PRECAUTIONS: Before taking this laxative, tell your doctor or pharmacist if you are allergic to any of its ingredients (e.g., senna, sennoside, cascara products); or if you have any other allergies.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: sudden/undiagnosed abdominal pain, nausea/vomiting, other symptoms of appendicitis (e.g., very tense abdomen, fever, chills), blockage in the intestines, hole in the intestines (perforation), recent worsening of colitis.Before using this medication, tell your doctor or pharmacist your medical history, especially: laxative abuse.Do not use this product for weight loss or for extended periods. Long-term use (months to several years) or use of higher than recommended doses may cause severe problems such as blood mineral problems (e.g., low potassium, low calcium), poor absorption of food/nutrients, weight loss, muscle weakness, bone damage (osteomalacia), permanent damage to the large intestine. Consult your doctor for more information.Caution is advised when using this type of laxative in the elderly because this drug may be less effective for them, and there is a greater risk of side effects such as cramping. The elderly are also more likely to develop dehydration and blood salt problems if this medication is taken in higher doses.During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.Use of this medication is considered to be safe while breast-feeding.
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