In the article, we will consider the instructions for use for children and adults for the "Normase" medication.
This is a mild laxative drug made in Italy. The tool can be used in patients of any age group to normalize stool. In addition, it is allowed to prescribe Normase to women during the period of bearing a child and breastfeeding. The effectiveness of the drug is due to lactulose, which is part of it. Consider the drug in more detail.
Structure
According to the instructions for use, "Normase" is produced in the form of a syrup, which can be colorless and transparent, and also have a shade from light yellow to brown. As the active substance in the drug, lactulose acts. In addition, the composition is supplemented with auxiliary components such as citric acid, flavor and purified water.
Is Normase allowed during pregnancy? Instructions for use contain information about this.
The properties
The drug has a laxative effect aimed at reducing the amount of ammonia in the blood. In addition, the drug has a hyperosmotic effect, as well as a stimulating effect on intestinal motility and the absorption of phosphates and calcium.
"Normase" changes the microflora of the large intestine, stimulating an increase in the number of lactobacilli, which allows you to increase the level of acidity and boost peristalsis. In addition, while taking the drug, an increase in feces and their softening is observed.
As indicated by the instructions for use with Normaz, the main therapeutic effect of the drug is its laxative effect, while there is no effect on smooth muscles and the mucous membrane of the colon. Under the influence of lactulose, ammonia passes from the blood to the intestines, thereby reducing the production of toxic substances containing nitrogen in the proximal intestine and their absorption through the vena cava. The peak of efficiency occurs at different speeds, from several hours to several days.
Lactulose, among other things, has the property of inhibiting the development of salmonella in the colon, while the absorption of vitamins does not decrease and resistance does not occur. The drug is excreted with feces in unchanged form. About three percent is excreted by the kidneys.
Indications
In accordance with the instructions for use, "Normase" is prescribed for a number of conditions accompanied by impaired intestinal motility, namely:
- Constipation in a chronic form.
- High levels of ammonia in the blood.
- Facilitation of the bowel movement during hemorrhoids, before surgery on the large intestine and in the anus, as well as during the rehabilitation period after surgery.
- Encephalopathy of the liver.
- Dysbiosis.
- Coma and liver precoma.
- Salmonella infection, except for generalized forms of infection.
Contraindications
There are no age restrictions when taking the medicine, it can be used starting from the newborn period. This confirms the instructions for use for the Normase syrup.
The same applies to the period of bearing a child and breastfeeding - this is not a contraindication for taking the drug.
As for the restrictions for taking "Normase", the drug is forbidden to use in the following cases:
- Intolerance to fruit sugar and galactose.
- Intestinal obstruction.
- Galactosemia.
- Hemorrhagic syndrome, localized in the anus, not associated with manifestations of hemorrhoids.
- Ileostomy, colostomy.
- Suspicion of appendicitis.
- Intolerance to the components that make up the drug. With special care, the drug should be taken for patients with a history of diabetes.
Instructions for use "Normase"
The syrup is taken after a meal, there is no need to drink it with water. The treatment regimen is selected individually, depending on the nature of the problem. There are standard dosage regimens, and they are the same for adult patients and for pregnant women.
Instructions for use with "Normaz" indicate that for constipation, the drug is prescribed for 15-40 ml for the first three days with a further reduction in dosage to 10-25 ml. Therapy can be carried out from one month to 3-4 months.
With coma and precoma of the liver, as well as encephalopathy and an increased content of ammonia in the blood, a single dosage in the first days of admission can reach 30-60 ml, divided into three times. In the future, the dosage is adjusted so that bowel movements occur at least twice in 24 hours. The duration of therapy can reach three months or more.
When taken in the rehabilitation period after the operation, the dosage of "Normase" is 10-30 ml three times a day. It is necessary to start taking the drug one day after the operation. The duration of admission is 3-5 days.
For children
Consider the instructions for use "Normase" for children. The regimen should be determined by the pediatrician taking into account the age and body weight of the child.
With constipation per day, 5 ml of syrup should be given to infants. The instruction for use with Normaz confirms this. 5-10 ml - for children from one year to six years. Over the age of 6 years, the child is given 15 ml during the first three days of treatment for constipation, with further adjustment up to 10 ml per day. Treatment can be up to four months.
In the postoperative period, children under one year of age are prescribed 5 ml up to three times a day, at an older age, the dosage reaches 5-10 ml.
Adverse reactions
Reception "Normase" can lead to the following adverse reactions from the body:
- Flatulence.
- Diarrhea.
- Nausea.
In the treatment of liver encephalopathy due to taking the drug in large doses, liquefaction of the stool may occur, which, in turn, can provoke an imbalance in the balance of fluid and electrolytes in the body.
Drug interaction
The therapeutic effectiveness of lactulose is significantly reduced while taking "Normase" with antibiotics and antacids.
Experts recommend taking Normase two hours after taking other medications. Lactulose has an effect on the release of substances contained in the preparations.
If you need to take "Normase" for a long period, it is recommended to regularly monitor the levels of potassium in the blood, as well as carbon dioxide and chlorine in plasma. In the presence of gastrocardial disease, the dosage of "Normase" should be gradually increased, which will reduce the likelihood of developing bloating.
Analogs
If Normase is not suitable for any reason, you can choose a similar drug. The most popular substitutes are:
- Dufalac. A complete analogue of the original drug. Also allowed at any age and during pregnancy and lactation.
- "Lactulose-Teva." High quality syrup made in Israel. Indications and properties are similar to "Normase".
- "Good luck". Also produced in the form of a syrup based on lactulose. The drug is safe and effective at any age and condition.
- Dinolak. In addition to lactulose, simethicone is included in the composition of the drug. The latter is responsible for the elimination of flatulence.
- "Transulose." This is a gel for oral administration. Indications are completely identical to "Normase".
Change one drug to another only after consulting a doctor. The specialist will select an analogue taking into account individual characteristics, age and condition of the patient.
Reviews
For the most part, patients respond well to Normaz. The drug is often prescribed for constipation in both adults and children, even in the newborn. Parents invariably respond well to the use of the drug in children. Its safety and good tolerance by the children's body are emphasized. Many "Normase" helped to overcome even constipation, which took a chronic form of the course.
Despite the safety of the drug, it can be used only as directed by a doctor and subject to strict adherence to dosages and duration of administration.
Another advantage of the drug, especially when used in childhood, is its pleasant taste, which makes taking it easy and convenient. Women who take syrup during pregnancy, also invariably respond well to its effect.
We reviewed the instructions for use and reviews for Normaz. For children and adults, the drug will become an indispensable tool for normalizing the digestive tract.