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When using this medication, it is important to be aware of potential risks and safety information. Please read the following points carefully and reach out to your healthcare provider if you have any questions or concerns.

• Electrolyte Changes: Use senna strictly as prescribed by your healthcare provider or according to the instructions on the manufacturer's label. While the risk of adverse effects is minimal when used correctly, taking senna in higher doses or for extended periods can lead to low potassium levels and electrolyte imbalances. Symptoms of low potassium include muscle weakness, twitching, constipation, numbness or tingling, and in severe cases, an irregular heartbeat. If you notice any of these symptoms, contact your healthcare provider immediately.
• Risk Factors: The potential for these side effects increases with the misuse of senna, such as taking it for longer than recommended or in higher doses than advised.

No contraindications are provided for this medication, but it is always best to consult with a healthcare professional before starting any new treatment.

Common side effects:

• Stomach or abdominal pain
• Nausea
• Diarrhea
• Weakness
• Harmless change in urine color to reddish-brown

Less common but important to monitor:

• Persistent nausea
• Vomiting
• Muscle cramps
• Irregular heartbeat
• Dizziness
• Decreased urination
• Mental changes such as confusion

Serious side effects:

• Severe allergic reactions (rash, itching, swelling, severe dizziness, breathing difficulties)
• Gut blockage (inability to have a bowel movement, rectal bleeding)

When using sennosides, it's important to be aware of potential interactions with other medications and substances:

• Diuretics and Digoxin: Sennosides can lower potassium levels in the body. When taken with diuretics (which also reduce potassium) or digoxin (a heart medication), this effect may be intensified, potentially leading to serious health issues.

• Other Stimulant Laxatives: Combining sennosides with other stimulant laxatives can increase the risk of dehydration and electrolyte imbalances.

• Psyllium Fiber Supplements: Psyllium may affect the absorption of oral medications, including sennosides. To minimize this risk, it's advisable to take psyllium at least 30 to 60 minutes after other oral medications.

• Licorice Root: Natural licorice can induce low potassium levels (hypokalemia). When consumed with sennosides, this effect may be amplified, increasing the risk of complications.

• Mineral Oil: Using mineral oil with sennosides is not recommended, as it can lead to adverse effects.

To ensure safety, always inform your healthcare provider about all medications, supplements, and herbal products you are taking before starting sennosides.