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Active agent is a part of syrup: lactulose.
Additional components: Natrium benzoicum and the purified water.
Medulak in the form of the syrup packaged in the bottles of 250 ml with a measured glass packed into cardboard packs is issued.
Laxative and osmotic action is characteristic of Medulak.
Pharmacodynamics and pharmacokinetics
The main substance of this drug – lactulose – is to synthetic derivatives of lactose. It is not capable to be dissolved in a gastrointestinal tract due to the lack of enzymes and is almost not soaked up.
Lactulose is exposed to transformation in milk, and also acetic and ant acids. As a result decreases rn and the osmotic pressure in a gut gleam increasing volume and normalizing a consistence of fecal masses increases. Also drug stimulates a peristaltics of a large intestine. Gradually locks are eliminated, the physiological rhythm of release of intestines is recovered. Manifestation of laxative effect is noted 1-2 days later since the beginning of reception.
Thanks to lactulose there is a removal from an organism of bile acids to the subsequent decrease in XC as a part of blood and bile.
Ability of drug in suppression of growth of salmonellas in a large intestine, improvement of absorption of phosphates and calcic salts is noted, without reducing absorbability of mineral substances and vitamins.
Low absorption is characteristic of Medulak, practically without being soaked up, his main substance reaches a large intestine with the subsequent splitting of indestinal flora. Drug is exposed to a full metabolism at reception in small dosages. If higher doses are used, then removal of part of substance happens in not changed form.
Indications to use
This drug is usually appointed for the purpose of prevention:
- lock when it is necessary to regulate a physiological rhythm of intestines;
- Intestinal dysbiosis;
- syndrome of putrefactive dyspepsia;
- enterit of various origin.
Also treatment is appointed when the chair softening for the medical purposes is required, for example, at hemorrhoidal nodes, a large intestine operations, after operations and so on.
Medulak do not appoint at:
- hypersensitivity to its components;
- lactose intolerances, galactoses and fructose;
- impassability of intestines.
Medulak, application instruction (Way and dosage)
Syrup Medulak is intended for intake. At the same time the dosage and the scheme of treatment is selected taking into account clinical effect and specific features of the patient.
During treatment of locks and at other indications drug is appointed to one-time reception in days, it is desirable since morning together with food. The effect is noted 1-2 days later. Increase of a dosage is possible if the result is not shown for 2 days. Syrup Medulak for children is appointed on 5-10 ml, adult patients on 15-45 ml of drug.
The maintenance therapy assumes some dose decline, selected so that to reach 2-3 excrements a day. The therapeutic course can make of 3 months.
If oral administration of drug is impossible, then it is appointed in the form of enemas.
In case of overdose diarrhea, abdominal pains is shown. To eliminate these symptoms decrease in a dosage or full drug withdrawal is recommended.
If along with Medulak WM apply antibiotics or antiacid drugs, then decrease in its efficiency is noted. Joint reception with enterosoluble means with rn-dependent release requires attention to the fact that lactulose can lower rn intestines contents, exerting impact on their release.
Extra care at purpose of this drug is required by a sick diabetes mellitus, hepatic encephalopathy.
It is recommended to refuse its use at display of nausea, vomiting, diarrhea and abdominal pain.
If patients have hereditary diseases, for example, a lactose intolerance, galactoses or fructose, then it is better to refrain from Medulak's reception.
At emergence of a gastrocardial syndrome the dosage is gradually raised that allows to avoid development of a meteorism.
Long therapy (of 6 months) using high doses demands regular control of level of electrolytes as a part of blood serum. Absence of therapeutic effect is more than 2 days, as well as return of locks, after treatment are the reasons for the address to the doctor.
Alcohol and Medulak
During treatment and at regular locks it is necessary to refuse alcohol intake as it exerts undesirable impact on activity of a gastrointestinal tract.
Terms of sale
Storage of this drug requires the place with a temperature of 25 °C, unavailable to children.
Period of validity
Coincidence on the ATH code of the 4th level:
As patients who accepted this drug report, it is one of the most effective. Therefore About Medulake in most cases positive. In the messages users note its soft aperient action which is not causing undesirable effects.
Use of this drug according to the established dosage and the therapeutic scheme has the improving effect on an intestines peristaltics, helping to remove its contents.
Nevertheless, it is not necessary to revaluate effect of this drug. It is known that the gastrointestinal tract has to provide and support the natural function connected with clarification of an organism. When there are problems with work of intestines, to be exact its emptying, reception of purgatives is not the best exit.
It should be noted that emergence of disturbances of digestive function is in most cases connected with disturbance of work of certain bodies. Therefore at emergence of similar problems it is necessary to see a doctor for full inspection and purpose of adequate treatment.
Medulak's price where to buy
Medulak's price in the Russian drugstores makes primrno 318 rubles.
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