Doctor insights on:
Why Is Lactulose Used For A Patient Who Has Azotemia
If liver problems: Lactulose is a poorly absorbable carbohydrate, causes gas, bloat, diarrhea; changes pH in bowel, affects bacteria; causes less ammonia production which somehow affects thought process, mentation in patients with chronic liver disease who can't clear these chemicals as well as norm. Sometimes given for chronic constipation. Sorbitol works similarly, cheaper, found in sugarless candies, mints, gu. ...Read more
Non-digestible sugar: Lactulose is a non-digestible sugar. When ingested, it is metabolized by normal colon bacteria into small fatty acids, acetic acid, & lactic acid. The extra h+ attracts & binds ammonia (nh3) from the blood creating ammonium (nh4+). This is trapped in the colon & defecated out. This reduces the overall blood ammonia concentration which worsens hepatic encephalopathy. But it also causes diarrhea. ...Read more
Colace, miralax, (polyethylene glycol) or lactulose. Which is safer for heart patients who also have chronically low potassium?
MDMA: Mdma is dangerous enough to take on its own, with risk of neurotoxicity from too much serotonin stimulation in the brain. Lactulose is a synthetic sugar used to treat constipation -- also to treat buildup of ammonia in patients with liver failure. They can become very ill and confused --even obtunded -- with this. It's not likely to deliver a pleasant high. ...Read more
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