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Generlac is a medicine used to prevent and treat worsening of brain function that occurs when the liver is no longer able to remove toxins (such as ammonia) from the blood. Generlac is available as an oral solution.
How does this medication work?
Generlac works by drawing ammonia from the blood into the colon where it is removed from the body.
What are the beneficial effects of this medication and when should I begin to have results?
What: Generlac may reduce blood ammonia levels by 25-50%, thereby improving a person's mental state.
When: Generlac may start working after 24 to 48 hours.
How do I know it is working?
You may notice an improvement in your mental state after you start taking Generlac. This is a good indicator that the medicine is working.
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
More common side effects may include: bloating, gas, bleching, cramps.
Less common side effects may include: nausea, vomiting.
Do not take Generlac if you are allergic to it or any of its ingredients.
Do not take Generlac if you require a low galactose diet.
Tell your healthcare provider about all prescription, over-the-counter, and herbal medication you are taking before beginning treatment with Generlac. Also talk to your healthcare provider about your complete medical history, especially if you are a diabetic or are scheduled to undergo a proctoscopy or colonoscopy.
The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Adults: The usual dose is 2 to 3 tablespoonfuls (30 to 45 milliliters [mL]) three or four times a day. Your healthcare provider may adjust your dose as needed.
Adolescents and older children: The recommended dose 40 to 90 mL a day.
Infants: The recommended starting dose 2.5 to 10 mL a day, given in divided doses.
Take Generlac exactly as prescribed by your healthcare provider. Do not change the dose without first talking to your healthcare provider.
Generlac may darken slightly. This is normal and does not affect the action of the medicine.
Contact your child's healthcare provider if your child experiences diarrhea after he/she takes the first dose of Generlac.
Do not take Generlac if it becomes extremely dark or cloudy after being exposed to high temperatures or direct light for an extended period of time.
If Generlac is taken with certain other drugs, the effects of either could be increased, decreased or altered. It is especially important to check with your healthcare provider before combining Generlac with the following: antacids, antibiotics (such as neomycin), or other laxatives.
The effects of Generlac during pregnancy and breastfeeding are unknown. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
If you miss a dose of Generlac, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.
Store at room temperature.
In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
National Poison Control#: Call 1-800-222-1222
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