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Osmotic laxative effects are also produced by the polyhydric alcohols, mannitol and sorbitol, which unlike glucose cannot be transported through the intestinal mucosa, as well as by the nonhydrolyzable disaccharide, lactulose. Fermentation of lactulose by colon bacteria results in acidification of bowel contents and microfloral damage.
The drug does not cross the blood-brain barrier. Adverse effects. Cardiovascular crises are a possible risk: emotional stress of the patient may cause sympathoadrenal activation with epinephrine release. |
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