Cholac (oral)

Cholac (oral)

Cholac (oral)

Uses for Cholac

This medicine is only available with a doctor's prescription.

Before using Cholac

When deciding whether to use a medicine, the risks of taking the medicine must be weighed against the benefits it produces. This is a decision that you and your doctor will make. The following should be noted with this medicine:

Allergies

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have other allergies, such as to foods, dyes, preservatives or animals. For over-the-counter products, read the label or package ingredients carefully.

Pediatrics

No appropriate studies have been conducted on the relationship between age and the effects of lactulose in children and adolescents. Safety and effectiveness have not been established.

geriatrics

There is no information available on the relationship between age and the effects of lactulose in geriatric patients.

Breastfeeding

There are insufficient studies in women to determine the risk to infants when using this drug while breast-feeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug interactions

Although certain medicines should not be used together at all, in other cases two different medicines can be used together, although interactions may occur. In these cases, your doctor may want to change the dose or other precautions may be necessary. If you are taking this medicine, it is particularly important that your doctor knows whether you are taking any of the medicines listed below. The following interactions were selected for their potential significance and are not necessarily exhaustive.

Using this medicine with any of the following medicines is not usually recommended but may be necessary in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Droperidol
• Levomethadyl
• Lakritze

Using this medicine with any of the following medicines may result in an increased risk of certain side effects, but using both medicines may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Acenocoumarol
• Dicumarol
• Lithium
• Phenprocoumon
• Warfarin

Interactions with food/tobacco/alcohol

Certain medicines should not be taken during or near food or consumption of certain foods because interactions may occur. Consuming alcohol or tobacco with certain medications can also lead to interactions. Discuss using your medicine with food, alcohol or tobacco with your doctor.

Other medical problems

The presence of other medical problems may affect the use of this medicine. Be sure to tell your doctor if you have any other medical problems, especially:

• Diabetes – Mit Vorsicht anwenden. Kann diesen Zustand verschlimmern.

• Diät mit niedrigem Laktose- oder Galaktosegehalt – sollte nicht bei Patienten angewendet werden, die diese Diät einhalten.

• Medizinische Tests oder Operationen an Ihrem Dickdarm oder Mastdarm (z. B. Koloskopie, Proktoskopie) – Patienten, die sich diesen Eingriffen unterziehen, sollten eine gründliche Darmreinigung mit einem anderen Arzneimittel (z. B. einer nicht fermentierbaren Lösung) durchführen lassen.

Proper use of Cholac

Take this medicine exactly as your doctor has told you. Do not take more of it, do not take it more often, or take it for longer than your doctor prescribed.

How to use the oral liquid:

• Messen Sie das Arzneimittel mit einem markierten Messlöffel, einer Applikationsspritze oder einem Medizinbecher ab.
• Sie können es mit Fruchtsaft, Wasser oder Milch mischen.

To use the powder solution: Mix the entire contents of the packet with half a glass (4 ounces) of water until the solution is colorless and turns a slightly pale yellow color.

It may take 24 to 48 hours before you have a normal bowel movement.

dosage

The dose of this medicine is different for different patients. Follow your doctor's instructions or the label directions. The following information includes average doses of this medicine only. If your dose is different, do not change it unless your doctor tells you to.

The amount of medicine you take depends on the strength of the medicine. In addition, the number of doses you take each day, the time between doses, and how long you take the medicine depend on the medical problem for which you are using the medicine.

• Bei Verstopfung:
  • Für die orale Darreichungsform (Pulver zur Lösung):
    • Erwachsene – 10 bis 20 Gramm (g) pro Tag. Ihr Arzt kann Ihre Dosis bei Bedarf auf 40 g pro Tag erhöhen.
    • Kinder – Anwendung und Dosis müssen von Ihrem Arzt festgelegt werden.
  • Für orale Darreichungsform (Lösung):
    • Erwachsene – 15 bis 30 Milliliter (ml) oder 1 bis 2 Esslöffel pro Tag. Ihr Arzt kann Ihre Dosis bei Bedarf auf 60 ml pro Tag erhöhen.
    • Kinder – Anwendung und Dosis müssen von Ihrem Arzt festgelegt werden.

Missed dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double the dose.

storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Protect from freezing.

Keep away from children.

Do not keep medications that are outdated or no longer needed.

Ask your doctor how to throw away medicines you don't use.

Precautions when using Cholac

It is very important that your doctor checks your progress after taking this medicine. This will help your doctor determine whether the medicine is working properly.

Call your doctor immediately if you have severe diarrhea.

Do not take any other medicines unless you have discussed this with your doctor. This includes both prescription and nonprescription (over-the-counter [OTC]) medications and herbal or vitamin supplements.

Cholac side effects

In addition to the necessary effects, a medicine may also have some undesirable effects. Although not all of these side effects may occur, medical attention may be required if they occur.

Consult your doctor immediately if any of the following side effects occur:

Incident not known

• Verwirrung
• verminderter Urin
• Schwindel
• trockener Mund
• Ohnmacht
• schneller oder unregelmäßiger Herzschlag
• Erhöhter Durst
• Reizbarkeit
• Benommenheit
• Appetitverlust
• Stimmungsschwankungen
• Muskelschmerzen, Krämpfe oder Zuckungen
• Übelkeit oder Erbrechen
• Taubheitsgefühl oder Kribbeln in den Händen, Füßen oder Lippen
• Unruhe
• Anfälle
• schwerer Durchfall
• Schwellung der Füße oder Unterschenkel
• Atembeschwerden
• ungewöhnliche Müdigkeit oder Schwäche

Some side effects may occur that usually do not require medical attention. These side effects may disappear during treatment as your body gets used to the medicine. Your doctor may also be able to give you ways to prevent or reduce some of these side effects. If any of the following side effects persist or are bothersome, or if you have any questions, contact your doctor:

Incident not known

• Aufgebläht
• überschüssige Luft oder Gas im Magen oder Darm
• volles Gefühl
• Gas geben
• Magen- oder Darmkrämpfe

Some patients may also experience other side effects not listed. If you notice other side effects, contact your doctor.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Commonly used brand names

In the USA

• Cholac
• Constilac
• Constulose
• Enulose
• Generlac
• Kristalose

In Canada

• Acilac
• Alpha-Lac
• Cephulac
• Chronulak
• Lactulax
• PMS-Lactulose
• Rhodialax
• Rhodialose

Available dosage forms:

• Sirup
• Pulver zur Lösung
• Lösung

Therapeutic class: Laxative, hyperosmotic

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