What are the common side effects of Senokot. How does long-term use of senna-based laxatives affect children with chronic constipation. Is Senokot safe for extended use in managing constipation. What precautions should be taken when using Senokot regularly.

Common Side Effects of Senokot: What to Expect

Senokot, a senna-based laxative, is widely used to treat constipation. While generally considered safe, it can cause side effects in some individuals. The most common side effects, occurring in more than 1 in 100 people, include:

• Stomach cramps
• Diarrhea

These side effects are particularly prevalent in individuals with constipation related to irritable bowel syndrome (IBS). If you experience diarrhea while taking Senokot, it’s advisable to discontinue use. For those taking contraceptive pills, severe diarrhea lasting more than 24 hours may compromise the effectiveness of birth control.

A harmless but noticeable effect of Senokot is the potential change in urine color to a red-brown hue. This discoloration is temporary and resolves once treatment ends. If any side effects persist or cause significant discomfort, consulting a healthcare professional is recommended.

Serious Allergic Reactions: Recognizing Anaphylaxis

While rare, severe allergic reactions to Senokot can occur. Anaphylaxis is a life-threatening emergency that requires immediate medical attention. Symptoms of a serious allergic reaction include:

• Skin rash (itchy, red, swollen, blistered, or peeling)
• Wheezing
• Chest tightness
• Difficulty breathing or talking
• Swelling of the mouth, face, lips, tongue, or throat

If you experience any of these symptoms after taking Senokot, seek emergency medical care immediately by calling 999 or going to the nearest emergency department.

Long-Term Side Effects: Risks of Prolonged Senokot Use

Senokot is typically recommended for short-term use. Extended use of senna-based laxatives can lead to several health concerns:

Electrolyte Imbalance

Prolonged use of Senokot may disrupt the body’s electrolyte balance. This imbalance can affect levels of sodium, potassium, and magnesium, potentially leading to:

• Muscle spasms or twitching
• In severe cases, seizures or fits

Bowel Function Impairment

Using Senokot for extended periods can interfere with the bowel’s natural function. Over time, this may result in the bowel becoming dependent on the laxative to work properly.

Due to these risks, long-term regular use of Senokot should only occur under the guidance and prescription of a healthcare provider.

Senokot in Children: Safety and Efficacy for Chronic Constipation

The use of senna-based laxatives like Senokot in children with chronic constipation has been a topic of debate in the medical community. A comprehensive review published in the Journal of Pediatric Surgery in 2018 aimed to address the safety and efficacy of long-term senna use in pediatric patients.

The study found that senna-based laxatives can be an effective treatment option for children with chronic constipation when used under medical supervision. However, the researchers emphasized the importance of monitoring and individualized treatment plans.

Key Findings from the Review:

• Senna can be effective in managing chronic constipation in children
• Long-term use requires careful monitoring by healthcare professionals
• Individualized treatment plans are crucial for optimal outcomes
• Potential side effects should be closely observed and managed

Parents and caregivers should consult with pediatricians before initiating long-term senna use in children and follow prescribed guidelines closely.

Monitoring and Reporting Side Effects

Vigilance in monitoring side effects is crucial when using Senokot or any medication. The Yellow Card safety scheme in the UK provides a platform for reporting suspected side effects. This system helps in the continuous evaluation of medication safety.

How can you report side effects of Senokot? Visit the Yellow Card website or use their mobile app to submit reports. This information contributes to ongoing safety assessments and helps protect other users.

Alternative Approaches to Managing Constipation

While Senokot can be effective for short-term relief, exploring alternative methods for managing constipation is advisable, especially for long-term management. Some natural approaches include:

1. Increasing dietary fiber intake
2. Staying well-hydrated
3. Regular physical activity
4. Establishing a consistent bathroom routine
5. Exploring probiotic supplements

These lifestyle modifications can help promote regular bowel movements without relying on laxatives. However, it’s important to consult with a healthcare provider before making significant changes to your constipation management approach.

Special Considerations for Different Age Groups

The use of Senokot and its potential side effects can vary across different age groups. Understanding these differences is crucial for safe and effective use.

