Medically reviewed by Kovalenko Svetlana Olegovna, PharmD. Last updated on 11.05.2022
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Top 20 medicines with the same components:
constipation
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.Short-term treatment of constipation; preoperative and preradiographic bowel evacuation for procedures involving GI tract.
An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.Laxative especially in cases requiring the maintenance
of a soft stool to avoid straining (e.g. When there has
been hernia, aneurysm, hypertension, myocardial
infarction, or cerebrovascular accident, or after a
haemorrhoidectomy or abdominal surgery).
It is also used as an emollient and moisturizer to prevent
or relieve the signs and symptoms of dry skin.
Senna (Swedish Bitters) is also known as Cassia Senna (Swedish Bitters), tinnevelly Senna (Swedish Bitters), Indian Senna (Swedish Bitters), Alexandrian Senna (Swedish Bitters), and Khartoum Senna (Swedish Bitters).
Senna (Swedish Bitters) has been used in alternative medicine as an aid to treat constipation.
Not all uses for Senna (Swedish Bitters) have been approved by the FDA. Senna (Swedish Bitters) should not be used in place of medication prescribed for you by your doctor.
Senna (Swedish Bitters) is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.
Senna (Swedish Bitters) may also be used for purposes not listed in this product guide.
Dosage Forms
Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product
Leaves,
Oral:
Generic: (454 g)
Liquid,
Oral:
Senexon: 8.8 mg/5 mL (237 mL [DSC]) [contains methylparaben, propylene glycol, propylparaben]
Generic: 8.8 mg/5 mL (237 mL)
Syrup,
Oral:
Senna (Swedish Bitters)-GRX: 8.8 mg/5 mL (15 mL, 236 mL) [contains parabens, propylene glycol]
Generic: 8.8 mg/5 mL (5 mL, 236 mL, 237 mL); 176 mg/5 mL (15 mL, 237 mL)
Tablet,
Oral:
Ex-Lax: 15 mg [DSC] [sodium free]
Ex-Lax Maximum Strength: 25 mg [DSC] [sodium free]
Geri-kot: 8.6 mg
GoodSense Laxative Pills: 25 mg [contains brilliant blue fcf (fd&c blue #1), corn starch]
GoodSense Senna (Swedish Bitters) Laxative: 8.6 mg
Perdiem Overnight Relief: 15 mg [DSC]
Senexon: 8.6 mg [DSC]
Senna (Swedish Bitters) Lax: 8.6 mg [DSC]
Senna (Swedish Bitters) Laxative: 8.6 mg
Senna (Swedish Bitters) Smooth: 15 mg [contains sodium benzoate]
Senna (Swedish Bitters)-Lax: 8.6 mg
Senna (Swedish Bitters)-Tabs: 8.6 mg
Senna (Swedish Bitters)-Time: 8.6 mg
SennaCon: 8.6 mg [DSC]
Senno: 8.6 mg
Senna (Swedish Bitters): 8.6 mg
Senna (Swedish Bitters) Extra Strength: 17.2 mg
Senna (Swedish Bitters) XTRA: 17.2 mg [DSC]
Generic: 8.6 mg
Tablet Chewable,
Oral:
Ex-Lax: 15 mg [DSC]
Ex-Lax: 15 mg [DSC] [chocolate flavor]
Dosing: Adult
Note: Several types of Senna (Swedish Bitters) products are available on the market and multiple formulations exist that are not equivalent; products composed of sennosides are considered OTC medications; Senna (Swedish Bitters) pod concentrate and Senna (Swedish Bitters) leaf extract are considered dietary supplements and are not interchangeable on a mL-to-mL (or mg-to-mg) basis with other Senna (Swedish Bitters) products that contain sennosides; close attention must be paid to the product description and concentration when ordering or administering.
Constipation:
Oral:
Sennosides:
Syrup (8.8 mg sennosides/5 mL): 10 to 15 mL (17.6 mg to 26.4 mg sennosides) once daily; maximum: 15 mL (26.4 mg sennosides) twice daily.
