Actilac Oral Solution 3.35 gm/5 ml contains Lactulose, a synthetic sugar widely used as a laxative to treat constipation and certain liver-related conditions. It belongs to a class of medicines known as osmotic laxatives, which work by drawing water into the bowel to soften stools and promote easier bowel movements. Actilac Oral Solution is commonly prescribed for patients suffering from Constipation and for the management of Hepatic Encephalopathy, a serious complication associated with severe liver disease.

This medication is available as a sweet-tasting liquid, making it easy to swallow and suitable for adults, elderly patients, and children under medical supervision. It works gently in the intestine and usually produces a bowel movement within 24 to 48 hours.

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন

Composition

Each 5 ml of Actilac Oral Solution contains:

• Lactulose 3.35 g

Lactulose is a synthetic disaccharide that is not absorbed into the bloodstream and acts locally in the colon.

Therapeutic Class

• Osmotic laxative

• Ammonia-reducing agent

Indications

Actilac Oral Solution is used for the treatment and management of several conditions, including:

1. Chronic constipation or occasional difficulty in passing stools.

2. Regulation of bowel movement in patients with irregular bowel habits.

3. Prevention and treatment of hepatic encephalopathy, especially in patients with severe liver disease.

4. Conditions where soft stools are desirable, such as after surgery or in patients with hemorrhoids.

Doctors may also recommend it for elderly patients who frequently experience constipation due to reduced intestinal activity.

Mechanism of Action

Lactulose works through a unique mechanism in the large intestine.

After ingestion, lactulose passes through the stomach and small intestine without being absorbed. When it reaches the colon, it is broken down by intestinal bacteria into organic acids such as lactic acid and acetic acid. These acids increase the osmotic pressure inside the colon, drawing water into the bowel.

The increased water content softens the stool and stimulates intestinal movement, making bowel movements easier and more regular.

In patients with hepatic encephalopathy, lactulose helps reduce the amount of ammonia in the blood. It converts ammonia into ammonium ions and promotes its elimination through the stool, thereby helping protect the brain from toxic effects caused by liver failure.

Dosage and Administration

Actilac Oral Solution should be taken according to the advice of a healthcare professional.

General dosage guidelines include:

• Adults (constipation): Usually 15–30 ml daily, adjusted according to response.

• Children: Dose should be determined by a physician.

• Hepatic encephalopathy: Higher doses may be prescribed to produce 2–3 soft stools daily.

The solution may be taken with water, fruit juice, or milk if desired. It is important to maintain adequate fluid intake during treatment.

Possible Side Effects

Actilac Oral Solution is generally safe but may cause mild side effects, particularly at the beginning of treatment:

• Bloating or gas

• Abdominal discomfort

• Nausea

• Diarrhea (if the dose is too high)

These effects usually improve as the body adjusts to the medication.

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন

Precautions and Warnings

Before using Actilac Oral Solution, consider the following precautions:

• Patients with Diabetes should consult a doctor because lactulose contains sugar derivatives.

• Prolonged use should be monitored by a healthcare professional.

• Excessive doses may lead to dehydration or electrolyte imbalance.

• Patients with severe abdominal pain or intestinal obstruction should avoid using laxatives without medical advice.

Storage

• Store below 30°C in a cool and dry place.

• Protect from direct light.

• Keep the bottle tightly closed and out of reach of children.