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senna; sennosides,(Senokot, Geri-kot)
Tradename: Senokot. Contains
1) sennosides A & B
2) glucosides of rhein & chrysophanic acid
Indications:
- relief of constipation
- irritable bowel syndrome
Dosage:
1) 10-15 mL PO QHS
2) 1-2 tablets daily as needed, titrate to control
3) maximum of 8 tablets/day given as 2 tabs QID
Tabs: 187 mg senna concentrate [4]
Suppositories: 652 mg
Syrup: 218 mg/5 mL
Pharmacokinetics:
- onset of bowel relief is 6-12 hours, but may take as long as 24 hours
Adverse effects:
- chronic senna use (> 4 months) may result in melanosis coli
Mechanism of action:
1) mild stimulant laxative
2) contains a stool softener
General
laxative
Properties
MISC-INFO: elimination route LIVER
pregnancy-category C
safety in lactation ?
References
- The Pharmacological Basis of Therapeutics, 9th ed.
Gilman et al, eds. Permagon Press/McGraw Hill, 1996
- Drug Information & Medication Formulary, Veterans Affairs,
Central California Health Care System, 1st ed., Ravnan et al
eds, 1998
- Merck Index 12th ed. 1996
- Drug Facts and Comparisons, 1996 editions, Facts and
Comparisons, St Louis
- Deprecated Reference
Component-of
Brazilian Diet Pill (Emagrece Sim, Body slim)
polycarbophil/psyllium/senna
psyllium/senna
senna/sodium docusate; sennosides-docusate sodium; senokot-S, senna-S