This combination is indicated for

• the treatment of constipation,
• to maintain normal bowel movement in bedridden patients,
• and to reduce pain during bowel evacuation in patients suffering from hemorrhoids (piles).

This combination contains Ispaghula Seed, Ispaghula Husk, and Tinnevelly Senna Pods (Senna), specially formulated to relieve acute constipation. Ispaghula Husk contains approximately 70% soluble fiber and 30% insoluble fiber and can absorb up to 40 times its own weight in water. Therefore, it acts as a bulk-forming agent. It swells after absorbing water in the intestine, and the increased bulk helps regulate bowel movement. Ispaghula Seed also helps relieve constipation. Senna is a stimulant laxative that contains sennosides, which stimulate the muscles lining the intestine and help relieve constipation. Thus, this combination provides effective relief from acute constipation.

The usual dose for adults, the elderly and children over 12 years is one or two sachets once daily at night. Do not take it immediately before bedtime. Take the dose at least ½ to 1 hour before or after taking other medicines. Take the smallest dose to produce comfortable soft stools. Do not use for longer than 2 weeks unless your doctor suggest it. The granules of the sachet should be stirred into a glass of water and taken as soon as possible. Take the residual portion (if any) with water. Drink about 5-10 glasses of fluid every day while you are taking this product.

Ispaghula Husk, Ispaghula Seed, and Senna may delay gastric emptying and reduce the absorption of Calcium, Iron, and Zinc. Therefore, other medicines should be taken at least half to one hour before or a few hours after taking this preparation.

Ispaghula Seed, Ispaghula Husk, and Senna are generally safe. However, some people may experience mild abdominal bloating, flatulence, abdominal pain, or loose stools. In some cases, itching and skin rash may also occur.

If you are pregnant, it is advisable not to use this preparation during the first three months of pregnancy. Senna present in this preparation may pass into breast milk and may cause diarrhea in infants. Therefore, it is better to avoid this combination during breastfeeding.

Do not take this preparation without water. Drink an adequate amount of water during treatment with this combination. Do not use for more than 2 weeks unless advised by your physician.

Symptoms of overdose with Ispaghula Husk, Ispaghula Seed, and Senna may include abdominal discomfort, abdominal cramps, diarrhea, and flatulence. In case of overdose, the patient should drink plenty of water.

Bulk-forming laxatives, Herbal and Nutraceuticals

Do not store above 30°C. Protect from moisture and light. Keep out of the reach of children.