EXPORTAL SACHET 10G

Dosage form

Powder for the preparation of oral solution

Composition

In 1 bag with powder for preparation of solution for intake contains: kaktitola monohydrate of 10 g.

Packaging

In a disposable bag (sachet) 10 g of powder. In the package of 20 bags.

Mechanism of action

Exported - a laxative. In the large intestine, lactitol is broken down by the action of the intestinal flora into low molecular weight organic acids, which leads to an increase in osmotic pressure in the large intestine, an increase in the amount of feces, their softening, easier bowel movement and normalization of the bowel.
The laxative effect usually occurs within 24 hours after the use of the drug (the delay is due to the passage of the drug through the gastrointestinal tract). At the beginning of the course of treatment, a laxative effect of the drug may be delayed, the effect may occur on the second or third day of its use.
In patients with hepatic encephalopathy or hepatic coma (or precoma), the effect is achieved by migration of ammonia from the blood into the colon (due to lower pH and increased osmotic pressure in the intestinal lumen), removal of retained ammonium ions and other nitrogen-containing toxic substances from the colon.
Lactitol inhibits proteolytic bacteria and increases the number of acidophilic bacteria.

Indications and usage

- Constipation, the need to soften the stool for medical purposes, including with: hemorrhoids, preparation for operations and after operations on the rectum, anal sphincter and the area adjacent to it.
- Hepatic encephalopathy.
- Hepatic coma and precoma.
- Hyperammonemia.

Contraindications

- Individual intolerance to lactitol.
- Galactosemia.
- intestinal obstruction.
- Suspected organic damage to the gastrointestinal tract.
- Abdominal pain and rectal bleeding of unknown origin.

Dosage and administration

Inside during the meal, mixing with various drinks (water, tea, coffee, juices, etc.) or liquid food. The drug should be taken once, the entire daily dose at once, at one time.
With constipation:
Adults: 20 g (2 sachets or 4 teaspoons of powder) per day.
Children: 6-12 years old: 5-10 g (1-2 teaspoons of powder) per day; 1-6 years: 2.5 - 5 g (1 / 2-1 tsp. Of powder) per day).
The drug should cause stool once a day; after the onset of a stable laxative effect within a few days of use of the drug, its dose can be reduced. In some cases, to obtain the desired effect is enough half the recommended daily dose.

Adverse reactions

At the beginning of treatment, there may be a feeling of discomfort in the stomach, flatulence.These phenomena, as a rule, disappear with continued use of the drug, as it adapts to it.
In the case of the use of high doses for a long time in the treatment of hepatic encephalopathy in a patient, due to diarrhea, an electrolyte imbalance may develop.

Lactitol has a low calorie (2 kcal / g), does not affect the level of glucose in the blood and can be used in patients with diabetes mellitus. Throughout the course of the drug is preferably increased fluid intake.

Drug interactions

At the same time taking Exportal with enteric pH-dependent release preparations, it should be noted that lactitol lowers the pH of the intestine. It is not recommended to use Expalat within two hours after taking other medicines.

Overdosage

Symptoms: diarrhea, in rare cases vomiting is possible.
Treatment: these phenomena are usually eliminated by lowering the dose of the drug.

Storage conditions

Store in a dry, dark place.

5 years.