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Mankind Pharma Pvt Ltd

Totalax NF Syrup 200ml

Constipation
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    Introduction About TOTALAX NF SYRUP

    TOTALAX NF SYRUP is a gentle osmotic laxative used for the effective relief of chronic and occasional constipation. It contains an active ingredient called Lactitol which works by drawing water into the intestines, softening stools, and promoting regular bowel movements without causing dependency. Additionally, Lactitol acts as a prebiotic, encouraging the growth of beneficial gut bacteria, which helps improve overall digestive health.

    Unlike stimulant laxatives, Lactitol works naturally and gradually, making it a preferred choice for long-term constipation management.

    TOTALAX NF SYRUP is suitable for adults, children, and elderly patients, with dosage adjustments based on age and severity of constipation. It is also a low-calorie sugar alternative, making it a safe option for diabetic patients under medical guidance. Lactitol is well tolerated, though mild side effects like bloating, gas, and abdominal cramps may occur in some individuals, which usually subside as the body adjusts.

    This laxative is often recommended for patients with hemorrhoids, post-surgical constipation, and conditions requiring softer stools. It does not cause sudden urgency, allowing for comfortable relief. However, it should be used with adequate water intake to prevent dehydration. Always consult a doctor before using TOTALAX NF SYRUP, especially if you have underlying health conditions like diabetes or gastrointestinal disorders.

    Uses Of TOTALAX NF SYRUP

    • Chronic Constipation
    • Reduces the progression of hepatic encephalopathy by inhibiting ammonia production and absorption in the gut

    Benefits of TOTALAX NF SYRUP

    Lactitol is a gentle and effective osmotic laxative that helps relieve constipation and supports digestive health.

    Key Benefits:

    • Relieves Constipation Naturally – Softens stools and makes bowel movements easier without causing sudden urgency.
    • Gentle on the Stomach – Works without irritating the intestines, making it safe for regular use.
    • Prebiotic Effect – Promotes the growth of good gut bacteria, improving digestion and overall gut health.
    • Non-Habit Forming – Can be used for long-term constipation management under medical supervision.
    • Safe for All Ages – Suitable for children, adults, and the elderly when used as directed by a doctor.
    • Minimal Side Effects – Generally well tolerated with mild bloating or gas in some cases.

    How TOTALAX NF SYRUP Works

    TOTALAX NF SYRUP is a gentle laxative that contains an active ingredient called Lactitol which helps relieve constipation by making stools softer and easier to pass. It works by drawing water into the intestines, which helps in smooth bowel movements without causing sudden urgency.

    Once taken, Lactitol reaches the colon without being absorbed by the body. In the intestine, good bacteria break it down, producing substances that increase water content in the stool. This makes passing stools more comfortable and natural.

    Lactitol also supports gut health by promoting the growth of good bacteria, which can improve digestion. In people with liver conditions, it helps remove excess ammonia from the body, preventing complications.

    How to use TOTALAX NF SYRUP

    How to Take TOTALAX NF SYRUP?

    Lactitol 10mg solution should be taken as directed by your doctor for effective relief from constipation. It is usually taken once daily, preferably with or after food, to improve absorption and minimize stomach discomfort.

    Recommended Dosage:

    • Adults: Typically, 10–20g per day, adjusted based on response.
    • Children: Dosage is based on age and weight; consult a doctor for proper guidance.
    • Elderly: Safe when used as prescribed by a doctor.

    TOTALAX NF SYRUP – Usage Instruction:

    • Measure the recommended dose using the provided measuring cup.
    • Can be taken directly or mixed with water, juice, or food.
    • Drink plenty of fluids throughout the day for better results.

    What if I forgot to take TOTALAX NF SYRUP

    • If you forget a dose, take it as soon as you remember.
    • If it’s close to your next dose, skip the missed dose—do not double up.

    Overdose

    Taking too much of TOTALAX NF SYRUP can cause excessive diarrhea, bloating, dehydration, or electrolyte imbalance. Therefore, do not exceed the recommended dosages per day and consult your doctor if any of these side effects trouble you.

    Side Effects Of TOTALAX NF SYRUP

    Like all medicines, TOTALAX NF SYRUP may cause certain side effects in some individuals, although not everybody gets them.

