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SIDE EFFECTS: Diarrhea, nausea, vomiting, abdominal cramps, or bloating may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.Products that contain senna may cause red or yellow-brown urine. This effect is harmless.If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people who use this medication correctly do not have serious side effects.If you experience any of the following symptoms, that may indicate a more serious problem, stop using this medication and tell your doctor immediately: rectal bleeding, bloody stools, sweating, fast heartbeat, weakness, dizziness, fainting.A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

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.Liquid products may contain sugar and/or aspartame, and alcohol. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.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.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.

Report Problems to the Food and Drug Administration   You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088. Need help identifying pills and medications? Use the pill identifier tool on RxList.