Duphalac how to properly cleanse the intestines before surgery

Description of the medication

Duphalac belongs to the group of laxatives. It is used to relax the passage of bowel movements in case of chronic constipation and to cleanse the intestines before diagnostic procedures.

This medication is considered a mild drug, because it gently liquefies feces and removes them from the body. Thus, there is no loss of important elements in the form of vitamins, salts and water in the body.

Sold in syrup form. In appearance it resembles a transparent liquid with a yellowish tint. The consistency is thick. The main ingredient is lactose.

You can purchase the medicine in polyethylene bottles, the volume of which is 200, 500, 1000 milliliters. One pack contains 10 such sachets.

Description of the drug

The pharmaceutical product Duphalac has an effective laxative effect and is a colorless syrup with a viscous consistency. The active ingredient is lactulose, the additional component in the medicine is water. Thanks to this composition, intestinal motility is stimulated and stool is diluted. You can purchase the medicine in 15 ml bags, which are placed in cardboard boxes of 10 pieces. The medicine is also poured into bottles of 200, 500 or 1000 ml. To purchase the drug Duphalac in pharmacy chains, you do not need a doctor’s prescription.

The drug "Duphalac" is prescribed for the following pathologies:

  • renal encephalopathy;
  • constipation;
  • the need to soften the stool;
  • intestinal dysbiosis;
  • salmonellosis.

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How does it work?

The active ingredient in Duphalac is lactulose, which stimulates intestinal motility and has a laxative effect. Penetrating into the colon, it interacts with local bacteria and is broken down, converted into organic acids. As a result, osmotic pressure increases, acidity decreases and ammonium is formed. In the intestine, there is an increase in feces and an intense contraction of the intestinal walls, which promote its contents to the exit. A distinctive feature of the pharmaceutical product "Duphalac" is its ability to normalize the intestinal microflora and cleanse it of pathogens. Duphalac cleanses the intestines gently, without irritating the mucous membranes and smooth muscles.

Therapeutic effect

The active component in the form of lactulose exhibits a laxative effect. Thanks to this process, the feces soften and pass out of the intestines without hindrance.

In addition to all this, lactulose also has other effects in the form of:

  • enhancing the removal of ammonium salts from the digestive tract;
  • stimulating the motor functionality of the small and large intestines;
  • increasing the acidity of the organ contents;
  • inhibiting the growth and development of pathogenic microbes.

Also, the effect of the active ingredient is aimed at reducing the content of nitrogen-containing toxic products in the lumen of the organ. This helps prevent the development of intoxication and adverse effects on the liver and brain.

Lactulose is not absorbed into the blood, so it can be used by children, pregnant and lactating women.

Indications for use and restrictions

Duphalac is considered a safe medicine.

It is usually prescribed for:

  • long absence of physical activity of a person. This includes trauma, surgery, stroke;
  • disturbances in the functional activity of the digestive tract, which is associated with a lack of enzymes;
  • carrying out diagnostic procedures;
  • complex treatment of hemorrhoidal cones;
  • treatment of dysbiosis.

You can use Duphalac before a colonoscopy. It helps cleanse the organ without causing severe discomfort.

But the medication has several contraindications, such as:

  • increased susceptibility to the components of the drug;
  • allergic reactions to lactose, fructose and galactose;
  • intestinal obstruction of a mechanical or functional nature;
  • galactosemia. This process is characterized by an increased amount of carbohydrates in the blood.

We can also highlight relative restrictions in the form of diabetes mellitus, children under three years of age, and the gestation period. The drug can be used, but under the supervision of a doctor.

Use before colonoscopy

Colon cleansing should be done long before preparing for a colonoscopy. These measures consist of following a strict diet. Dietary adjustments need to be made seven days before diagnosis.

Foods that cause increased gas formation and flatulence should be excluded from the diet.

These include:

  • legumes;
  • some vegetables in the form of cabbage, beets, carrots, radishes and radishes;
  • carbonated and caffeinated drinks;
  • flour products, sweets;
  • canned food, smoked meats.

The menu should consist of:

  • dried white bread;
  • porridge with water;
  • vegetable broth soups;
  • lean meat and fish;
  • tea and water.
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If the procedure is prescribed in the morning, then Duphalac should be taken in the afternoon.

