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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

GI: cramping, diarrhea, nausea.

GU: pink-red or brown-black discoloration of urine.

F and E: electrolyte abnormalities (chronic use or dependence).

Misc: laxative dependence.

Interactions

Drug-Drug:

Availability

(Generic available)

Noted as sennoside content

Route/Dosage

Larger doses have been used to treat/prevent opioid-induced constipation. Consult labeling of individual OTC products for more specific dosing information

US Brand Names

Black-Draught, Ex-Lax, Ex-Lax Chocolated, Fletchers’ Castoria, Maximum Relief Ex-Lax, Sena-Gen, Senexon, Senokot, SenokotXTRA

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: laxatives

Pharmacologic Classification: stimulant laxatives

Pharmacokinetics

Absorption: Minimally absorbed following oral administration.

Distribution: Unknown.

Metabolism/Excretion: Unknown.

Half-life: Unknown.

Time/Action Profile

(laxative effect)

ROUTEONSETPEAKDURATION
PO6–12 hrunknown3–4 days

†May take as long as 24 hr.

Patient/Family Teaching

Pronunciation

SEN-oh-sides audio

Code

NDC Code*