Eva Q Syp 450 Ml

EVA Q SYP 450 ML

EVA Q SYP 450 ML, manufactured by MEDLEY PHARMACEUTICALS LTD., is an oral syrup primarily used as a laxative to relieve constipation and for the management and prevention of hepatic encephalopathy.

Composition

The syrup contains:

• Lactitol Monohydrate: 10.00 gm/10 ml (also listed as 66.67% w/v or 3.33 gm in 450ml).
• Benzoic Acid: 0.0075 gm (acts as a preservative).

Uses

EVA Q Syrup is prescribed for the following conditions:

• Constipation: It effectively relieves infrequent bowel movements, hard, and dry stools by drawing water into the intestine, softening the stool, and promoting bowel movements.
• Hepatic Encephalopathy: It is also used in the treatment and prevention of hepatic encephalopathy, a serious liver condition causing decreased brain function due to the accumulation of toxins like ammonia. Lactitol helps lower ammonia levels in the blood and aids in their excretion.

Dosage and Administration

• Take EVA Q Syrup as directed by your physician.
• It is usually taken once or twice a day, with or without food. Some sources recommend taking it with meals.
• Measure the prescribed amount accurately using the provided measuring cup or spoon. Do not use regular household spoons.
• Shake the bottle well before each use.
• The usual recommended adult dosage for constipation is about 15-30 ml per day, which may be increased to 60 ml per day if no adverse reactions are observed, under medical supervision.
• It may take at least 48 hours (2-3 days) to see the benefits of the treatment for constipation.

Side Effects

Common side effects may include:

• Diarrhea
• Bloating
• Abdominal discomfort/pain/cramps
• Flatulence (gas)
• Nausea or vomiting

Serious side effects, though less common, can include:

• Severe stomach pain
• Allergic reactions (rash, itching, swelling)
• Electrolyte imbalance (e.g., low potassium and sodium levels), especially with long-term use.

If severe or persistent side effects occur, consult your doctor.

Precautions

• Pregnancy and Breastfeeding: Use with caution during pregnancy and breastfeeding. Consult your doctor before use, as definite evidence of risk to the baby exists for pregnancy, and it's unknown if it passes into breast milk.
• Diabetes: Use with caution in diabetic patients as Lactitol Monohydrate may affect blood sugar levels. Blood glucose levels should be monitored closely.
• Galactosemia/Fructose Intolerance: Not recommended for patients with galactosemia or fructose intolerance.
• Intestinal Obstruction: Do not take if you have intestinal obstruction, unexplained abdominal pain, or bleeding.
• Long-term Use: EVA Q Syrup is generally for short-term relief of constipation. Prolonged use should be under medical supervision to prevent dependency. Your doctor may advise occasional blood tests to check mineral levels if used long-term.
• Other Medications: Inform your doctor about all medications you are taking as certain drugs may interact with Lactitol Monohydrate, including antacids, neomycin, amphotericin B, chlorthalidone, and corticosteroids. Avoid taking other laxatives simultaneously unless advised by your doctor.
• Children and Elderly: Use with caution in elderly patients and under medical supervision in children. The right dose for children depends on age, body weight, and condition.
• Liver/Kidney Disease: Limited information is available, consult your doctor if you have kidney or liver impairment.
• Hydration: Drink plenty of fluids (at least 6-8 glasses) while taking EVA Q Syrup.
• Overdose: Overdose can lead to excessive diarrhea and dehydration. Consult a doctor immediately if an overdose is suspected.

Storage

• Store at room temperature (below 25°C).
• Protect from light and moisture.
• Keep out of the sight and reach of children.

Here are the most frequently asked questions about EVA Q SYP 450 ML:

What is Eva Q Syrup used for?

Eva Q Syrup is primarily used to treat constipation, which involves infrequent bowel movements and hard, dry stools. It is also prescribed for the prevention and management of hepatic encephalopathy, a serious liver condition that can lead to confusion, tremors, and decreased consciousness due to the buildup of toxins like ammonia in the blood.

How does Eva Q Syrup work?