The preparation is as follows:

  1. In the morning after sleep, you can eat a bowl of porridge, a piece of bread with butter, and wash it all down with tea.
  2. At twelve o'clock in the afternoon you should have a light snack. You can eat low-fat broth, low-fat cottage cheese.
  3. At two o'clock in the afternoon, one bottle of 200 milliliters is diluted in two liters of water. Carbonated and mineral water should not be used. The prepared solution is taken in small sips over two to three hours.
  4. After two hours, the patient will feel the urge to go to the toilet. Complete cleansing of the digestive tract will be completed two to three hours after consuming the last sip.
  5. There is no need to take the medicine anymore.

On the day of the manipulation, you can drink tea with biscuits. You shouldn't eat anything else.

If the procedure is scheduled after lunch, then cleaning needs to be done a little differently.

It is as follows:

  1. Breakfast is provided as usual. For lunch you can eat soup, meat cutlets and a piece of stale bread.
  2. At six o'clock in the evening the last meal is taken. It is best to give preference to light products. You can eat cottage cheese casserole, boiled vegetables, omelet.
  3. The first dose of Duphalac begins at six o'clock in the morning and lasts for two to three hours. The solution is prepared according to the same scheme: 200 milliliters of Duphalac are diluted in two liters of water.
  4. The last bowel movement will occur at approximately 9-10 am. You should not eat or drink anything before the procedure.

If all recommendations are followed, a colonoscopy will show an accurate result.

After the procedure, you may experience abdominal discomfort and bloating. You can eliminate them with the help of No-shpa and Activated carbon.

After the procedure, you can have a light meal.

What products are indicated for use during the diet period?

The patient is allowed to use butter for cooking; he can also eat vegetables and fruits, but only in cooked form (stewed or baked); dry cookies and various cheeses are included in the group of permitted ingredients. There is no need to give up low-fat poultry meats; it is not bad to boil veal or beef. Bakery products can be used as food, but they must be made from finely ground wheat flour.

A day before the start of the procedure, you are allowed to eat light meat broth, wash it down with a glass of weak green tea; instead of tea, juice diluted with water can be used.

After two hours, it is necessary to take the dose of the drug soaked by the doctor again in order to start the process of bowel cleansing more actively, while the dose is spread over three hours. In order for the drug to be enough, you need to take the specified amount of the product and dilute it in two liters of warm water.

The drug begins to actively affect the intestines after about two hours, it is after this that a person begins to feel the urge to defecate, which continues until the intestines are completely cleansed. The effect of the drug stops two hours after taking the last dose of the drug. The advantage of using Duphalac is that the patient does not need to use an enema to completely cleanse the intestines.

Recommended reading: What you can eat after colonoscopy

Replacing the drug

If the patient thinks that the drug is expensive, or Duphalac is not suitable for him, preparation for a colonoscopy can be done using other means.

Lactulose

The therapeutic effect of the drug is no different from Duphalac, since the composition contains the same components.

The only difference is the price. Duphalac costs about 300 rubles, and lactulose costs no more than 100 rubles.

It is worth taking the drug before a colonoscopy in the same dosage and according to the same regimen.

Normaze

Sold in the form of a syrup with a pleasant taste. The main component is lactose.

Sold in 200 ml glass bottles.

The medication should not be used by patients who are allergic to lactose and chemical additives.

Costs about 70 rubles. If the drug is taken before a colonoscopy, then you need to be careful with the dosage.

Duphalac is a new generation drug

A small list of contraindications and a low likelihood of side effects allow us to call Duphalac a conditionally safe drug. To date, lactulose is the most studied prebiotic, which has allowed pharmaceutical companies to launch widespread production of drugs with this active ingredient. Lactusan, Prelaxan, Normaze, Portalak, Lactuvit - these and other drugs are analogues of Duphalac, since they contain lactulose as the active component.

Reviews about Duphalac are very different, and often diametrically opposed. Some are satisfied with the effect of the drug, others say it is insufficiently effective. The vast majority of critical comments have one thing in common: about 90% of those taking Duphalac note the fact of increased gas formation, bloating and discomfort in the abdomen. But, as the same reviews indicate, such disorders are transient in nature and disappear on their own after 3-5 days, without requiring discontinuation of the drug.

Another obvious disadvantage of Duphalac is its high price. Some of its analogues are somewhat cheaper, but their purchase still significantly affects the thickness of the wallet. However, maximum safety and high effectiveness make Duphalac one of the most popular drugs.