Elderly Patients

Older adults may be more susceptible to electrolyte imbalances and dehydration when using Senokot. They should be monitored closely for signs of these complications, such as:

• Dizziness
• Confusion
• Muscle weakness
• Irregular heartbeat

Pregnant and Breastfeeding Women

Pregnant women should consult their healthcare provider before using Senokot. While senna is generally considered safe during pregnancy, it’s important to use it under medical supervision. Breastfeeding mothers should be aware that small amounts of senna compounds can pass into breast milk, potentially affecting the infant.

Children and Adolescents

As discussed earlier, the use of Senokot in children should be carefully monitored. Pediatric doses differ from adult doses, and long-term use should only occur under medical guidance. Parents should be vigilant for any unusual symptoms or changes in bowel habits when their children are using Senokot.

Interactions with Other Medications and Supplements

Senokot can interact with various medications and supplements, potentially altering their effectiveness or increasing the risk of side effects. Understanding these interactions is crucial for safe use.

Common Interactions:

• Diuretics: May increase the risk of electrolyte imbalance
• Heart medications: Can affect heart rhythm when combined with Senokot
• Antacids: May reduce the effectiveness of Senokot
• Oral contraceptives: Severe diarrhea from Senokot can reduce contraceptive efficacy

Always inform your healthcare provider about all medications and supplements you’re taking before starting Senokot. This includes over-the-counter products and herbal remedies.

Proper Usage and Dosage Guidelines

To minimize side effects and ensure effectiveness, following proper usage and dosage guidelines for Senokot is essential. Here are some key points to remember:

Adult Dosage:

• Typically 1-2 tablets taken at bedtime
• Effects usually occur within 6-12 hours
• Do not exceed the recommended dose unless directed by a healthcare provider

Duration of Use:

Senokot is intended for short-term use, generally not exceeding one week. Prolonged use can lead to dependency and other complications. If constipation persists beyond a week, consult a healthcare professional.

Hydration:

Adequate fluid intake is crucial when using Senokot. Drink plenty of water to help prevent dehydration and electrolyte imbalances.

Timing:

Taking Senokot with food may help reduce stomach discomfort. However, for optimal effectiveness, it’s often recommended to take it at bedtime.

Remember, these are general guidelines. Always follow the specific instructions provided by your healthcare provider or the product packaging.

When to Seek Medical Attention

While Senokot is generally safe when used as directed, certain situations warrant immediate medical attention. Be alert for the following signs and symptoms:

• Severe or persistent abdominal pain
• Rectal bleeding
• Failure to have a bowel movement after using the laxative
• Signs of dehydration (extreme thirst, dry mouth, decreased urination)
• Symptoms of electrolyte imbalance (muscle weakness, confusion, irregular heartbeat)
• Any signs of allergic reaction as mentioned earlier

If you experience any of these symptoms, discontinue use of Senokot and seek medical advice promptly. It’s always better to err on the side of caution when it comes to your health.

Natural Alternatives to Senokot

For those looking to manage constipation without relying on laxatives like Senokot, several natural alternatives can be effective. These options often come with fewer side effects and can be suitable for long-term use:

Dietary Fiber:

Increasing fiber intake is one of the most effective ways to promote regular bowel movements. Good sources include:

• Whole grains
• Fruits and vegetables
• Legumes
• Nuts and seeds

Hydration:

Adequate water intake is crucial for preventing constipation. Aim for at least 8 glasses of water per day, or more if you’re physically active or in hot weather.

Exercise:

Regular physical activity stimulates bowel function. Even moderate exercise like daily walks can make a significant difference.

Probiotics:

These beneficial bacteria can help improve gut health and regularity. They can be found in fermented foods or taken as supplements.

Herbal Teas:

Certain herbal teas, such as peppermint, ginger, or dandelion root, may have mild laxative effects and can be soothing to the digestive system.

While these natural alternatives can be effective, it’s important to consult with a healthcare provider before making significant changes to your constipation management routine, especially if you have chronic constipation or other digestive issues.

