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