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This information outlines essential safety precautions and warnings regarding the use of this medication. It is crucial to understand these risks to ensure safe and effective use. Should you have any questions or concerns, please reach out to your healthcare provider.

• Dehydration and Electrolyte Imbalance: Enulose (lactulose) has the potential to cause dehydration, which can disrupt the balance of minerals in your body, such as sodium, potassium, and calcium. These minerals are vital for various bodily functions. Regular monitoring of these electrolytes may be necessary, particularly for older adults or those on long-term Enulose (lactulose) therapy. Contact your healthcare provider immediately if you experience excessive thirst, fatigue, or confusion, as these could be signs of dehydration and electrolyte imbalance. Those at increased risk include individuals over 65, those using Enulose for more than six months, and those on medications that affect electrolyte levels.

• Blood Sugar Considerations: Enulose (lactulose) contains sugars like galactose and lactose. If you have diabetes or concerns about high blood sugar, it is advisable to monitor your blood glucose levels while on this medication. Although current evidence suggests Enulose does not significantly raise blood sugar levels, caution is advised.

• Colonoscopy Precautions: Inform your healthcare team if you are taking Enulose (lactulose) before undergoing a colonoscopy or rectal exam. Your provider may recommend alternative medications to prepare your bowel for the procedure.

• Contraindications: Do not use this medication if you are on a low-galactose diet, as it may lead to serious health concerns. Always consult with your healthcare provider if you fall into this category before starting Enulose (lactulose).

This information is provided for your safety and to help guide discussions with your healthcare professional.

When taking this medication, some individuals may experience common side effects such as gas, bloating, burping, stomach rumbling, mild stomach pain, and cramps. These symptoms are generally not severe and often manageable. However, if they persist or worsen, it's important to consult with a healthcare professional for advice.

In some cases, other side effects like nausea or diarrhea may occur. It's advisable to monitor these symptoms and seek medical attention if they become bothersome or intense. While many people do not encounter serious side effects, it's crucial to remain vigilant.

Rarely, more severe symptoms may arise, including vomiting, muscle cramps or weakness, irregular heartbeat, or changes in mood or mental state. In such instances, contacting a healthcare provider promptly is essential. Seizures are also a rare but serious side effect that requires immediate medical attention.

Although a very serious allergic reaction to this medication is uncommon, it is vital to be alert for symptoms such as rash, itching, swelling (particularly of the face, tongue, or throat), severe dizziness, or trouble breathing. If any of these occur, seek emergency medical help right away. Remember that this is not an exhaustive list of side effects. If you notice any other unusual symptoms, contacting a healthcare professional is recommended.

Enulose (lactulose) can interact with certain medications and supplements. It's important to inform your doctor and pharmacist about all medications, including prescription, over-the-counter, vitamins, and herbal supplements you are taking. This list doesn't cover all potential interactions, but some known interactions include:

• Antacids containing aluminum and/or magnesium, and other laxatives such as cleansing enemas with soap suds, may affect how Enulose works.

• Medications not recommended with Enulose: These include Amantadine, Atropine, Belladonna, Benztropine, and others. Your doctor might opt for different treatments if you are using these medications.

• Medications usually not recommended, but sometimes necessary: These include Acalabrutinib, Amiodarone, Amitriptyline, Azithromycin, and many others. If these must be taken with Enulose, your doctor may adjust dosages or frequency to reduce risk.

Always consult your healthcare provider before starting or stopping any medication.