Long-Term Management of Chronic Constipation

For individuals dealing with chronic constipation, relying solely on laxatives like Senokot may not be the best long-term solution. A comprehensive approach to managing chronic constipation often involves a combination of lifestyle changes, dietary modifications, and sometimes medical interventions.

Lifestyle Modifications:

• Establishing a regular bathroom routine
• Responding promptly to the urge to have a bowel movement
• Practicing relaxation techniques to reduce stress-related constipation
• Maintaining a healthy sleep schedule

Dietary Adjustments:

Working with a nutritionist or dietitian can help identify dietary triggers and develop a personalized eating plan that promotes regular bowel movements.

Medical Interventions:

In some cases, chronic constipation may be a symptom of an underlying medical condition. A thorough evaluation by a gastroenterologist can help identify and address any such issues.

Biofeedback Therapy:

This technique can help retrain the muscles used in bowel movements, which can be particularly helpful for those with pelvic floor dysfunction.

Regular Check-ups:

Ongoing monitoring by a healthcare provider is crucial for managing chronic constipation effectively and safely.

By adopting a holistic approach to managing chronic constipation, many individuals can reduce their reliance on laxatives like Senokot and achieve more sustainable relief.

Side effects of senna – NHS

Like all medicines, senna may cause side effects in some people, but many people have no side effects or only minor ones.

Common side effects

Common side effects of senna, which happen in more than 1 in 100 people, are stomach cramps and diarrhoea.

You are particularly likely to get stomach cramps and diarrhoea with senna if you have constipation related to irritable bowel syndrome (IBS).

Stop taking senna if you get diarrhoea.

If you take contraceptive pills and you have severe diarrhoea for more than 24 hours, your contraception may not protect you from pregnancy. Check the pill packet for advice.

Your pee may turn a red-brown colour while you’re taking senna. This is harmless and returns to normal after treatment has ended.

Talk to your doctor or pharmacist if the side effects bother you or do not go away.

Serious allergic reaction

In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to senna.

Immediate action required: Call 999 or go to A&E now if:

• you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
• you’re wheezing
• you get tightness in the chest or throat
• you have trouble breathing or talking
• your mouth, face, lips, tongue or throat start swelling

You could be having a serious allergic reaction and may need immediate treatment in hospital.

Long-term side effects

Ideally you’ll only take senna for a few days. Taking it for a long time can cause an electrolyte imbalance, where levels of substances like sodium, potassium and magnesium in your body get too high or too low.

A severe electrolyte imbalance can cause serious health problems, such as muscle spasms or twitching, and even cause a seizure or fit.

Using senna for many weeks, even months, could also stop your bowel working properly on its own.

Only take senna regularly long term if it has been prescribed for you.

Other side effects

These are not all the side effects of senna. For a full list see the leaflet inside your medicines packet.

Information:

You can report any suspected side effect using the Yellow Card safety scheme.

Visit Yellow Card for further information.

Are Senna based laxatives safe when used as long term treatment for constipation in children?

Review

. 2018 Apr;53(4):722-727.

doi: 10.1016/j.jpedsurg.2018.01.002.

Epub 2018 Jan 31.

Alejandra Vilanova-Sanchez 
¹
, Alessandra C Gasior 
²
, Nicole Toocheck 
²
, Laura Weaver 
²
, Richard J Wood 
²
, Carlos A Reck 
²
, Andrea Wagner 
²
, Erin Hoover 
²
, Renae Gagnon 
²
, Jordon Jaggers 
²
, Tassiana Maloof 
²
, Onnalisa Nash 
²
, Charae Williams 
²
, Marc A Levitt 
²

Affiliations

Affiliations

• ¹ Center for Colorectal and Pelvic Reconstruction, Nationwide Children’s Hospital, Columbus, OH, United States. Electronic address: [email protected].
• ² Center for Colorectal and Pelvic Reconstruction, Nationwide Children’s Hospital, Columbus, OH, United States.

• PMID:

  29429768

• DOI:

  10.1016/j.jpedsurg.2018.01.002

Review

Alejandra Vilanova-Sanchez et al.

J Pediatr Surg.

2018 Apr.

. 2018 Apr;53(4):722-727.

doi: 10.1016/j.jpedsurg.2018.01.002.

