Side effects
At medium dosage, slight abdominal pain and flatulence are possible. If higher dosages are used, nausea, vomiting and diarrhoea with disturbances of the water and electrolyte balance (the body loses vital salts through diarrhoea) can occur. Long-term use of Bifiteral® leads to thin stools and can have the side effects mentioned above, including water and electrolyte disorders. In the event of the above-mentioned disorders, a doctor should be consulted, as treatment with medication may be necessary.
Interactions
With an increased number of bowel movements and the increased loss of fluid and potassium, the effect of cardiac glycosides (drugs used for cardiac insufficiency and atrial fibrillation) may be increased. Taking diuretic drugs (diuretics) may increase the loss of potassium. Diabetics must note that Bifiteral® also contains a small amount of carbohydrates that can be absorbed. If necessary, the insulin medication must be adjusted according to the amount of Bifiteral® taken.
Contraindications
- Inflammations of the gastrointestinal tract
- Intestinal obstruction (ileus)
- Lactulose incompatibility
- Galactose intolerance
- Fructose intolerance
- Disturbances in electrolyte and water balance (presence of disturbances in potassium, sodium and other salt concentrations)