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Two medicines, side by side

Lactulose vs psyllium husk

Lactulose and psyllium husk are both labeled for constipation.

Check it at the source: the lactulose FDA label on DailyMed (effective January 28, 2026); the psyllium husk FDA label on DailyMed (effective September 8, 2026).

Highlights of the lactulose record

Lactulose (Enulose) · label of January 28, 2026

Used for

From the label: indications

For the treatment of constipation. In patients with a history of chronic constipation, lactulose solution therapy increases the number of bowel movements per day and the number of days on which bowel movements occur.

On the market

Earliest approval on file
March 25, 1976
Generic labelers
22 labelers
Pharmacy cost
$8.22 per packet

Supply and safety

Shortage
No current entry
Recalls
7

Highlights of the psyllium husk record

Psyllium husk · label of September 8, 2026

Used for

From the label: indications

• effective in treating occasional constipation and restoring regularity

On the market

Earliest approval on file
n/a
Generic labelers
none listed
Pharmacy cost
Not in the survey

Supply and safety

Shortage
No current entry
Recalls
0

Source: FDA drug labels via openFDA (Lactulose label of January 28, 2026, Psyllium husk label of September 8, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do lactulose and psyllium husk differ on the record?

Generics: lactulose since 1988; psyllium husk none approved (Drugs@FDA).

LactulosePsyllium husk
Labeled forConstipationConstipation
Pharmacologic classOsmotic Laxativen/a
How it works (label)n/an/a
Half-life (label)n/an/a
Earliest approval on file (Drugs@FDA)March 25, 1976n/a
First generic approvedJuly 26, 1988none
Generic labelers (NDC)22 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$8.22 per packet (Lactulose 10 g packet)n/a
12-month price change+10%n/a
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded70
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)38,2149,821
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to lactulose
every medicine labeled for the same conditions