Tablets:
8.6 mg sennosides/tablet: Two tablets (17.2 mg sennosides) once daily; maximum: 4 tablets (34.4 mg sennosides) twice daily
15 mg sennosides/tablet: Two tablets (30 mg sennosides) once or twice daily
17.2 mg sennosides/tablet: One tablet (17.2 mg sennosides) once daily; maximum: 2 tablets (34.4 mg sennosides) twice daily
25 mg sennosides/tablet: Two tablets (50 mg sennosides) once or twice daily
Senna (Swedish Bitters) leaf extract syrup (176 mg/5 mL Senna (Swedish Bitters) leaf extract): Note: Senna (Swedish Bitters) leaf extract is considered a dietary supplement and is not interchangeable on a mL-to-mL (or mg-to-mg) basis with other Senna (Swedish Bitters) products that contain sennosides.
10 to 15 mL (352 to 528 mg Senna (Swedish Bitters) leaf extract) once daily (preferably at bedtime); may increase to 10 to 15 mL (352 to 528 mg Senna (Swedish Bitters) leaf extract) twice daily if needed; maximum daily dose: 30 mL/day
Dosing: Geriatric
Refer to adult dosing.
Dosing: Pediatric
Note: Several types of Senna (Swedish Bitters) products are available on the market and multiple formulations exist that are not equivalent; products composed of sennosides are considered OTC medications; Senna (Swedish Bitters) pod concentrate and Senna (Swedish Bitters) leaf extract are considered dietary supplements and are not interchangeable on a mL to mL (or mg to mg) basis with other Senna (Swedish Bitters) products that contain sennosides; close attention must be paid to the product description and concentration when ordering or administering.
Constipation:
Oral:
Sennosides:
Syrup (8.8 mg sennosides/5 mL):
Children 2 to <6 years: 2.5 to 3.75 mL (4.4 to 6.6 mg sennosides) at bedtime, not to exceed 3.75 mL (6.6 mg sennosides) twice daily
Children 6 to <12 years: 5 to 7.5 mL (8.8 to 13.2 mg sennosides) at bedtime, not to exceed 7.5 mL (13.2 mg sennosides) twice daily
Children ≥12 years and Adolescents: 10 to 15 mL (17.6 mg to 26.4 mg sennosides) at bedtime, not to exceed 15 mL (26.4 mg sennosides) twice daily.
Tablets:
8.6 mg sennosides/tablet:
Children 2 to <6 years: / tablet (4.3 mg sennosides) at bedtime, not to exceed 1 tablet (8.6 mg sennosides) twice daily
Children 6 to <12 years: 1 tablet (8.6 mg sennosides) at bedtime, not to exceed 2 tablets (17.2 mg sennosides) twice daily
Children ≥12 years and Adolescents: 2 tablets (17.2 mg sennosides) at bedtime, not to exceed 4 tablets (34.4 mg sennosides) twice daily
15 mg sennosides/tablet:
Children 6 to <12 years: 1 tablet (15 mg sennosides) once or twice daily
Children ≥12 years and Adolescents: 2 tablets (30 mg sennosides) once or twice daily
25 mg sennosides/tablet:
Children 6 to <12 years: 1 tablet (25 mg sennosides) once or twice daily
Children ≥12 years and Adolescents: 2 tablets (50 mg sennosides) once or twice daily
Senna (Swedish Bitters) pod concentrate liquid (Fletcher's Laxative for Kids; 167 mg/5 mL Senna (Swedish Bitters) pod concentrate): Note: Senna (Swedish Bitters) pod concentrate is considered a dietary supplement and is not interchangeable on a mL to mL (or mg to mg) basis with other Senna (Swedish Bitters) products that contain sennosides.
Children 2 to <6 years: 5 to 10 mL (167 to 333 mg Senna (Swedish Bitters) pod concentrate) once or twice daily
Children and Adolescents 6 to 15 years: 10 to 15 mL (333 to 500 mg Senna (Swedish Bitters) pod concentrate) once or twice daily
Senna (Swedish Bitters) Leaf Extract Syrup (176 mg/5 mL Senna (Swedish Bitters) leaf extract): Note: Senna (Swedish Bitters) leaf extract is considered a dietary supplement and is not interchangeable on a mL to mL (or mg to mg) basis with other Senna (Swedish Bitters) products that contain sennosides. Begin with once daily dosing (at bedtime); increase to twice daily if needed.
