Normaze for children: instructions for use

If a child has difficulty with bowel movements, laxatives may be prescribed. One such drug approved in childhood is Normaze. How does this medicine affect the child’s body when it is used and in what cases is contraindicated for children?

The drug is presented in pharmacies only one form - syrup. This is a medium thick transparent liquid, which is either without any shade or brownish-yellow. One bottle of dark glass contains 200 ml of syrup. The medicine package includes a plastic measuring cup.On which there are divisions from 5 to 30 ml.

Normase is a solution of lactulose, and if you count its active substance on pure lactulose, it turns out that in 100 ml of syrup contains 66.7 g of this ingredient. In the manufacture of the drug, citric acid and purified water are added to lactulose., and for a pleasant taste and aroma in the medicine there is a creamy flavoring.

Admission Normaze affects the composition of the flora in the colon (the drug is a prebiotic). The result of this effect will be an increase in the number of lactobacilli and bifidobacteria, which not only suppresses the vital activity of Escherichia coli and other potentially dangerous microbes, but also increases the acidity of the contents of the large intestine, and also activates the peristalsis of this part of the digestive system. At the same time, the drug helps to increase the amount of fecal masses and soften them.

The positive effect of medication for hepatic coma, precoma or encephalopathy is also due to the influence of lactulose on acidophilic bacteria.

Due to the growth of their number, proteolytic bacteria are suppressed, and acidification of the feces promotes the formation of ionic forms of ammonia and a decrease in pH in the intestinal lumen.

In addition, due to the growth of microorganisms that use ammonia in their metabolic processes, toxic nitrogen-containing substances in the body are reduced.

Once in the stomach, the syrup is almost unchanged and not absorbed., and in its original form enters the colon. There, the drug is broken down by bacteria and, when used at a dosage of less than 40-75 ml, is fully metabolized.

Normase is most often prescribed for constipation in order to adjust the physiological rhythm of bowel movements. The drug is also used in children with dysbiosis and give with salmonellosis. In addition, syrup is used in cases where it is important to soften the stool (with hemorrhoids, injuries in the anus, and in similar situations).

This remedy is also prescribed for hepatic encephalopathy in order to prevent the precommon and coma, as well as to treat these complications.

No age restrictions for Normaz are indicated in the annotations to the syrup, but it is permissible to give such a medicine to a child of any age only after a doctor's prescription.

Syrup should not be given to children:

• with hypersensitivity to lactulose or another medication ingredient;
• with lactose intolerance or galactose;
• with intestinal obstruction;
• with galactosemia;
• with lactase deficiency;
• with malabsorption of glucose and galactose;
• with suspected appendicitis.

If the patient has rectal bleeding, diabetes mellitus, ileostomy, hepatic coma or colostomy, Normase should be given under the supervision of a physician.

In many patients, in the first days of using Normase, flatulence appears, but the condition soon normalizes without the need to discontinue the medication.

In some children, medication causes vomiting, abdominal pain, or nausea.

• Normase is often taken orally undiluted, but the syrup can be drunk and diluted (diluted with water, milk or other liquid).
• For exact dosing of syrup it is necessary to use a measuring glass.
• A single dose of medication should be swallowed immediately (no need to hold the medication in the mouth).
• The daily dosage of the drug is selected individually, especially in children. For babies, it is up to 5 ml, for babies 1-6 years old - from 5 to 10 ml, for patients of 7-14 years old - 15 ml, and for adolescents over 14 years old the medication is given per day in an amount from 15 to 45 ml.
• A child’s prescribed daily dose can be taken all at once (1 time per day), but if necessary it is divided into two doses.

• Depending on the reaction of the organism of the small patient to treatment (it is evaluated after 2-3 days from the start of Normaze administration), the initial dose is either increased, left unchanged, or reduced.
• If the syrup is administered once a day, it should be taken at approximately the same time (for example, after breakfast or at night).
• Medication is usually long, and the duration of the course depends on the reason for prescribing the syrup and ranges from 1 to 4 months.
• Additionally, the child should be given enough fluid to maintain the laxative effect of the medication.
• If the drug is prescribed for encephalopathy or hepatic coma, its dosage and frequency of administration are determined individually.

If the child drinks the syrup too much, it will lead to loose stools and abdominal pain. Usually, overdose treatment is not required, but in cases where diarrhea has led to an imbalance of water and electrolytes, this problem must be eliminated with rehydration solutions and other drugs.

To buy Normaz in a pharmacy, you do not need to take a prescription from a doctor, and the average price for one bottle is 260 rubles.

Shelf life of the drug - 3 years.

On the use of Normase in children, parents respond mostly well. They note that the effect of the syrup is mild and fairly rapid, and side effects develop very rarely. According to moms, the taste of the medicine is pleasant and most children drink it without problems.

The replacement of Normase may be another medication containing lactulose:

• Duphalac;
• Portalak;
• Good luck;
• Romfalak;

All of them are represented by syrup in bottles of different sizes, and Goodluck is also produced in portion packs.

In addition to these remedies, children with constipation may be given other drugs with a laxative effect, for example:

• Drops Guttalakscontaining sodium picosulfate. This medicine stimulates bowel movement naturally and is allowed from 2 years of age. It is also available in tablets that can be given from 4 years.
• Forlax Powderwhose main component is macrogol. From the contents of the bag prepare a solution approved in pediatrics from the age of six months. Such a drug has a physiological effect and there is no addiction to it.
• Candles Glitselaks based on glycerol. They reflexly activate intestinal motility and especially for children are produced in a dose of 0.75 g per 1 suppository. They are used in patients older than 3 months.

For information on when and how to apply normase in children, see the following video.