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Gatinar is used in all forms of constipation, especially
-after operations;
-during pregnancy and breastfeeding (after consultation with the doctor);
-in the case of bedridden;
-to treat chronic constipation human small intestine cannot be broken down. It therefore reaches the large intestine unchanged, where it serves as a nutrient for the naturally occurring lactic acid bacteria. This produces acidic breakdown products, mainly lactic acid, which cause the large intestine to become slightly acidic. The putrefactive bacteria are inhibited in their growth and the restoration of the normal intestinal flora is promoted. At the same time, Gatinar and its degradation products have a hydrophilic (osmotic) effect. This will soften the stool and make it easier to empty. Gatinar allows for a natural correction of bowel movements without the risk of habituation or painful irritation. It can also be taken by pregnant women, breastfeeding women and diabetics in the indicated dosages and only after consulting a doctor (see also information below). A few hours after taking Gatinar, infants have soft stools. In adults, the conversion of the intestinal flora takes about 1-2 days.
If you suffer from chronic constipation, we recommend that you consult your doctor. In the event of constipation, you should, if possible, eat fiber-rich food (vegetables, fruit, whole-grain bread) and drink plenty of fluids regularly and exercise (sport).
Note for diabetics: This medicine contains 1.8 g of digestible carbohydrates per single dose (10 ml).
The preparation should not be taken in diseases of the gastrointestinal tract. Gatinar should not be taken if the infant has milk sugar intolerance (lactose intolerance) or a congenital metabolic disease (galactosemia).
Like any laxative, Gatinar can increase potassium losses caused by other medicines (e.g. certain diuretics, corticosteroids, etc.). This is of particular importance in patients treated with drugs that affect the heart (cardiac glycosides, antiarrhythmics). They should therefore only use Gatinar under strict doctor's instructions.
Inform your doctor, pharmacist or druggist, or your doctor, pharmacist or druggist if you suffer from other illnesses, have allergies or are taking other medicines (even those you bought yourself!) or use them externally!
Based on previous experience there is no known risk for the child when used as intended. However, systematic scientific investigations have never been carried out. As a precaution, you should avoid taking medicines during pregnancy and breast-feeding, or ask your doctor or pharmacist for advice.
Infants
Toddlers aged 1-5
Children aged 6-14
Adults
2.5–5 ml daily in a bottle
5–10 ml daily in a drink after a meal
10–15 ml daily in a drink after a meal
15-30 ml daily divided into 3 doses of 5-10 ml in a drink after or during meals.
For the most accurate dosing, use the enclosed measuring cup.
It is highly recommended to use to begin with the low starting dose. Too high an initial dose could lead to increased gas formation and flatulence, as the bacterial metabolism is temporarily stimulated by restoring the normal intestinal flora. This can be avoided by gradually increasing the daily dose to the individual optimal amount. The rebalancing of the intestinal flora makes it possible to reduce the specified dose after 3-4 days, even in cases of chronic constipation. It is also possible to alternate one or more drug-free days over time. If the constipation lasts only for a short time, the drug will of course be discontinued after the stool has returned to normal.
Observe the dosage specified in the package insert or prescribed by the doctor. If you think the medicine is too weak or too strong, talk to your doctor, pharmacist or druggist.
The following side effects can occur when taking Gatinar:
In rare cases, especially at the beginning of treatment, the preparation can cause flatulence or abdominal cramps. With high doses, prolonged or too frequent use, diarrhea with loss of water and disturbances in the mineral balance (including loss of potassium) can occur.
If you notice any side effects that are not described here, you should inform your doctor, pharmacist or druggist.
The medicine may only be used up to the date marked "EXP" on the container.
Your doctor, pharmacist or druggist can provide you with further information. These people have the detailed technical information.
Gatinar should be kept out of the reach of children.
Store at room temperature (15-25°C).
100 ml of Gatinar contain 67 g of lactulose.
Note for diabetics: 10 ml of Gatinar correspond to 0.18 bread units. See the section «What should be considered?».
37585 (Swissmedic).
In pharmacies and drugstores, without a doctor's prescription.
Bottles of 200 ml and 500 ml.
Melisana AG, 8004 Zurich.
This leaflet was last checked by the drug authority (Swissmedic) in June 2013..