cramping. Excessive dosage may produce diarrhea, nausea and vomiting .
 
Warning:
Keep your tablets in the pack in which they were supplied.
Keep your tablets below 30°C.
Keep your tablets in a safe place where children cannot see or reach them.
 
Packing:
Bottle of 120 ml.
Bottle of 300 ml.

 


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