Senexon

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

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.

This section provides information on the proper use of a number of products that contain senna. It may not be specific to Senexon. Please read with care.

Use this medicine exactly as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered.

Follow the instructions on the medicine label if you are using this medicine without a prescription.

Take this medicine preferably at bedtime, or as directed by your doctor.

Shake the oral liquid before use. Measure the dose correctly using the marked measuring spoon that comes with the package. Rinse the dosing spoon with water after each use.

If you are taking other medicines, take senna 2 or more hours after these medicines.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For relief of constipation:
  • For oral dosage form (chewable tablets):
    • Adults and children 12 years of age and older—2 tablets one or two times a day.
    • Children 6 to 11 years of age—1 tablet one or two times a day.
    • Children younger than 6 years of age—Use and dose must be determined by a doctor.
  • For oral dosage form (oral liquid):
    • Adults and children 12 years of age and older—At first, 2 to 3 teaspoonfuls once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 3 teaspoonfuls two times a day.
    • Children 6 to 11 years of age—At first, 1 to 1 1/2 teaspoonfuls once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 1 1/2 teaspoonfuls two times a day.
    • Children 2 to 6 years of age—At first, 1/2 to 3/4 teaspoonfuls once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 3/4 teaspoonfuls once a day.
    • Children younger than 2 years of age—Use and dose must be determined by your doctor.
  • For oral dosage form (oral powder):
    • Adults and children 12 years of age and older—1/2 to 1 teaspoonful once or two times a day.
    • Children 6 to 11 years of age—1/4 to 1/2 teaspoonful once or two times a day.
    • Children younger than 6 years of age—1/4 to 1/2 teaspoonful once or two times a day.
  • For oral dosage form (tablets):
    • Adults and children 12 years of age and older—At first, 2 tablets once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 4 tablets two times a day.
    • Children 6 to 11 years of age—At first, 1 tablet once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 2 tablets two times a day.
    • Children 2 to 5 years of age—At first, 1/2 tablet once a day. Your doctor may increase your dose as needed. However, the dose is usually not more than 1 tablet two times a day.
    • Children younger than 2 years of age—Use and dose must be determined by your doctor.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

• Black, tarry stools
• blood in the stools
• nausea or vomiting
• stomach pain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

• It is used to treat hard stools (constipation).

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

• Belly pain.
• Stomach cramps.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.