Children 2 to <6 years: 2.5 to 3.75 mL (88 to 132 mg Senna (Swedish Bitters) leaf extract) once or twice daily; maximum daily dose: 7.5 mL/day
Children ≥6 years to <12 years: 5 to 7.5 mL (176 to 264 mg Senna (Swedish Bitters) leaf extract) once or twice daily; maximum daily dose: 15 mL/day
Children ≥12 years and Adolescents: 10 to 15 mL (352 to 528 mg Senna (Swedish Bitters) leaf extract) once or twice daily; maximum daily dose: 30 mL/day
Bowel evacuation: Children ≥12 years and Adolescents:
Oral: 130 mg sennosides between 2:00 PM to 4:00 PM on the day prior to procedure
Nausea, vomiting, or other symptoms of appendicitis; acute surgical abdomen; fecal impaction; intestinal obstruction; undiagnosed abdominal pain.
See also:
What is the most important information I should know about Senna (Swedish Bitters)?
You should not use this medication if you are allergic to bisacodyl, or if you have:
severe stomach pain, nausea, or vomiting;
a perforated bowel;
a blockage in your intestines;
fructose or galactose intolerance;
an allergy to yellow food dye;
severe constipation or dehydration;
inflammatory bowel disease, toxic megacolon; or
a sudden change in bowel habits lasting 2 weeks or longer.
People with eating disorders (such as anorexia or bulimia) should not use this medication without the advice of a doctor.
If you have any of these other conditions, you may need a dose adjustment or special tests to safely use bisacodyl:
kidney disease;
trouble swallowing;
a history of bowel obstruction, diverticulitis, ulcerative colitis, or other intestinal disorder; or
if you are taking a diuretic ("water pill").
Use Senna (Swedish Bitters)-Lax as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Senna (Swedish Bitters)-Lax by mouth with or without food.
- Take Senna (Swedish Bitters)-Lax with a full glass of water (8 oz/240 mL). Drink extra fluids while you are taking Senna (Swedish Bitters)-Lax, unless instructed differently by your doctor.
- It is best to take Senna (Swedish Bitters)-Lax at bedtime.
- If you miss a dose of Senna (Swedish Bitters)-Lax, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Senna (Swedish Bitters)-Lax.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.Use: Labeled Indications
Constipation: Relieves occasional constipation (irregularity); generally causes bowel movement in 6 to 12 hours
Off Label Uses
Colonic cleansing before colonoscopy (adjunct)
Data from one uncontrolled study evaluating the use of Senna (Swedish Bitters) as an adjunct to reduce the amount of polyethylene glycol (PEG) solution necessary suggests that the use of Senna (Swedish Bitters) as an adjunct in this setting may be beneficial. Additional data may be necessary to further define the role of Senna (Swedish Bitters) as an adjunct in colonic cleansing before colonoscopy.
Based on the recommendations for Optimizing Adequacy of Bowel Cleansing for Colonoscopy, the US Multi-Society Task Force on Colorectal Cancer by the American College of Gastroenterology, American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy, the use of adjunctive agents for precolonoscopy cleansing of the mucosa such as simethicone, flavored electrolyte solutions (eg, Gatorade), prokinetics, spasmolytics, bisacodyl, Senna (Swedish Bitters), olive oil, and probiotics is not recommended for routine use since none have consistently shown improved efficacy, safety, or tolerability of the bowel preparation. However, Senna (Swedish Bitters) may be used in select situations.
None well documented.
See also:
What other drugs will affect Senna (Swedish Bitters)?
Dichlorphenamide: Laxatives may enhance the hypokalemic effect of Dichlorphenamide. Monitor therapy
Polyethylene Glycol-Electrolyte Solution: Senna (Swedish Bitters) may enhance the adverse/toxic effect of Polyethylene Glycol-Electrolyte Solution. Monitor therapy
Gastrointestinal Disorders
A transient local burning sensation at the site of application occurs very commonly >1/10).
Temporary discolouration of teeth or oral mucosa have been described commonly >1/100, <1/10) following administration of this medicine.
See also:
What are the possible side effects of Senna (Swedish Bitters)?
Applies to Senna (Swedish Bitters): oral capsule liquid filled, oral flake, oral granule, oral liquid, oral powder for suspension, oral suspension, oral syrup, oral tablet
In addition to its needed effects, some unwanted effects may be caused by Senna (Swedish Bitters) (the active ingredient contained in Senna (Swedish Bitters)). In the event that any of these side effects do occur, they may require medical attention.
Major Side Effects
You should check with your doctor immediately if any of these side effects occur when taking Senna (Swedish Bitters):
Incidence not known:
- Black, tarry stools
- blood in the stools
- nausea or vomiting
- stomach pain