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ALMUS SENNA TABLETS
Active substance(s): SENNA PODS ALEXANDRIAN POWDERED
If you forget to take Care Senna Tablets:
If you miss a dose, take your next dose at
the usual time. Do not take two doses at the
same time to make up for a missed dose.
Always consult your doctor or pharmacist if
you need further advice.
4. POSSIBLE SIDE EFFECTS:
Like all medicines this product can cause
side effects, but not everyone gets them.
If any of the following or other side
effects occur, stop taking this product
and consult your doctor or pharmacist:
• The product may produce abdominal
pain, spasms and diarrhoea, in particular
in patients with irritable colon.
• Chronic use may lead to albuminuria
and haematuria which is albumin or
red blood cells in the urine.
• Chronic use may cause pigmentation
of the gastrointestinal tract which
usually recedes when the product is
no longer taken.
• Yellow or red-brown discolouration of
urine may occur during the treatment,
but is harmless.
• Allergic reactions such as local, or more
widespread, skin rash, hives (skin bumps)
or itchiness around the anus. The
frequency is not known.
Reporting of side effects:
If you get any side effects, talk to your
doctor, pharmasist or nurse. This includes
any possible side effects not listed in this
leaflet. You can also report side effects
directly via the Yellow Card Scheme at: www.
By reporting side effects you can help
provide more information on the safety of
5. HOW TO STORE CARE SENNA
Keep out of the reach and sight
Do not use Care Senna Tablets after the
expiry date. The expiry date is printed on
the blister and base of carton.
Do not store above 25˚C. Store in the
Return any unused medicine to your
pharmacist for safe disposal.
This product also contains:
Magnesium Stearate, Fennel Seed,
Croscarmellose Sodium, Calcium Hydrogen
Phosphate Dihydrate, Microcrystalline
Cellulose, Colloidal Anhydrous Silica.
Care Senna Tablets are uncoated biconvex
greenish tablets available in packs/blisters
of 20, 60 and 100 not all pack sizes may be
Product Licence Holder and
Potters, Wigan WN5 OJZ
Distributed by: Thornton & Ross Ltd.,
Huddersfield, HD7 5QH, UK.
If you would like a version of this
leaflet in an alternative format,
please call 01484 842217
Leaflet last revised: July 2015
PATIENT INFORMATION LEAFLET
6. FURTHER INFORMATION:
Each tablet contains:
Alexandrian Senna fruit (pods)
(Cassia senna L.(C. acutifolia Delile) fruit))
corresponding to 7.5 mg hydroxyanthracene
glycosides, calculated as Sennoside B.
PLEASE READ THESE
INSTRUCTIONS BEFORE USE
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This medicine is available without
prescription. However, you still need to
take Care Senna Tablets carefully to get
the best results from them.
• Keep this leaflet. You may need to read
• Ask your pharmacist if you need more
information or advice.
• You must contact a doctor or pharmacist
if your symptoms worsen or do not
• If you experience any of the side effects
listed in the leaflet, or if you notice any
other side effects, please consult your
doctor or pharmacist.
IN THIS LEAFLET:
1. What Care Senna Tablets are and what
they are used for
2. Before you take Care Senna Tablets
3. How to take Care Senna Tablets
4. Possible side effects
5. How to store Care Senna Tablets
6. Further information
1. WHAT CARE SENNA TABLETS ARE
AND WHAT THEY ARE USED FOR:
Care Senna Tablets are a herbal medicinal
product used for the short term relief of
Contains Senna Pods.
Care Senna Tablets do not help with weight
loss. For full details, see Section 6.
2. BEFORE YOU TAKE CARE SENNA
Do not take Care Senna Tablets:
• if you are allergic to any of the ingredients
• if you have blockage or narrowing of the
gastro-intestinal tract or bowel (ileus,
intestinal obstruction or stenosis)
• if you have paralysis or a lack of muscle
tone in the bowel (atony)
• if you have appendicitis, inflammatory
bowel disease such as Crohn’s disease
or ulcerative colitis
• if you have severe dehydration
• if you have persistent or undiagnosed
abdominal complaints e.g. pain, nausea
• if you have faecal impaction or rectal
bleeding for which you don’t know the
cause, or blood in stools
• if you have already taken a laxative and
you are still constipated
• if you have had a sudden change in
bowel habit that has lasted for more than
• if you are pregnant or breastfeeding
• if you are under 12 years of age
• if you have kidney or heart failure.
Consult your doctor, before taking this
• if you suffer from kidney disorders
• if you are taking medicines for a heart
condition (e.g. cardiac glycosides,
antiarrhythmic medicines e.g. quinidine),
medicines inducing QT prolongation,
diuretics, adrenocorticosteroids or
liquorice root preparations.
Taking other medicines:
You should also consult your doctor or
pharmacist for advice if you are taking or
have recently taken any other medicines,
including medicines obtained without a
Pregnancy and breastfeeding:
You should not use Care Senna Tablets if
you are pregnant or breastfeeding because
there is no evidence that it is safe to do so.
3. HOW TO TAKE CARE SENNA
It is important that you follow these
For oral use.
Adults and the elderly:
Take two tablets at bedtime when required.
Children over 12 years:
One tablet at night when required.
The use in children under 12 years is not
Do not exceed the stated dose.
Use for more than 1 – 2 weeks requires
Consult your doctor, after taking this
• if your symptoms worsen or persist
• if there is no bowel movement after 3
days and laxatives are needed every day
• if abdominal pain persists.
If you take too many Care Senna Tablets:
Stop taking the medicine and consult your
doctor or pharmacist.
It may be harmful to:
• Take Care Senna Tablets for too long
• Take too much of Care Senna Tablets
This is because taking too much for too
long may lead to:
- A ‘lazy bowel’, where the muscle in the
bowel becomes too relaxed. This means
that bowel emptying happens less often.
This can lead to long-term constipation.
- Imbalance of fluids and salts in the body.
This can affect the tightness of muscles
such as those in the bowel. It can also
affect the salts in the blood.
- Low levels of potassium in the blood
(called ‘hypo-kalaemia’). This can make
you tired, dizzy, make your muscles weak
and cause uneven heart-beat.
- Dehydration, making you thirsty, feel
faint and giving you headaches. It can
also mean you cannot pass enough