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Symptomatic treatment of constipation.
Qualitative and quantitative composition:
Chemical name: 4 - D-galactopyranosyl-D-sorbitol monohydrate.
For excipients, see 'List of aids '.
white, crystalline powder with a slightly sweet taste, for oral administration.
Posology and method of administration:
In case of chronic constipation one should first try to improve this situation by adjusting the diet and a change of lifestyle.
Optimal dose, ie the dose in a constipated patient caused soft stools a day, the doctor must be sought for his patient. Once you have found the correct maintenance dose, will rarely need to be adjusted and the laxative effect is usually predictable. The patient is advised for at least several glasses of water (200 ml) of fluid a day to drink.
Importal is taken once daily with meals, morning (preferably) or evening. Usually the product mixed with food or drink.
The choice of dosing time (morning or evening) is left to the patient, depending on individual response. Usually follows the laxative effect several hours after ingestion. However, physicians should inform patients that the laxative response to the drug in some cases 2 to 3 days can wait.
Importal not promote dental caries, and can be mixed with beverages such as tea, coffee, juice, or dishes like yogurt, fruitcompot, etc., without the pharmacological effect is influenced.
Adults (and elderly patients).
The attack dose is 20 g (2 bag 10 g powder, or high 3 to 4 tablespoons powder), in a time taken for breakfast or evening meal. After several days, for many patients a daily dose of 10 g (= 1 bag of 1.5 to 2 full tablespoons powder) is sufficient.
A full tablespoon of powder contains on average 6 g active ingredient.
The mean attack dose is 0.25 g per kilogram body weight per day, for example
from 1 to 6 years: 1 / 4 or 1 / 2 bag per day, or 2.5 to 5 g.
from 6 to 12 years: 1 / 2 or 1 bag per day, or 5 and up to 10 g.
from 12 years: 1 to 2 bags per day, or 10 to 20 g. If you
coffee spoons used: one teaspoon contains average 2 g active ingredient.
In all cases, the dosage individually adjusted so that a daily bowel movement occurs.
List of excipients:
This is a medicine, no prolonged use without medical advice, keep away from children, read the leaflet carefully. Ask your doctor or pharmacist. In case of side effects, contact your doctor.
not use the product in case of known hypersensitivity to lactitol
Since Importal level with the colon works, it is contraindicated in all cases where the intestinal transit is not assured (intestinal obstruction, etc. ..).
Like all other laxativa should Importal not be used in a suspected organic injury at the height of the digestive system and abdominal pain or rectal bleeding whose cause is unknown.
Faecal Omen would otherwise be treated prior to taking Importal.
Importal is contraindicated in cases of galactosemia.
Special warnings and precautions for use:
The prolonged use of a laxative, without interruption, should be avoided.
Chronic constipation should always be first must deal with following a fiber diet, using hydrated and taking exercise.
order to avoid electrolyte disturbances, which may occur in cases of diarrhea due to an overdose, the physician, from the beginning of treatment, the optimal dosage attempt to be determined (see 'Dosage and method of administration), this being a soft bowel movements a day which provoke in constipated patients.
In elderly or debilitated patients, who for a long time Importal be treated, the electrolyte levels in the blood checked regularly.
As with all laxatives, all existing water and electrolyte disturbances must be corrected before starting treatment.
Following treatment Importal, an accumulation of hydrogen can occur in the intestines. Patients who have undergone electrocautery, one must first complete enema with a non-fermentable solution given.
Patients complain of nausea, should be advised Importal during meals.
Importal is not recommended in case of ileostomy or colostomy.
In infants and children, the prescription of laxatives remain the exception: one must take into account the risk of obstruction of the normal functioning of the exoneratiereflex.
Pregnancy and lactation:
Experience Importal during pregnancy is limited. Although no animal studies have shown potential teratogenic effects, is recommended, as with all medicines, Importal during the first trimester of pregnancy only be used if necessary.
Although the transition of lactitol in the breast milk was not studied, it seems unlikely that this transition is clinically relevant, as lactitol is minimally absorbed.
In the beginning of treatment, abdominal complaints, such as meteorism, flatulence, pain, cramping or bloating, occur. In clinical studies, these side effects in 25% of adult patients and 35% of elderly patients. Such inconveniences disappear or diminish after several days of treatment.
Occasionally were nausea, rumbling or anal itching reported, vomiting and in rare cases. By vary from person to person can sometimes occur with diarrhea the recommended dose. A reduction of the dosage will solve this problem.
Importal Since the group of hyperosmotic laxativa belongs, is in some cases, especially in the elderly, reported a risk of dehydration.
Cases of rash were reported.
Effects on ability to drive and use machines:
No effect described.
Diarrhea is a sign of overdose. It can be stopped by lowering the dosage. Diarrhea can also change the electrolytes in the serum cause, which must be corrected.
Interaction with other medicinal products and other forms of interaction:
Importal can, like all laxativa, the potassium loss caused by other drugs (eg thiazide diuretics, corticosteroids, carbenoxolone, amphotericin B) increase. This potassium depletion may increase the risk of toxic effects of glycosides increase in patients receiving additional treatment.
Importal has a negligible caloric value (2 kcal / g or 8.5 kjoules / g), and has no influence the insulinemie or on blood glucose. Importal should therefore be given to diabetics.
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This is a medecine available without a prescription.. Do not use long without medical advice. Read the instructions carefully. Keep this medicine out of the reach of children. Keep the manual as it contains important information. Ask for advice from your doctor or pharmacist. Consult your doctor if adverse reactions.