A new kind of
Golf Tees Designed and Engineered
to Improve your Practice
All good golfers know, to make consistent contact you must strike the ball first and the ground second. Senna Golf Tee raises the ball off of the mat, simulating a ball on grass. This makes it easier to make consistent contact with the ball. The Senna Tee also encourages hitting down on the ball which is often made difficult by traditional golf mats.
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Driving Range Golf Mat Tees
When you are at the driving range, you want to have the best practice possible. Swinging a golf club incorrectly during practice will certainly hurt your game. If the golf ball is not placed slightly above the golf mat with a driving range tee, you will be swinging at a ball that is lower than it would be on the golf course on real grass. Why adjust your swing to accommodate that deficiency at the driving range?
Benefits of using a driving range tee:
- Simulates the ball height on real grass
- Prevents hitting the ground before the ball
- Promotes a consistent swing
- Allows for hitting down on the golf ball
Driving Range Golf Mat Tee Lifts your Ball for a more Consistent Swing
Improve your practice to improve your golf game. Purchase a driving range golf tee 30 pack today!
As a PE instructor, golf is challenging to teach, Senna tees give me an effective training aid to help kids with proper swing mechanics, getting kids to enjoy golf faster.
P.E. Instructor 20yrs
"No More Scooping"
When setting up over the ball, Senna tee gives me confidence to hit down and through. I no longer feel the need to scoop the ball into the air.
Soccer Mom and Golf Beginner
Senna Golf Tee gives golfers of all skill levels immediate and REALISTIC FEEDBACK on their ball striking when practicing on the range.
Senna
● . Little exposure or very minor concerns.
What is Senna?
C. acutifolia (Alexandria senna) is native to Egypt and the Sudan while C. angustifolia (Tinnevally senna) is native to Somalia, the Middle East, and India. The top parts are harvested, dried, and graded. There are more than 400 known species of Cassia. Wild sennas (C. hebecarpa and C. marilandica) grow on moist banks and woods in the eastern United States, but are not used commercially. Cassia is also a common name for cinnamon, but that is a different plant. The plant derives its name from the Arabic “sena” and from the Hebrew word “cassia,” which means “peeled back,” a reference to its peelable bark.
What is it used for?
Senna first was used by Arabian physicians as far back as the 9th century AD. It has long been used in traditional Arabic and European medicine as well, primarily as a laxative. The leaves have been brewed and the tea administered for its strong laxative effect. Because it often is difficult to control the concentration of the active ingredients in the tea, an unpredictable effect may be obtained. Therefore, standardized commercial dosage forms have been developed, and these concentrates are available as liquids, powders, and tablets in OTC laxatives.
Senna is most commonly used as a laxative.
What is the recommended dosage?
Senna leaves or pods have been used as a laxative at doses of 0.6 to 2 g/day, with a daily dose of sennoside B from 20 to 30 mg. The brand Senokot is available in 8.6 and 17.2 mg tablets. A bitter tea can be made containing senna 0.5 to 2 g (ie, ½ to 1 teaspoon). Senna should not be used at higher doses or for extended periods of time.
How safe is it?
Senna is contraindicated in patients with intestinal obstruction, ulcerative colitis, appendicitis, and Crohn disease. Senna is not recommended for children younger than 2 years of age.
Use with caution until more definitive information is known. Some data suggest stimulation of the uterus, mutations, and other gene damage with senna usage, while other sources suggest it is the laxative drug of choice in pregnancy.
Use of senna with drugs known to deplete potassium, such as diuretics, should be limited or avoided. Because senna may cause diarrhea, caution is warranted in patients receiving warfarin, because diarrhea can reduce the absorption of vitamin K and increase the risk of bleeding.
Senna may cause diarrhea, loss of fluids, high blood potassium, and abdominal pain or cramping. The long-term use of senna has resulted in pigmentation of the colon, reversible finger clubbing, wasting, and dependence on the laxative. Children, particularly those wearing diapers, may experience severe diaper rash, blister formation, and skin sloughing. Case reports indicate a possible association between long-term administration of senna and liver damage.
Case reports of senna toxicity are available and include coma and nerve damage after ingestion of a senna-combination laxative, as well as liver damage after long-term use of the plant.
- Senna. Review of Natural Products. Facts & Comparisons [database online]. St. Louis, MO: Wolters Kluwer Health, Inc; December 2010.
Copyright © 2009 Wolters Kluwer Health
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CSA Schedule Not a controlled drug
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Dangers of Senna Tea
Senna tea is a popular herbal laxative used for the relief of constipation. Many people find it very effective as a natural solution to constipation problems. The problem is that there are several dangers associated with consuming senna tea.
Some people are allergic to senna tea. Some users have experienced serious allergic reactions. You should always take senna tea in small amounts the first time and watch for reactions such as swelling of the tongue face or lips and difficulty breathing and swallowing.
Digestive Issues
Senna tea can worsen digestive issues instead of improving them. These problems are often from overuse. The digestive issues include chronic diarrhea, nausea and stomach cramps. This can lead to dehydration and an electrolyte balance disturbance, which can be fatal.
Laxative Dependency
Overuse of senna tea can damage the colon and rectum as they become desensitized to the need to defecate. This will cause a strong dependency of more laxatives and cause a recurring long-term issue.
Finger and Toe Enlargement
An odd side effect of senna use is the growth of the fingers and toes, which become clubbed. This is visible in people with anorexia who abuse the herb. Fortunately, the symptom is reversible when use is discontinued.
Organ Injury
Overuse of senna tea in known to damage the organs. It can cause Pseudomelanosis coli, a condition that turns the intestines black. This may can cause colorectal cancer. It may cause liver enzyme altercation, chronic liver disease and liver failure. Senna tea can also damage the kidneys and cause renal failure.
Drug Interactions
Anyone who senna tea must inform their doctor to avoid dangerous drug interactions. There are at lease 123 drugs that cause bad reactions when mixed used with senna tea. Some common drugs that react with senna tea are aspirin, Lasix, Lexapro, Milk of Magnesia, Prilosec and Tylenol. Vitamins C and D may also cause adverse drug interactions when taken with senna tea.
Pregnant women should not take senna tea because it can cause premature contractions and miscarrage. Lactating mothers should also avoid it to prevent it from causing a laxative effect in the baby's digestive system.
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Other Names:
Alexandrian Senna, Alexandrinische Senna, Casse, Cassia acutifolia, Cassia angustifolia, Cassia lanceolata, Cassia senna, Fan Xie Ye, Indian Senna, Khartoum Senna, Sen, Sena Alejandrina, Séné, Séné d'Alexandrie, Séné d'Egypte, Séne d’Inde, Séné .
See All Names Alexandrian Senna, Alexandrinische Senna, Casse, Cassia acutifolia, Cassia angustifolia, Cassia lanceolata, Cassia senna, Fan Xie Ye, Indian Senna, Khartoum Senna, Sen, Sena Alejandrina, Séné, Séné d'Alexandrie, Séné d'Egypte, Séne d’Inde, Séné de Tinnevelly, Senna alexandrina, Sennae Folium, Sennae Fructus, Sennosides, Tinnevelly Senna, True Senna.
