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. Actual Syrup may be taken with or without food.

- Alcohol : CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Actual Syrup. Please consult your doctor. | - Pregnancy : CONSULT YOUR DOCTOR

The safety of Actual Syrup during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing. | - Breast feeding : CAUTION

Actual Syrup should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from the body. | - Driving : SAFE

Actual Syrup does not usually affect your ability to drive. | - Kidney : CONSULT YOUR DOCTOR

There is limited data available on the use of Actual Syrup in patients with kidney disease. Please consult your doctor. | - Liver : SAFE IF PRESCRIBED

Actual Syrup is safe to use in patients with liver disease. No dose adjustment is recommended.

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

How should Actual Syrup be taken?::: You should take the prescribed amount in the measuring cup or spoon that is provided with the medicine. You can take it with water or fruit juice if you find it very sweet. Drink plenty of water for better results. Swallow it as soon as you keep it in mouth to prevent tooth decay which can occur if you take it for a longer time.| How long does it take for Actual Syrup to work?::: It takes about 2-3 days to see the benefits of the treatment. Talk to your doctor if you feel constipated even after 3 days of taking Actual Syrup.| What is Actual Syrup used for?::: Actual Syrup is used to treat constipation which is presented as infrequent bowel movements, hard and dry stools. It is also used in patients with hepatic encephalopathy which is a serious liver problem causing confusion, tremors and decreased level of consciousness.| Is Actual Syrup a laxative?::: Yes, Actual Syrup is a laxative which softens the stools by pulling in water from the body to the large intestine. It is also used to reduce the amount of ammonia in the blood of patients with liver disease.| What are the side effects of taking Actual Syrup?::: Actual Syrup very commonly causes diarrhea, flatulence, nausea, vomiting and abdominal pain. Diarrhea and abdominal pain occur due to a high dose. In such cases, the dose should be reduced. Flatulence may occur during the first few days of treatment and may disappear after sometime. This medicine may also cause electrolyte imbalance. However, this is an uncommon side effect.| Is it okay to take Actual Syrup every day?::: You should take Actual Syrup for as long as advised by your doctor. You may also take it for as long as constipation lasts, which may be up to a week. For hepatic encephalopathy, the treatment may be longer, even several months.| Who should not be given Actual Syrup?::: Actual Syrup should not be given to patients who are allergic to it or are intolerant to lactose (cannot process lactose). It should also be avoided in patients having galactosemia, a rare health problem where the body cannot process galactose.| Can I take other laxatives along with Actual Syrup?::: Usually, one laxative is sufficient to relieve constipation. In case you need more, your doctor may advise you to take one more laxative along with Actual Syrup. The risk of side effects is more with two laxatives.| What if I take more than the recommended dose of Actual Syrup?::: Taking more than the recommended dose of Actual Syrup may cause abdominal pain, electrolyte imbalance and diarrhea, which may last for a couple of days.

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

-Acenocoumarol (Oral Route): Moderate

Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine). Lactulose may increase the effect of Acenocoumarol.

| -Warfarin (Oral Route): Moderate

Inform your doctor if you notice any signs of bleeding (bruising, bleeding gums, blood in stool/vomit/urine). Lactulose may increase the effect of Warfarin.

| -Mesalazine (Oral Route): Mild

Talk to your doctor if you notice any unusual symptoms.Doctor may monitor your blood sugar level. Lactulose may reduce blood levels and efficacy of the active form of Mesalazine.

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