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Diagnostic device

To examine the internal cavities of the colon, doctors have developed a special tool that allows them to identify the disease in the early stages of its development. The colonoscope has a fairly high degree of resolution and is a flexible structure 180 cm long with a miniature camera and a flashlight attached to the end. The kit includes a device for performing mini-operations.

A colonoscope is not a disposable instrument, but there is no need to worry about this.


Colonoscopes special and universal

Interesting. Processing equipment in modern disinfecting devices involves disinfecting each channel of the optical device separately and completely eliminates the risk of infection.

Indications for colonoscopy

The endoscopic procedure can be both diagnostic and therapeutic. Recently, colonoscopy has been increasingly used when the following symptoms occur:

  • pain of unknown etiology in the intestinal area;
  • bowel dysfunction;
  • feces interspersed with mucus and blood;
  • fast weight loss.

Colonoscopy is necessary to collect material for a biopsy, remove single small polyps and detect cancer. In addition, it is advisable for people who have crossed the 50-year mark to undergo the procedure.

Interesting. In the USA, colonoscopy is included in the registry of mandatory annual examinations for the population over 45 years of age, and in Germany - after 48 years of age.

Preparing for intestinal colonoscopy

In order for the procedure to be quick and painless, it is necessary to perform a number of preliminary measures. Preparation for a colonoscopy, carried out in strict accordance with the doctor’s recommendations, will clear the intestines of feces and increase the reliability of the diagnosis.

There are two main stages of preliminary activities:

  1. Special diet.
  2. Purgation.

The method of preparation is determined by the doctor based on the general condition of the patient and the presence of concomitant diseases.

Stage I - slag-free diet

Preparing for a colonoscopy includes changing your diet. The transition to an easily digestible diet is mandatory for all patients, regardless of concomitant diseases, frequency and consistency of stool.

What is prohibited

3-4 days before the scheduled procedure, you should limit the consumption of foods that cause fermentation in the intestines and the formation of a large amount of feces:

  • fatty and fried meat and dishes made from it, sausages, lard;
  • legumes;
  • fruits and berries with seeds;
  • vegetables, especially with skins (tomatoes, sweet peppers), cabbage;
  • flour products made from yeast dough or wholemeal flour;
  • dried fruits, herbs, alcoholic and carbonated drinks.


All vegetables with skins should be excluded from the diet.
Before a colonoscopy, you should stop taking iron-containing medications or inform your doctor about them in advance.

What is allowed

During the diet, it is recommended to eat liquid and light meals. Especially welcome:

  • lactic acid products: kefir, yogurt, yogurt, fermented baked milk, cottage cheese;
  • broths with lean meat;
  • juices from fruits without seeds and pulp;
  • white bread, crackers;
  • porridge - oatmeal or rice;
  • boiled potatoes;
  • Drinks: tea, coffee, clean water, jelly.

The main condition of the diet is that all food should be transparent, liquid and without seeds or other difficult-to-digest components. Sugar, honey and oils can be consumed in very small quantities, but it is better to do without them.


The day before the colonoscopy, the diet should consist of clear liquids.

Attention. The last meal should take place 18–20 hours before the colonoscopy. The rest of the time, it is recommended to consume liquid, transparent dishes and drinks: broth, jelly, jelly, tea or water.

Stage II - cleansing

On the eve of the examination, it is necessary to thoroughly clean the rectum of feces. This can be easily done using a 1.5 liter Esmarch mug or using special preparations for colonoscopy, which is more effective. Laxatives should be used strictly according to the instructions, without unauthorized changing the dose or order of administration.

If for some reason the cleansing of the gastrointestinal tract did not work, you should ask the doctor to reschedule the procedure for another time.

Using an enema

An intestine without fecal residues is a prerequisite for high-quality and reliable endoscopic diagnosis. The most common cleaning method to this day is an enema. It is Esmarch's mug that most patients prefer.

High-quality intestinal lavage is carried out in 2 stages:

  • the first enema before a colonoscopy is performed in the evening on the eve of the examination;
  • the second - in the morning, before the diagnostic event.

In the evening, it is recommended to carry out 2-3 rinsing procedures in a row until “clean water” appears. Esmarch's mug should be filled with warm liquid so as not to cause a painful spasm. It is advisable to “hold” the water for at least 5–10 minutes.

Advice. If after the third enema the intestines are not sufficiently freed, it is recommended to increase the number of procedures to 4–5.

