Normase - pharmacological preparation on the basis of lactulose, which has a laxative effect.
Structure and Composition
Normase issued in the form of syrup. The active ingredient - lactulose.
100 ml of the preparation contains 66, 7 g of a solution of lactulose and auxiliary components (citric acid, water, propylene glycol, digidrokumarin, vanillin).
Normase syrup is a clear, colorless, viscous liquid with a characteristic sweet smell. It produced the drug in vials of dark glass of 200 ml. The carton bottle with instructions and measuring cup.
Pharmacological action Normase
According to the instructions, Normase has a laxative effect, as the drug has hyperosmotic, gipoammoniemichesky effects, improves the absorption of calcium and phosphate, stimulates peristalsis of the small and large intestine.
Normase influence the microflora of the colon (increase the number of lactobacilli), thereby increasing the acidity in the lumen of the intestine and stimulating peristalsis. In addition, the drug increases the volume of feces and their softening. According to the instructions Normase no direct effect on the smooth muscle fibers of the colon or mucosa, unlike other laxatives. Also, the drug "picks" the ammonia compounds from the blood, reduces the formation of toxic nitrogen-containing compounds in the proximal bowel, and thus reduces the absorption of these substances through the inferior vena cava.
According to the instructions, Normase has an effect 24-48 hours due to the passage of the drug through the digestive tract. Normase not interfere with the absorption of vitamins.
Application Normase slows the growth of Salmonella and other pathogenic microorganisms in the colon.
Normase displayed in unaltered, mainly through the intestine (eliminated by the kidneys, only 3% of the drug). The drug is not addictive.
Normase take the following diseases and conditions:
- chronic constipation, functional nature;
- to soften the stool hemorrhoids, anal fissures, and after surgery for anorectal;
- hepatic encephalopathy, hepatic precoma / coma, hyperammonemia;
- Some acute intestinal infection in the lungs and moderate forms (salmonellosis, etc..).
- Hypersensitivity to the ingredients of the drug;
- ileus (due to organic disease);
- intestinal bleeding;
- galactose or fructose intolerance;
- suspected acute appendicitis.
Precautions Normase should be used for patients with diabetes.
Use during pregnancy and lactation
It is known that the drug is not absorbed into the systemic circulation. However, clinical studies on the use Normase in this group of patients has been conducted, so the use of the drug requires careful risk benefit ratio.
Dosing and Administration Normase
According to the instructions Normase need to be taken orally after a meal.
In the treatment of constipation is recommended for adults to take 15-40 ml of the drug during the first 3 days, then the dose can be reduced to 10-25 mL.
For children over 6 years recommended in the first 3 days taking 15 ml per day, and the dosage is reduced to 10 ml.
Children under 1 year is recommended to administer 5 ml Normase per day.
The duration of treatment is determined by a physician on an individual basis (from 4 weeks to 4 months).
In hepatic encephalopathy (precoma, coma and hyperammonemia), first recommended to take 30-60 ml per day Normase. Next dose should be chosen so that the patient had a soft chair is not more than 3 times per day. The duration of treatment can be 3-4 months.
In the treatment of dysbacteriosis (and Salmonella) in adults Normase should take 15-30 ml 3-5 times a day.
Children older than 8 years old recommended daily dose - 45 ml.
Children from 5 to 8 years daily dose is 25 ml.
Children from 1 to 5 years - 15 ml per day.
Children under 1 year Normase daily dose for the treatment of dysbiosis is 5-15 ml.
Duration of treatment - up to 12 days. In the opinion of Normase well tolerated in children and has a mild effect.
To soften the stool in the postoperative period prescribed for adults 10-30 mL Normase 3 times a day.
Children older than 1 year is recommended to take 5-10 ml of the drug 3 times a day.
Infants up to 1 year - 5 ml twice daily.
Typically, drug is given during 3-5 days after surgery.
In the opinion of Normase rarely causes side effects. You may experience nausea, diarrhea, headache, dizziness, myalgia, weakness, seizures. With prolonged use can occur Normase violations of water-electrolyte balance.
Interaction Normase with other drugs
According to the instructions Normase reduces its effectiveness when taken with antibacterial drugs and antacids.
It is recommended to take Normase no earlier than 2 hours after taking other medications.
In cases of prolonged use Normase (more than six months) should regularly monitor the performance of electrolytes in blood serum (potassium chloride). If the intake Normase there bloating (flatulence), treatment should begin with minimal doses, gradually increasing the dose.