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Ex-Lax Senna Pills

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SUMMARY OF PRODUCT CHARACTERISTICS

1    NAME OF THE MEDICINAL PRODUCT

EX-LAX SENNA PILLS

2    QUALITATIVE AND QUANTITATIVE    COMPOSITION

Each tablet contains senna glycosides 60% 20 mg (equivalent to sennosides 12 mg)

3    PHARMACEUTICAL FORM

Coated tablets

4    CLINICAL PARTICULARS

4.1    Therapeutic indications

Relief of constipation.

4.2    Posology and Method of Administration

The following doses are normally taken at bedtime Adults and children over 12: 1 Tablet

A second dose may be taken during the day if required. Do not exceed two doses in any 24 hours.

Not recommended for children under 12.

There is no indication that the dosage should be modified for the elderly.

Route:

Oral route of administration.

4.3    Contra-Indications

Ex-Lax Senna Pills should not be used when intestinal obstruction, bleeding or persistent abdominal symptoms are present.

Not recommended in cases of ileostomy or colostomy.

4.4    Special Warnings and Precautions for Use

Prolonged use is not recommended. Ex-Lax Senna Pills should not be used for more than 7 days without seeking medical advice.

Label/leaflet precaution:

If a laxative is needed every day or there is persistent abdominal pain -consult your doctor.

If there is no bowel movement after 3 days consult your doctor.

Ex-Lax Senna Pills should be used with caution shortly after bowel surgery.

During use of Ex-Lax Senna Pills, an adequate level of fluid intake should be maintained

4.5    Interactions with other Medicaments and other forms of Interaction

None stated.

4.6    Pregnancy and Lactation

No known adverse effects during pregnancy.

Clinical studies have shown that the breast fed infants of mothers taking a senna laxative did not show any side effects to the drug.

4.7    Effects on Ability to Drive and Use Machines

None known.

4.8 Undesirable Effects

Temporary mild griping may occur.

4.9 Overdose

Overdosage may result in diarrhoea with excessive loss of water and electrolytes, particularly potassium. Treatment should include an increase in fluid intake to reverse the loss of fluid and electrolytes.

Prolonged, excessive use of laxatives without interruption should be avoided because of the risk of electrolyte imbalances and in extreme cases the possibility of irreversible adverse effects in the bowel.

5 PHARMACOLOGICAL PROPERTIES

5.1 Pharmacodynamic properties

Senna is an anthraquinone laxative which is used to treat constipation and for bowel evacuation before radiological procedures. The active anthraquinones are liberated into the colon from the glycosides by colonic bacteria and an effect usually occurs 6 to 12 hours after administration.

5.2 Pharmacokinetic Properties

There is some absorption of the anthraquinones from senna preparations following hydrolysis by colonic bacteria. Excretion occurs in the urine and the faeces and also in other secretions including milk.

(Although anthraquinone derivatives may be excreted in the milk of lactating mothers, following normal dosage the concentration is usually insufficient to affect the nursing infant).

5.3


Preclinical Safety Data

Not applicable.

6.    PHARMACEUTICAL PARTICULARS

6.1    List of Excipients

Sucrose, lactose monohydrate, maize starch, talc, acacia, titanium dioxide, glucose, stearic acid, gelatin, silica colloidal anhydrous, red iron oxide, carnauba wax

6.2    Incompatibilities

None known

6.3    Shelf Life

36 months

6.4    Special Precautions for Storage

Do not store above 25°C

6.5    Nature and Contents of Container

Blister pack composed of PVC/PVdC blisters sealed with aluminium foil. Pack sizes: 6, 9, 10, 12, 18, 20, 24, 30, 36, 40 or 48 sugar coated tablets.

6.6    Instruction for Use, Handling and Disposal

Not applicable

7.    MARKETING AUTHORISATION HOLDER

Novartis Consumer Health UK Limited Wimblehurst Road

Horsham West Sussex RH12 5AB United Kingdom

Trading as Novartis Consumer Health

8. MARKETING AUTHORISATION NUMBER(S)

PL 00030/0148

9. DATE OF FIRST AUTHORISATION/RENEWAL OF AUTHORISATION

3 November 2000

10. DATE OF (PARTIAL) REVISION OF THE TEXT

May 2004