Dialakt - instructions for use of the drug

What is Duphalac used for?

The probiotic contained in the medicine stimulates intestinal peristalsis, increases the volume of feces and affects the metabolism of minerals: phosphorus, nitrogen salts and calcium. As a result, the absorption of toxic substances is reduced, internal microflora is normalized and defecation is facilitated.

Duphalac is indicated to eliminate intestinal dysfunction:

• acute and chronic constipation;
• slowing down the physiological emptying of the colon;
• excessively dense feces;
• various types of intestinal dysbacteriosis;
• dyspeptic syndrome;
• increased fermentation process;
• acute symptoms of hemorrhoids;
• hepatic encephalopathy and stool disorders caused by it

In some cases, Duphalac is used to prevent complications and to cleanse the intestinal lumen before abdominal surgery.

How does the product work?

The active ingredient of the drug is milk lactulose. Purified water is used as an auxiliary. There are no other components in the syrup. The principle of action of the medicine is determined precisely by its composition. After taking the drug, lactulose enters the stomach. Then, unchanged, the substance descends first into the small intestine, then into the large intestine.

Lactulose increases osmotic pressure in the intestine. The collected liquid helps soften the hard stool balls and increase their volume. As a result, irritation of the intestinal walls and the act of defecation occurs. Microorganisms living in the large intestine break down lactulose into amino acids necessary for the reproduction of lacto- and bifidobacteria.

Duphalac is often used for constipation, as it solves the problem not only quickly, but also gently. In this case, no disturbances in the functioning of the gastrointestinal tract occur, since Duphalac “works” only in the lumen of the colon. This selective effect of the drug is explained by the fact that the bacteria necessary for the breakdown of lactulose do not live in other parts of the intestine.

Who is Duphalac contraindicated for?

Treatment with the drug is excluded:

• in case of individual intolerance to components;
• rectal and other internal bleeding;
• intestinal obstruction;
• acute pain syndrome of unknown origin;
• suspected development of appendicitis;
• galactosemia.

The medicine is used with caution in cases of carbohydrate metabolism disorders and diabetes mellitus.

special instructions

During treatment with Duphalac, you need to remember the following rules:

Bifidumbacterin for constipation and reviews about it

• If the patient was still unable to empty the intestines on the fourth day from the start of using Duphalac, then treatment should be stopped and a doctor should be consulted.
• In case of individual intolerance to lactulose, the permissible single dosage is 10 ml.
• If diabetes mellitus and/or renal failure are diagnosed, the daily intake should be reduced to the minimum amount.
• When treating chronic constipation with Duphalac, the patient needs to monitor the level of blood electrolytes.

How to take Duphalac correctly

The syrup is recommended for oral use: ingested, diluting with water if necessary. It is undesirable to retain the substrate in the mouth; you need to drink it quickly, in one sip, at regular intervals. Usually - 1 time per day.

Dosages depend on the severity of the physical condition. General recommendation: 15–45 ml of product per day. In this case, the initial dose is usually higher: 30–45 ml, and the maintenance dose: 15–25 ml. During the treatment period, you should drink at least 2 liters of liquid.

Duphalac®

The drug is intended for oral administration and also for rectal administration.

Lactulose solution can be taken either diluted or undiluted.

All dosages must be selected individually.

It is necessary to immediately swallow the single dose taken without holding it in the mouth.

If a single daily dose is prescribed, it must be taken at the same time, for example, during breakfast.

During laxative therapy, it is recommended to take a sufficient amount of fluid (1.5-2 liters, equal to 6-8 glasses) per day.

To accurately dose the drug in vials, use the included measuring cup. When using the drug in sachets, you must tear off the corner of the sachet and immediately take the contents.

Dose for treating constipation or for stool softening for medical purposes

The daily dose of lactulose can be taken once, or divided into two using a measuring cup.

After a few days, the initial dose may be adjusted to a maintenance dose depending on the response to the drug. The laxative effect may appear 2-3 days after starting the drug.

*If the maintenance daily dose is less than 15 ml, it is recommended to use the drug in vials.

For precise dosing in children under 7 years of age, it is recommended to use the drug in vials.

Dose for the treatment of hepatic encephalopathy (adults)

For oral administration:

Initial dose: 3-4 times a day, 30-45 ml (2-3 sachets).

Then they switch to an individually selected maintenance dose so that soft stools are produced 2-3 times a day maximum.

For rectal administration:

In case of precomatosis or coma, the drug can be prescribed as a retention enema (300 ml of drug/700 ml of water). The enema should be held for 30 - 60 minutes, the procedure should be repeated every 4-6 hours, until it becomes possible to prescribe the drug orally.

