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At a glance

Sennosides (Senna) are plant-derived laxatives used for constipation and bowel evacuation. They increase intestinal motility through the release of active anthraquinones by colonic bacteria.

Indications
  • Constipation
  • Bowel evacuation (pre-procedure)
Pharmacology

Sennosides are converted by colonic bacteria into active anthraquinones, which stimulate intestinal muscle contractions and increase intestinal motility. They increase water and electrolyte secretion in the large intestine, softening stool and facilitating bowel movements.

Dosage

Adult Dose (Oral):

  • Constipation: 15-30 mg (as total sennosides) 1-2 times daily
  • Bowel evacuation: 105-157.5 mg of sennosides on the day before procedure (as liquid preparation)

Pediatric Dose (Oral):

  • 2-6 years: 3.75-7.5 mg once daily in the morning
  • 6-12 years: 7.5-15 mg once daily at night or in the morning
  • >12 years: 15-30 mg at bedtime
Side effects

Side Effects:

  • Mild abdominal discomfort (colic and cramps)
  • Diarrhea
  • Prolonged use: Hypokalemia and atonic colon
  • Chronic use: Reversible melanosis coli
Use in pregnancy

Use in Pregnancy: Adequate information not available; use short-term under medical supervision; consult your doctor.

Pregnancy Category: A — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Do not use in inflammatory bowel disease
  • Avoid prolonged use (dependence and electrolyte imbalance)
  • Do not use in undiagnosed abdominal pain
Overdose effects

Overdose may cause severe diarrhea and electrolyte imbalance; consult your doctor.

Storage conditions

Store in a cool and dry place, protected from light; keep out of reach of children.

Sennosides (Senna) — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.