GNH USA

Europe — EMA

Laevolac Plum

GNH USA supplies Laevolac Plum (Lactulose), an osmotic laxative liquid oral solution for constipation and hepatic encephalopathy. Request a quote for supply.

Lactulose, Liquid

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What is Lactulose, Liquid?

Lactulose, the active ingredient in Laevolac Plum, is a osmotic laxative presented as a liquid oral solution for oral use. It treats constipation and hepatic encephalopathy by drawing water into the colon and reducing intestinal ammonia absorption, helping to normalize bowel movements and mental status in affected patients.

GNH USA supplies Laevolac Plum as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable sourcing, quality assurance and regulatory support for global healthcare providers through established distribution networks.

What is Lactulose, Liquid used for?

Laevolac Plum (lactulose) is used as an osmotic laxative to manage conditions related to impaired bowel function and ammonia metabolism. - Constipation: softens stool and increases bowel frequency, facilitating regular evacuation. - Hepatic encephalopathy: lowers intestinal ammonia production, helping improve neurological symptoms in patients with liver disease. - Prevention of hepatic encephalopathy recurrence: maintains low ammonia levels to reduce the risk of episodic mental status changes.

What are the side effects of Lactulose, Liquid?

Lactulose may cause a range of adverse reactions, most of which are related to its osmotic activity in the gastrointestinal tract.

Common Side Effects: - Abdominal cramping: discomfort or pain in the lower abdomen. - Flatulence: increased intestinal gas production. - Diarrhea: loose, watery stools occurring more frequently. - Nausea: feeling of unease or urge to vomit. - Bloating: sensation of fullness or swelling in the abdomen. - Thirst: increased desire for fluids.

Serious or Rare Side Effects: - Severe electrolyte imbalance: abnormal levels of sodium, potassium or other minerals. - Dehydration: excessive loss of body fluids leading to weakness. - Allergic reaction: rash, urticaria or swelling indicating hypersensitivity. - Severe abdominal pain: intense, persistent pain requiring medical attention. - Hypernatremia: elevated blood sodium concentration in rare cases.

What precautions apply to Lactulose, Liquid?

When using Laevolac Plum, certain precautions should be observed to ensure safety and effectiveness. - Dose titration: adjust the amount according to stool frequency and clinical response. - Renal impairment: monitor kidney function and electrolytes closely. - Diabetes monitoring: observe blood glucose as lactulose may affect glycemic control. - Electrolyte disturbances: watch for signs of hyponatremia or hypokalemia, especially with high‑dose therapy. - Pregnancy: consult a healthcare professional before use, as safety data are limited. - Store at ambient temperature: keep in the original container, protect from moisture and light.

What does Lactulose, Liquid interact with?

Lactulose can interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid): - Broad‑spectrum antibiotics: may reduce lactulose's effectiveness by altering gut flora. - Stimulant laxatives: combined use can cause severe diarrhea and dehydration. - Mineral oil: may interfere with the action of lactulose and affect absorption.

Moderate Interactions (Monitor Closely): - Diabetes medications: monitor glucose levels as lactulose can affect carbohydrate metabolism. - Electrolyte supplements: concurrent use may exacerbate electrolyte imbalances. - Probiotics: may modify colonic fermentation and alter lactulose's osmotic effect.

Frequently asked questions

What is Laevolac Plum used for?+
Laevolac Plum contains lactulose, an osmotic laxative indicated for the relief of constipation and for the management of hepatic encephalopathy. In constipation it softens stools and promotes regular bowel movements, while in hepatic encephalopathy it helps lower intestinal ammonia levels, supporting neurological function.
How does lactulose work?+
Lactulose is a synthetic sugar that reaches the colon unchanged, where bacterial enzymes break it down into short‑chain fatty acids. This acidifies the colonic environment and creates an osmotic gradient that draws water into the lumen, softening stool and stimulating peristalsis. The acidic pH also converts ammonia to ammonium, reducing its absorption into the bloodstream.
What is the usual dose of Laevolac Plum?+
The dose of Laevolac Plum is individualized by the prescribing clinician based on the patient’s age, weight, severity of constipation or hepatic encephalopathy, and response to therapy. The prescriber determines the appropriate volume and frequency, and adjustments are made according to clinical outcomes and tolerability.
Is Laevolac Plum 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. Healthcare professionals should evaluate each case and discuss potential risks and alternatives with the patient.
How do I order Laevolac Plum from GNH USA?+
To request Laevolac Plum, submit an enquiry on the 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 Plum compare with other osmotic laxatives?+
Laevolac Plum (lactulose) differs from polymer‑based osmotic agents such as polyethylene glycol in that it is metabolized by colonic bacteria, producing acids that lower pH and trap ammonia. Polyethylene glycol works solely by retaining water without affecting ammonia. Choice of therapy depends on the clinical indication, patient tolerance and physician preference.
How should Laevolac Plum be stored and handled?+
Store Laevolac Plum at ambient temperature, preferably below 25 °C, in its original container. Keep the bottle tightly closed, protect it from moisture, direct sunlight and extreme temperatures. Do not freeze the solution, and keep it out of reach of children.
How is Laevolac Plum administered?+
Laevolac Plum is taken orally as a liquid solution. The prescribed volume is measured with a calibrated dosing device, then swallowed directly or mixed with a small amount of water or juice to improve palatability. Doses are usually given once or twice daily, but the exact schedule is set by the prescriber.
What are the most serious risks associated with Laevolac Plum?+
The most serious adverse events include severe dehydration, marked electrolyte disturbances (such as hyponatremia or hypokalemia), and rare allergic reactions presenting as rash, urticaria or swelling. Patients should seek medical attention if they experience persistent diarrhea, dizziness, muscle cramps, or signs of an allergic response.
Who should not use Laevolac Plum?+
Laevolac Plum should be avoided in individuals with known hypersensitivity to lactulose, those with intestinal obstruction, severe renal impairment, or active gastrointestinal bleeding. Caution is also advised for patients with uncontrolled diabetes or severe electrolyte disorders, and use should be supervised by a healthcare professional.
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, Liquid
Route
Oral Use
Manufacturer
Fresenius Kabi Austria Gmbh
Origin
EU

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