When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to a laxative product of this type, or if you have heart block or severe kidney disease.

How to Use This Medicine:
Liquid

• Your doctor will tell you how much of this medicine to take and how often. Do not take more medicine or take it more often than your doctor tells you to.
• If you are using this medicine without a prescription, follow the instructions on the medicine label. Do not use this medicine for longer than 1 week unless your doctor tells you otherwise.
• It is best to take this medicine on an empty stomach. You may chill the medicine in the refrigerator to make it taste better.
• Measure the medicine with a marked measuring spoon or medicine cup.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are also using blood thinners (Coumadin®), ciprofloxacin (Cipro®), digoxin (Lanoxin®), etidronate (Didronel®), sodium polystyrene sulfonate (Kayexalate®, Kionex®), or tetracycline.
• Tell your doctor if you are on a low-salt diet.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breastfeeding, or if you have a bowel obstruction, a colostomy, or an ileostomy.
• Stop using the medicine and call your doctor if you have severe stomach cramps, nausea, vomiting, or blood in your stools.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Confusion, weakness, irregular heartbeat, shortness of breath
• Lightheadedness or fainting
• Severe diarrhea

If you notice these less serious side effects, talk with your doctor:

• Mild diarrhea or stomach pain

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088