BIFITERAL Syrup, 200 ml

Instructions for use of Bifiteral Syrup

Bifiteral syrup contains the active ingredient lactulose, which acts as a laxative.It is used for constipation that cannot be relieved by a high-fiber diet.It can also be used for diseases that require easier bowel movements, such as hemorrhoids or rectal surgery, as well as for the prevention and treatment of portocaval encephalopathy.No prescription is required for this product.

Mode of action

Lactulose is broken down by the bacteria in the large intestine and changes the acid-base balance.This stimulates the intestinal wall to move more, which makes it easier for the intestinal contents to be removed.In addition, the high concentration of broken down components draws water into the intestine, which softens the intestinal contents and increases in volume.This triggers a reflex to empty the bowels.In portocaval encephalopathy, lactulose lowers the ammonia concentration in the blood by preventing the reabsorption of ammonia from the intestine into the bloodstream.

Areas of application

Bifiteral syrup is used for:

Constipation that cannot be relieved by a high-fiber diet, conditions that require easier bowel movements such as hemorrhoids or rectal surgery, prevention and treatment of portocaval encephalopathy.

Dosage and application

The dosage of Bifiteral syrup depends on the area of application.For constipation, the usual dose for adults is 7.5 to 15 ml 1 to 2 times daily, for children 4.5 to 9 ml 1 to 2 times daily. In portocaval encephalopathy, the dose should be increased gradually to achieve 2 to 3 loose stools daily.Bifiteral syrup can be taken without regard to meals and should be mixed with water or warm drinks or stirred into yoghurt, cereal or porridge.

Contraindications

Bifiteral syrup must not be taken if you are hypersensitive to lactulose or one of the other ingredients, if you have intestinal obstruction, if you have intestinal perforation or have an increased risk of intestinal perforation, if you have fructose intolerance or mucous sugar intolerance.If there are water and electrolyte imbalances, acute inflammation of the gastrointestinal tract or sugar absorption disorders, the medicine should not be taken unless prescribed by a doctor.

Side effects

Like all medicines, Bifiteral Syrup can cause side effects, although not everyone gets them.Possible side effects include diarrhea, bloating, nausea, vomiting and abdominal pain.In rare cases, electrolyte imbalances can occur.Long-term use in high doses can cause persistent loose stools and disturbances in water and electrolyte balance.

Storage

Keep Bifiteral Syrup out of the reach and reach of children and do not use it after the expiry date stated on the packaging.Please dispose of medications you no longer need in an environmentally friendly manner.

Composition

Bifiteral syrup contains the active ingredient lactulose.The other ingredients are lactose, galactose, fructose, sulfites and purified water.Due to the manufacturing process, it contains small amounts of other sugars such as lactose, galactose, epilactose and fructose.