Lactase drops are a dietary supplement containing the lactase enzyme, which breaks down the complex milk sugar lactose into simpler, more digestible sugars (glucose and galactose). This process, when done correctly, allows individuals with lactase deficiency to consume dairy without experiencing the unpleasant symptoms of lactose intolerance, such as bloating, gas, and abdominal pain. The method of administration is crucial for effectiveness and varies depending on the consumer's age and feeding method.
Administering Lactase Drops to Infants
Infants with immature digestive systems may experience temporary lactase deficiency, which can be a factor in colic. Lactase drops offer a gentle, natural solution to ease discomfort associated with undigested lactose.
For Breastfeeding Babies
It is important to never administer the drops directly into your baby's mouth, but rather mix them with expressed breast milk.
- Express a small amount of milk: Collect a few tablespoons of breast milk into a sterilized container.
- Add the drops: Add the recommended number of lactase drops, typically four, to the expressed milk.
- Give before feeding: Use a sterilized spoon or syringe to give the baby this mixture before a normal breastfeeding session.
- Continue with feeding: Proceed with breastfeeding as you normally would. The pre-treated milk helps begin the lactose digestion process.
For Bottle-Feeding Babies (Formula or Expressed Milk)
Using lactase drops with bottles requires careful temperature control and timing.
Option 1: Immediate Feed
- Prepare the bottle: Make the baby's formula or warm the expressed milk to feeding temperature (not hot). High heat can destroy the lactase enzyme.
- Add drops and wait: Add the specified number of drops (e.g., four) to the bottle, mix well, and wait at least 30 minutes before feeding.
- Check temperature and feed: Ensure the formula is at a safe temperature before giving it to the baby.
Option 2: Advanced Preparation
- Prepare the bottle: Follow the manufacturer's instructions to prepare the formula or expressed milk.
- Add drops and refrigerate: Add a smaller dose of drops (e.g., two) to the warm liquid, mix, and refrigerate for at least four hours. This allows for a more complete breakdown of the lactose.
- Warm and use: Warm the bottle to feeding temperature and use it within 12 hours of preparation.
Administering Lactase Drops to Adults
For adults managing lactose intolerance, lactase drops are typically used to treat liquid dairy products ahead of time, such as milk, cream, or custard.
Preparing Dairy Products in Advance
- Measure the liquid: Measure the amount of milk or other liquid dairy product you wish to treat.
- Add the drops: Add the recommended number of drops based on the volume. For example, some products suggest 5-10 drops per liter of milk.
- Mix and refrigerate: Stir or shake the mixture thoroughly and refrigerate for a minimum of 24 hours to allow the enzyme to break down the lactose.
- Use as needed: After the waiting period, the dairy can be used in cooking, on cereal, or consumed directly, just like lactose-free milk.
Comparison of Administration Methods
To determine the best approach for your needs, consider the following comparison of common methods.
| Method | Target Audience | Key Steps | Timeframe | Notes |
|---|---|---|---|---|
| Breastfeeding | Infants | Express a small amount of milk, add drops, and give via spoon/syringe before nursing. | Immediate | Best for on-demand feeding. Do not give drops directly to baby. |
| Bottle Feed (Immediate) | Infants | Prepare formula/milk, add drops (e.g., 4), wait 30 mins, and feed. | Approximately 30 minutes | Do not add to hot liquid. Wait time is essential for the enzyme to work. |
| Bottle Feed (Advance) | Infants | Prepare formula/milk, add fewer drops (e.g., 2), and refrigerate for at least 4 hours. | Minimum 4 hours | Convenient for preparing feeds ahead of time. Use within 12 hours. |
| Adult Milk Pre-treatment | Adults/Older Children | Add drops (e.g., 5 per liter) to milk, mix, and refrigerate. | At least 24 hours | A bulk method for making your own lactose-free dairy. Treated milk may taste sweeter. |
Common Pitfalls and Considerations
While lactase drops are straightforward to use, a few key details can maximize their effectiveness.
Temperature is Critical
Lactase is an enzyme and is sensitive to temperature. Adding the drops to hot milk (above 50°C) will destroy the enzyme and render it ineffective. Always allow liquids to cool to a warm, feeding-safe temperature before adding the drops.
Ineffective on Acidic Dairy
The lactase enzyme in drops is not suitable for treating acidic dairy products, such as yogurt, buttermilk, or cottage cheese. The acidic environment deactivates the enzyme. For these products, chewable tablets or capsules taken orally before consumption are the correct option.
Read Product Instructions
Dosages and wait times can vary slightly between different brands of lactase drops. Always follow the specific instructions on the product packaging for the best results.
Conclusion
Giving lactase drops is a simple, effective method for managing lactose intolerance, allowing individuals to enjoy dairy with minimal digestive distress. By understanding the proper administration techniques for infants—whether breastfeeding or bottle-feeding—and for adults treating dairy products in advance, you can successfully integrate these supplements into your diet. Correct use, including being mindful of temperature and the type of dairy product, ensures the enzyme works as intended. If symptoms persist, consult with a healthcare provider for further guidance.
For more information on living with lactose intolerance and other dietary changes, visit Mayo Clinic's guide to lactose intolerance.