    Common Side Effects of TOTALAX NF SYRUP:

    • Upper respiratory tract infections
    • Flatulence
    • Diarrhea
    • Increased blood pressure
    • Abdominal distention

    How To Manage Side Effects

    Bloating

    • Start with a Low Dose: Begin with a smaller dose and gradually increase as your body adjusts.
    • Take with Meals: Consuming Lactitol with food can slow fermentation in the gut, reducing gas production.
    • Increase Water Intake: Drinking plenty of fluids helps move the stool smoothly and reduces bloating.
    • Eat Slowly and Avoid Carbonated Drinks: Swallowing air while eating or drinking fizzy beverages can worsen bloating and gas.
    • Include Probiotic Foods: Yogurt, curd, and fermented foods can promote good gut bacteria, improving digestion.
    • Avoid Gas-Producing Foods: Reduce intake of beans, cabbage, onions, and carbonated drinks while adjusting to Lactitol.
    • Light Physical Activity: Walking after meals can help relieve bloating and improve digestion.

    If gas, bloating, or stomach discomfort becomes severe or persistent, consult your doctor for alternative treatments or dose adjustments.

    Warning & Precautions

    Pregnancy

    Consult your doctor

    It is not known whether the use of lactitol during pregnancy result in fetal exposure. Therefore, TOTALAX NF SYRUP should be used in pregnant women only if it is considered necessary. Inform your doctor before taking this medicine if you are pregnant or think your may be pregnant as a precaution.

    Breastfeeding

    Consult your doctor

    No studies are available on the secretion of lactitol in human or animal breast milk. Therefore, TOTALAX NF SYRUP should be used in breastfeeding mother only if it is considered necessary.

    Driving and Using Machines

    Safe

    TOTALAX NF SYRUP does not affect your ability to drive or handle heavy machinery

    Use In Pediatrics

    Consult your doctor

    The safety and effectiveness of Lactitol solution is not well understood in children. Therefore, TOTALAX NF SYRUP should be used in child only if prescribed by the physician.

    Use In Geriatrics

    Use with Caution

    TOTALAX NF SYRUP should be used with caution in elderly patients. In case of chronic therapy, regular fluid and electrolyte balance and general well-being should be monitored as a safety measure.

    Who should not take [GBNKEYWORD

    TOTALAX NF SYRUP is not suitable for use in patients with:

    • undiagnosed abdominal pain, colic, bleeding or vomiting
    • intestinal obstruction, ileostomy, colostomy, appendicitis or diverticulitis
    • galactosemia (disease which impairs the body's ability to process and produce energy from a sugar called galactose)
    • allergic or hypersensitive to the drug

    Drug - Drug interaction

    Lactitol is generally well tolerated, but it may interact with certain medications, affecting their absorption or effectiveness.

    1. Antacids (Containing Magnesium or Aluminum)

    • Effect: May reduce the laxative effect of Lactitol.
    • Advice: Avoid taking them together; space doses apart by at least 2 hours.

    2. Antibiotics (e.g., Amoxicillin, Ciprofloxacin, Tetracyclines)

    • Effect: May alter gut bacteria, reducing Lactitol’s prebiotic benefits.
    • Advice: Consult your doctor before using Lactitol with antibiotics.

    3. Other Laxatives (e.g., Bisacodyl, Senna, Polyethylene Glycol)

    • Effect: Increased risk of diarrhea and dehydration.
    • Advice: Use only under medical supervision if combining laxatives.

    4. Diuretics (e.g., Furosemide, Hydrochlorothiazide)

    • Effect: May cause excessive water loss and electrolyte imbalance.
    • Advice: Monitor hydration levels and electrolyte balance.

    5. Anti-Diabetic Medications (e.g., Metformin, Insulin, Glimepiride)

    • Effect: May affect blood sugar levels due to Lactitol’s mild sugar-like properties.
    • Advice: Regularly monitor blood sugar if you have diabetes.

    FAQs About TOTALAX NF SYRUP

    Q: What is TOTALAX NF SYRUP used for?

    A: TOTALAX NF SYRUP is primarily used as a laxative to relieve constipation by softening stools and promoting regular bowel movements. It also acts as a prebiotic, supporting the growth of beneficial gut bacteria, which improves digestive health.