In the morning before the examination, washing should be repeated. The requirements for the event are the same - up to “clean water”. Only if feces are completely removed from the intestines can preparation for a colonoscopy be considered successful. For pathologies that are accompanied by frequent and loose stools, volumetric enemas are contraindicated. In this case, 0.5 liters of water will be enough for the procedure.


Colon cleansing on the eve of a colonoscopy is often carried out using an Esmarch mug.

Using an Esmarch mug has its advantages and disadvantages that you should keep in mind. An undeniable advantage is the simplicity and accessibility of the method. An enema does not take much time and effort; it is easy to do alone, without involving strangers. The disadvantages include the need to retain fluid in the rectum for some time, which not everyone can do. In addition, the procedure has contraindications.

Patients suffering from hemorrhoids or having anal lesions and fissures should inform their doctor. It is quite possible that a specialist will recommend another way to prepare for an endoscopic examination.

Cleansing the gastrointestinal tract before colonoscopy using laxatives

Recently, specialists are increasingly using more gentle methods of cleansing the intestines - special medications based on macrogol, which must be taken according to a certain schedule.

A laxative before a colonoscopy will help you quickly and gently remove feces from the rectum and properly prepare for the diagnostic procedure. Doctors recommend several drugs for use, each of which does an excellent job.

Fortrans

One of the most popular drugs for colon cleansing based on macrogol. It acts gently and quickly, enhances peristalsis and restores the evacuation process, prevents the loss of electrolytes.


Popular laxative Fortrans

The regimen for taking Fortrans depends on the time of the diagnostic examination. If the procedure is scheduled in the morning, preparation for a colonoscopy with a laxative begins the day before. The last meal should take place no later than 13.00–13.30. After 3 hours, it is advisable to take the first portion of Fortrans. It is no longer possible to eat at this time; you are only allowed to drink clean water.

Advice. It is necessary to prepare a laxative before each use. It is recommended to drink slowly, in small sips.

The first urge to defecate will appear within an hour after using the drug. The stool is liquid. Colon cleansing occurs quickly and ends with bowel movement with clean water. This means that the patient is ready for examination

If a colonoscopy is scheduled for the afternoon, the preparation regimen for the diagnostic procedure changes. In this case, only ½ of the planned dose should be taken the night before. It is recommended to use the rest of the solution the next morning. It is advisable to do this early, at about 6 o'clock.

Despite its popularity among doctors and patients, the drug has a number of contraindications:

  • pregnancy, breastfeeding period;
  • dehydration of the body;
  • Crohn's disease;
  • abdominal pain of unknown etiology;
  • intestinal obstruction.

In children, Fortrans is used with caution and only under medical supervision.

Lavacol

Colon cleansing before colonoscopy can be done with Lavacol. The drug is also very popular and is often used to prepare for endoscopic examination of the colon. It has a rapid laxative effect, accelerates the evacuation of contents from the gastrointestinal tract and effectively cleanses the intestines.


Lavacol is often prescribed to prepare for endoscopic examination.

It is recommended to start taking Lavacol 19–20 hours before the colonoscopy. Use on an empty stomach by diluting the contents of the sachet in a glass of water. Drink 200 ml of solution every half hour.

Advice. While taking a laxative and after it, it is recommended to eat only liquid foods. The drug is best used from 14.00 to 19.00 hours.

The first bowel movement appears 60–90 minutes after the initial dose of Lavacol.

You should not use a laxative without a doctor's prescription. The drug has contraindications and often causes adverse reactions. An overdose can cause vomiting, headache and deterioration in general health.

Which drug to choose - Fortrans or Lavacol

For various endoscopic examinations of the colon, specialists equally often prescribe both drugs or give the patient a choice. Often, having received a referral for diagnostics and detailed explanations on how to cleanse the intestines before a colonoscopy, the patient is faced with a difficult dilemma - which drug to prefer.

Let's conduct a comparative analysis. Both medications are based on the same active substance, have identical effects on the body and have almost the same contraindications.

At the same time, there are some differences between them:

  1. Manufacturer country. Fortrans is produced in France, and Lavacol is produced in Russia.
  2. Price. The imported drug is much more expensive.
  3. Taste. Lavacol has a quite acceptable taste, reminiscent of a sweet and sour solution. Fortrans is very unpleasant and can cause vomiting. This does not affect its pharmacological qualities in any way.

Both drugs must be dissolved in water and taken the day before the test or in the morning on the day of diagnosis (Fortrans).

