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Senna

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.

Interactions with Dietary 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.

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

For the convenience of the reader, the information in the summary is categorized as follows: “Depletion or interference” indicates the drug may deplete or interfere with the absorption or function of the supplement or herb. “Adverse interaction” indicates that the supplement or herb used together with the drug may result in undesirable effects. “Side effect reduction/prevention” indicates the supplement or herb may reduce the likelihood and/or severity of a potential side effect caused by the drug. “Supportive interaction” indicates the supplement or herb may support or aid the function of the drug. “Reduced drug absorption/bioavailability” indicates that the supplement or herb may decrease the absorption and/or activity of the drug in the body. An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.

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.