The safety and effectiveness of the drug in children (under 18 years of age) with hepatic encephalopathy has not been established due to a lack of data.

Elderly patients and patients with renal or hepatic impairment

There are no specific dosing recommendations since systemic exposure to lactulose is negligible.

When does Duphalac start to work?

This medicine is not an instant-acting medicine. It works gently without disturbing your overall well-being. For minor digestive disorders, the effect occurs within 4–8 hours. For persistent constipation, relief may take 1 to 3 days.

Positive signs:

• reducing the feeling of heaviness in the intestines;
• disappearance of spasms;
• softening of stool;
• defecation without difficulty.

Use of the product in adults

How should adults take Duphalac for constipation? The medicine is intended for oral administration. If necessary, a single dose can be diluted with clean water. The average dosage of syrup for adult patients is 15–40 ml. It should be selected by the attending doctor on an individual basis, based on the severity of the patient’s condition.

To get the expected laxative result, you need to drink Duphalac at the same time

Sometimes taking laxative syrup twice a day may be recommended, in particular for very severe constipation. But this is a rare case, since a single use of the drug is enough to eliminate constipation and normalize stool.

How long will it take for the product to start working? The therapeutic effect appears on the second or third day from the start of treatment, since Duphalac does not have a classic laxative effect. After the first bowel movement, the dosage of the medicine should be reduced, but the use should be continued further. The course of treatment is 2–3 weeks.

Important! For the drug to start working, you need to drink as much water as possible. Mineral water is best.

If in the first three days while taking the drug the patient develops intestinal pain, nausea or symptoms of an allergic reaction, then treatment should be stopped immediately. Such a reaction indicates lactulose intolerance.

At the beginning of treatment for constipation with Duphalac, almost all patients are faced with the problem of increased gas formation. This intestinal behavior is a physiological norm and is not a reason to discontinue the laxative. Symptoms of bloating go away on their own after one to two days.

Contraindications, side effects

The use of the drug is contraindicated in cases of candidiasis (thrush) and an allergic reaction to lactobacilli of the drug.

Side effects include deterioration in health, abdominal pain, and allergic reactions to the skin.

Please note that the medicine cannot be diluted with hot or carbonated water, as well as tea, juice and other drinks.

Duphalac during pregnancy

Duphalac is characterized by a good laxative effect due to stimulation of intestinal motility. A course of taking lactulose, which is the main active substance of the drug, minimizes the risk of developing repeated problems with bowel movement.

Duphalac can be used while carrying a child - it does not cause any harm to the developing fetus, since it does not penetrate into the general bloodstream

Is it possible to use Duphalac during pregnancy? The drug belongs to the group of medications that are approved for use during gestation and breastfeeding. The syrup is not absorbed by the intestinal walls and does not penetrate into the general bloodstream, which completely eliminates the risk of negative effects on the developing fetus.

Before starting to take Duphalac, you should consult a gynecologist. In some cases, the problem of constipation is solved by introducing foods containing a high percentage of fiber into the menu. The dosage of the laxative is selected individually. The average daily dose is 15–45 ml. It is not recommended to exceed the recommended norms, since in this case the development of side symptoms is possible.

Bowel movement occurs after 48 hours. The duration of treatment is 3 weeks. If necessary, Duphalac can be used to normalize intestinal microflora, since lactulose serves as an excellent breeding ground for lactobacilli.

Release form, composition

Dialact is produced in the form of a finely ground cream-colored powder. It is placed in glass bottles, which are marked with the date of manufacture. Instructions for use are printed on separate leaflets.

Dialact is acidophilic lactobacilli in dry form. When mixed with water, they easily penetrate the digestive tract (vaginal, rectal cavities) and normalize the balance of microflora. As a result, a person’s illnesses are treated faster and the body’s defenses are strengthened.

Contraindications and side effects

Duphalac helps well against constipation and can be used in all age categories of patients, but there are contraindications for using the product. Contraindications for treatment with Duphalac are: intolerance to lactulose, galactose, fructose, gastrointestinal obstruction, galactosemia, diabetes mellitus (with caution). After taking Duphalac, various side effects can sometimes occur.

These are:

• flatulence;
• pain in the intestines;
• diarrhea;
• nausea, vomiting.

Increased gas formation goes away on its own two to three days after starting to take the drug. Pain, diarrhea, nausea and vomiting indicate an incorrect dosage. To correct the situation, you need to reduce the daily dosage of the medication.

Duphalac is a good and fairly safe remedy for constipation. But it is not recommended to use it without a doctor's recommendation. Only a specialist can select the required dosage that is unable to provoke unpleasant side symptoms.