Thus, there are no significant differences between the drugs under consideration. So which is better for colonoscopy - Lavacol or Fortrans? In this case, the decisive choice must be made by a specialist based on the medical indications and preferences of the patient.

Colon cleansing before colonoscopy with Duphalac

Duphalac is a mild laxative in syrup form.
The consistency of the syrup is thick and has a milky or yellowish tint. The main component of the drug is lactulose (66.7 g of active substance per 100 ml). Excipient – ​​purified water, about 100 ml. The drug is sold from pharmacy chains in disposable 15 ml sachets. There are 10 pieces in one pack. During use, the colon microflora changes due to an increase in the concentration of lactobacilli, which leads to an increase in acidity in the lumen of the large intestine and stimulation of peristalsis. At the same time, the volume of the intestines increases, the stool softens and is pushed out by the muscles of the intestinal tract. As a result, the expected laxative effect develops without affecting the intestinal mucous membranes.

Lactulose absorbs ammonia, reduces the level of nitrogen-containing toxins in the proximal part, and reduces their absorption in the vena cava. The drug is not addictive and does not reduce the absorption of vitamins.

Note! Intestinal dysbiosis does not develop while taking the drug. The drug is excreted unchanged through the kidneys and urine.

How to take Duphalac correctly for weight loss and colon cleansing

Duphalac will not be effective as a stand-alone means of weight loss; it should be taken as a component of complex therapy. From the instructions for use of Duphalac syrup it follows that its daily dose for adults is from 15 to 45 ml.

The calorie content of Duphalac is 60 kcal per 100 ml. Considering that during the main course the daily dose for an adult is from 15 to 45 ml of syrup, this means that only 9 to 27 calories enter the body daily.

The initial dose of Duphalac for bowel cleansing should be minimal. It is gradually increased, bringing it to the required level. You need to drink syrup once a day, preferably during breakfast. You will have to wait 1-2 days for the desired effect. Such a different duration of action of the drug is explained by the fact that each person’s body is individual and perceives incoming medications differently.

Instructions for use before colonoscopy - features of dilution and preparation

To prepare one serving of the laxative drug Duphalac, you need to dilute 3 sachets of syrup in 300 ml of water and drink in small portions an hour or immediately. You can drink the syrup in its pure form and wash it down with plenty of water. If you cannot drink the entire volume of the diluted drug, you can take it in several doses.

Due to its mild laxative effect, Duphalac is used in pediatric practice before similar events and surgery. The dose is calculated according to the patient’s age and body weight. If you are preparing a child for a colonoscopy at the age of 3 years, you need to dilute 1 sachet in 300 ml of water and give a few tablespoons to drink.

Typically, the laxative effect occurs 1-2.5 hours after using the drug.

Large doses in pediatrics are dangerous in relation to the development of dehydration.

Morning colonoscopy

If the procedure is scheduled for the morning, then cleansing begins on the day before the colonoscopy. To do this, the first dose of the drug is carried out at 7.00, then at 14.00 and the third dose at 19.00.

The last meal is no later than 18.00. If you feel very hungry, you can drink tea with biscuits or dry Lenten cookies.

Preparation with Duphalac for colonoscopy in the afternoon

If a colonoscopy is scheduled for the second half of the day (lunch or evening), then the dosage regimen changes. At 19.00 the previous day, take the drug and observe mandatory fasting. On the morning of the colonoscopy (around 6-7 am), take another dose of the drug, but no later than 3 hours before the colonoscopy.

If the procedure is after lunch, then at 11.00 take another cleansing portion of the medicine.

It is important that at least 3 hours pass before the procedure and the last dose of the drug are taken. The final regimen of use will be advised by your attending physician.

After using the drug Duphalac, excessive bloating and gas formation may be observed; to relieve symptoms, you can take:

  • Espumisan,
  • No-shpu or Drotaverine,
  • any enterosorbents (Polysorb, activated carbon, Enterosgel).

Taking the drug before fibrocolonoscopy

Bowel preparation for colonoscopy begins 3 days before the procedure. Before the examination, the patient should consume 45 milliliters of the drug after a meal. The medicine must be taken with a glass of clean water.

If the drug is prescribed to children:

  • over 4 years old, the dosage is divided into 3 doses;
  • from 7 years old, the dosage is divided into 2 times.

