The preparation contains: caraway fruit, buckthorn bark, elderberry fruit, peppermint leaf, Senna leaf. 1 sachet (1.4 g) contains 19.6-29.4 mg of antiprivins expressed as glucofrangulin A.
Action:
A herbal preparation with a laxative effect. The hydroxyanthracene derivatives contained in the leaves of the senna and birch bark stimulate the motor activity of the colon by stimulating pulsatile contractions and suppressing stationary contractions. This accelerates the intestinal transit and reduces the resorption of liquids as a result of shortening the contact time. In addition, water and electrolytes are excreted through the active release of chlorides.
Contraindications:
Hypersensitivity to crumb, senna or other components of the preparation. Obstruction, stricture or atony of the intestines, inflammatory diseases of the colon (Crohn's disease, ulcerative colitis), appendicitis, abdominal pain of unknown origin, renal failure, menstrual bleeding, dehydration of the body and electrolyte disturbances (mainly hypokalemia). Do not use in children under 12 years.
Precautions:
The initiation of the use of senna leaf and buckthorn bark should be considered in patients taking cardiac glycosides, antiarrhythmics, QT prolongation, diuretic, adrenocorticoid or licorice root. Buckthorn bark and senna leaf should not be used by patients suffering from stool spraining, undiagnosed, acute or persistent gastrointestinal discomforts such as abdominal pain, nausea, vomiting. Long-term laxatives should be avoided. Used for more than a short period of treatment (over 7 days) may lead to addiction with the need to increase the dose of the preparation, colony atony with functional impairment and the increase of constipation. The preparation should only be used if the therapeutic effect can not be achieved by changing the diet or by using milder laxatives.
Pregnancy and lactation:
Do not use during pregnancy and breast-feeding.
Side effects:
Very rarely, hypersensitivity may include: pruritus, urticaria, local or generalized rash. In very rare cases, buckthorn bark and senna leaf may cause cramping abdominal pain and watery stool, especially in patients with hyperactive intestinal syndrome. These symptoms are often the result of an overdose of the drug, in which case the dose should be reduced. Long-term use / addiction can lead to disturbances in water and electrolyte management. Diarrhea may lead in particular to the loss of potassium, which in turn may cause cardiac arrhythmias and muscle weakness, in particular if the patient simultaneously uses cardiac glycosides, diuretics, adrenocorticoids or licorice root. Too long use of the preparation may cause reversible pigmentation changes in the mucous membrane of the large intestine (Pseudomelanosis coli), proteinuria and hematuria may also occur.
Dosage:
1 sachet pour 1 cup boiling water, infuse for about 15 minutes. Drink 1 time a day before bedtime. 1 teaspoon of brewing herbs pour 1 cup of cold water, boil under cover and leave. After about 15 minutes. strain. Laxative action occurs 6-10 hours after taking the drug. Initially, it is recommended to drink 2/3 of the prepared infusion, and in the absence of effect, drink the entire infusion. It is not recommended to use for more than 7-10 days (do not use more than 2-3 times a week).
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