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From what I can tell though there is a sigificant delay in the Miralax taking effect so what I'm unsure of is do I totally stop the lactulose one day and start Miralax the next or slowly transition him using both? Maybe I'm looking at this wrong and it's really easy but to me it's not that simple when you're trying to maintain a passable stool.
The only other person I cound find on a support group that made this kind of change said that they reduced the lactulose by half and gave 1/8 tsp for Miralax for two days. Then they reduced lactulose by half again and gave 1/8 tsp twice a day for two days. Finally stopped the lactulose and now uses just over 1/4 a day. She did note that it's probably not recommended to do it that way so that's why I came here. I also don't use the lactulose like that - it's only every second day.
I'm not sure I know what you mean sorry. I only do lactulose x1 every second day usually in the evenings. The only other thing is 5cm of furlax on the other day.
ok so for example if I start today it's furlax day (no lactulose at all).
I would give half the furlax (2.5 cm) and give 1/8tsp of Miralax.
Tomorrow on lactulose day I'd half this and do 1/8 tsp of Miralax and then repeat gradually reducing furlax and lactulose further? is that correct?
Then once he's on just Miralax I can adjust according to the stool but it's usually a twice daily dosage rather than single?
Also can I mix it straight into food? I thought I had to mix it with water and give orally?