**OVERVIEW**

**WHAT IS SENOKOT MAX STRENGTH (12 YEARS PLUS) 24 TABLETS?**
Senokot Max Strength Tablets 12 Years Plus contains Senna/Sennosides which work as a stimulant laxative for the short-term relief of occasional constipation. Senokot Max Strength Tablets 12 Years Plus contains calcium sennosides. Constipation is a fairly common and uncomfortable complaint. It usually involves difficult or irregular bowel movements, accompanied by hard, dry motions which can be painful to pass. Laxatives do not help with weight loss.

**USAGE**

**HOW TO USE SENOKOT MAX STRENGTH (12 YEARS PLUS) 24 TABLETS**
New users should start with the lowest dose and increase it to the maximum if necessary.
Once regularity has been regained dosage should be reduced and stopped.
Adults, the elderly and children 12 years and over:
Swallow one tablet at night.
Do not exceed the stated dose.
Duration of use
Normally it is sufficient to take this medicinal product up to two to three times a week.
Not to be used for more than one week.
Tell a doctor, pharmacist or nurse if:
the symptoms worsen, or persist during the use of medicinal product.
there is no bowel movement within 3 days of use.
you need to take laxatives every day if abdominal pain persists.
Do not take more than the leaflet tells you. Overuse can be harmful.

**WARNINGS**

**PRECAUTIONS TO CONSIDER BEFORE USING SENOKOT MAX STRENGTH (12 YEARS PLUS) 24 TABLETS**
Do not take if you:
are allergic to any of the ingredients.
have blockage or narrowing of the gastro-intestinal tract or bowel (ileus, intestinal obstruction or stenosis).
have paralysis or a lack of muscle tone in the bowel (atony).
have appendicitis, inflammatory bowel disease such as Crohn’s disease or ulcerative colitis.
have severe dehydration.
have persistent or undiagnosed abdominal complaints e. g pain, nausea, or vomiting.
have faecal impaction or rectal bleeding for which you don’t know the cause, or blood in your stools.
have already taken a laxative and are still constipated.
have had a sudden change in bowel habit that has lasted for more than 2 weeks.
are pregnant or breast-feeding.
have kidney or heart failure.
are under 12 years of age.
If you take too many tablets:
Consult your doctor take the leaflet that is in the packaging with you.
It may be harmful to take too much of this medicine or take it for too long.
This is because it may lead to: lazy bowel’ where the muscle in the bowel becomes too relaxed. This means that bowel emptying happens less often. This can lead to long-term constipation imbalance of fluids and salts in the body. This can affect the tightness of muscle such as those in the bowel. It can also affect the salts in the blood.
low levels of potassium in the blood (called hypo-kalaemia). This can make you tired, dizzy, make your muscles weak and cause an uneven heartbeat.
dehydration making you thirsty, feel faint and giving you headaches. It can also mean that you cannot pass enough urine.
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If any of the following or other side effects occur, stop taking this medicine and consult a doctor or pharmacist.
abdominal pain, spasms and diarrhea, in particular these effects may be experienced by patients with irritable colon. In these cases, a reduction in dose may be necessary.
hypersensitivity (allergic) reactions, hives (skin bumps), skin itchiness or local or more widespread, rash or asthma.
can make you more likely to catch infections.
chronic use may lead to albuminuria and haematuria which is albumin or red blood cells in the urine.
yellow or red-brown discoloration of urine may occur, which is harmless.
chronic use may cause pigmentation of the gastrointestinal tract which usually recedes when the product is no longer taken.
low potassium levels in the blood leading to muscle weakness and/or cramps.
Severe weight loss.
changes in the shape of the finger and fingernail, muscular spasms and inflammation of bones and joints.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the leaflet.
You can also report side effects directly via the Yellow Card Scheme at: www. mhra. gov. uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.