SENNA Overview Information
Senna is an herb. The leaves and the fruit of the plant are used to make medicine.
How does it work?
Senna contains many chemicals called sennosides. Sennosides irritate the lining of the bowel, which causes a laxative effect.
SENNA Uses & Effectiveness
Likely Effective for:
- Constipation. Taking senna by mouth is effective for short-term treatment of constipation. Senna is an FDA-approved nonprescription drug for adults and children ages 2 years and older. However, in children ages 3-15 years, mineral oil and a medication called lactulose might be more effective than taking senna. Senna also appears to be effective for treating constipation when used in combination with psyllium or docusate sodium. In elderly people, senna plus psyllium is more effective than lactulose for treating ongoing constipation. Senna plus docusate sodium is effective for treating constipation in the elderly and in people who have undergone anorectal surgery. Taking senna appears to be as effective as lactulose, psyllium, and docusate for relieving constipation in people taking opioids or loperamide.
Possibly Effective for:
- Bowel preparation before colonoscopy. Taking senna by mouth is as effective as castor oil and bisocodyl for bowel cleansing. Some evidence suggests that senna is also at least as effective as polyethylene glycol for bowel preparation. However, conflicting evidence exists. It is unclear if taking senna with polyethylene glycol is more effective than taking polyethylene glycol alone. Senna appears to be less effective than sodium phosphate for bowel cleansing. However, taking a combination of senna, sodium picosulfate, and polyethylene glycol appears to be more effective than sodium phosphate for bowel prepration prior to colonoscopy.
Possibly Ineffective for:
- Diagnostic imaging. Taking senna by mouth does not appear to improve imaging of abdominal organs.
Insufficient Evidence for:
- Hemorrhoids.
- Irritable bowel disease.
- Losing weight.
- Other conditions.
SENNA Side Effects & Safety
Senna is LIKELY SAFE for most adults and children over age 2 when taken by mouth, short-term. Senna is an FDA-approved nonprescription medicine. Senna can cause some side effects including stomach discomfort, cramps, and diarrhea.
Special Precautions & Warnings:
SENNA Interactions
Moderate Interaction Be cautious with this combination
- Digoxin (Lanoxin) interacts with SENNA
Senna is a type of laxative called a stimulant laxative. Stimulant laxatives can decrease potassium levels in the body. Low potassium levels can increase the risk of side effects of digoxin (Lanoxin).
Senna can work as a laxative. In some people senna can cause diarrhea. Diarrhea can increase the effects of warfarin and increase the risk of bleeding. If you take warfarin do not to take excessive amounts of senna.
Senna is a laxative. Some laxatives can decrease potassium in the body. "Water pills" can also decrease potassium in the body. Taking senna along with "water pills" might decrease potassium in the body too much.
SENNA Dosing
The following doses have been studied in scientific research:
Agra, Y., Sacristan, A., Gonzalez, M., Ferrari, M., Portugues, A., and Calvo, M. J. Efficacy of senna versus lactulose in terminal cancer patients treated with opioids. J Pain Symptom.Manage. 1998;15(1):1-7. View abstract.
Bailey, S. R., Tyrrell, P. N., and Hale, M. A trial to assess the effectiveness of bowel preparation prior to intravenous urography. Clin.Radiol. 1991;44(5):335-337. View abstract.
BALDWIN, W. F. CLINICAL STUDY OF SENNA ADMINISTRATION TO NURSING MOTHERS: ASSESSMENT OF EFFECTS ON INFANT BOWEL HABITS. Can.Med Assoc.J 9-14-1963;89:566-568. View abstract.
Beuers, U., Spengler, U., and Pape, G. R. Hepatitis after chronic abuse of senna. Lancet 2-9-1991;337(8737):372-373. View abstract.
Borkje, B., Pedersen, R., Lund, G. M., Enehaug, J. S., and Berstad, A. Effectiveness and acceptability of three bowel cleansing regimens. Scand J Gastroenterol 1991;26(2):162-166. View abstract.
Bossi, S., Arsenio, L., Bodria, P., Magnati, G., Trovato, R., and Strata, A. [Clinical study of a new preparation from plantago seeds and senna pods]. Acta Biomed.Ateneo.Parmense. 1986;57(5-6):179-186. View abstract.
Bronder, E., Klimpel, A., Helmert, U., Greiser, E., Molzahn, M., and Pommer, W. [Analgesics and laxatives as risk factors for cancer in the efferent urinary tract--results of the Berlin Urothelial Carcinoma Study]. Soz.Praventivmed. 1999;44(3):117-125. View abstract.
Brouwers, J. R., van Ouwerkerk, W. P., de Boer, S. M., and Thoman, L. A controlled trial of senna preparations and other laxatives used for bowel cleansing prior to radiological examination. Pharmacology 1980;20 Suppl 1:58-64. View abstract.
Brusick, D. and Mengs, U. Assessment of the genotoxic risk from laxative senna products. Environ.Mol.Mutagen. 1997;29(1):1-9. View abstract.
Buhmann, S., Kirchhoff, C., Wielage, C., Fischer, T., Mussack, T., Reiser, M., and Lienemann, A. [Visualization and quantification of large bowel motility with functional cine-MRI]. Rofo 2005;177(1):35-40. View abstract.
Buhmann, S., Kirchhoff, C., Wielage, C., Mussack, T., Reiser, M. F., and Lienemann, A. Assessment of large bowel motility by cine magnetic resonance imaging using two different prokinetic agents: a feasibility study. Invest Radiol. 2005;40(11):689-694. View abstract.
Burlefinger, R. J. and Schmitt, W. [Letter to the Journal of Gastroenterology. Comment on the article "Senna or bisacodyl before lavage preparation for colonoscopy: prospective randomized comparative study", by D. J. Ziegenhagen, E. Zehnter, W. Tacke, T. H. Gheorghiu, W. Kruis]. Z.Gastroenterol. 1992;30(5):376. View abstract.
Calore, E. E., Cavaliere, M. J., Haraguchi, M., Gorniak, S. L., Dagli, M. L., Raspantini, P. C., and Perez Calore, N. M. Experimental mitochondrial myopathy induced by chronic intoxication by Senna occidentalis seeds. J Neurol.Sci. 2-27-1997;146(1):1-6. View abstract.
Chilton, A. P., O'Sullivan, M., Cox, M. A., Loft, D. E., and Nwokolo, C. U. A blinded, randomized comparison of a novel, low-dose, triple regimen with fleet phospho-soda: a study of colon cleanliness, speed and success of colonoscopy. Endoscopy 2000;32(1):37-41. View abstract.
Chomnawang, M. T., Surassmo, S., Nukoolkarn, V. S., and Gritsanapan, W. Effect of Garcinia mangostana on inflammation caused by Propionibacterium acnes. Fitoterapia 2007;78(6):401-408. View abstract.
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Corman, M. L. Management of postoperative constipation in anorectal surgery. Dis.Colon Rectum 1979;22(3):149-151. View abstract.
Crossner, C. G., Birkhed, D., and Edwardsson, S. [The cariologic aspects of two laxatives--Senna (Fikonsirap) and Duphalac]. Tandlakartidningen. 3-15-1982;74(6):284-288. View abstract.
