Duphalac is a medication commonly known by the 
generic name Lactulose. It is also marketed globally under the names Acilac, Cholac, Constilac, Constulose, Enulose 
as well as generic Lactulose.
Duphalac (Lactulose) is a hyperosmotic laxative used to treat constipation. It may also be used to treat encephalopathy by reducing blood ammonia levels. Duphalac (Lactulose) may also be used to treat other conditions as determined by your doctor.
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International pharmacies may not require you to provide a prescription, and may 
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requirement you may have.