RE: lactulose

[Guest guest]

Lactulose is a product that is normally prescribed to people who have

constipation issues. It is derived from lactose and therefore NOT on the

casein-free diet. If you are looking for a way to deal with constipation,

you should look at Magnesium Citrate.

--

Rima Regas

Mom to Leah, age 8 (AS, DSI and APD)

http://www.sensoryintegrationhelp.com

On 4/20/06, Sirr <mark.grabiec@...> wrote:

>

> Has anyone heard of this as a treatment to reduce ammonia? Is it an

> enzyme?

>

> thanks

>

> Steph

>

>

>

[Guest guest]

Actually, lactulose contains no casein, but does have two or three

percent lactose, so it is neither galactose nor glucose free. The

ammonia lowering effect of lactulose is partly due to its laxative

properties, but it is also due to acidification of the stool, converting

ammonia to ammonium ion, and probably also due to an effect on bowel

flora, reducing bacterial ammonia production. If a GF/CF agent is

necessary, one could try either neomycin or metronidazole, but there are

risks associated with these as well. Magnesium citrate is a powerful

laxative but effective for occasional use; it can draw a lot of water

into the colon and should be used with lots of water. Milk of magnesia

is probably gentler and more suitable for repeated use. Limiting

protein intake can also be helpful in reducing ammonia levels.

Jim

________________________________

From:

[mailto: ] On Behalf Of Rima Regas

Sent: Thursday, April 20, 2006 2:01 PM

Subject: Re: [ ] lactulose

Lactulose is a product that is normally prescribed to people who have

constipation issues. It is derived from lactose and therefore NOT on the

casein-free diet. If you are looking for a way to deal with

constipation,

you should look at Magnesium Citrate.

--

Rima Regas

Mom to Leah, age 8 (AS, DSI and APD)

http://www.sensoryintegrationhelp.com

On 4/20/06, Sirr <mark.grabiec@...> wrote:

>

> Has anyone heard of this as a treatment to reduce ammonia? Is it an

> enzyme?

>

> thanks

>

> Steph

>

>

>

[Guest guest]

My own DAN doc and many others that I know of regularly prescribe magnesium

citrate for regulation issues over anything else, at different dosage levels

- depending on the usage it is needed for. Some will prescribe 600mg three

times a day or more often for cleanouts, for example. You would use that

dosage of mag citrate for the same reason you would use a Fleet enema.

For most of those who are GFCF, lactose and whey are also out, in spite of

the fact that neither one of those dairy components are casein.

Rima Regas

On 4/20/06, Popplewell <JPopplewell@...> wrote:

>

> Actually, lactulose contains no casein, but does have two or three

> percent lactose, so it is neither galactose nor glucose free. The

> ammonia lowering effect of lactulose is partly due to its laxative

> properties, but it is also due to acidification of the stool, converting

> ammonia to ammonium ion, and probably also due to an effect on bowel

> flora, reducing bacterial ammonia production. If a GF/CF agent is

> necessary, one could try either neomycin or metronidazole, but there are

> risks associated with these as well. Magnesium citrate is a powerful

> laxative but effective for occasional use; it can draw a lot of water

> into the colon and should be used with lots of water. Milk of magnesia

> is probably gentler and more suitable for repeated use. Limiting

> protein intake can also be helpful in reducing ammonia levels.

>

> Jim

>

> ________________________________

>

> From:

> [mailto: ] On Behalf Of Rima Regas

> Sent: Thursday, April 20, 2006 2:01 PM

>

> Subject: Re: [ ] lactulose

>

>

> Lactulose is a product that is normally prescribed to people who have

> constipation issues. It is derived from lactose and therefore NOT on the

> casein-free diet. If you are looking for a way to deal with

> constipation, you should look at Magnesium Citrate.

>

>

> --

> Rima Regas

> Mom to Leah, age 8 (AS, DSI and APD)

> http://www.sensoryintegrationhelp.com

>

>

[Guest guest]

When used to treat high ammonia levels, lactulose is usually given at a

dose of 30 or 40 grams a day, continued for months or years. The

ammonia is usually the result of liver disease or sometimes due to

valproic acid therapy, so the therapy has to be continued for as long as

the condition persists.

Jim

________________________________

From:

[mailto: ] On Behalf Of TwoTonks@...

Sent: Thursday, April 20, 2006 2:56 PM

Subject: Re: [ ] lactulose

For what it's worth, my son was put on Lactulose for constipation and

promptly went nine days without a bowel movement. I surely don't

recommend it for

constipation!

Debbie

[Guest guest]

Hi, Jo Lynne I have no idea what all those words and letters people whstand for. When you feel up to it can you let all of us unknowing at they all mean. I am sorry to say but it is true, But for the grace of GOD there go I. Please keep on keeping on and LOVE YOURSELF LOVELY For you have brought rays of sunshine into my life and I have to think you for that. I am puting this into my on words. Sometimes we hear from God and Angles in the most unusual ways and times. LMay

From: Jo Lynne <jolynne4@...>Subject: Lactulose"Jo Lynne" <jolynne4@...>Date: Friday, October 24, 2008, 1:56 AM

I am 13 1/2 yrs Post Transplant - PBC & AIH has come back.

My ammonia level is very HIGH and with gastro paresis the

lactulose is making me very sick (throwing up). When I

first started on it earlier this year and it sure does not

do what I remember from the last time, it took six days

to have a BM. So do any of you know what else to do

for the ammonia? I live alone and it is to scary with

my ammonia level.

Thanks in Advance.

Jo Lynne

[Guest guest]

Hi, Jo Lynne I have no idea what all those words and letters people whstand for. When you feel up to it can you let all of us unknowing at they all mean. I am sorry to say but it is true, But for the grace of GOD there go I. Please keep on keeping on and LOVE YOURSELF LOVELY For you have brought rays of sunshine into my life and I have to think you for that. I am puting this into my on words. Sometimes we hear from God and Angles in the most unusual ways and times. LMay

From: Jo Lynne <jolynne4@...>Subject: Lactulose"Jo Lynne" <jolynne4@...>Date: Friday, October 24, 2008, 1:56 AM

I am 13 1/2 yrs Post Transplant - PBC & AIH has come back.

My ammonia level is very HIGH and with gastro paresis the

lactulose is making me very sick (throwing up). When I

first started on it earlier this year and it sure does not

do what I remember from the last time, it took six days

to have a BM. So do any of you know what else to do

for the ammonia? I live alone and it is to scary with

my ammonia level.

Thanks in Advance.

Jo Lynne