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de Witte, P. Metabolism and pharmacokinetics of anthranoids. Pharmacology 1993;47 Suppl 1:86-97. View abstract.
De, Salvo L., Borgonovo, G., Ansaldo, G. L., Varaldo, E., Floris, F., Assalino, M., and Gianiorio, F. The bowel cleansing for colonoscopy. A randomized trial comparing three methods. Ann.Ital.Chir 2006;77(2):143-146. View abstract.
Fernandez, Seara J., Pascual, Rubin P., Pato Rodriguez, M. A., Pereira Jorge, J. A., Dominguez Alvarez, L. M., Landeiro, Aller E., Tesouro, Rodriguez, I, Gonzalez Simon, M. C., Mendez Veloso, M. C., and Pena, Perez L. [Comparative study of the efficacy and tolerance of 2 types of colon cleansing]. Rev.Esp.Enferm.Dig. 1995;87(11):785-791. View abstract.
Fireman, Z., Rozen, P., Fine, N., and Chetrit, A. Reproducibility studies and effects of bowel preparations on measurements of rectal epithelial proliferation. Cancer Lett. 1989;45(1):59-64. View abstract.
First International Symposium on Senna. May 22-23, 1987, Rottach-Egern (FRG). Proceedings. Pharmacology 1988;36 Suppl 1:1-240. View abstract.
Gattuso, J. M. and Kamm, M. A. Adverse effects of drugs used in the management of constipation and diarrhoea. Drug Saf 1994;10(1):47-65. View abstract.
Glatzel, H. [Results of long-term therapy of 1059 babitually constipated patients using a standardized senna preparation]. Z.Allgemeinmed. 5-10-1972;48(13):654-656. View abstract.
Goppel, M. and Franz, G. Stability control of senna leaves and senna extracts. Planta Med 2004;70(5):432-436. View abstract.
Gould, S. R. and Williams, C. B. Castor oil or senna preparation before colonoscopy for inactive chronic ulcerative colitis. Gastrointest.Endosc. 1982;28(1):6-8. View abstract.
Greenhalf, J. O. and Leonard, H. S. Laxatives in the treatment of constipation in pregnant and breast-feeding mothers. Practitioner 1973;210(256):259-263. View abstract.
Greiner, A. C. and Warwick, W. E. The use of sennosides A and B in the treatment of constipation in a mental institution. Appl.Ther 1965;7(12):1096-1098. View abstract.
Guo, H., Huang, Y., Xi, Z., Song, Y., Guo, Y., and Na, Y. Is bowel preparation before excretory urography necessary? A prospective, randomized, controlled trial. J Urol. 2006;175(2):665-668. View abstract.
Hangartner, P. J., Munch, R., Meier, J., Ammann, R., and Buhler, H. Comparison of three colon cleansing methods: evaluation of a randomized clinical trial with 300 ambulatory patients. Endoscopy 1989;21(6):272-275. View abstract.
Hardcastle, J. D. and Wilkins, J. L. The action of sennosides and related compounds on human colon and rectum. Gut 1970;11(12):1038-1042. View abstract.
Heldwein, W., Sommerlatte, T., Hasford, J., Lehnert, P., Littig, G., and Muller-Lissner, S. Evaluation of the usefulness of dimethicone and/or senna extract in improving the visualization of abdominal organs. J Clin.Ultrasound 1987;15(7):455-458. View abstract.
Hensel, A., Deters, A. M., Muller, G., Stark, T., Wittschier, N., and Hofmann, T. Occurrence of N-phenylpropenoyl-L-amino acid amides in different herbal drugs and their influence on human keratinocytes, on human liver cells and on adhesion of Helicobacter pylori to the human stomach. Planta Med. 2007;73(2):142-150. View abstract.
Hietala, P., Lainonen, H., and Marvola, M. New aspects on the metabolism of the sennosides. Pharmacology 1988;36 Suppl 1:138-143. View abstract.
Ip, S. W., Weng, Y. S., Lin, S. Y., Mei, Dueyang, Tang, N. Y., Su, C. C., and Chung, J. G. The role of Ca+2 on rhein-induced apoptosis in human cervical cancer Ca Ski cells. Anticancer Res 2007;27(1A):379-389. View abstract.
Izzo, A. A., Mascolo, N., and Capasso, F. Nitric oxide as a modulator of intestinal water and electrolyte transport. Dig Dis Sci 1998;43(8):1605-1620. View abstract.
Kaspi, T., Royds, R. B., and Turner, P. Qualitative determination of senna in urine. Lancet 5-27-1978;1(8074):1162. View abstract.
Kinnunen, O. and Salokannel, J. The carry-over effect on the bowel habit in elderly long-term patients of long-term bulk-forming products containing stimulant laxative. Acta Med Scand. 1987;222(5):477-479. View abstract.
Kobashi, K., Nishimura, T., Kusaka, M., Hattori, M., and Namba, T. Metabolism of sennosides by human intestinal bacteria. Planta Med 1980;40(3):225-236. View abstract.
Kositchaiwat, S., Suwanthanmma, W., Suvikapakornkul, R., Tiewthanom, V., Rerkpatanakit, P., and Tinkornrusmee, C. Comparative study of two bowel preparation regimens for colonoscopy: senna tablets vs sodium phosphate solution. World J Gastroenterol. 9-14-2006;12(34):5536-5539. View abstract.
Krumbiegel G and Schulz HU. Rhein and aloe-emodin kinetics from senna laxatives in man. Pharmacology 1993;47(suppl 1):120-124. View abstract.
Labenz, J., Hopmann, G., Leverkus, F., and Borsch, G. [Bowel cleansing prior to colonoscopy. A prospective, randomized, blind comparative study]. Med Klin.(Munich) 10-15-1990;85(10):581-585. View abstract.
Lazarus, H., Fitzmartin, R. D., and Goldenheim, P. D. A multi-investigator clinical evaluation of oral controlled-release morphine (MS Contin tablets) administered to cancer patients. Hosp.J 1990;6(4):1-15. View abstract.
Lemli, J. [Mechanism of action of sennosides]. Bull.Acad.Natl.Med 1995;179(8):1605-1611. View abstract.
Lemli, J. [Senna: chemistry and pharmacology]. Verh.K.Acad.Geneeskd.Belg. 1986;48(1):51-62. View abstract.
Lemli, J. [The mechanism of action of sennosides]. Ann.Gastroenterol.Hepatol.(Paris) 1996;32(2):109-112. View abstract.
Lemli, J. Metabolism of sennosides--an overview. Pharmacology 1988;36 Suppl 1:126-128. View abstract.
Lemli, J. Senna--an old drug in modern research. Pharmacology 1988;36 Suppl 1:3-6. View abstract.
Leng-Peschlow, E. Acceleration of large intestine transit time in rats by sennosides and related compounds. J Pharm.Pharmacol. 1986;38(5):369-373. View abstract.
Leng-Peschlow, E. Dual effect of orally administered sennosides on large intestine transit and fluid absorption in the rat. J Pharm.Pharmacol. 1986;38(8):606-610. View abstract.