The day before the examination, you need to have lunch with light broth or drink green tea and after 2 hours take a laxative in the amount of 200 milliliters, diluted with 2 liters of water, which is pre-boiled and cooled to about 40 degrees. Drink the medicine in small sips for 2-3 hours.

2 hours after taking the medicine, the first urge to defecate begins and continues until the digestive tract is completely cleansed.

The drug can be replaced with an enema. If the choice is made in favor of Duphalac, you need to stop using it gradually.

Necessity of diet

During any drug treatment, it is necessary to follow a cleansing diet. The ideal option is a slag-free diet in preparation for a colonoscopy for 3-5 days.

Authorized products are:

  • vegetable broths;
  • chicken or turkey;
  • lean fish;
  • gelatinous dishes (jelly, aspic, jellied meat with lean beef);
  • crackers, biscuits, dry lean cookies;
  • dairy products.

It is necessary to exclude complex dishes, aggressive foods, any fresh vegetables and fruits, and pureed juices.

Recommended drinks:

  • consumption of jelly,
  • unsweetened compotes based on dried fruits,
  • green tea,
  • fermented milk drinks without carbon.

The diet is prescribed for both children and adults.

What foods should not be taken during the diet?

There are certain types of foods that are prohibited from being eaten while on a diet and colon cleansing with Dufolac.

To begin with, you should refuse to eat mushrooms, beans and peas, any other types of legume products, fresh vegetables and fruits will remain prohibited, you should not eat rye bread, fresh berries, various types of herbs, all types of cereals, you will also have to exclude any alcoholic drinks, including wine.

Carbonated drinks and water three days before the procedure should be excluded from the patient’s diet, beer and kvass should be eliminated from the menu, it is better not to eat soy products.

Features of this medicine

Refers to mild laxatives. According to doctors, Duphalac is devoid of a large number of disadvantages that harsher drugs from the group of laxatives and prebiotics have. It has a slight osmotic effect, which allows it to gently and painlessly cleanse the intestines.

This medicine also stimulates the growth of beneficial microflora, which is indispensable for gastrointestinal disorders. When used correctly, a pronounced prebiotic effect can be achieved.

The medicine is produced in the form of syrup. This dosage form makes it convenient for children and people suffering from swallowing disorders to take the drug, as it can be difficult for them to swallow tablets. The syrup is a substance with a viscous consistency, it is transparent with a slight yellowish tint. The taste of the syrup is sweet. Available in 15 ml bags, as well as in bottles of different sizes with a measuring cup.

Duphalac is usually used to treat symptomatic constipation. It regulates the frequency and cyclicity of bowel movements well as a mild laxative. It is advisable to take it to soften stool.

Pharmacological action, composition

This medicine is an aqueous solution of lactulose. 100 ml of medicine contains 66.7 grams of this disaccharide. Lactulose is synthesized artificially and is not transformed in the stomach. It is practically not absorbed into the body, since the gastrointestinal tract does not produce any enzymes for this.

In the rectum, lactulose is broken down by special microflora. This produces lactic and acetic acid. Due to the creation of an acidic environment in the intestines, osmotic pressure increases and the volume of feces increases. The use of such a drug allows you to enhance intestinal motility, normalize the consistency of stool, and establish regular bowel movements.

Due to the acidic environment in the intestines, the intensity of putrefactive processes is noticeably reduced. Duphalac helps increase the amount of normal microflora in the intestines.

The drug improves the absorption of calcium and phosphate ions. The removal of ammonium ions from the body is accelerated. The drug inhibits the activity of proteolytic microorganisms and reduces the concentration of toxic nitrogen-containing substances. These transformations occur naturally in the body.

Main indications and contraindications

The main indications for the use of this remedy are constipation of various etiologies. Other uses of this medicine:

  1. Hemorrhoids (used to soften stool).
  2. Cracks in the anal canal.
  3. Recovery period after intestinal surgery.
  4. Hepatic encephalopathy.
  5. Complex treatment of dysbiosis.
  6. Acute enteritis.
  7. For preparation before sigmoidoscopy, irrigoscopy, colonoscopy.

At the same time, in some cases Duphalac can be harmful. Duphalac is contraindicated for:

  • acute intestinal obstruction;
  • galactosemia;
  • hypersensitivity to the active component of the drug.

Duphalac should be used with great caution in patients with galactose intolerance and in case of intestinal bleeding of unknown cause. Caution should also be exercised when treating constipation for people with diabetes.

