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INTRODUCTION
Senna is an herb. The leaves and the fruit of the plant are used to make medicine.
Senna is an FDA-approved nonprescription laxative. It is used to treat constipationand also to clear the bowel before diagnostic tests such as colonoscopy.
Senna is also used for irritable bowel syndrome (IBS), hemorrhoids, and weight loss.
Senna fruit seems to be gentler than senna leaf. This has led the American Herbal Products Association (AHPA) to warn against long-term use of senna leaf, but not senna fruit. The AHPA recommends that senna leaf products be labeled, "Do not use this product if you have abdominal pain or diarrhea. Consult a healthcare provider prior to use if you are pregnant or nursing. Discontinue use in the event of diarrhea or watery stools. Do not exceed recommended dose. Not for long-term use.”
USES
Senna is a potent laxative. Its cathartic effects can be obtained from a tea prepared from 1 or 2 teaspoons of dried leaves or standardized commercial dosage forms. Senna's use in treating constipation is well documented. It is one of the most popular laxatives, especially in elderly patients. Approximately 90% of sennosides are excreted in the feces as polymers. Only 3% to 6% of the metabolites of sennosides are excreted in urine.
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