Eat a high-fiber diet and drink plenty of liquids eight glasses each day as recommended by your doctor. This medication usually is taken as needed. If your doctor has told you to take senna regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one. Senna may cause other side effects.
Call your doctor if you have any unusual problems while taking this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture not in the bathroom.
It is important to keep all medication out of sight and reach of children as many containers such as weekly pill minders and those for eye drops, creams, patches, and inhalers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location — one that is up and away and out of their sight and reach. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.
However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Long-term use of senna can stop your bowel working properly on its own.
Pee may turn a red-brown colour while you take senna. This is harmless and returns to normal after treatment has finished. Senna is safe to take for most adults aged 18 years and over.
Important Only give senna to children if a doctor or pharmacist recommends it. To make sure senna is safe for you, tell your doctor or pharmacist before starting senna if you: have ever had an allergic reaction to senna or any other medicine in the past have a bowel obstruction have Crohn's disease or ulcerative colitis have appendicitis are trying to get pregnant, already pregnant or breastfeeding.
Dosage The normal dose of senna tablets for constipation in: adults and children aged 12 years and over is 1 or 2 tablets at bedtime or 1 tablet of Senokot Max Strength children aged between 6 and 11 years is 1 single tablet at bedtime The normal dose of senna syrup for constipation in: adults and children aged 6 years and over is one or two 5ml spoonfuls at bedtime children aged 2 to 5 years only under medical supervision is half to one 5ml spoonful at bedtime Liquid senna comes with a plastic cup or spoon to measure the dose.
What if I forget to take it? What if I take too much? Taking an extra dose of senna is unlikely to harm you. If you're worried, talk to your doctor or a pharmacist. Common side effects Common side effects, which happen in more than 1 in people, are stomach cramps and diarrhoea. Serious side effects A very rare but serious side effect of senna is a severe raised, red, itchy skin rash on any part or all of your body.
Serious allergic reaction In rare cases, it's possible to have a serious allergic reaction anaphylaxis to senna. Information: You can report any suspected side effect using the Yellow Card safety scheme. Visit Yellow Card for further information. What to do about: diarrhoea — you may need to stop taking senna or reduce your dose. Until the diarrhoea stops, drink lots of fluids, such as water or squash, to avoid dehydration. Signs of dehydration include peeing less than usual or having dark strong-smelling pee.
Reducing your dose of senna may also help diarrhoea. Do not take any other medicines to treat diarrhoea without speaking to a pharmacist or doctor.
It can help to eat and drink slowly and have smaller and more frequent meals. Putting a heat pad or covered hot water bottle on your stomach may also help. If the cramps do not get better, try reducing your dose of senna. Senna may not be suitable if you're pregnant or breastfeeding. Non-urgent advice: Tell your doctor if you're:. Tell your doctor if you are taking these medicines before starting senna: a heart medicine such as digoxin or quinidine a diuretic tablets which make you pee more steroid tablets liquorice root preparations Mixing senna with herbal remedies and supplements Apart from liquorice root preparations, there are no known problems with taking other herbal remedies and supplements with senna.
Important: Medicine safety Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. How does senna work? When will I feel better? Talk to your doctor if you are still constipated after 3 days.
How long will I take senna for? Is it safe to take senna for a long time? Can I take different laxatives together? Do not use different formulations of senna such as tablets and liquid at the same time without medical advice. Using different formulations together increases the risk of an overdose of senna. Senna may be unsafe when taken long-term or in high doses.
Using senna for longer than 2 weeks may cause your bowels to stop functioning normally. Long-term use may also cause a serious electrolyte imbalance. Certain electrolyte imbalances can cause muscle weakness, heart problems, liver damage, and other harmful effects. Call your healthcare provider if your constipation does not improve after 1 week of using senna, or if constipation gets worse.
Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose. You may want to take this product at bedtime, as it typically produces a bowel movement within 6 to 12 hours.
This medicine is for short-term use only. Let your doctor know if you experience any unusual side effects while using this medicine. Your dose of senna will depend on your age, the formulation you use, the brand you purchase, your medical condition, and other factors.
Some people also take it as a weight loss remedy, but there is no conclusive evidence to support this, and it's not recommended to use for weight loss. The table below contains some of the ones which can occur with senna. You will find a full list in the manufacturer's information leaflet supplied with your medicine. Speak with your doctor or pharmacist if any of the following continue or become troublesome. If you experience any other symptoms which you think may be due to senna, please speak with your doctor or pharmacist for further advice.
If you buy any medicines check with a pharmacist that they are safe to take with your other medicines. Never take more than the prescribed dose.
If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty. If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking.
Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy who will dispose of them for you.
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