Leng-Peschlow, E. Inhibition of intestinal water and electrolyte absorption by senna derivatives in rats. J Pharm.Pharmacol. 1980;32(5):330-335. View abstract.
Levine, D., Goode, A. W., and Wingate, D. L. Purgative abuse associated with reversible cachexia, hypogammaglobulinaemia, and finger clubbing. Lancet 4-25-1981;1(8226):919-920. View abstract.
Lewis, S. and Cochrane, S. Alteration of sulfate and hydrogen metabolism in the human colon by changing intestinal transit rate. Am J Gastroenterol. 2007;102(3):624-633. View abstract.
Lewis, S. J. and Heaton, K. W. Increasing butyrate concentration in the distal colon by accelerating intestinal transit. Gut 1997;41(2):245-251. View abstract.
Lewis, S. J. and Heaton, K. W. Stool form scale as a useful guide to intestinal transit time. Scand.J Gastroenterol. 1997;32(9):920-924. View abstract.
Lewis, S. J., Heaton, K. W., Oakey, R. E., and McGarrigle, H. H. Lower serum oestrogen concentrations associated with faster intestinal transit. Br.J Cancer 1997;76(3):395-400. View abstract.
Lewis, S. J., Oakey, R. E., and Heaton, K. W. Intestinal absorption of oestrogen: the effect of altering transit-time. Eur.J Gastroenterol.Hepatol. 1998;10(1):33-39. View abstract.
Lewis, S., Bolton, C., and Heaton, K. Lack of influence of intestinal transit on oxidative status in premenopausal women. Eur.J Clin.Nutr. 1996;50(8):565-568. View abstract.
Lim, A. K., Hooke, D. H., and Kerr, P. G. Anorexia nervosa and senna misuse: nephrocalcinosis, digital clubbing and hypertrophic osteoarthropathy. Med J Aust. 1-21-2008;188(2):121-122. View abstract.
Maddi, V. I. Regulation of bowel function by a laxative/stool softener preparation in aged nursing home patients. J Am Geriatr.Soc. 1979;27(10):464-468. View abstract.
Maguire, L. C., Yon, J. L., and Miller, E. Prevention of narcotic-induced constipation. N.Engl.J Med 12-31-1981;305(27):1651. View abstract.
Malmquist, J., Ericsson, B., Hulten-Nosslin, M. B., Jeppsson, J. O., and Ljungberg, O. Finger clubbing and aspartylglucosamine excretion in a laxative-abusing patient. Postgrad.Med J 1980;56(662):862-864. View abstract.
Marcus, S. N. and Heaton, K. W. Intestinal transit, deoxycholic acid and the cholesterol saturation of bile--three inter-related factors. Gut 1986;27(5):550-558. View abstract.
Marvola, M., Koponen, A., Hiltunen, R., and Hieltala, P. The effect of raw material purity on the acute toxicity and laxative effect of sennosides. J Pharm.Pharmacol. 1981;33(2):108-109. View abstract.
McLaughlin, A. F. Anorexia nervosa and senna misuse: nephrocalcinosis, digital clubbing and hypertrophic osteoarthropathy. Med J Aust. 9-15-2008;189(6):348. View abstract.
Mengs, U. and Rudolph, R. L. Light and electron-microscopic changes in the colon of the guinea pig after treatment with anthranoid and non-anthranoid laxatives. Pharmacology 1993;47 Suppl 1:172-177. View abstract.
Mengs, U. Reproductive toxicological investigations with sennosides. Arzneimittelforschung. 1986;36(9):1355-1358. View abstract.
Mengs, U. Toxic effects of sennosides in laboratory animals and in vitro. Pharmacology 1988;36 Suppl 1:180-187. View abstract.
Mengs, U., Grimminger, W., Krumbiegel, G., Schuler, D., Silber, W., and Volkner, W. No clastogenic activity of a senna extract in the mouse micronucleus assay. Mutat.Res 8-18-1999;444(2):421-426. View abstract.
Mereto, E., Ghia, M., and Brambilla, G. Evaluation of the potential carcinogenic activity of Senna and Cascara glycosides for the rat colon. Cancer Lett 3-19-1996;101(1):79-83. View abstract.
Miles, C. L., Fellowes, D., Goodman, M. L., and Wilkinson, S. Laxatives for the management of constipation in palliative care patients. Cochrane.Database.Syst.Rev. 2006;(4):CD003448. View abstract.
Milner, P., Belai, A., Tomlinson, A., Hoyle, C. H., Sarner, S., and Burnstock, G. Effects of long-term laxative treatment on neuropeptides in rat mesenteric vessels and caecum. J Pharm.Pharmacol. 1992;44(9):777-779. View abstract.
Mishalany, H. Seven years' experience with idiopathic unremitting chronic constipation. J Pediatr.Surg. 1989;24(4):360-362. View abstract.
Mitchell, J. M., Mengs, U., McPherson, S., Zijlstra, J., Dettmar, P., Gregson, R., and Tigner, J. C. An oral carcinogenicity and toxicity study of senna (Tinnevelly senna fruits) in the rat. Arch.Toxicol. 2006;80(1):34-44. View abstract.
Modes of action of senna. Pharmacology 1992;44 Suppl 1:16-19. View abstract.
Nazif, N. M., Rady, M. R., and el-Nasr, M. M. Stimulation of anthraquinone production in suspension cultures of Cassia acutifolia by salt stress. Fitoterapia 2000;71(1):34-40. View abstract.
Otero, R., Nunez, V., Barona, J., Fonnegra, R., Jimenez, S. L., Osorio, R. G., Saldarriaga, M., and Diaz, A. Snakebites and ethnobotany in the northwest region of Colombia. Part III: neutralization of the haemorrhagic effect of Bothrops atrox venom. J.Ethnopharmacol. 2000;73(1-2):233-241. View abstract.
Padumanonda, T. and Gritsanapan, W. Barakol contents in fresh and cooked Senna siamea leaves. Southeast Asian J Trop.Med Public Health 2006;37(2):388-393. View abstract.
Padumanonda, T., Suntornsuk, L., and Gritsanapan, W. Quantitative analysis of barakol content in Senna siamea leaves and flowers by TLC-densitometry. Med Princ.Pract. 2007;16(1):47-52. View abstract.
Patanwala, A. E., Abarca, J., Huckleberry, Y., and Erstad, B. L. Pharmacologic management of constipation in the critically ill patient. Pharmacotherapy 2006;26(7):896-902. View abstract.
Pers, M. and Pers, B. A crossover comparative study with two bulk laxatives. J Int.Med Res 1983;11(1):51-53. View abstract.
Pockros, P. J. and Foroozan, P. Golytely lavage versus a standard colonoscopy preparation. Effect on normal colonic mucosal histology. Gastroenterology 1985;88(2):545-548. View abstract.
Putalun, W., Pimmeuangkao, S., De-Eknamkul, W., Tanaka, H., and Shoyama, Y. Sennosides A and B production by hairy roots of Senna alata (L.) Roxb. Z.Naturforsch.C. 2006;61(5-6):367-371. View abstract.