Epub 2018 Jan 31.

Authors

Alejandra Vilanova-Sanchez 
¹
, Alessandra C Gasior 
²
, Nicole Toocheck 
²
, Laura Weaver 
²
, Richard J Wood 
²
, Carlos A Reck 
²
, Andrea Wagner 
²
, Erin Hoover 
²
, Renae Gagnon 
²
, Jordon Jaggers 
²
, Tassiana Maloof 
²
, Onnalisa Nash 
²
, Charae Williams 
²
, Marc A Levitt 
²

Affiliations

• ¹ Center for Colorectal and Pelvic Reconstruction, Nationwide Children’s Hospital, Columbus, OH, United States. Electronic address: [email protected].
• ² Center for Colorectal and Pelvic Reconstruction, Nationwide Children’s Hospital, Columbus, OH, United States.

• PMID:

  29429768

• DOI:

  10.1016/j.jpedsurg.2018.01.002

Abstract

Background and aim:

Senna is a stimulant laxative commonly used by pediatricians, pediatric gastroenterologists, and pediatric surgeons. Many clinicians avoid Senna for reasons such as tolerance or side effects but this has little scientific justification. We recently found several patients we were caring for developed perineal blistering during the course of Senna treatment. Because of this we chose to review the literature to identify side effects in children taking this medication as well as to analyze our Center’s experience with Senna’s secondary effects.

Methods:

We performed a literature review (MEDLINE, PUBMED) using the keywords of Senna, sen, sennosides and children, and pediatric and functional (idiopathic) constipation. We looked for articles with information regarding perineal blisters related to Senna as well as other secondary effects of Senna laxatives in children when used on a long-term basis. We also reviewed the charts of our patients who had previously taken Senna or are currently taking Senna, looking for adverse reactions.

Results:

Eight articles in the literature reported perineal blisters after administration of Senna laxatives in 28 patients. Of those occurrences, 18 patients (64%) had accidental administration of Senna and 10 (36%) had Senna prescribed as a long term treatment. All of the blistering episodes were related to high dose, night-time accidents, or intense diarrhea with a long period of stool to skin contact. At our institution, from 2014 to 2017, we prescribed Senna and have recorded data to 640 patients. During the study period, 17 patients (2.2%) developed blisters during their treatment. Patients who developed blisters had higher doses 60mg/day; 60 [12-100] vs. 17.5 [1.7-150] (p<0.001). All of the blistering episodes were related to night-time accidents, with a long period of stool to skin contact. 83 (13%) patients presented minor side effects such as abdominal cramping, vomiting or diarrhea which resolved once the type of laxatives were changed or enemas were started. The doses of Senna was not significantly different in these patients 15mg/day [4.4-150] vs. 17.5mg/day [1.5-150]. There were no other long-term side effects from Senna found in the pediatric literature for long-term treatment besides abdominal cramping or diarrhea during the first weeks of administration. We found no evidence of tolerance to Senna in our review.

Conclusion:

There is a paucity of information in the literature regarding side effects of sennosides as a long-term therapy, and to our knowledge, this is the first review of Senna side effects in children. Senna induced dermatitis is rare, but may occur when patients need a higher dose. All of the cases described had a long period of exposure of the skin to stool. Besides the perineal rash with blisters, we could find no other described major side effect with Senna administration in the pediatric population or evidence of the frequently mentioned concern of the development of tolerance to Senna. Pediatric caregivers should advise families of the rare side effect of skin blistering and educate them to change the diaper frequently in children who are not toilet- trained to reduce stool to skin exposure. We can conclude from this review that Senna is a safe treatment option for constipation in children.

Level of evidence:

IV.

Keywords:

Constipation children; Senna; Senna blisters; Senna side effects; Sennosides safety; Stimulant laxatives side effects.

Copyright © 2018 Elsevier Inc. All rights reserved.

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senokot-s: uses, side effects, interactions and pictures of tablets

• Generic name: potassium docusate

The display and use of drug information on this site is subject to the express terms of use. By continuing to view drug information, you agree to be bound by these Terms of Use.

• PUF12100: This medicine is an orange round tablet labeled “P”.

