LACTULOSE

85/100 · Critical

Manufactured by Actavis Pharma, Inc.

Lactulose Adverse Events: High Seriousness and Diverse Reactions

81,371 FDA adverse event reports analyzed

Last updated: 2026-05-12

About LACTULOSE

LACTULOSE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Actavis Pharma, Inc.. Based on analysis of 81,371 FDA adverse event reports, LACTULOSE has a safety score of 85 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for LACTULOSE include NAUSEA, CONSTIPATION, FALL, VOMITING, FATIGUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for LACTULOSE.

AI Safety Analysis

Lactulose has a safety concern score of 85 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 81,371 adverse event reports for this medication, which is primarily manufactured by Actavis Pharma, Inc..

The most commonly reported adverse events include Nausea, Constipation, Fall. Of classified reports, 88.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of adverse events are serious, with a high percentage of reports involving death and respiratory failure.

A wide range of reactions are reported, including gastrointestinal, neurological, and renal issues. The drug is frequently reported to cause falls and confusion, particularly in elderly patients.

Patients taking Lactulose should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Lactulose can interact with other medications, potentially affecting their efficacy. It is important to inform healthcare providers of all medications being taken. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 85/100

Lactulose received a safety concern score of 85/100 (high concern). This is based on a 88.4% serious event ratio across 37,028 classified reports. The score accounts for 81,371 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

NAUSEA2,527 reports
CONSTIPATION2,497 reports
FALL2,242 reports
VOMITING2,048 reports
FATIGUE2,028 reports
DEATH1,937 reports
DYSPNOEA1,911 reports
DIARRHOEA1,894 reports
PAIN1,713 reports
PNEUMONIA1,689 reports
HYPOTENSION1,536 reports
OFF LABEL USE1,534 reports
CONFUSIONAL STATE1,483 reports
PYREXIA1,395 reports
ASTHENIA1,331 reports
ABDOMINAL PAIN1,268 reports
MALAISE1,238 reports
DIZZINESS1,210 reports
HEADACHE1,207 reports
ACUTE KIDNEY INJURY1,188 reports
ANAEMIA1,147 reports
DRUG INEFFECTIVE1,122 reports
URINARY TRACT INFECTION967 reports
WEIGHT DECREASED958 reports
BALANCE DISORDER956 reports
DECREASED APPETITE939 reports
CONDITION AGGRAVATED918 reports
DEHYDRATION876 reports
GENERAL PHYSICAL HEALTH DETERIORATION861 reports
COGNITIVE DISORDER832 reports
HEPATIC ENCEPHALOPATHY819 reports
TOXICITY TO VARIOUS AGENTS802 reports
SEPSIS792 reports
ORTHOSTATIC HYPOTENSION789 reports
OEDEMA PERIPHERAL763 reports
RENAL FAILURE762 reports
BACK PAIN760 reports
MOBILITY DECREASED756 reports
DEPRESSED LEVEL OF CONSCIOUSNESS748 reports
COUGH747 reports
RASH747 reports
DRUG INTERACTION741 reports
ARTHRALGIA731 reports
INSOMNIA687 reports
CHEST PAIN669 reports
SEDATION668 reports
HYPONATRAEMIA658 reports
SOMNOLENCE653 reports
HAEMOGLOBIN DECREASED652 reports
PAIN IN EXTREMITY643 reports
AMMONIA INCREASED641 reports
PRURITUS641 reports
ABDOMINAL DISTENSION627 reports
NEUTROPENIA624 reports
ABDOMINAL PAIN UPPER613 reports
ANXIETY604 reports
BLOOD CALCIUM DECREASED597 reports
THROMBOCYTOPENIA594 reports
PLATELET COUNT DECREASED582 reports
GAIT DISTURBANCE552 reports
CREATININE RENAL CLEARANCE DECREASED551 reports
SEDATION COMPLICATION545 reports
TREMOR543 reports
CHRONIC KIDNEY DISEASE516 reports
FEBRILE NEUTROPENIA512 reports
ASCITES503 reports
HEPATIC CIRRHOSIS491 reports
DEPRESSION488 reports
GASTROINTESTINAL HAEMORRHAGE487 reports
HYPERTENSION487 reports
HOSPITALISATION483 reports
HEPATIC FAILURE478 reports
MUSCLE SPASMS462 reports
LOSS OF CONSCIOUSNESS461 reports
SEIZURE451 reports
BLOOD BILIRUBIN INCREASED442 reports
PLEURAL EFFUSION437 reports
DYSPHAGIA432 reports
MUSCULAR WEAKNESS430 reports
PERIPHERAL SWELLING426 reports
WHITE BLOOD CELL COUNT DECREASED423 reports
HYPOKALAEMIA420 reports
MEMORY IMPAIRMENT420 reports
DISEASE PROGRESSION415 reports
PRODUCT USE IN UNAPPROVED INDICATION409 reports
HALLUCINATION406 reports
WEIGHT INCREASED397 reports
ABDOMINAL DISCOMFORT385 reports
FEELING ABNORMAL384 reports
SYNCOPE384 reports
HYPERKALAEMIA378 reports
GASTROOESOPHAGEAL REFLUX DISEASE371 reports
TACHYCARDIA371 reports
INFECTION367 reports
RESPIRATORY FAILURE362 reports
RENAL IMPAIRMENT356 reports
CHOLELITHIASIS349 reports
THERAPY INTERRUPTED349 reports
MYOCARDIAL INFARCTION346 reports
BLOOD CREATININE INCREASED340 reports

