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NUMARK SENNA TABLETS

Active substance(s): SENNA PODS ALEXANDRIAN POWDERED

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Patient Information Leaflet for

Senna Tablets
Senna Pods
PLEASE READ THESE INSTRUCTIONS BEFORE USE
This medicine is available without prescription. However, you still need to take Senna
Tablets carefully to get the best results from them.





Keep this leaflet. You may need to read it again.
Ask your pharmacist if you need more information or advice.
You must contact a doctor or a pharmacist if your symptoms worsen or do not improve.
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
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THIS LEAFLET:
What Senna Tablets are and what they are used for
Before you take Senna Tablets.
How to take Senna Tablets
Possible side effects
How to store Senna Tablets
Further information

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1. WHAT SENNA TABLETS ARE AND WHAT THEY ARE USED FOR
Senna Tablets are a herbal medicinal product used for the short term relief of occasional
constipation.
Senna Tablets do not help with weight loss
Contains Senna pods. For full details, see Section 6.
2. BEFORE YOU TAKE SENNA TABLETS
Do not take 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 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 or vomiting
• 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 2 weeks
• 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 medicine:
• 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 consult your doctor or pharmacist for advice if you are taking or have recently
taken any other medicines, including medicines obtained without a prescription.
Pregnancy and Breastfeeding:
You should not use Senna Tablets if you are pregnant or breastfeeding because there is no
evidence that it is safe to do so.
3. HOW TO TAKE SENNA TABLETS.
It is important that you follow these instructions carefully.
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 recommended.
Do not exceed the stated dose.
Use for more than 1 - 2 weeks requires medical supervision.

Consult your doctor, after taking this medicine:
• If 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 Senna Tablets:
Stop taking the medicine and consult your doctor or pharmacist.
If you forget to take 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.
It may be harmful to :
• Take Senna Tablets for too long
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 urine.
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, pharmacist 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.mhra.gov.uk/yellowcard. By reporting side effects you
can help provide more information on the safety of this medicine.
5. HOW TO STORE SENNA TABLETS
Keep out of the reach and sight of children.
Do not use 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 original packaging.
Return any unused medicine to your pharmacist for safe disposal.
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.
The product also contains:
Magnesium Stearate, Fennel Seed, Croscarmellose Sodium, Calcium Hydrogen Phosphate
Dihydrate, Microcrystalline Cellulose, Colloidal Anhydrous Silica.
Senna Tablets are uncoated biconvex greenish tablets available in packs/blisters of 24, 60 and 100
Not all packs may be marketed
Product Licence Holder and Manufacturer:
Potters, Wigan, WN5 0JZ
PL 33656/0033
If you would like a version of this leaflet in an alternative format, please call 01942 219960
STL0003
Leaflet last revised: 02/04/15

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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