Diarrhea occurs generally with excessive doses of lactitol but some experience diarrhea at the recommended dosage. A reduction in dosage will overcome this problem. Severe flatulence, nausea and epigastric pain have occasionally necessitated withdrawal of lactitol therapy. Absorption of lactate resulting from colonic metabolism of Lactitol can potentially result in acid-base disturbances. Diarrhea induced by lactitol can be associated with hypokalemia and hypernatremia.
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