Chronulac (lactulose) is a medication used to treat chronic constipation. It works by increasing the water content and volume of stool, making it easier to pass. In this article, we will cover the uses, dosage, demographic, side effects, interactions, and generic options of Chronulac. Uses: Chronulac is primarily used to treat chronic constipation in adults. It is also used to treat encephalopathy (a condition that causes confusion, decreased alertness, and other mental changes) caused by liver disease. Chronic constipation is a common condition that affects millions of people worldwide, and Chronulac is an effective way of treating it. Dosage: The recommended starting dose of Chronulac is 15-30 mL (1-2 tablespoons) of syrup, once a day before bedtime. The dosage can be increased gradually until the desired effect is achieved. The maximum daily dose should not exceed 60 mL (4 tablespoons). Chronulac should be taken with water or juice and should not be mixed with milk or carbonated drinks. Demographic: Chronulac is generally safe for adults and children over the age of 6. However, it should be used with caution in patients who have diabetes or who are on a low-sugar diet due to its high sugar content. It should also be avoided in patients who have a history of galactosemia (a rare genetic disorder in which the body is unable to metabolize galactose). Side Effects: The most common side effects of Chronulac include stomach pain, bloating, flatulence, and diarrhea. These side effects are usually mild and go away on their own. However, if they persist or worsen, you should consult your doctor. In rare cases, Chronulac can cause severe diarrhea, dehydration, electrolyte imbalance, or hypoglycemia (low blood sugar). Interactions: Chronulac can interact with certain medications and supplements, including antacids, antibiotics, and laxatives. It can also interfere with the absorption of some medications, such as tetracyclines and warfarin. Therefore, it is important to tell your doctor about all the medications and supplements you are taking before starting Chronulac. Generic Options: Lactulose is the generic name for Chronulac. It is available under several brand names, including Generlac, Constulose, and Enulose. The cost of generic lactulose is usually lower than the brand-name versions, making it a more cost-effective option for patients. In conclusion, Chronulac is a safe and effective medication for treating chronic constipation and encephalopathy caused by liver disease. It is generally well-tolerated and has few side effects. It is important to follow the recommended dosage and to consult your doctor if you experience any side effects or if your condition does not improve. There are also generic options available for Chronulac, which can be a more affordable option for patients.