    Q: Is TOTALAX NF SYRUP good for constipation relief?

    A: Yes, TOTALAX NF SYRUP is an effective and gentle osmotic laxative that helps draw water into the intestines, softening stools and making them easier to pass. It provides natural relief without causing sudden urgency or dependency.

    Q: How does TOTALAX NF SYRUP improve gut health?

    A: TOTALAX NF SYRUP works as a prebiotic, stimulating the growth of good gut bacteria like Bifidobacteria and Lactobacilli. This helps improve digestion, enhances nutrient absorption, and promotes overall gut health while preventing bloating and indigestion.

    Q: Does TOTALAX NF SYRUP help with IBS-related constipation?

    A: Yes, TOTALAX NF SYRUP can be beneficial for IBS-related constipation as it helps regulate bowel movements without irritating the intestines. However, it should be used under a doctor’s guidance, as IBS symptoms can vary among individuals.

    Q: Can TOTALAX NF SYRUP be used for long-term constipation management?

    A: TOTALAX NF SYRUP is non-habit forming and can be used for long-term constipation relief under medical supervision. Since it works naturally by increasing water content in the intestines, it is considered safe for regular use.

    Q: How to take TOTALAX NF SYRUP?

    A: TOTALAX NF SYRUP should be taken as directed by a doctor. It is usually consumed once daily, preferably after meals, mixed with water, juice, or food. Drink plenty of fluids while using TOTALAX NF SYRUP for better effectiveness.

    Q: Can children take TOTALAX NF SYRUP?

    A: Yes, TOTALAX NF SYRUP is safe for children, but the dosage should be adjusted based on age and weight. Always consult a pediatrician before giving TOTALAX NF SYRUP to children.

    Q: Can TOTALAX NF SYRUP be mixed with water or juice?

    A: Yes, TOTALAX NF SYRUP can be taken directly or mixed with water, juice, milk, or food for easier consumption.

    Q: What should I do in case of TOTALAX NF SYRUP overdose?

    A: In case of an overdose, excessive diarrhea, bloating, or dehydration may occur. Drink plenty of fluids and seek medical help if symptoms persist or become severe.

    Q: What are the common side effects of TOTALAX NF SYRUP?

    A: TOTALAX NF SYRUP is generally well tolerated, but some mild side effects may include bloating, flatulence, abdominal cramps and diarrhea. These side effects usually go away as the body adjusts to the medication.

    Q: Does TOTALAX NF SYRUP cause bloating or gas?

    A: Yes, some people may experience bloating and gas when they start using TOTALAX NF SYRUP. This happens because TOTALAX NF SYRUP is fermented by gut bacteria. Starting with a lower dose and drinking plenty of fluids can help minimize this effect.

    Q: Can TOTALAX NF SYRUP cause diarrhea?

    A: Yes, taking high doses of TOTALAX NF SYRUP can cause diarrhea. If diarrhea occurs, reduce the dose or consult a doctor.

    Q: Is TOTALAX NF SYRUP safe for pregnant or breastfeeding women?

    A: There is no proper information available regarding the use of Lactitol in pregnant women. Therefore, TOTALAX NF SYRUP should be used only under medical supervision to ensure safety for both the mother and baby.

    Q: Does TOTALAX NF SYRUP interact with antibiotics?

    A: Yes, some antibiotics (like Amoxicillin, Ciprofloxacin, and Tetracyclines) may reduce the prebiotic effect of TOTALAX NF SYRUP by altering gut bacteria. If taking both, consult a doctor for proper guidance.

    Q: Can diabetic patients take TOTALAX NF SYRUP?

    A: TOTALAX NF SYRUP has a low glycemic index and is considered safe for diabetics, but it should be taken under medical supervision to monitor blood sugar levels if consumed in high doses.

    References

    1. Lactitol For Oral Solution. U.S. Food and Drug Administration. Prescribing Information. [Revised in February 2020]. [Accessed on 3rd April 2025].

    Author Details

    Written By Srilekha. R - B.Pharm
    Reviewed For Accuracy By Dr. Vrushabhakumar Jitendra Shah. - MBBS
    Last updated on 03 Apr 2025 | 02:58 PM(IST)
    Lab updated