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT contain all possible information about this product. This information does not guarantee that this product is safe, effective or suitable for you. This information does not constitute individual medical advice and does not replace the advice of your healthcare professional. Always ask your healthcare professional for complete information about this product and your specific medical needs.

This medicine is used to treat occasional constipation. Certain medications and conditions can increase the chance of constipation. Stool softeners such as docusate are often the first treatment for this type of constipation. Docusate is often used when overexertion for bowel movements should be avoided (for example, after a heart attack or surgery). Docusat is a stool softener. It works by increasing the amount of water absorbed by feces in the intestines, making stool softer and easier to pass.

Follow all directions on product packaging unless directed otherwise by your doctor. If you have any questions, ask your doctor or pharmacist. Take this medicine by mouth, usually at bedtime with a full glass (8 ounces or 240 milliliters) of water or juice, or as directed by your doctor. The dosage depends on your medical condition and response to therapy. Reduce your dose or stop taking this medicine if you develop diarrhea. If you are using the liquid form of this medication, carefully measure the dose using a measuring device/spoon. Do not use a household spoon because you may get the wrong dose. If you are using drops, measure out the medicine using the dropper provided, or use a measuring spoon or device to make sure you get the correct dose. Mix syrup, liquid, or drops with 4-8 oz of fruit juice, milk, or infant formula to prevent throat irritation and mask bitter taste. Use this medicine only when needed. Do not use this product for more than 1 week unless directed by a physician. Usually improvement is observed in 1-3 days. Tell your doctor if your condition persists or worsens.

Stomach pain, diarrhea or cramps may occur. Throat irritation (with liquid forms or syrups) may also occur. If any of these effects persist or worsen, tell your doctor or pharmacist immediately. If your doctor has advised you to use this medicine, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people who take this medicine do not have serious side effects. Tell your doctor right away if this unlikely but serious side effect occurs: rectal bleeding. A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if this occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, difficulty breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the USA, ask your doctor for medical advice about side effects. You can report side effects to the FDA at 1-800-FDA-1088 or go to www.fda.gov/medwatch. In Canada, call your doctor for medical advice about side effects. You can report side effects to Health Canada at 1-866-234-2345.

Tell your doctor or pharmacist if you are allergic or have other allergies before taking this medicine. This product may contain inactive ingredients that may cause allergic reactions or other problems. Talk to your pharmacist for more details. If you have any of the following health problems, check with your doctor or pharmacist before using this medicine: severe abdominal pain, nausea, vomiting, sudden change in bowel habits within the previous 2 weeks. be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug passes into breast milk. Consult your doctor before breastfeeding.

Drug interactions can change how your drugs work or increase your risk of serious side effects. This document does not contain all possible drug interactions. Make a list of all the products you use (including prescription/OTC drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medication without your doctor’s approval. Some products that may interact with this medicine include: mineral oil, medicines containing phenolphthalein.

If someone has overdosed and has serious symptoms such as fainting or difficulty breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Residents of Canada can call their provincial poison control center.

Do not give this medicine to other people. Constipation can usually be prevented by eating a high-fiber diet, drinking enough fluids, and exercising regularly. Use this medicine only for temporary relief of constipation. Do not use this medicine for a long period of time so as not to become dependent on laxatives.

If you miss a dose, take it as soon as you remember. If it’s close to the time of your next dose, skip the missed dose. Take the next dose at the usual time. Don’t double your dose to catch up.

Store at room temperature between 59-86 degrees F (15-30 degrees C) in a tightly closed container, away from light and moisture. Do not store in the bathroom. Keep all medicines out of the reach of children and pets. Do not flush medicines down the toilet or pour them down the drain unless directed to do so. Properly dispose of this product when it has expired or is no longer needed. Consult your pharmacist or local waste disposal company for information on how to safely dispose of the product.

Last updated June 2020 Copyright (c) 2021 First Databank, Inc.

keppra 1000 mg twice a day

Senokot-S Oral: Uses, Side Effects, Interactions, Pictures, Warnings and Dosing –

Uses

Uses

This product is used to treat constipation. Contains 2 drugs: sennosides and docusate. Sennosides are known as stimulant laxatives. They work by holding water in the intestines, which helps induce a bowel movement. Docusate is known as a stool softener. This helps increase the amount of water in the stool, making it softer and easier to pass.