Radaelli, F., Meucci, G., Imperiali, G., Spinzi, G., Strocchi, E., Terruzzi, V., and Minoli, G. High-dose senna compared with conventional PEG-ES lavage as bowel preparation for elective colonoscopy: a prospective, randomized, investigator-blinded trial. Am J Gastroenterol. 2005;100(12):2674-2680. View abstract.
Raimondi, F., Santoro, P., Maiuri, L., Londei, M., Annunziata, S., Ciccimarra, F., and Rubino, A. Reactive nitrogen species modulate the effects of rhein, an active component of senna laxatives, on human epithelium in vitro. J Pediatr.Gastroenterol.Nutr. 2002;34(5):529-534. View abstract.
Ramkumar, D. and Rao, S. S. Efficacy and safety of traditional medical therapies for chronic constipation: systematic review. Am J Gastroenterol. 2005;100(4):936-971. View abstract.
Rogers, H. J., House, F. R., Morrison, P. J., and Bradbrook, I. D. Comparison of the effect of drugs upon some commonly used measures of bowel transit time. Br.J Clin.Pharmacol. 1978;6(6):493-497. View abstract.
Sanders, R. C. and Wright, F. W. Colonic preparation: a controlled trial of Dulcodos, Dulcolax and Senokot DX. Br.J Radiol. 1970;43(508):245-247. View abstract.
Sansores-Peraza, P., Rosado-Vallado, M., Brito-Loeza, W., Mena-Rejon, G. J., and Quijano, L. Cassine, an antimicrobial alkaloid from Senna racemosa. Fitoterapia 2000;71(6):690-692. View abstract.
Senna and damage of the nerve plexus of the intestinal wall. Pharmacology 1992;44 Suppl 1:26-29. View abstract.
Senna and habituation. Pharmacology 1992;44 Suppl 1:30-32. View abstract.
Site of senna action. Pharmacology 1992;44 Suppl 1:10-15. View abstract.
Slanger, A. Comparative study of a standardized senna liquid and castor oil in preparing patients for radiographic examination of the colon. Dis.Colon Rectum 1979;22(5):356-359. View abstract.
Sogni, P., Chaussade, S., Akue-Gohe, K., Nepveux, P., Homerin, M., Couturier, D., and Guerre, J. [Comparative effects of ricinoleic acid and senna on orocecal and oroanal transit time in healthy subjects. Application of the salacylazosulfapyridine method]. Gastroenterol.Clin.Biol 1992;16(1):21-24. View abstract.
Sonmez, A., Yilmaz, M. I., Mas, R., Ozcan, A., Celasun, B., Dogru, T., Taslipinar, A., and Kocar, I. H. Subacute cholestatic hepatitis likely related to the use of senna for chronic constipation. Acta Gastroenterol.Belg. 2005;68(3):385-387. View abstract.
Soyuncu, S., Cete, Y., and Nokay, A. E. Portal vein thrombosis related to Cassia angustifolia. Clin.Toxicol.(Phila) 2008;46(8):774-777. View abstract.
Sriphong, L., Sotanaphun, U., Limsirichaikul, S., Wetwitayaklung, P., Chaichantipyuth, C., and Pummangura, S. Cytotoxic alkaloids from the flowers of Senna spectabilis. Planta Med 2003;69(11):1054-1056. View abstract.
Staumont, G., Frexinos, J., Fioramonti, J., and Bueno, L. Sennosides and human colonic motility. Pharmacology 1988;36 Suppl 1:49-56. View abstract.
Stickel, F. and Schuppan, D. Herbal medicine in the treatment of liver diseases. Dig.Liver Dis. 2007;39(4):293-304. View abstract.
Sykes, N. P. A volunteer model for the comparison of laxatives in opioid-related constipation. J Pain Symptom.Manage. 1996;11(6):363-369. View abstract.
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Tshikalange, T. E., Meyer, J. J., and Hussein, A. A. Antimicrobial activity, toxicity and the isolation of a bioactive compound from plants used to treat sexually transmitted diseases. J Ethnopharmacol. 1-15-2005;96(3):515-519. View abstract.
Unal, S., Dogan, U. B., Ozturk, Z., and Cindoruk, M. A randomized prospective trial comparing 45 and 90-ml oral sodium phosphate with X-Prep in the preparation of patients for colonoscopy. Acta Gastroenterol.Belg. 1998;61(3):281-284. View abstract.
Valverde, A., Hay, J. M., Fingerhut, A., Boudet, M. J., Petroni, R., Pouliquen, X., Msika, S., and Flamant, Y. Senna vs polyethylene glycol for mechanical preparation the evening before elective colonic or rectal resection: a multicenter controlled trial. French Association for Surgical Research. Arch.Surg. 1999;134(5):514-519. View abstract.
van der Jagt, E. J., Thijn, C. J., and Taverne, P. P. Colon cleansing prior to roentgenologic examination. A double blind comparative study. J Belge Radiol. 1986;69(3):167-170. View abstract.
van Gorkom, B. A., Karrenbeld, A., Limburg, A. J., and Kleibeuker, J. H. The effect of sennosides on colonic mucosal histology and bowel preparation. Z.Gastroenterol. 1998;36(1):13-18. View abstract.
van Gorkom, B. A., Karrenbeld, A., van Der, Sluis T., Koudstaal, J., de Vries, E. G., and Kleibeuker, J. H. Influence of a highly purified senna extract on colonic epithelium. Digestion 2000;61(2):113-120. View abstract.
Waltenberger, B., Avula, B., Ganzera, M., Khan, I. A., Stuppner, H., and Khan, S. I. Transport of sennosides and sennidines from Cassia angustifolia and Cassia senna across Caco-2 monolayers--an in vitro model for intestinal absorption. Phytomedicine. 2008;15(5):373-377. View abstract.
Wildgrube, H. J. and Lauer, H. [Combination intestinal lavage: a conservative procedure for colonoscopy]. Bildgebung 1991;58(2):63-66. View abstract.
Wilkins, J. L. and Hardcastle, J. D. The mechanism by which senna glycosides and related compounds stimulate peristalsis in the human colon. Br.J Surg. 1970;57(11):864. View abstract.
Yang, B. and Ni, H. K. Diagnosis and treatment of spontaneous colonic perforation: analysis of 10 cases. World J Gastroenterol. 7-28-2008;14(28):4569-4572. View abstract.
Ziegenhagen, D. J., Zehnter, E., Tacke, W., and Kruis, W. Addition of senna improves colonoscopy preparation with lavage: a prospective randomized trial. Gastrointest.Endosc. 1991;37(5):547-549. View abstract.
Ziegenhagen, D. J., Zehnter, E., Tacke, W., Gheorghiu, T., and Kruis, W. Senna vs. bisacodyl in addition to Golytely lavage for colonoscopy preparation--a prospective randomized trial. Z.Gastroenterol. 1992;30(1):17-19. View abstract.
[No authors listed] Senna in the puerperium. Pharmacology 1992;44:23-5. View abstract.
American Academy of Pediatrics. The transfer of drugs and other chemicals into human milk. Pediatrics 2001;108:776-89. View abstract.
Arezzo A. Prospective randomized trial comparing bowel cleaning preparations for colonoscopy. Surg Laparosc Endosc Percutan Tech. 2000;10:215-7. View abstract.
