When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to senna, sennosides, docusate, casanthranol, or psyllium. Some brand names for these medicines are Correctol® stool softener, Ex-Lax®, Colace®, or Metamucil®. Make sure your doctor knows if you are allergic to any other laxative medicines.

How to Use This Medicine:
Tablet, Liquid Filled Capsule, Liquid, Granule, Capsule, Powder for Suspension

• Your doctor will tell you how much medicine to use. Do not use more than directed.
• If you have had a sudden change in your bowel movements in the past two weeks, ask your doctor before using this medicine.
• Follow the instructions on the medicine label if you are using this medicine without a prescription.
• Drink a full glass of water when you take this medicine. One full glass of water is about 8 ounces or 1 cup. Drinking 6 to 8 full glasses of water every day will help keep your bowel movements soft.
• You might need to mix the granules or powder with water before you take each dose. Drink this mixture right away. Do not swallow the granules or powder dry unless the directions say you can.
• Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.
• Use this medicine at bedtime, unless your doctor tells you otherwise.

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 mineral oil.
• Some laxatives need to be taken 2 hours before or 2 hours after other medicines. If you need to take any other medicine, ask your health caregiver if you need to follow a special schedule.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breast feeding.
• Do not use this medicine if you have stomach pain, nausea, or vomiting, unless your health caregiver tells you to use it.
• If you do not have a bowel movement after using this medicine, talk to your doctor. Most people will have a bowel movement within 6 to 12 hours after using this laxative.
• You should not use this laxative for more than 1 week unless your doctor says it is okay. Laxatives may be habit-forming and can harm your bowels if you use them too long.

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

• Bleeding from your rectum.
• Skin rash.
• Urine turns a different color.

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

• Diarrhea, cramps, nausea, burping.

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