Totalax Nf 66.67%W/V Syp belongs to the group of medicines called laxatives used to treat constipation. Additionally, Totalax Nf 66.67%W/V Syp is also used to prevent hepatic encephalopathy (decrease in brain function due to liver disease). Constipation refers to infrequent bowel movements in which the stools are often dry, painful and hard to pass. Hepatic encephalopathy is a liver disease in which the liver does not remove the toxins from the body, which leads to loss of brain function.

Totalax Nf 66.67%W/V Syp contains Lactitol a disaccharide sugar that breaks down into low-molecular-weight organic acids in the colon, increasing the osmotic pressure. This causes an increase in water content in stools, and stool volume, thereby makes the stool softer and more comfortable to pass and provides relief from constipation. In patients with hepatic encephalopathy, lactitol lowers the colon pH, thereby suppresses the absorption of unionized ammonia and other toxins. It also enhances nitrogen excretion through faeces.

You are advised to take Totalax Nf 66.67%W/V Syp for as long as your doctor has prescribed it for you depending on your medical conditions. In some cases, you may experience certain common side-effects such as abdominal distension, cramps, and flatulence (gas). Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.

To treat your condition effectually, continue taking Totalax Nf 66.67%W/V Syp for as long as your doctor has prescribed. Drink plenty of fluids (at least 6-8 glasses) while taking Totalax Nf 66.67%W/V Syp . Consult your doctor before taking Totalax Nf 66.67%W/V Syp if you are pregnant or breastfeeding, your doctor will prescribe you Totalax Nf 66.67%W/V Syp only if the benefits outweigh the risks. Inform your doctor if there is no bowel movement or if you find rectal bleeding after taking Totalax Nf 66.67%W/V Syp . Do not take Totalax Nf 66.67%W/V Syp for more than a week as it might cause dependency on Totalax Nf 66.67%W/V Syp for a bowel movement. 

Totalax Nf 66.67%W/V Syp belongs to the group of medicines called laxatives used to treat constipation. Additionally, Totalax Nf 66.67%W/V Syp is also used to prevent hepatic encephalopathy (decrease in brain function due to liver disease). Totalax Nf 66.67%W/V Syp contains Lactitol (laxative). Lactitol is a disaccharide sugar. It works by breaking down into low-molecular-weight organic acids in the colon, which increases the osmotic pressure. This causes an increase in water content in stools, and stool volume, thereby makes the stool softer and more comfortable to pass and provides relief from constipation. In patients with hepatic encephalopathy, lactitol lowers the colon pH, thereby suppresses the absorption of unionized ammonia and other toxins. It also enhances nitrogen excretion through feces. 

• Flatulence (wind)
• Abdominal pain
• Abdominal cramps
• Indigestion
• Dehydration

Do not take Totalax Nf 66.67%W/V Syp if you are allergic to any of its contents. Consult your doctor before taking Totalax Nf 66.67%W/V Syp if you are pregnant or breastfeeding; your doctor will prescribe you Totalax Nf 66.67%W/V Syp only if the benefits outweigh the risks. Do not take Totalax Nf 66.67%W/V Syp in case of ileostomy or colostomy. Regularly monitor serum electrolytes, blood lactose, and blood glucose levels while taking Totalax Nf 66.67%W/V Syp . Talk to your doctor if there is no bowel movement or if you find rectal bleeding after taking Totalax Nf 66.67%W/V Syp . Do not take Totalax Nf 66.67%W/V Syp if you have galactosemia (galactose indigestion disorder), intestinal obstruction, unexplained abdominal pain, or bleeding. Inform your doctor if you have diabetes, or if you have to undergo a colonoscopy. Do not take Totalax Nf 66.67%W/V Syp for more than a week as it may cause dependency on Totalax Nf 66.67%W/V Syp for a bowel movement. 

Drug-Drug Interaction: Totalax Nf 66.67%W/V Syp may have interaction with an antibiotic (neomycin), cardiac glycoside (digitalis), a drug used to treat ulcers (carbenoxolone), anti-fungal (amphotericin B), corticosteroids, and thiazide diuretics.

Drug-Food Interaction: No interactions found/established.

Drug-Disease Interaction: Totalax Nf 66.67%W/V Syp may have interactions with irritable bowel syndrome, intestinal obstruction disorder, diabetes, and galactosemia (galactose indigestion disorder).

• NEOMYCIN
• DIGITALIS
• CARBENOXOLONE
• AMPHOTERICIN B

• Try maintaining a balanced diet which includes fresh fruits and vegetables.
• Stay hydrated, drink enough water and fluids.
• Exercise regularly, and stay fit.
• Get enough sleep.
• Trying making time to empty your bowels whenever the body tells you to.
• Eat food rich in fibre such as whole-wheat bread, oatmeal, flaxseed, nuts, beans, lentils, fruits (berries, apples, oranges, bananas, pears, figs) and vegetables (broccoli, spinach, sweet potatoes, avocados).

Maintain adequate fluid intake while taking Totalax Nf 66.67%W/V Syp .

Constipation: It refers to infrequent bowel movements. The stools are often dry, painful, and hard to pass. Constipation is a condition in which the person has fewer than three bowel movements in a week. However, bowel patterns may vary from person to person. Symptoms include bloating, abdominal pain, and feeling as if the bowel movement is incomplete. Constipation occurs when the normal muscle contractions in the large intestine slow down, which causes the incomplete elimination of the bowel from the body. Constipation could be associated with a sudden change of diet, a diet with less fiber, not drinking enough liquids, lack of exercise, loss of tone of the bowel muscles in older people, or staying in bed for a longer duration. 

Liver encephalopathy: It is a liver disease in which the liver does not remove the toxins from the body, which leads to loss of brain function.