Duncan AS. Standardized senna as a laxative in the puerperium; a clinical assessment. Br Med J 1957;1:439-41. View abstract.
Ewe K, Ueberschaer B, Press AG. Influence of senna, fibre, and fibre + senna on colonic transit in loperamide-induced constipation. Pharmacology 1993;47:242-8. View abstract.
Faber P, Strenge-Hesse A. Relevance of rhein excretion into breast milk. Pharmacology 1988;36 Suppl 1:212-20. View abstract.
Faber P, Strenge-Hesse A. Senna-containing laxatives: excretion in the breast milk? Geburtshilfe Frauenheilkd 1989;49:958-62. View abstract.
Godding EW. Laxatives and the special role of senna. Pharmacology 1988;36:230-6. View abstract.
Hagemann TM. Gastrointestinal medications and breastfeeding. J Hum Lact 1998;14:259-62. View abstract.
Joo JS, Ehrenpreis ED, Gonzalez L, et al. Alterations in colonic anatomy induced by chronic stimulant laxatives: the cathartic colon revisited. J Clin Gastroenterol 1998;26:283-6. View abstract.
Kinnunen O, Winblad I, Koistinen P, Salokannel J. Safety and efficacy of a bulk laxative containing senna versus lactulose in the treatment of chronic constipation in geriatric patients. Pharmacology 1993;47:253-5. View abstract.
Kittisupamongkol W, Nilaratanakul V, Kulwichit W. Near-fatal bleeding, senna, and the opposite of lettuce. Lancet 2008;371:784. View abstract.
Langmead L, Rampton DS. Review article: herbal treatment in gastrointestinal and liver disease--benefits and dangers. Aliment Pharmacol Ther 2001;15:1239-52. View abstract.
MacLennan WJ, Pooler AFWM. A comparison of sodium picosulphate ("Laxoberal") with standardised senna ("Senokot") in geriatric patients. Curr Med Res Opin. 1974;2:641-7. View abstract.
Marlett JA, Li BU, Patrow CJ, Bass P. Comparative laxation of psyllium with and without senna in an ambulatory constipated population. Am J Gastroenterol 1987;82:333-7. View abstract.
Nusko G, Schneider B, Schneider I, et al. Anthranoid laxative use is not a risk factor for colorectal neoplasia: results of a prospective case control study. Gut 2000;46:651-5. View abstract.
Passmore AP, Davies KW, Flanagan PG, et al. A comparison of Agiolax and lactulose in elderly patients with chronic constipation. Pharmacology 1993;47:249-52. View abstract.
Passmore AP, Wilson-Davies K, Stoker C, Scott ME. Chronic constipation in long stay elderly patients: a comparison of lactulose and a senna-fibre combination. BMJ 1993;307:769-71. View abstract.
Perkin JM. Constipation in childhood: a controlled comparison between lactulose and standardized senna. Curr Med Res Opin 1977;4:540-3. View abstract.
Prather CM. Pregnancy-related constipation. Curr Gastroenterol Rep 2004;6:402-4. View abstract.
Prior J, White I. Tetany and clubbing in patient who ingested large quantities of senna. Lancet 1978;2:947. View abstract.
Ramesh PR, Kumar KS, Rajagopal MR, et al. Managing morphine-induced constipation: a controlled comparison of an Ayurvedic formulation and senna. J Pain Symptom Manage 1998;16:240-4. View abstract.
Senokot Package Labeling. Purdue Products L.P. 2007.
Seybold U, Landauer N, Hillebrand S, Goebel FD. Senna-induced hepatitis in a poor metabolizer. Ann Intern Med 2004;141:650-1. View abstract.
Shelton MG. Standardized senna in the management of constipation in the puerperium: A clinical trial. S Afr Med J 1980;57:78-80. View abstract.
Sondheimer JM, Gervaise EP. Lubricant versus laxative in the treatment of chronic functional constipation of children: a comparative study. J Pediatr Gastroenterol Nutr 1982;1:223-6. View abstract.
van Os FH. Anthraquinone derivatives in vegetable laxatives. Pharmacology 1976;14:7-17. View abstract.
Vanderperren B, Rizzo M, Angenot L, et al. Acute liver failure with renal impairment related to the abuse of senna anthraquinone glycosides. Ann Pharmacother 2005;39:1353-7. View abstract.
Werthmann WM Jr, Krees SV. Quantitative excretion of Senokot in human breast milk. Med Ann Dist Columbia 1973;42:4-5. View abstract.
Xing JH, Soffer EE. Adverse effects of laxatives. Dis Colon Rectum 2001;44:1201-9. View abstract.
Young DS. Effects of Drugs on Clinical Laboratory Tests 4th ed. Washington: AACC Press, 1995.
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The Scoop on Senna Tea
Is Senna Tea the Best Way to Relieve Constipation?
Senna tea is a popular herbal laxative tea made from the senna plant (typically Cassia acutifolia or Cassia angustifolia). The active components are compounds called anthraquinones, which are powerful laxatives.
Although senna is available as a tea or herbal supplement, it is also FDA-approved for short-term use as a stimulant laxative and is found in nonprescription, over-the-counter products.
Why People Use Senna Tea
Senna tea is most commonly used for occasional constipation.
Some proponents suggest that drinking the tea can also promote detox and weight loss, but it isn't considered a safe way to lose weight or reduce body fat. It is sometimes used for irritable bowel syndrome (IBS) and bloating.
Additionally, senna has been used for colon cleansing prior to undergoing colonoscopy (a type of medical procedure widely used in screening for colon cancer) when used in conjunction with other agents.
The Benefits of Senna Tea
The active compounds in senna have a strong laxative effect. They work by irritating the lining of the colon, promoting colon contractions and bowel movements. Senna also prevents water and electrolytes from being reabsorbed from the colon, which increases fluids in the intestines and softens stool.
While a number of studies have tested the effects of senna in powder or capsule form, very few studies have looked at the potential health benefits of drinking senna tea.
To date, there is no evidence that senna tea can help with detoxification or stimulate weight loss.
Senna typically starts working within 6 to 12 hours after taking it. It is often taken prior to going to bed, creating the urge to defecate the next morning.
The challenge with taking senna tea is that, unlike capsules, it is difficult to control the dosage when brewing a cup of tea.
Even if the amount of the active compound in each teabag were to be listed, the steeping time would affect the dosage.
Also, the amount of active ingredient varies from product to product, and some senna tea products are combined with other stimulant laxative herbs (such as cascara sagrada or rhubarb).
Side Effects and Risks
Side effects are generally mild and limited when used in the recommended amounts for the short-term treatment of constipation. Stomach discomfort, cramps, diarrhea, nausea, and vomiting are the most common side effects.
If you have Crohn's disease, ulcerative colitis, appendicitis, senna allergy, diarrhea, dehydration, abdominal pain, or a condition that causes intestinal obstruction, you shouldn't take senna tea. If you have any type of heart, liver, or kidney condition, it's crucial that you consult your doctor before using senna.
Senna may interact with certain drugs and supplements. Taking senna with diuretics, for instance, may cause potassium levels in the body to become too low.
