Ex-Lax Chocolated

Senna is also known as Cassia senna, tinnevelly senna, Indian senna, Alexandrian senna, and Khartoum senna.

Senna has been used in alternative medicine as an aid to treat constipation.

Not all uses for senna have been approved by the FDA. Senna should not be used in place of medication prescribed for you by your doctor.

Senna 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 may also be used for purposes not listed in this product guide.

Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Follow your healthcare provider's instructions about any restrictions on food, beverages, or activity.

Do not take senna without the advice of a healthcare provider if you are using any of the following medications:

• digoxin (Lanoxin);

• a diuretic (water pill); or

• a blood thinner such as warfarin (Coumadin, Jantoven).

This list is not complete and other drugs may interact with senna. Tell your healthcare provider about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Applies to senna: compounding powder, oral disintegrating strip, oral granule, oral liquid, oral syrup, oral tablet, oral tablet chewable, rectal suppository

Gastrointestinal

Gastrointestinal side effects have included esophageal impaction and duodenal bezoars. These effects have been reported in patients receiving a bulk laxative product containing 82% psyllium and 18% senna (the active ingredient contained in Ex-Lax Chocolated) (commercially available as Perdiem Overnight Relief).[Ref]

Hypersensitivity

Hypersensitivity side effects have rarely included occupational sensitization to senna (the active ingredient contained in Ex-Lax Chocolated) [Ref]

One case has been reported involving a factory worker who developed IgE-mediated asthma and rhinoconjunctivitis five months after exposure to senna.[Ref]

Musculoskeletal

Musculoskeletal side effects have rarely included finger clubbing.[Ref]

Some side effects of Ex-Lax Chocolated may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.