Eva Q Syrup contains two main ingredients: Lactitol and Benzoic acid. Lactitol is an osmotic laxative that works by drawing water into the intestine, which helps to soften the stool and increase its volume, making it easier to pass. In cases of hepatic encephalopathy, Lactitol also helps by lowering the pH in the colon, which suppresses the absorption of unionized ammonia and enhances its excretion through feces. Benzoic acid acts as a preservative in the syrup.

What is the usual dosage for Eva Q Syrup?

The dosage of Eva Q Syrup should always be determined by your doctor based on your medical history, age, and condition. For adults, a common recommended dosage for constipation is typically 15-30 ml per day, which may be taken with or without food. It is often advised to take it at bedtime as it may take 6 to 8 hours to show effect. For hepatic encephalopathy, the treatment duration might be longer, possibly several months. It's crucial to measure the prescribed amount using a measuring cup.

What are the possible side effects of Eva Q Syrup?

Common side effects of Eva Q Syrup may include abdominal distension (bloating), flatulence (gas), abdominal pain, stomach cramps, nausea, and vomiting. Diarrhea and abdominal pain can occur, especially with higher doses, and in such cases, the dose should be reduced. Flatulence may be more noticeable during the first few days of treatment and usually subsides. Rarely, more serious side effects like severe diarrhea, severe stomach pain, mood changes, or seizures may occur, requiring immediate medical attention. This medicine may also cause electrolyte imbalance, particularly low potassium and magnesium levels, with prolonged use.

Is Eva Q Syrup safe during pregnancy or breastfeeding?

If you are pregnant or planning to become pregnant, it is crucial to consult your doctor before using Eva Q Syrup. It is generally considered unsafe during pregnancy as there is definite evidence of risk to the developing baby. For breastfeeding women, limited human data suggests the drug may pass into breast milk and potentially harm the baby. Therefore, it is advisable to seek medical advice before taking Eva Q Syrup while breastfeeding, and your doctor will prescribe it only if the benefits outweigh the risks.

Can Eva Q Syrup be taken with other medications?

Eva Q Syrup may interact with certain medications. It is advised to take it at least 2 hours after taking other medicines, as it may interfere with their absorption. Specific interactions have been noted with medications like Ketoconazole, Azithromycin, Aluminium Hydroxide, Dexamethasone, Senna, certain antibiotics, antifungals (such as neomycin, amphotericin B), antacids, carbenoxolone, chlorthalidone, and corticosteroids. Always inform your doctor about all prescription and non-prescription drugs, as well as herbal supplements you are taking.

What precautions should be taken while using Eva Q Syrup?

Several precautions should be considered:

• Diabetes: Use with caution if you have diabetes, as Lactitol may affect blood sugar levels. Close monitoring of blood glucose is essential.
• Intestinal Obstruction: Do not use Eva Q Syrup if you have a condition causing intestinal blockage or suspected gastrointestinal obstruction, as it may worsen the condition.
• Galactosemia: It is not recommended for patients with galactosemia (inability to break down galactose).
• Hydration: Drink plenty of fluids (at least 6-8 glasses) while taking Eva Q Syrup to maintain hydration and help prevent side effects.
• Long-term Use: Avoid taking Eva Q Syrup for more than a week for constipation unless advised by your doctor, as it may lead to dependency on the syrup for bowel movements.
• Monitoring: Regular monitoring of serum electrolytes, blood lactose, and blood glucose levels may be advised by your doctor, especially with prolonged use.
• Rectal Bleeding/No Bowel Movement: Consult your doctor immediately if there are no signs of bowel movement or if rectal bleeding occurs after taking the syrup.

What happens if a dose of Eva Q Syrup is missed?

If you miss a dose of Eva Q Syrup, take it as soon as you remember. However, if it is almost time for your next scheduled dose, it is recommended to skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should Eva Q Syrup be stored?

Eva Q Syrup should be stored at room temperature, ideally below 25°C or 30°C. It should be protected from light and moisture and kept out of the sight and reach of children.

How long does Eva Q Syrup take to work?

Eva Q Syrup typically takes about 2 to 3 days to show its full benefits for constipation. Some sources suggest it takes at least 48 hours to work. If you are still constipated after three days, you should consult your doctor.