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problem with lactulose

Is there a substitute for lactulose the help with confusion but not cause excessive diarehia?
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317787 tn?1473358451
Guess who?  ha ha
So I was thinking that you may want to take a look at the Cirrhosis Forum.   Also it does take time for the body to adjust to lactulose, the goal is to control the ammonia without causing diarhea.  I think if you post your question on the cirrhosis forum you will get really good answers.  Good luck

http://www.medhelp.org/forums/Cirrhosis-of-the-Liver/show/1390
Helpful - 0
317787 tn?1473358451
Hi again, I found it. Just copy pasted part of information

Rifaximin: A nonabsorbable, broad-spectrum antibiotic for reduction in the risk for recurrence of overt hepatic encephalopathy
July 01, 2010
By Benjamin Barner PharmD, Brett Feret PharmD

Abstract

Rifaximin is a broad-spectrum antibiotic that has been approved by FDA for reduction in the risk for recurrence of overt hepatic encephalopathy, a debilitating disorder caused by the inability of the liver to remove bacterial-derived toxic by-products, specifically ammonia. It is a nonabsorbable antibiotic that provides activity locally in the gut due to its negligible systemic absorption. Rifaximin has a favorable side-effect profile and a low potential for drug interactions. A recent landmark phase 3 trial in patients in remission from recurrent hepatic encephalopathy demonstrated that rifaximin at a dose of 550 mg twice daily is significantly more effective than placebo in maintaining remission and reducing the risk of hospitalization. Rifaximin's approval by FDA in March 2010, offers clinicians the first pharmacologic treatment for hepatic encephalopathy in more than 30 years.
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317787 tn?1473358451
Hello, yes there is an antibiotic but it is very expensive.  It starts with an R sounds like Rifamaxin, I know that is wrong, I will find it and come back.  I just wanted to answer as I see you asked this over 20 hours ago.
I know someone will come along with the right answer just wanted you to know there is something else and there are many helpful people on here.  :)
Oh, when I took lactulose I would take it with a full meal to avoid diarrhea, it worked pretty well because the lactulose slowly absorbed into the system.
I am not a doctor but I have heard that Inulin can help as well.  It is similar to lactulose but no prescription is needed. back soon
Helpful - 0
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