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Luai Al Bakour
El Temamy Pharmacy
Akoni Hijyen Teknolojileri Sanayi ve Dış Ticaret LTD. ŞTİ
Britton Chance Center for Biomedical Photonics
Arabian Trade Center - ATC
Medical Facility (32206):
Legality International. (Pvt.) Ltd.
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This medication is used to treat constipation caused by conditions such as slowing of the intestines (e.g., diabetic autonomic neuropathy), prolonged bed rest/hospitalization, use of constipating medications (e.g., narcotics), or irritable bowel syndrome. This product contains either a stimulant or irritant laxative. Both types of laxatives help to increase the activity of the intestines to move stool out faster. Stimulant laxatives should not usually be used in children younger than 10 years unless prescribed by a doctor.
Diarrhea, nausea, vomiting, abdominal cramps, or bloating may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Products that contain senna may cause red or yellow-brown urine. This effect is harmless. If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people who use this laxative correctly do not have serious side effects. If you experience any of the following symptoms, that may indicate a more serious problem, stop using this medication and tell your doctor immediately: rectal bleeding, bloody stools, sweating, fast heartbeat, weakness, dizziness, fainting. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first. Mineral oil products should not be used with senna/sennoside products since serious side effects may occur. If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this laxative. By increasing how fast the intestines move, this laxative may cause decreased absorption of other medications. Consult your doctor or pharmacist for more information and for directions on how to take your other medications. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: aspirin, medications taken by mouth that are monitored with blood levels (e.g., theophylline, digoxin, phenytoin, phenobarbital, valproic acid).
Before taking this laxative, tell your doctor or pharmacist if you are allergic to any of its ingredients (e.g., senna, sennoside, cascara products); or if you have any other allergies. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: sudden/undiagnosed abdominal pain, nausea/vomiting, other symptoms of appendicitis (e.g., very tense abdomen, fever, chills), blockage in the intestines, hole in the intestines (perforation), recent worsening of colitis. Before using this medication, tell your doctor or pharmacist your medical history, especially: laxative abuse. Do not use this product for weight loss or for extended periods. Long-term use (months to several years) or use of higher than recommended doses may cause severe problems such as blood mineral problems (e.g., low potassium, low calcium), poor absorption of food/nutrients, weight loss, muscle weakness, bone damage (osteomalacia), permanent damage to the large intestine. Consult your doctor for more information. Caution is advised when using this type of laxative in the elderly because this drug may be less effective for them, and there is a greater risk of side effects such as cramping. The elderly are also more likely to develop dehydration and blood salt problems if this medication is taken in higher doses. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. Use of this medication is considered to be safe while breast-feeding.
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Yaser Habrawi , F.R.C.S.Ed
Dr . Dirar Abboud
Samir Moussa M.D.
Dr. Tahsin Martini
Dr. Hani Najjar
Dr. Faisal Dibsi
Dr. Samer Al-Jneidy
Dr. Talal Sabouni