Portalalak: instructions for use, prices, testimonials

When should I use Portalac? Instructions for use, as well as indications for therapy with this drug will be presented in the materials of this article. In addition, we will tell you about the form in which the remedy is being released, what is included in its composition, whether the medicine has side effects and contraindications.

Packaging of the medicinal product, its composition and form

In what form can I buy the drug "Portalalak"? Instruction for use says that this product is made only in the form of a viscous and transparent syrup of a yellowish brown color (may be colorless). The main substance of this medication is lactulose. Only the purified water is used as ancillary elements.

The drug is poured on polyethylene or glass bottles (500 and 250 ml), which are placed in cardboard packs.

Pharmacological characteristics

Do you know what the drug "Portalalak" is? Instruction for use informs patients that this is a laxative drug. Its active component under the influence of intestinal microflora is able to disintegrate in the colon to organic low-molecular acids. Subsequently, their formation leads to a decrease in the pH of the contents of the intestinal tract, as well as the activity of its peristalsis. In addition, the intake of syrup increases the volume of feces and promotes their softening.

It should also be noted that under the influence of this drug significantly reduces the formation of toxic substances in the colon, or rather, in its proximal part. In addition, the absorption of these elements decreases in the systemic blood flow, the migration of ammonium ions from the blood into the intestinal tract increases.

Pharmacokinetics

As practice shows, the action of the drug in question occurs approximately 20-40 hours after ingestion of the syrup. One can not but note the fact that lactulose (the active substance of the drug) is practically not absorbed from the digestive tract (absorption is not more than 3% of the dose).

Indications

At what deviations can the medicine "Portalac" (syrup) be prescribed by the doctor? Instructions for use, feedback from specialists inform that this tool has the following indications:

• Hepatic encephalopathy;
• Constipation;
• Hepatic coma and precoma (used for both treatment and prevention).

Contraindications

Under what conditions should the medication Portalac not be prescribed in any case? The instructions for use contain the following contraindications:

• Rectal bleeding (of various origin).
• Intestinal obstruction.
• Ileo- and colostomy.
• Increased sensitivity of the patient to lactulose, as well as other sugars (eg, galactose or lactose).
• Suspicion of inflamed appendicitis.

Laxative drug Portalac: method of administration and dose

In case of constipation, the dosage of the drug is set depending on the age of the patient:

• Adults - 15 to 45 ml or 1-3 large spoons during the first 3 days of treatment and 15 to 30 ml or 1-2 large spoons while continuing therapy.
• Children 7-14 years - 15 ml or 1 large spoon during the first 3 days of treatment and 10 ml or 2 dessert spoons while continuing therapy.
• Children 1-6 years - from 5 to 10 ml or 1-2 dessert spoons during the first 3 days of treatment and from 5 to 10 ml or 1-2 dessert spoons while continuing therapy.
• Infant infants - 5 ml or 1 small spoon during the first 3 days of treatment, as well as a similar amount of syrup while continuing therapy.

How is it possible to use Portalac (syrup) medication in hepatic or so-called portal encephalopathy? Instruction for use states that with this diagnosis, the agent in question is prescribed in an amount of 35-45 ml or 2-3 large spoons three times a day.

At the very beginning of treatment, the drug can be taken in a dosage of 35-45 ml every two hours. This is necessary to achieve a quick result, that is, an early evacuation of the intestine. In the future, the dosage should be selected individually, in order to receive a soft stool three times a day.

The medicine is taken after a meal, washed down with water.

Overdose

Can symptoms of an overdose occur if the "Portalal" product is misused? Instructions for use (the price of this drug will be presented a little lower) contains information that this medication can actually cause such signs as diarrhea (with loss of electrolytes and fluid), hypokalemia and hypernatremia. However, such symptoms appear only if the drug was taken at a higher dose.

As an overdose treatment, experts recommend only canceling the medication.

Interaction with other medicines

During the period of using Portalak syrup (in therapeutic doses), there has never been a clinically significant interaction with other drugs. But, despite this, it is highly not recommended to take this medication within 2 hours after taking another drug.

Simultaneous reception of lactulose can inactivate funds for the release of which in the intestine creates a not very favorable environment (for example, a drug containing mesalazine).

Side effects

Does the drug "Portalac" have side effects ? Instructions for use, abstract, reviews inform you that taking this medication can actually cause undesirable consequences. However, in most cases, the side effects are reversible and weakly expressed. Moreover, they are only a consequence of excess dosages.

• Digestive system: abdominal pain, spasms, flatulence (passes through a couple of days), a feeling of discomfort, diarrhea (eliminated by lowering the dose). It should also be noted that the sugary taste of the drug in some patients can cause a feeling of nausea and vomiting.
• Metabolism: with long-term use of the drug in elevated dosages, electrolyte and water balance may be disturbed.
• Others: a rash on the skin.

special instructions

What are the features of the product you need to know before taking the medicine "Portalal" (instruction, application, reviews presented in this article)?

Due to the presence of sugars in the drug (15 ml of the drug contain about 1.6 g of galactose and about 1 g of lactose), care should be taken when prescribing medication to patients with diabetes mellitus.

This drug should be taken with extreme caution by patients with gastro-cardial syndrome. With this diagnosis, the treatment with Portalac syrup begins with small doses, and then gradually increases them to avoid the occurrence of flatulence.

It is not recommended to prescribe the drug in question against a background of nausea, abdominal pain and vomiting.

During therapy of hepatic encephalopathy (especially at the beginning of treatment), other laxatives should not be used. This is connected with the fact that intensified emptying of the intestine can easily lead to an erroneous medical conclusion that an adequate dosage has been achieved to treat the aforementioned disease.

When appointing this drug, the doctor is obliged to warn his patient that if the constipation persists for several days after taking the syrup or his condition deteriorates again after the drug has been discontinued, it is necessary to consult the doctor.

Does taking a laxative drug affect the ability to drive and work with machinery? In the dosages prescribed by the doctor, the drug "Portalac" has no effect on the listed abilities.

Terms and conditions

As is known, the drug "Portalalak" is released in pharmacies without a doctor's prescription. The drug in glass bottles should be stored at a temperature of 12 ° to 22 ° C. As for the drug, which goes on sale in polyethylene containers, it is better to store it at a temperature of no more than 25 ° C.

The drug in question should not be frozen in any case. Otherwise, crystallization of lactulose is possible. Keep the medicine in a place inaccessible to children. The expiration date is 3 years. After this time, use of medicinal syrup is extremely undesirable.

The price and analogs of the medicine

How much is the drug "Portalalak"? Instructions for use (treatment with this medication should only be carried out according to the indications) does not contain such information. In this regard, you can find out about the price of this syrup only in the pharmacy. As a rule, it varies within the limits of 290-310 Russian rubles (for 250 ml).

Does this medicine have analogues? Of course, there is. Among them I would like to highlight the following preparations: Dufalac, Romfalak, Normaze, Prelaxan, Lizalak, Livolyuk PB, Goodluck, Lactulose and Legendal.

Reviews about the drug

Reviews about laxatives "Portalalak" are extremely positive. Patients say that this medication quickly and efficiently facilitates the emptying of the intestine. Thus in a stomach practically there is no feeling of a dyscomfort.

However, it should be noted that, despite the high efficiency of this drug, most patients note that its price is unreasonably high. Considering that on the day an adult needs to drink up to 45 ml of syrup, one bottle of medicine (250 ml) lasts only for 5 days. Although experts say that this is the length of therapy is required to solve the problem.