What it is and what it is used for

for Other formats 2. What you need to know before you take this To request a copy of this leaflet in Braille, medicine large print or audio please call free of charge: 3, How to take this medicine 0800 198 5000 (UK only) 4, Possible side effects 5. Howto store this medicine | Please be ready to give the following 6. Contents of the pack and other information information: Product name: Boots Senna 7.5mg Tablets 1.What Boots Senna 7.5mg Tablets 12 Years Plus 12 Years Plus are and what they are used for I Reference number: PL 44893/0042 Boots Senna 7.5mg Tablets 12 Years Plus contain Senna which work as.astimulant | This is a service provided by the Royal laxative for the short-term relief of occasional ; National Institute of Blind People.

• the product may produce abdominal pain, spasms and diarrhoea, in particular in patients with irritable colon
• chronic use may lead to albuminuria and

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If you take more Boots Senna 7.5mg Tablets 12 Years Plus than you should If you take more tablets than you should, stop taking the medicine and consult your doctor and take this leaflet with you, even if you do

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.How to store this medicine If you forget to take Boots Senna 7.5mg Tablets 12 Years Plus Keep this medicine out of the sight and If you miss a dose, take your next dose at the reach of children. usual time. Do not take or give a double dose * Do not use this medicine after the expiry date. The expiry date is printed on the blister and to make up for a forgotten dose, just carry on with the recommended dose. base of the carton. The expiry date refers to the last day of that month. If you have any further questions on the use of this medicine, ask your doctor or pharmacist. * Do not store above 20°C. Store in the original packaging. 4.Possible side effects

• Do not throw away any medicines via Like all medicines, this medicine can cause wastewater or household waste. Ask your

What you need to know before you take it

e this What is constipation? | medicine Normal and regular bowel movement is 'XDo not take Boots Senna 7.5mg Tablets 12 important for most people. However, what is Years Plus: "normal and regular' varies from person to '© Ifyou are allergic to Senna or any of the other person. Some may have a bowel movement ng redients of this medicine (listed in Section every day, others less often. Whatever it is like for you, it is best that your bowel movement

• Ifyou have blockage or narrowing of the has a regular pattern. gastro-intestinal tract or bowel (ileus, Constipation is an occasional problem for intestinal obstruction or stenosis) some people. For others, it may happen more * Ifyou have paras or lack of muscle tone in often. It happens when the normal muscle the bowel (atony actions inthe bowel (large intestine) slow
• Ifyou have appendicitis down. This can mean that material is not
• Ifyou have inflammatory bowel disease such easily eliminated from the body. as Crohn's disease or ulcerative colitis The cause of constipation is often not known. * Ifyou have persistent or undiagnosed It can be associated with: abdominal complaints e.g. pain, nausea or Sudden change of diet vomiting Adiet with not enough fibre
• lf you have faecal impaction or rectal Not drinking enough fluids bleeding for which you don't know the cause, Loss of 'tone of the bowel muscles in older | or blood in stools eople '* Ifyou have already taken a laxative and are regnancy | still constipated Medicines such as morphine or codeine '© Ifyou have had a sudden change in bowel Having to stay in bed fora long time 'habit that lasted for more than 2 weeks Lack of exercise. '* Ifyou are pregnant or breastfeeding '« Ifyou have severe dehydration Whatever the cause, constipation can be uncomfortable. It may make you feel bloated ® Ifyou are under12 years of age. and heavy or generally "off colour'. Does this help with weight loss? Sometimes it causes headaches. Stimulant laxatives (including Boots Senna Itis recommended to use changes in diet and 75mg Tablets 12 Years Plus) do not help with bulk forming medicines to control constipation weight loss. They do not reduce the before using this medicine. absorption of calories or nutrients. They can cause watery stools (diarrhoea), abdominal These healthy tips are recommended to try to revent constipation happening: cramps and dehydration. Dehydration can at a balanced diet incliing fresh fruit and seem like weight loss. vegetables ——-

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by: Pregnancy and breast-feeding Do not take Boots Senna 7.5mg Tablets 12 Years; Causing disturbances of electrolyte and Plus if you are pregnant or breast-feedin mineral balances. Sodium, potassium, magnesium, and phosphorus are electrolytes because there is no evidence thatitis safe to and minerals that are present in very specific 0 $0. amounts necessary for proper functioning of 3.How to take this medicine the nerves and muscles, including those of the Always take this medicine exactly as described | colon and heart. Upsetting this delicate in this leaflet or as your doctor, pharmacist or | balance can cause incorrect functioning of ualified healthcare practitioner has told you. ; these vital organs. heck with your doctor, pharmacist or Severe dehydration may cause tremors, qualified healthcare practitioner if you are not weakness, blury vision, fainting, kidney sure. damage, and, in extreme cases, death. For oral use Dehydration often requires medical treatment. New users should start with the lowest dose Overuse of laxatives can cause the colon to and increase it to the maximum if necessary. stop reacting to usual doses of laxatives so Once regularity has been regained dosage that larger and larger amounts of laxatives should be reduced and stopped. may be needed to produce bowel It is important that you follow these instructions movements. carefully. Laxative dependency occurs from overuse. The recommended dose is: Warnings and precautions Adults and the elderly: Take two tablets at Talk to your doctor, pharmacist or qualified bedtime when required. healthcare practitioner before taking this Children over 12 years: One tablet at bedtime medicine: when required. If you suffer from kidney disorder Swallow tablets whole with water. If you are taking medicines for a heart This medicine should not be used in children | condition (e.g. cardiac glycosides, under12 years old. antiarrhythmic medicines e.g. quinidine), Duration of use medicines inducing OT prolongation, Not to be used for more than one week. diuretics, adrenocorticosteroids or liquorice Usually it is sufficient to take this medicine up to root preparations. two to three times a week. When administering this productto Consult your doctor, pharmacist or qualified incontinent adults, pads should be changed healthcare practitioner after taking this more frequently to prevent extended skin medicine: contact with faeces.

• if symptoms worsen or persist Taking other medicines and Boots Senna
• if there is no bowel movement within 3 days of 7.5mg Tablets 12 Years Plus use Tell your doctor or pharmacist if you are

taking, have recently taken or might take any * if you need to take laxatives every day or if other medicines including those listed above and any medicines obtained without a

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abdominal pain persists. Do not take more than the leatlet tells you.

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Possible side effects

, although not everybody gets pharmacist how to throw away medicines you them. If any of the following or other side no longer use. These measures will help etfects occur, stop taking this product and protect the environment. consult your doctor or harmacist

Contents of the pack and other information

allergic reactions such as local or more What is in this medicine widespread skin rash, hives (skin bumps) or itchiness around the anus. Each tablet contains the active substance

Constipation is a ait common and ° Drink enough water so that you do not uncomfortable complaint. It usually involves ; become dehydrated difficult or irregular bowel movements, '« Keep up your exercise and stay fit accompanied by hard, dry motions which can ° Make time to empty your bowels when your be painfulto pass. Laxatives do not help with | body tells you. weight loss.