How to use Senokot-S

Take this medicine by mouth with a full glass of water (8 ounces / 240 milliliters) as directed by your doctor. If you are self-medicating, follow all directions on the product packaging. If you are unsure of any information, ask your doctor or pharmacist.

The dosage depends on your age, health condition and response to treatment. Do not increase your dose or take this drug more often than directed. Do not take this medicine for more than 7 days unless directed by your doctor. Serious side effects may occur if this medication is abused (see also the Side Effects section).

It may take 6 to 12 hours before this medicine causes a bowel movement. Tell your doctor if your condition persists or worsens, or if rectal bleeding occurs. If you think you may have a serious medical problem, contact your doctor immediately.

Related Links

What conditions does Senokot-S treat?

Side effects

Side effects

Stomach/abdominal pain or cramps, nausea, diarrhea or weakness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist immediately.

This medicine may cause your urine to turn reddish brown. This effect is harmless and will disappear when the medication is stopped.

If your doctor has instructed you to use this medicine, 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 drug correctly do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: persistent nausea/vomiting/diarrhea, muscle cramps/weakness, irregular heartbeat, dizziness, decreased urination, mental/mood changes (eg, confusion ).

A very serious allergic reaction to this drug is rare. However, contact your doctor immediately if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US –

Ask your doctor about side effects. You can report side effects to the FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada, call your doctor for medical advice about side effects. You can report side effects to Health Canada at 1-866-234-2345.

Related links

List side effects of Senokot-S by likelihood and severity.

Precautions

Precautions

Tell your doctor or pharmacist if you are allergic to senna, sennosides or docusate before taking this product; or if you have any other allergies. This product may contain inactive ingredients that may cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medicine, tell your doctor or pharmacist your medical history, especially of: appendicitis or symptoms of appendicitis (such as nausea/vomiting, sudden or unexplained abdominal/abdominal pain), a sudden change in bowel habits that lasts longer than 2 weeks, bleeding from the rectum, intestinal obstruction.

Before surgery, tell your doctor or dentist about all products you use (including prescription, over-the-counter, and herbal products).

Tell your doctor if you are pregnant before using this drug. Its use for extended periods during pregnancy is not recommended. Contact your doctor for more information.

This medicine passes into breast milk but is unlikely to harm a nursing baby. Consult your doctor before breastfeeding.

Related Links

What should I know about pregnancy, care and use of Senokot-S in children or the elderly?

interactions

interactions

The effects of some medicines may change if you take other medicines or herbal products at the same time. This may increase the risk of serious side effects or may cause your medicines to not work properly. These drug interactions are possible but do not always occur. Your doctor or pharmacist can often prevent or control interactions by changing the way you take your medications or by careful monitoring.

To help your doctor and pharmacist provide you with the best care, be sure to tell your doctor and pharmacist about all products you use (including prescription, over-the-counter and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor’s permission.

Product that may interact with this drug: mineral oil.

This document does not contain all possible drug interactions. Keep a list of all the products you use. Share this list with your doctor and pharmacist to reduce your risk of serious problems with your medications.

overdose

overdose

If someone has overdosed and has serious symptoms such as fainting or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Residents of Canada can call the provincial poison control center. Overdose symptoms may include: severe abdominal/abdominal pain or cramps, persistent nausea/vomiting/diarrhea.

Notes

Follow all regular medical and laboratory appointments.

Lifestyle changes that can prevent or relieve constipation include exercising, drinking enough water, and a proper diet with fiber-rich foods such as bran, fresh fruits/vegetables. Talk to your doctor or pharmacist about lifestyle changes that may benefit you.

Missed dose

If your doctor has told you to take this medicine regularly and you miss a dose, take it as soon as you remember. If it is close to the time of the next dose, skip the missed dose. Take your next dose at the usual time. Don’t double your dose to catch up.

Storage

Different brands of this medicine have different storage needs.