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Tulos

Oral Solution-(3.35gm/5ml)
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The ACME Laboratories Ltd.chevron-right

Generic: Lactulose

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1 x 100ml bot
৳126
৳140
10% OFF
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Medicine Overview of Tulos 3.35gm/5ml Oral Solution

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Introduction

Tulos is a type of sugar used to treat constipation. It is known as a laxative and makes your stool easier to pass by drawing water into your bowel. It is also used to treat hepatic encephalopathy (a liver disease causing confusion, tremor, decreased level of consciousness). Tulos can be taken with or without food. You should take this medicine as advised by your doctor. Use this medicine regularly to get the maximum benefit and try to take it at the same time(s) each day. Your dose may go up or down depending on how well it is working. Do not take more than you are advised to and, if you miss a dose, do not take an extra one to make up for it. This medicine takes at least 48 hours to work. Talk to your doctor if you are still constipated after 3 days. The most common side effects are nausea and vomiting. These are usually mild and go away after a couple of days. Occasionally people develop serious side effects including severe diarrhea and electrolyte imbalance. Talk to your doctor straight away if you notice any of these. Before taking this medicine, you should tell your doctor if you have diabetes or if you are unable to digest milk sugar (lactose intolerant). If you use this medicine over a long period of time, your doctor may want you to have occasional blood tests to check the mineral levels (e.g. potassium and sodium). Do not take other laxative medicines while taking this medicine and check with your doctor if you are pregnant or breastfeeding.

Uses of Tulos

  • Constipation
  • Hepatic encephalopathy

Side effects of Tulos

Common
  • Abdominal pain
  • Nausea
  • Vomiting
  • Diarrhea

How to use Tulos

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use. Tulos may be taken with or without food, but it is better to take it at a fixed time.

How Tulos works

Tulos works by drawing water into the intestine through osmosis, which makes the stool soft and easier to pass.

What if you forget to take Tulos?

If you miss a dose of Tulos, skip it and continue with your normal schedule. Do not double the dose.

Quick Tips

  • Tulos is used in the treatment of constipation and hepatic encephalopathy.
  • It should preferably be taken at bedtime as it requires 6 to 8 hours to show effect.
  • It is usually taken once a day as needed for up to 2 weeks. Take it exactly as prescribed by the doctor.
  • Some healthy tips to prevent constipation from happening:
  • Take it atleast 2 hours after taking other medicines, as it may interfere with the absorption of other medicines.
  • Inform your doctor if you have a history of stomach disorders such as appendicitis or a blockage in your bowel.

Brief Description

Indication

Constipation, Hepatic encephalopathy

Adult Dose

Constipation Solution: 15-30 mL (10-20 g) PO once daily; may be increased to 60 mL (40 g) once daily Portal Systemic Encephalopathy Prophylaxis 30-45 mL (20-30 g) PO q6-8hr, adjusted until 2-3 soft stools/day; if acute, may be given q1-2hr until 2-3 soft stools/day Treatment 20-30 g (30-45 mL) PO q1hr to induce rapid defecation; reduced to 20-30 g q6-8hr after defecation achieved; titrated to produce 2-3 soft stools/day

Child Dose

Constipation 0.7-2 g/kg/day (1-3 mL/kg/day) PO in divided doses; not to exceed 40 g/day (60 mL/day) Portal Systemic Encephalopathy Prophylaxis Infants: 2.5-10 mL/day (1.7-6.67 g/day) PO in divided doses; titrated to produce 2-3 soft stools/day Children and adolescents: 40-90 mL/day (26.7-60 g/day) PO in divided doses; titrated to produce 2-3 soft stools/day

Contraindication

Lactulose is contraindicated in patients with galactosaemia and intestinal obstruction.

Mode of Action

Lactulose promotes peristalsis by producing an osmotic effect in the colon with resultant distention. In hepatic encephalopathy, it reduces absorption of ammonium ions and toxic nitrogenous compounds, resulting in reduced blood ammonia concentrations.

Precaution

It should be used with caution in patients with lactose intolerance and diabetes. Lactation: Unknown whether drug is distributed into milk; use with caution

Side Effect

Initial dosing may produce flatulence and intestinal cramps, which are usually transient. Excessive dosage can lead to diarrhoea, dehydration, nusea, vomiting, hypokalemia.

Interaction

May prevent release of mesalazine in the colon. Decreased effect with oral neomycin, antacids.

Buy Tulos from Arogga

In Bangladesh, you can get the original Tulos. Select your favorite one from a large collection of Medicine products. Order from App to get more offers and better experience.

What is the price of Tulos in Bangladesh?

The latest price of Tulos in Bangladesh is 126৳. You can buy Tulos at the best price from Arogga. Order online through our website or mobile app and get fast home delivery anywhere in Bangladesh. Cash on Delivery (COD) is available all over Bangladesh.

Frequently Asked Questions (FAQ)

Is Tulos authentic?

Yes. Arogga sources Tulos products from trusted suppliers, distributors, or manufacturers. Products are verified before delivery.

Does Arogga deliver all over Bangladesh?

Arogga delivers most products across Bangladesh. However, refrigerated or cold-chain medicines are delivered only within Dhaka. Delivery of some other products may also depend on product condition, storage requirements, and delivery location.

Is Cash on Delivery (COD) available for Tulos?

Yes. Cash on Delivery is available for all products in eligible locations across Bangladesh. Availability may vary depending on the product and delivery location.

How long does delivery take?

Delivery usually takes 24–48 hours inside Dhaka and 3–5 days outside Dhaka, depending on product availability, delivery location, and courier load.

Can I return or replace the product?

If the product is damaged, incorrect, or expired, you can request a replacement or refund according to Arogga’s return policy..

Safety Advices

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SAFE
Consuming alcohol with Tulos does not cause any harmful side effects.
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SAFE IF PRESCRIBED
Tulos is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.
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SAFE IF PRESCRIBED
Tulos is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
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SAFE
Tulos does not usually affect your ability to drive.
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SAFE IF PRESCRIBED
Tulos is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Tulos may not be needed in these patients. Please consult your doctor.
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SAFE IF PRESCRIBED
Tulos is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Tulos may not be needed in these patients. Please consult your doctor.

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Disclaimer

The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.