Indications: This medication is symptomatic treatment for constipation. It can also be prescribed for hepatic encephalopathy (cerebral infection linked to liver failure). Contraindications: You must never take Duphalac in the following cases: - allergy to one of its components or lactulose, - Crohn’s disease, intestinal occlusion, - abdominal pain (stomach pain), - digestive perforation or possible perforation, - galactose intolerance. If in doubt, it is advisable to consult your doctor or pharmacist. Cautions: This is not for long-term use (no more than 8 days) without medical advice. *Occasional constipation: linked to a recent change in lifestyle (travelling). This is short-term treatment. All unexplained recent constipation by a change in lifestyle, any pain, fever, swelling of the stomach: consult your doctor. *Chronic constipation (long-term). Can be linked to 2 causes: - intestine illness - an imbalance of the intestine function due to food habits or lifestyle. Treatment includes: - increase in foods with vegetable origin (green vegetables, crudities, bread, fruit...), - increase in water and fruit juice consumption, - increase in physical activity (sport, walking...), - defecation reflex, - additive to food. *For children: For children, the treatment of constipation is based on lifestyle and dietary measures: in particular the use of the right amount of water with infant milk powders, a diet rich in plant products, of fruit juice. Patients with rare hereditary galactose intolerance, lactase deficiency or glucose-galactose malabsorption should not take this medication. Precautions for use: This medication should be used with caution in case of liver or kidney disease and patients treated with diuretics. IF IN DOUBT DO NOT HESITATE TO CONSULT YOUR DOCTOR OR PHARMACIST FOR ADVICE. Pregnancy and breast feeding: This drug can only be used during pregnancy following advice from your doctor. If you discover that you’re pregnant during the treatment, consult your doctor who is the only person who can judge whether the drug should be continued. Consult your doctor or pharmacist before taking any drugs. Dosage: *Constipation: dosage should be adapted depending on the results. Adults: - attack treatment: 1-3 sachets per day. - maintenance treatment: 1-2 sachets per day. Children: attack treatment: 1 sachet per day. If diarrhoea appears, decrease dosage. *Hepatic encephalopathy: the best dosage is the one when you can poo twice per day. Adults: 1-2 sachets per day. How to use and Length of Treatment: Duphalac can be taken in its pure state or diluted in a drink. Length of treatment depends on the symptoms. Side effects: Like all drugs Duphalac can cause side effects (this will not affect everyone): - bloating, semi-liquid faeces. This can appear at the beginning of treatment, they stop as the dose is adapted. - rare cases of itching, anal pains and weight loss. If you notice side effects that are not mentioned here, or if certain side effects become more severe, please consult your doctor or pharmacist.
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