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The dose of lactulose for this purpose is the same as the recommended daily dose.

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Abstracts of Reviews of Effects (DARE), Health Technology Assessment, TRIP, and the National Institute for Health and Clinical Excellence (NICE) up to August 2009.

In the colon, Lactulose is broken down primarily to lactic acid, and also to small amounts of formic and acetic acids, by the action of colonic bacteria, which results in an increase in osmotic pressure and slight acidification of the colonic contents.

Moreover, Rifaximin has been shown in previous studies to be effective at reducing HE parameters in cirrhotics.

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The following parameters were evaluated before and at the end of the treatment period: complete blood count, blood chemistry, serum electrolytes, renal function, blood sugar, and urinalysis.

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Lactulose is used to treat constipation.

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Follow-up after treatment was reported in four trials, median of 17 days (range, 6-30 days).

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It's given in patients with advanced liver disease to decrease ammonia content in blood which in excess causes encephalopathy(kind of confusion state).

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When bacteria in the colon breaks down the Lactulose sugar, it turns into beneficial acids (lactic acid) that help pull water into the colon via osmotic pressure and soften the stool, this way chronic constipation can be treated.

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Inulin has an average of 35 fructosyl units and will have much less of an osmotic effect on the colon than lactulose.

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