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Generic Name: Senna [Sen-nah]
Brand names: Ex-Lax, Fletchers Castoria, and Geri-kot.
Drug class: laxatives

What is Innerclean?

Senna can also be called Cassia, Fan Xie Ye (also known as Fan Xie Ye), Sene, Sennae, and Tinnevelly.

Senna may be effective as an alternative medicine for treating occasional constipation in adults and children over 2 years of age. Senna can be used in conjunction with other laxatives or stool softeners, such as lactulose, psyllium docusate, or mineral oil.

Senna may be effective for preparation of the bowel prior to colonoscopy.

The following uses have not been proven by research: weight reduction; irritable intestine syndrome; hemorrhoids; anal fissures (tears on the lining of the anus); or after anal and rectal surgical procedures.

Senna may not be effective for treating medical conditions. The FDA has not approved the use of this product for medical purposes. Senna is not a substitute for medication prescribed by your doctor.

Senna is sold as a herbal supplement. Many herbal compounds are not manufactured to regulated standards, and some supplements on the market have been found to be contaminated with toxic drugs or metals. To minimize the risk, herbal or health supplements must be purchased from a reputable source.Senna can be used in other ways than those listed in the product guide.

Similar/related drugs

Miralax, Erythromycin, Docusate, Colace, Bisacodyl, Senna, and Polyethylene Glycol (3350

Side effects of Innerclean

Seek immediate medical attention if you experience any of these symptoms: difficulty breathing, swelling in your face, lips, tongue or throat.

Senna may cause serious side effects. If you experience:

  • Rectal bleeding
  • No bowel movements within 12 hours of using Senna
  • Low sodium level—leg cramps, constipation. Irregular heartbeats. Fluttering of the chest. Increased thirst and urination. Numbness, tingling, or muscle weakness.

Senna is most commonly associated with constipation. You may experience less serious side effects or none at all.

There may be other side effects. For medical advice on side effects, call your doctor. The FDA can be contacted at 1-800-FDA-1088 to report side effects.


Please read all instructions on the label or package of your product. Inform your doctor about any medical conditions you may have, allergies and medications that you take.

Before you take this drug

Senna should not be used if:

  • Diarrhea, loose stools
  • Severe stomach pain;
  • A blockage or swelling in the digestive tract (stomach, intestines);
  • Crohn’s disease; ulcerative colitis; appendicitis
  • Hemorrhoids and anal prolapse
  • If you are dehydrated.

You may have any of the following conditions:

  • An electrolyte imbalance is a low potassium level in the blood.
  • Any change in bowel habits lasting more than 2 weeks
  • Long-term bowel problems;
  • Heart disease
  • Stomach pain, nausea, or vomiting.

Consult your doctor before taking this medication if you're pregnant or nursing.Senna is available in forms that are suitable for children. Never give any herbal or health supplements to children without consulting a doctor.

How to take Innerclean?

Consult your doctor before using herbal supplements. Consult a health practitioner trained in herbal or health supplements.Use Senna only as directed on the packaging or by your doctor, pharmacist, or other healthcare provider. Use only the recommended amount of this product.

The chewable tablet must be chewed before it can be swallowed.Measuring liquid medicine is important. Use the provided dosing device or a dose-measuring tool (not a spoon).

Senna will cause a bowel motion within 6–12 hours of taking it.Use different formulations (such as liquid and tablets) of Senna only after consulting a doctor. Combining different formulations increases the risk of overdosing on Senna.

Senna can be harmful when taken in large doses or for a long time. Senna use for more than two weeks can cause your bowels to not function normally. Long-term usage may cause an electrolyte imbalance that is serious. Some electrolyte imbalances can lead to muscle weakness, heart issues, liver damage, and other adverse effects.

If your constipation doesn't improve within a week after using Senna or if it gets worse, call your doctor.Store away from moisture, heat, and light at room temperature.

What happens if I miss the dose?

If your next dose is approaching, skip the missed dose. You should not take extra medicine to compensate for a missed dose.

What happens if I overdose?

Call 1-800-222-1222 for poison help or seek immediate medical attention.

What should be avoided?

If your doctor has prescribed any restrictions regarding food, beverage, or activity, follow their instructions.

Interaction with other drug

You should consult your doctor before taking Senna if you take any of these medications:

  • Hormonal replacement therapy or birth control pills
  • Digoxin (Lanoxin);
  • A diuretic;
  • Warfarin (Coumadin, Jantoven).

This list is incomplete. Senna may be affected by other drugs, such as vitamins and herbs. This list does not include all possible drug interactions.