Introduction
Astelac is a brand of lactulose syrup, a non-absorbable synthetic sugar used as an osmotic laxative and ammonia reducer, produced by Astemax Biotech Private Limited
Uses
Treats chronic constipation by softening stools and promoting bowel movements.
Manages hepatic encephalopathy in liver disease by lowering blood ammonia levels.
Helps with conditions like hemorrhoids or opioid-induced constipation.
How It Works
Remains undigested in the small intestine, reaching the colon where bacteria ferment it into acids, drawing water into the bowel for softer stools.
Acidifies the colon, converting ammonia to ammonium ions, which are trapped and excreted, reducing toxin buildup in liver patients.
Benefits
Gentle, effective relief within 24-48 hours without straining.
Improves quality of life in cirrhosis patients by enhancing cognition and preventing encephalopathy recurrence.
Safe for long-term use in adults, children, and elderly.
Dosage Guidelines
Constipation (adults): 15-30 ml once daily, adjustable to 45 ml if needed.
Hepatic encephalopathy: 30-50 ml 3-4 times daily, titrated to 2-3 soft stools per day.
Children: 2.5-10 ml daily based on age/weight; shake well, take with water/juice.
Precautions and Side Effects
Common: Gas, bloating, cramps, nausea—usually subside with time or dose adjustment.
Avoid in galactosemia, bowel obstruction, or diabetes (monitor sugar intake).
Drink plenty of fluids; consult doctor for pregnancy or electrolyte issues