Although in some cases, senna tea may be used for a longer period of time when under medical supervision, longer-term use of senna tea and higher doses have been linked to serious health problems such as liver injury, electrolyte disturbances, and changes in heart rhythms.
In a 2005 report from the Annals of Pharmacotherapy, a 52-year-old woman reported to have ingested one liter of senna tea every day for more than three years and suffered acute liver failure. The report's authors determined that the patient's liver damage was likely the result of her excessive intake of senna tea.
If you are pregnant or breastfeeding, consult your healthcare provider before using senna tea.
The Takeaway
If you or someone you know is experiencing constipation, it's a good idea to talk with your healthcare provider if you haven't already. There are many causes of constipation, and some can be effectively treated with other measures like adding certain foods to your diet.
In some cases, constipation may signal an underlying condition (such as a thyroid disorder).
If you're still considering trying senna tea, keep in mind that the amount of the active ingredient in the tea will vary from product to product and on the steeping time. Using an over-the-counter senna drug product with a standardized dose will give you a more precise amount, making it less likely that you'll get more than the desired amount.
Finally, not everyone responds to senna tea. If you don't notice a difference in your stools after taking the recommended amount, don't up your intake as it could result in unwanted effects.
Acs N, Bánhidy F, Puhó EH, Czeizel AE. Senna treatment in pregnant women and congenital abnormalities in their offspring--a population-based case-control study. Reprod Toxicol. 2009 Jul;28(1):100-4.
Vanderperren B, Rizzo M, Angenot L, Haufroid V, Jadoul M, Hantson P. Acute liver failure with renal impairment related to the abuse of senna anthraquinone glycosides. Ann Pharmacother. 2005 Jul-Aug;39(7-8):1353-7.
Disclaimer: The information contained on this site is intended for educational purposes only and is not a substitute for advice, diagnosis or treatment by a licensed physician. It is not meant to cover all possible precautions, drug interactions, circumstances or adverse effects. You should seek prompt medical care for any health issues and consult your doctor before using alternative medicine or making a change to your regimen.
Senna Side Effects
For the Consumer
Applies to senna: oral capsule liquid filled, oral flake, oral granule, oral liquid, oral powder for suspension, oral suspension, oral syrup, oral tablet
Along with its needed effects, senna may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking senna:
For Healthcare Professionals
Applies to senna: compounding powder, oral disintegrating strip, oral granule, oral liquid, oral syrup, oral tablet, oral tablet chewable, rectal suppository
Gastrointestinal
Gastrointestinal side effects have included esophageal impaction and duodenal bezoars. These effects have been reported in patients receiving a bulk laxative product containing 82% psyllium and 18% senna (commercially available as Perdiem Overnight Relief). [Ref]
Hypersensitivity
Hypersensitivity side effects have rarely included occupational sensitization to senna. [Ref]
One case has been reported involving a factory worker who developed IgE-mediated asthma and rhinoconjunctivitis five months after exposure to senna. [Ref]
Musculoskeletal
Musculoskeletal side effects have rarely included finger clubbing. [Ref]
References
1. "Product Information. Perdiem Overnight Relief (psyllium)" Novartis Pharmaceuticals, East Hanover, NJ.
2. Helin T, Makinen-Kiljunen S "Occupational asthma and rhinoconjunctivitis caused by senna." Allergy 51 (1996): 181-4
3. Malmquist J, Ericsson B, Hulten-Nosslin MB, Jeppsson JO, Ljungberg O "Finger clubbing and aspartylglucosamine excretion in a laxative- abusing patient." Postgrad Med J 56 (1980): 862-4
4. Prior J, White I "Tetany and clubbing in patient who ingested large quantities of senna [letter." Lancet 2 (1978): 947
Some side effects of senna may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.
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How to Drink Senna Tea for Weight Loss
Dieter's teas, which often contain senna, are marketed toward those looking to lose weight. These teas aren't the best or safest way to reach your weight-loss goals, however, because there are potential risks to using them that may not be clear from reading the package.
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Senna Tea and Weight Loss
Senna is a product approved for use by the U.S. Food and Drug Administration as a laxative. As such, any weight loss you achieve because of senna tea is likely due to water weight rather than fat. This means that as soon as you rehydrate yourself after the senna tea has worked its way through your system, the weight will come right back. It isn't a healthy or effective weight-loss product.
In order to lose something more than just water weight, you'll need to create a calorie deficit by eating less or exercising more. Each pound equals about 3,500 calories, so to lose about a pound per week you'll need to eat 500 fewer calories per day. Creating a larger calorie deficit will speed up weight loss, but men shouldn't go below 1,800 calories per day and women need at least 1,200 calories daily to minimize the risk of adversely affecting their metabolism and making weight loss more difficult.
Other Dietary Changes for Weight Loss
One way to make it easier to cut calories is to lower the overall energy density of your diet. Energy density is the number of calories per gram of food. A review article published in the Journal of the Academy of Nutrition and Dietetics in May 2012 found that eating diets lower in energy density may help people eat fewer calories and lose weight. This is because you can eat a lot more of a food low in energy density, such as a fruit or vegetable, than you can of a food higher in energy density, such as a dessert or fatty cut of meat, for the same amount of calories. Other low-energy-density foods include salads and broth-based soups. Be sure to eat plenty of lean protein and fiber, both of which help you feel full for longer. Aim for about 20 percent of your calories to come from protein and to have at least 25 grams of fiber each day.
Improve Weight-Loss Results With Exercise
Trying to lose weight without exercising limits the effectiveness of your efforts. Just as you don't want your weight loss to come from water weight, you also don't want to lose muscle. Without exercise, however, about 25 percent of whatever weight you lose will consist of muscle instead of fat. Exercising, including a mix of both strength training and cardio, helps limit this effect so you maintain more of your lean body mass. It also helps you create a larger calorie deficit so you lose weight a little bit faster. For example, a person who weighs 160 pounds can burn 219 calories by bowling for an hour, 314 calories by walking at 3.5 miles per hour and 424 calories by swimming laps for an hour. The minimum recommended exercise is 150 minutes per week, but doubling that will be more likely to help with weight loss. Do strength-training exercises at least twice a week.
Potential Senna Tea Risks
Using senna tea to help with weight loss may cause constipation, make you dependent on laxatives or dehydrate you. Using too much senna in one day could cause symptoms of a laxative overdose, including diarrhea, bloody stools and pain in the abdomen, or even cause you to collapse. Check with your doctor before using senna for any purpose, as it may interact with some medications, including blood thinners, birth control pills, estrogen pills and diuretics. Pregnant women shouldn't use senna, and it shouldn't be used for long periods of time by anyone. Limit the use of senna to no more than two weeks.
A Healthier Alternative
If you enjoy drinking tea and are looking for one that may help slightly increase your weight-loss results, consider drinking green tea. A study published in Physiology & Behavior in 2008 found that people who drank green tea lost more weight over the course of the 12-week study than those who followed the same diet but didn't drink green tea. Green tea may help speed up metabolism and increase fat burning because of the combination of beneficial plant chemicals called catechins and caffeine it contains.
What Are the Dangers of Senna Tea?