Key Safety Signals

  • Death is a significant safety signal, with 1937 reports.
  • Respiratory failure and hepatic encephalopathy are also notable serious adverse events.
  • Falls and confusion are common, especially in older patients.

Patient Demographics

Adverse event reports by sex: Female: 17,911, Male: 16,682, Unknown: 70. The most frequently reported age groups are age 77 (1,148 reports), age 69 (781 reports), age 67 (717 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 37,028 classified reports for LACTULOSE:

  • Serious: 32,730 reports (88.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 4,298 reports (11.6%)
Serious 88.4%Non-Serious 11.6%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female17,911 (51.7%)
Male16,682 (48.1%)
Unknown70 (0.2%)

Reports by Age

Age 771,148 reports
Age 69781 reports
Age 67717 reports
Age 65710 reports
Age 73704 reports
Age 68699 reports
Age 61697 reports
Age 72688 reports
Age 62684 reports
Age 70680 reports
Age 74673 reports
Age 75656 reports
Age 66652 reports
Age 63639 reports
Age 71633 reports
Age 57629 reports
Age 59612 reports
Age 58602 reports
Age 60584 reports
Age 64581 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Lactulose can interact with other medications, potentially affecting their efficacy. It is important to inform healthcare providers of all medications being taken.

What You Should Know

If you are taking Lactulose, here are important things to know. The most commonly reported side effects include nausea, constipation, fall, vomiting, fatigue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for signs of serious adverse events such as respiratory failure, hepatic encephalopathy, and falls, especially in elderly patients. Inform healthcare providers of all medications and supplements to avoid potential drug interactions. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA closely monitors Lactulose's safety, and any new or worsening symptoms should be reported to healthcare providers promptly.

Frequently Asked Questions

How many adverse event reports has the FDA received for Lactulose?

The FDA has received approximately 81,371 adverse event reports associated with Lactulose. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Lactulose?

The most frequently reported adverse events for Lactulose include Nausea, Constipation, Fall, Vomiting, Fatigue. By volume, the top reported reactions are: Nausea (2,527 reports), Constipation (2,497 reports), Fall (2,242 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Lactulose.

What percentage of Lactulose adverse event reports are serious?

Out of 37,028 classified reports, 32,730 (88.4%) were classified as serious and 4,298 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Lactulose (by sex)?

Adverse event reports for Lactulose break down by patient sex as follows: Female: 17,911, Male: 16,682, Unknown: 70. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Lactulose?

The most frequently reported age groups for Lactulose adverse events are: age 77: 1,148 reports, age 69: 781 reports, age 67: 717 reports, age 65: 710 reports, age 73: 704 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Lactulose?

The primary manufacturer associated with Lactulose adverse event reports is Actavis Pharma, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Lactulose?

Beyond the most common reactions, other reported adverse events for Lactulose include: Death, Dyspnoea, Diarrhoea, Pain, Pneumonia. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Lactulose?

You can report adverse events from Lactulose to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Lactulose's safety score and what does it mean?

Lactulose has a safety concern score of 85 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The majority of adverse events are serious, with a high percentage of reports involving death and respiratory failure.

What are the key safety signals for Lactulose?

Key safety signals identified in Lactulose's adverse event data include: Death is a significant safety signal, with 1937 reports.. Respiratory failure and hepatic encephalopathy are also notable serious adverse events.. Falls and confusion are common, especially in older patients.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Lactulose interact with other drugs?

Lactulose can interact with other medications, potentially affecting their efficacy. It is important to inform healthcare providers of all medications being taken. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Lactulose.

What should patients know before taking Lactulose?

Monitor for signs of serious adverse events such as respiratory failure, hepatic encephalopathy, and falls, especially in elderly patients. Inform healthcare providers of all medications and supplements to avoid potential drug interactions.

Are Lactulose side effects well-documented?

Lactulose has 81,371 adverse event reports on file with the FDA. A wide range of reactions are reported, including gastrointestinal, neurological, and renal issues. The volume of reports for Lactulose reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Lactulose?

The FDA closely monitors Lactulose's safety, and any new or worsening symptoms should be reported to healthcare providers promptly. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to LACTULOSE based on therapeutic use, drug class, or shared indications:

MetforminWarfarinLisinopril
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.