Classes
DEA Class; OTC
Common Brand Names; Senna Prompt
- Laxatives, Stimulant
Description
Senna: Intestinal irritant/stimulant
Psyllium: Bulk-producing laxative
Indications
Indicated for treatment of Constipation
Contraindications
Hypersensitivity
GI obstruction or perforation
Ulcerative colitis
Symptoms of appendicitis or acute surgical abdomen
Fecal impaction
GI bleeding
Rectal bleeding
Adverse Effects
- Electrolyte imbalance
- Potassium loss
- Abdominal cramping
- Excessive bowel activity
- Flatulence
- Yellow-brown urine discoloration
- Melanosis coli
Warnings
Use caution in patients with esophageal strictures, stenosis, ulcers, difficulty swallowing, or intestinal adhesions
May predispose the elderly to fecal impaction and bowel obstruction if fluid intake is low
Product must be taken with at least 8 ounces of fluid to prevent choking
Not recommended in patients experiencing stomach pain
Pregnancy and Lactation
Pregnancy category: C (senna); B psyllium
Lactation: Use caution
Pregnant or breastfeeding patients should seek advice of health professional before using OTC drugs
Maximum Dosage
Constipation
5 capsules PO qDay or q12hr
How supplied
Senna/psyllium
capsule
- 9mg/500mg