magnesium hydroxide-cascara sagrada- oral, Milk of Magnesia W/Cascara (cont.)

SIDE EFFECTS: Stomach pain, nausea or diarrhea may occur. If these effects persist or worsen, notify your doctor. Unlikely but report promptly: muscle twitching or cramping, muscle weakness, decrease or absence of bowel movements, blood in stool, mental/mood changes, dizziness. This medication may cause your urine to temporarily turn a reddish pink or brown color. This effect is harmless. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: If you have any of the following health problems, consult your doctor before using a laxative: any allergies, stomach/intestinal problems, nausea, vomiting, blood in the stool, kidney disease. This medication should be used with caution in children and is not recommended for use in those less than 6 years old, unless directed by a doctor. Children may be more likely to become dehydrated. Consult your doctor or pharmacist. This product should be used only when clearly needed during pregnancy. Discuss the benefits and risks with your doctor. The cascara in this product is excreted into breast milk. Because of the potential risk to the infant, breast-feeding while using this product is not recommended. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medication you use, especially of: tetracycline antibiotics (e.g., doxycycline or tetracycline), azole antifungals (e.g., ketoconazole), quinolone antibiotics (e.g., ciprofloxacin), anti-seizure medications (e.g., phenytoin, valproic acid), heart heart drugs (e.g., quinidine, digoxin), sodium polystyrene sulfonate, dexamethasone, indomethacin, "blood thinners" (e.g., warfarin), iron/multivitamin supplements. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include severe diarrhea, nausea, or vomiting; dry gums or eyes; loss of appetite, muscle cramps, weakness, or sluggishness.

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