GNH USA

Europe — EMA

Laevolac Eps

GNH USA supplies Laevolac Eps (Lactulose), an osmotic laxative for constipation and hepatic encephalopathy. Request a quote for global supply today.

Lactulose

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What is Lactulose?

Lactulose, the active ingredient in Laevolac Eps, is an osmotic laxative presented as an oral formulation for oral use. It is employed to treat constipation and to manage hepatic encephalopathy in patients with liver disease.

GNH USA supplies Laevolac Eps as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. We work with accredited manufacturing partners in the European Union and maintain strict Good Distribution Practice standards, enabling us to meet the needs of healthcare providers across multiple regions while adhering to local import regulations. Our dedicated quality team conducts batch release testing and provides comprehensive documentation to support pharmacovigilance and regulatory submissions.

What is Lactulose used for?

Lactulose is used to manage several gastrointestinal and hepatic conditions that involve impaired bowel motility or elevated ammonia levels. - Constipation: softens stools and promotes regular bowel movements. - Hepatic encephalopathy: lowers colonic ammonia production, improving neurological symptoms. - Prevention of recurrent hepatic encephalopathy: maintains reduced ammonia levels to prevent relapse. - Portal‑systemic encephalopathy: decreases neurotoxic substances in patients with liver shunts. - Constipation in patients on opioid therapy: provides an osmotic effect without stimulating gut receptors.

What are the side effects of Lactulose?

Lactulose may cause a range of adverse reactions, varying from mild to serious. Common Side Effects: - Bloating: sensation of abdominal fullness that may increase after dosing. - Flatulence: increased intestinal gas leading to audible passing of wind. - Diarrhea: loose, watery stools that can occur especially with higher doses. - Nausea: feeling of sickness that may precede vomiting. Serious or Rare Side Effects: - Severe dehydration: excessive fluid loss that can lead to dizziness and requires medical attention. - Acute abdominal pain: sudden, intense pain that may signal intestinal obstruction or perforation. - Allergic reaction: rash, itching, swelling, or difficulty breathing indicating hypersensitivity.

What precautions apply to Lactulose?

When using Lactulose, several precautionary measures should be observed to ensure safety and effectiveness. - Assess renal function: monitor kidney status as reduced clearance may affect fluid balance. - Monitor electrolytes: check sodium and potassium levels during prolonged therapy. - Use caution in diabetes: lactulose contains carbohydrate that can affect blood glucose. - Adjust dose in hepatic impairment: patients with severe liver disease may require individualized dosing. - Avoid abrupt discontinuation: taper gradually to prevent rebound constipation. - Store at room temperature: keep in the original container, protect from moisture and heat.

What does Lactulose interact with?

Lactulose can interact with other medicines, altering their effectiveness or increasing risk of adverse events. Major Interactions (Avoid): - Antacids (especially aluminum or magnesium): may reduce lactulose’s osmotic effect. - Oral antibiotics: can disrupt gut flora, diminishing lactulose’s conversion to acids. - Rifampin: may increase lactulose metabolism leading to reduced efficacy. Moderate Interactions (Monitor Closely): - Diuretics: combined use may exacerbate electrolyte disturbances. - Insulin or oral hypoglycemics: carbohydrate content of lactulose may affect glucose control. - Mineral supplements (e.g., calcium carbonate): may bind lactulose and lower its activity.

Frequently asked questions

What is Laevolac Eps used for?+
Laevolac Eps contains lactulose, an osmotic laxative indicated for the relief of constipation and for the treatment and prevention of hepatic encephalopathy in patients with liver disease. It works by softening stools and reducing intestinal ammonia levels.
How does lactulose work?+
Lactulose is a synthetic sugar that reaches the colon unchanged. Colonic bacteria break it down into short‑chain fatty acids, which increase the osmotic pressure in the lumen, drawing water into the bowel. The resulting acidic environment converts ammonia to ammonium, limiting its absorption and lowering systemic ammonia.
What is the usual dose of Laevolac Eps?+
The dose of Laevolac Eps is individualized by a qualified prescriber based on the patient’s condition, age, renal function and response. Typical regimens start with a low dose that is gradually adjusted to achieve the desired clinical effect while minimizing side effects.
Is lactulose safe in pregnancy or breastfeeding?+
Safety data for lactulose during pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision should be made by the treating healthcare professional.
How do I order Laevolac Eps from GNH USA?+
To place an order, submit an enquiry on the Laevolac Eps product page at gnh-usa.com, specifying the required quantity. GNH USA works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.
How does Laevolac Eps compare with other laxatives?+
Compared with stimulant laxatives, lactulose acts osmotically and does not stimulate intestinal muscle directly, resulting in a gentler effect. Compared with polyethylene glycol, lactulose also acidifies colonic contents, which can be advantageous for reducing ammonia in hepatic encephalopathy, while PEG primarily provides bulk‑forming osmotic action.
How should Laevolac Eps be stored?+
Store Laevolac Eps at room temperature, below 25 °C. Keep the product in its original packaging, protect it from moisture and direct heat, and ensure the container is tightly closed to maintain stability.
How is Laevolac Eps administered?+
Laevolac Eps is taken orally. It is usually dissolved in a small amount of water or other suitable liquid and consumed as directed by the prescriber. The solution should be taken with or without food, according to individual tolerance.
What are the most serious risks associated with Laevolac Eps?+
Serious risks include severe dehydration from excessive diarrhea, marked electrolyte disturbances (especially low sodium or potassium), acute abdominal pain that may signal obstruction, and hypersensitivity reactions such as rash, swelling or difficulty breathing. Any of these symptoms require immediate medical attention.
Who should not use Laevolac Eps?+
Laevolac Eps should be avoided in patients with known hypersensitivity to lactulose, those with intestinal obstruction, perforation or severe inflammatory bowel disease, and individuals who cannot tolerate osmotic laxatives. A healthcare professional should evaluate suitability before initiating therapy.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Lactulose
Route
Oral Use
Manufacturer
Chiesi Italia S.P.A.
Origin
EU

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