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Senna

Senna

Alternative Medicine
The following information is specific for alternative and complementary medicine. For additional evidence-based information on diseases, conditions, symptoms, diagnosis, treatment and wellness issues, continue searching the Healthwise Knowledgebase.

Also indexed as:

Black-Draught, Fletcher's Castoria, Gentlax, Senexon, Senna-Gen, Senokot, Senolax

Senna is a laxative used for short-term treatment of constipation. It is available as nonprescription drugs and as herbal products.

Herbs

Summary of Interactions for Senna

Depletion or interference None known
Adverse interaction None known
Side effect reduction/prevention None known
Supportive interaction None known
Reduced drug absorption/bioavailability None known
Other (see text) Digitalis
Potassium
Sodium

An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.

Interactions with Supplements

Sodium and potassium

Overuse or misuse of laxatives, including senna, can cause water, sodium, and potassium depletion.1 To avoid depletion problems, people should limit laxative use, including senna, to one week or less.2

Interactions with Herbs

Digitalis (Digitalis lanata, Digitalis purpurea)

Digitalis refers to a family of plants commonly called foxglove that contain digitalis glycosides, chemicals with actions and toxicities similar to the prescription drug digoxin. While the interaction has not been reported, overuse or misuse of senna (leading to potassium loss) may increase digitalis effects and risk of side effects.3 Senna and digitalis-containing products should be used only under the direct supervision of a doctor trained in their use.

References

  1. Threlkeld DS, ed. Gastrointestinal Drugs, Laxatives. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, May 1991, 318a-9.
  2. Threlkeld DS, ed. Gastrointestinal Drugs, Laxatives. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, May 1991, 318a-9
  3. Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Healthcare Professionals. London: Pharmaceutical Press, 1996, 244.

Last Review: 01-21-2009

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Learn more about the authors of Using Medicines with Vitamins and Herbs

The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires February 2010.

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