In case of poisoning, Duphalac can also be taken during pregnancy. The medicine does not have a toxic effect on the unborn child. Due to the fact that lactulose does not penetrate into mother's milk, Duphalac can also be used during breastfeeding.

Long-term use of Duphalac to cleanse the intestines is also possible. The fact is that it is not addictive. If you follow all the necessary instructions over a long period of use, the likelihood of side effects is significantly reduced. The treatment does not harm the functioning of the digestive tract.

Disadvantages of the drug

Duphalac also reveals negative qualities:

  1. Contraindications for use by people with diabetes mellitus, with difficulties in the absorption of galactose or fructose, with obstruction or perforation of the gastrointestinal tract.
  2. The appearance of flatulence as a side effect.
  3. In case of prolonged use in large volumes, the appearance of diarrhea and vomiting, leading to disruption of water and electrolyte balance.
  4. In rare cases, the effect of the drug is too rapid (an hour after use, and not a day later, as stated in the instructions).
  5. Weight loss is achieved only through complete cleansing of the intestines, without affecting other indicators of the body.

Duphalac is a popular modern remedy suitable for cleansing the intestines and improving the functioning of the whole body. Contains only lactulose and purified water. Harmless and mild in impact, suitable for use by people of all ages. Does not require drinking water and is convenient to take with you thanks to the utilitarian packaging.

How to treat constipation in children?

Constipation in children can be effectively treated with the help of this remedy. Usually the dosage is reduced, so for children you can buy Duphalac in sachets. Recommended amount of medication per day:

  1. For infants up to one year - no more than 5 milliliters.
  2. Children under 6 years old - up to 10 milliliters.
  3. Up to 14 years - no more than one sachet.

In newborns, constipation is treated with dosages of 1 ml. There is no need to sharply increase the amount of such medicine so as not to cause increased gas formation.

Usually, with proper use, childhood constipation goes away.

It is necessary to ensure that the daily dose of the medicine is not exceeded. As a rule, maintenance amounts of Duphalac are practically no different from the initial ones. The drug contains lactulose, and in the absence of contraindications, it can be used for a long time, even for children.

How can you cleanse your intestines?

Duphalac for intestinal cleansing is used in a dosage of 1 ml per kilogram of weight. Usually, to do this, you need to drink it after meals; it is possible to divide the required daily dose into small doses.

However, some patients claim that this “soft” cleansing does not produce certain results. Therefore, there is a scheme for forced bowel cleansing. This method can also be used when the body is clogged (and it manifests itself with dizziness, nausea, colds, constipation and other phenomena).

Colon cleansing with Duphalac is carried out according to the following scheme:

  • Purchase a 200 milliliter bottle of medicine. This amount will be enough for active cleansing.
  • About a day in advance, you need to adjust your diet: eliminate meat, pasta, and vegetables. You need to eat pureed food, broths, drink juices and mineral water.
  • At 13:00 prepare the cleaning solution. To prepare it, half a bottle of Duphalac must be diluted in one and a half liters of water. Drink this water over the next four hours.
  • Usually within an hour the first urge to defecate begins. The person develops diarrhea that is not painful.
  • At 7 pm, drink a second portion of the same solution within two hours.
  • The procedure can be considered completely completed if the stool takes on the appearance of a clear liquid.

Please note that diarrhea completely goes away approximately 2 hours after the last dose of the medicine. To avoid trips to the toilet lasting the whole night, do not take the medicine late in the evening. Although the benefits of such cleansing are obvious, you still need to make sure that you drink enough liquid.

Duphalac is a mild laxative for lazy intestines! Cleans super

Background (for the lazy, you don’t have to read it)

I became acquainted with the laxative Duphalac quite recently while taking antibiotics. And antibiotics, as you know, are a lethal thing - they hit the gastrointestinal tract very hard. For some, antibiotics cause distress, while for others, on the contrary, they cause constipation and bloating. During this difficult period for me, the doctor advised me to take Duphalac.

I will write the review in reverse - from the climax to the packaging)

The effect of Duphalac syrup

An excellent, mild laxative Duphalacne does NOT cause discomfort in the stomach, the feeling as if you wanted to go to the toilet. It works in about 5-10 hours, depending on the degree of constipation. There was a woman in the hospital with me after surgery, and she couldn’t go to the toilet for 4 days. On the doctor’s advice, she drank a whole capful of Duphalac at night and went to the toilet normally in the morning.

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