Senna is an herb commonly used to treat constipation. In fact, senna is approved by the U.S. Food and Drug Administration (FDA) for use as a nonprescription laxative. Commonly found in tea and supplements, this herb is also an ingredient in many detox, or detoxification teas. Since senna stimulates the bowels to empty, teas containing this herb may cause gastrointestinal side effects -- with potentially dangerous side effects if used long-term, in high doses, or by people with certain medical conditions.
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Side Effects
Senna tea is made from the leaves of the Cassia senna plant. According to National Institute of Diabetes and Digestive and Kidney Diseases, senna’s active components, known as senna glycosides and sennosides, act as an irritant inside the colon -- enhancing peristalsis or the muscular contractions of the intestines. In addition, these active components keep more fluid in the gut, soften the intestinal contents and stimulate the bowels to empty. When fecal matter moves more quickly through the intestines, symptoms such as gas, bloating, cramping and diarrhea can occur. These are the most common side effects of senna tea -- and most other laxatives.
Drug Interactions
Drug interaction information on senna laxatives, although not senna tea, is available. Senna can cause dehydration and low electrolyte levels, including life-threatening low potassium levels. Using senna along with diuretics or water pills can make low potassium levels more likely to occur. The stimulant properties of senna tea could also increase the risk of side effects if you use the heart medication digoxin, and consuming this tea along with the blood thinner coumadin could increase the risk of bleeding. Other drug side effects are known, so always discuss planned senna use with your doctor. Senna should also not be taken with other laxatives, as this can increase the risk of gastrointestinal side effects and dehydration.
Contraindications
Due to the senna’s potential to cause gastrointestinal side effects, this herb should not be used if you have disorders of the gut, including ulcerative colitis, Crohn disease or hemorrhoids. Also avoid if you have abdominal pain, ongoing diarrhea or intestinal obstruction. Due to a lack of controlled human studies on senna use during pregnancy, this herb should be used only upon a doctor’s recommendation. Short-term use while breastfeeding is considered acceptable, according to a September 2001 statement published in “American Academy of Pediatrics,” but check with your doctor just to be sure it’s safe for you to use.
Should you use senna tea or supplements for more than 10 to 14 days, your intestines may start to depend on this herb in order to have regular bowel movements. Such long-term use or high doses of senna could also cause an electrolyte imbalance due to low potassium levels, muscle weakness, liver damage or heart problems. While little data is available on safe doses of senna tea, typical recommended doses are no more than 2 cups of brewed tea per day. Also, while the FDA has approved the use of senna as a laxative, this agency does not regulate senna tea -- including its potency, purity and dosing guidelines. Before using senna as a laxative or a detox tea, talk with your doctor to ensure it's safe for you.
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Senna Tea
By: Colon Cleansing & Constipation Resource Center
Updated: April 27, 2009
Have you thought about trying Senna tea to help you lose weight or for laxative effects? Senna tea is widely available in health stores and on the Internet and is also marketed for weight loss and organ cleansing. Several popular cleanses suggest drinking a daily dose of Senna tea while doing a colon cleanse.
What You Need to Know About Senna
Drinking a product that’s made into a tea can be difficult to quantify in terms of safe dosages because steeping herbs in water will produce varied levels of strength each time you prepare the tea. Senna is not only sold as a natural herb or tea but is also an ingredient in many over-the-counter laxatives. Senna stimulates the colon and can cause a fairly rapid bowel movement to occur.
Side Effects of Senna Tea
Many people are taking this herb without information on potential side effects. There have been cases where people have had adverse reactions or even died because they didn’t know about the potential side effects from ingesting Senna tea or similar products. Herbs are not restricted by the same guidelines as prescription medications, so anyone who wants to take an herbal supplement should conduct their own research before taking it.
Many people believe that just because Senna tea is sold in a store or online it must be safe. This misconception does not always hold up. Many people who take herbs could be consuming ingredients with a potential for severely adverse reactions, especially when it comes to laxatives.
Contraindications
It’s important to learn everything you can about the herbs you plan to take. If you are taking a product for an intended benefit, you cannot add something else to your regimen without considering the potential contraindications. Some products are not contraindicated but still have dosage safety guidelines that you must follow.
For example, Senna can enhance the potency of other herbs you might be taking and this could cause an adverse reaction if you take too much of either one. Senna can interfere with prescription diuretics and heart medication. Senna has also been known to intensify the effects of such herbs as yellow dock, alder buckhorn, rhubarb, aloe vera, and Rhamnus Purshiana. Most people consult with a doctor or an experienced herbalist before adding new herbs to their diet as a general precaution.
Dependency
Because Senna tea is actually a bowel stimulant, it should never be taken for an extended period of time. Bowel stimulant laxatives can cause physical dependency. Because these types of products stimulate the bowel muscles, they can cause you to lose bowel tone over time. Many elderly people suffer from problems with bowel tone due to extended laxative abuse. Because Senna tea can irritate the bowels, people with bowel disease, digestive disorders, ulcers, or hemorrhoids should abstain from using this product. Most herbal teas don’t list “warning” information on the box so many people who drink them are unaware of the risk.
Physiological Changes
By drinking Senna tea on a regular basis (and believing it’s good for you because it’s an herb), you could be putting your health at risk. Senna can also diminish your potassium levels. If your potassium levels are drastically reduced, your heart rhythm can be altered or you can become physically weak. Some people have taken Senna tea as a weight loss product because it reduces appetite and also gives a laxative effect. Long-term use of Senna can weaken bones as well as promote clubbing (rounding) of your fingers. Senna has also been reported to cause abdominal cramping and changes in the color of urine.
A Safe Alternative to Drinking Senna Tea
Today, many people are searching for natural methods to address their health issues. For constipation symptoms, many people believe it’s better to try an oxygen-based colon cleanser instead of a harsh herbal product. Using Senna tea for constipation is not the best option just because it’s one of the main ingredients of many commercial laxatives.
If you are suffering from constipation symptoms, using an oxygen cleanser is a very effective way to break down compacted waste matter as well as benefit from oxygenation of your blood.
Oxy-Powder® is an all-natural product containing organic Germanium-132, an oxygen carrier that helps infuse your body with this vital element. Oxy-Powder® doesn’t cause harsh abdominal cramping, change your heart rhythms, or lower potassium levels.
On the contrary, Oxy-Powder® not only helps to cleanse your bowels with oxygen but it can support your immune system with its natural minerals and other ingredients. In fact, Oxy-Powder® has been clinically proven to help with the symptoms of constipation and irritable bowel syndrome.
Many people just fail to realize they can carry several pounds of weight in the form of old fecal matter and this can make them ill without being aware of it. When weighing the two options (a safe aid for breaking down toxic waste versus an herb with dangerous side effects), its clear there is a safer way to cleanse the body. Trust your instinct and use a product that won’t give you more problems or react to your medications. Trust Oxy-Powder®!
DISCLAIMER: These statements have not been evaluated by the Food and Drug Administration. Information and statements made are for education purposes and are not intended to replace the advice of your treating doctor. This Web site contains links to Web sites operated by other parties. Such links are provided for your convenience and reference only. We are not responsible for the content or products of any linked site or any link contained in a linked site.
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