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Constipation (laxatives)

Senna

Also sold as: Senokot

No prescription neededConstipation (laxatives)
Comes as:TabletSyrup

Usual adult dose

Usual adult dose: 7.5 to 15 mg of sennosides (usually 1 to 2 tablets) at bedtime; works in 8 to 12 hours. For short-term use only unless a doctor advises.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • stomach cramps
  • diarrhoea
  • harmless red or brown colour of urine

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • severe diarrhoea with weakness (dehydration
  • low potassium)
  • rectal bleeding

Do not take it, or take care, if

  • Bowel blockage, appendicitis or stomach pain of unknown cause
  • Inflammatory bowel disease
  • Children under 12 years unless a doctor advises
  • Long-term regular use (can harm bowel function)

Interactions

Medicines that can react with this one.

Moderate1 medicineTake together only with care. Ask your doctor or pharmacist.
  • Digoxin

    Overuse of senna can lower potassium and increase the risk of digoxin toxicity.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

Minor1 medicineUsually not a problem, but tell your doctor.
  • Furosemide

    Both can lower potassium when senna is overused.

Bisacodyl
No prescription needed
  • LactuloseNo prescription needed
  • MacrogolNo prescription needed
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.