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Care Natural Senna Strong Laxatives Tablets - 100 (brand may vary)

Care Natural Senna Strong Laxatives Tablets - 100 (brand may vary)

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  • ✔️ Relieves occasional constipation within 8 to 12 hours
  • ✔️ Stimulates natural bowel muscle contractions effectively
  • ✔️ Plant-derived sennosides for gentle overnight laxative action
  • ✔️ Suitable for adults and young people aged 12 and over
  • ✔️ 100-tablet pack for convenient, cost-effective constipation relief

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Are Senna Laxative Tablets Right for You?

 

Constipation is something most people experience at some point — and it can be genuinely uncomfortable. Whether it's brought on by a change in diet, reduced activity, travel, or medication, that sluggish, bloated feeling is hard to ignore. Senna laxative tablets have been used for centuries as a plant-derived remedy for occasional constipation, and they remain one of the most widely recommended over-the-counter options in the UK today. Care Natural Senna Strong Laxative Tablets come in a generous 100-tablet pack, making them a practical and affordable choice at just £4.99. If you're also managing related digestive discomfort, you might find our IBS and cramps range useful alongside this product.

Each tablet contains sennosides derived from the senna plant (Cassia senna), a well-established stimulant laxative. The NHS recognises senna as a first-line option for short-term constipation relief in adults and children over 12. It works gently but effectively, typically producing results within 8 to 12 hours — which is why most people take it at bedtime.

 

How Do Senna Tablets Work to Relieve Constipation?

 

Senna belongs to a class of medicines called stimulant laxatives. Unlike bulk-forming laxatives that add fibre, or osmotic laxatives that draw water into the bowel, senna works directly on the gut wall. Here's what happens after you swallow a tablet:

  • Sennosides pass through the small intestine largely unabsorbed.
  • Gut bacteria in the large intestine convert sennosides into active compounds called rhein anthrones.
  • These compounds stimulate the smooth muscle of the colon, increasing peristalsis (the wave-like contractions that move stool along).
  • They also reduce water reabsorption from the colon, softening the stool and making it easier to pass.

The result is a bowel movement that typically occurs 8–12 hours after taking the dose. It's a well-understood mechanism, backed by decades of clinical use and recognised by the NHS as appropriate for short-term constipation management.

 

Who Is Suitable for Senna Laxative Tablets?

 

These tablets are designed for adults and young people aged 12 and over who are experiencing occasional constipation. They're particularly useful when dietary changes and increased fluid intake haven't been enough on their own. That said, they're not appropriate for everyone.

Senna tablets may be suitable if you:

  • Are an adult or young person aged 12 or over
  • Have occasional, short-term constipation (not chronic)
  • Need a reliable overnight laxative option
  • Prefer a plant-derived, stimulant laxative over synthetic alternatives

They are not suitable for children under 12, or for people with intestinal obstruction, severe abdominal pain of unknown cause, or inflammatory bowel conditions such as Crohn's disease or ulcerative colitis, without first speaking to a doctor.

 

How Do Senna Tablets Compare to Other Laxatives?

 

Feature Senna Tablets Lactulose (Osmotic)
Mechanism Stimulates colon muscle contractions Draws water into the bowel
Onset of action 8–12 hours 24–48 hours
Suitable for short-term use Yes Yes
Plant-derived Yes (senna plant) No (synthetic sugar)

 

How Should You Store Senna Tablets and Are They Safe Long Term?

 

Store your senna laxative tablets below 25°C in a dry place, away from direct sunlight and out of reach of children. Do not use after the expiry date printed on the pack. The 100-tablet pack size means you'll have plenty on hand for occasional use, but it's worth remembering that these tablets are intended for short-term relief only — no more than 7 consecutive days. If constipation persists beyond that, it's important to speak to your GP, as it may indicate an underlying condition that needs investigation. For related digestive concerns, our constipation collection includes a range of complementary products.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

Care Natural Senna Strong Laxatives Tablets - 100 specifications
Treatment category Constipation relief
Mechanism of action Stimulant laxative — increases colonic peristalsis via sennoside activation
Effective Within 8–12 hours
Suitable for Adults and children aged 12 and over
Active ingredient Sennosides (from senna leaf extract)
Pack sizes 100 tablets
Strengths 7.5mg sennosides per tablet
UK classification General Sale List (GSL)
Drug class Stimulant laxative
Preparation Tablet
Route of administration Oral

Specifications of Care Natural Senna Strong Laxatives Tablets - 100

 

What Is Care Natural Senna Strong Laxative and What Is It Used For?

 

Care Natural Senna Strong Laxative Tablets are an over-the-counter stimulant laxative used for the short-term relief of occasional constipation. The active ingredient is sennosides, naturally derived from the leaves of the senna plant. Constipation is defined by the NHS as passing fewer than three stools per week, or stools that are hard, dry, and difficult to pass. These tablets help by stimulating the muscles of the large intestine to move stool along more efficiently. They are classified as a General Sale List (GSL) medicine in the UK, meaning they can be purchased without a prescription.

 

What Do You Need to Know Before Using Senna Tablets?

 

Before taking these tablets, it's important to check whether they are appropriate for you. Do not take senna tablets if any of the following apply:

  • You are under 12 years of age
  • You have a known or suspected intestinal obstruction or ileus
  • You have severe abdominal pain, nausea, or vomiting of unknown cause
  • You have inflammatory bowel disease (e.g. Crohn's disease or ulcerative colitis)
  • You are pregnant or breastfeeding (seek medical advice first)
  • You have a known allergy to senna or any ingredient in the tablet
  • You have appendicitis or undiagnosed rectal bleeding

Senna may interact with certain medicines. Known interactions include:

  • Digoxin — prolonged use of senna can lower potassium levels, increasing the risk of digoxin toxicity
  • Diuretics — combined use may worsen electrolyte imbalance
  • Other laxatives — concurrent use increases the risk of diarrhoea and dehydration
  • Antiarrhythmic medicines — electrolyte disturbances caused by senna may affect their efficacy

Always tell your pharmacist about all medicines you are currently taking before starting senna tablets.

 

How Should You Use Senna Tablets Correctly?

 

Follow these steps when taking your senna tablets:

  1. Read the patient information leaflet inside the pack before use.
  2. Take the tablets at bedtime with a full glass of water (at least 200ml).
  3. Swallow the tablets whole — do not crush or chew them.
  4. Do not take more than the recommended dose.
  5. Continue to drink plenty of fluids throughout the day (at least 6–8 glasses).
  6. Do not use for more than 7 consecutive days without speaking to a pharmacist or GP.
Age Group Dose Frequency Maximum Duration
Adults and young people (12+) 2 tablets (15mg sennosides) Once daily at bedtime 7 days
Children under 12 Not recommended

If you're also experiencing symptoms such as bloating or cramping alongside constipation, it may be worth exploring our haemorrhoids and piles range, as straining during constipation can sometimes aggravate this condition.

 

What Are the Possible Side Effects of Senna Tablets?

 

Like all medicines, senna tablets can cause side effects, although not everyone experiences them. Most side effects are mild and related to the laxative action of the medicine.

Common side effects (may affect up to 1 in 10 people):

  • Abdominal cramps or pain
  • Loose stools or diarrhoea
  • Bloating or flatulence
  • Discomfort in the lower abdomen

Less common side effects (may affect up to 1 in 100 people):

  • Nausea
  • Discolouration of urine (harmless — may appear yellow-brown or reddish)
  • Electrolyte imbalance with prolonged use (e.g. low potassium)
  • Skin reactions such as rash or itching (rare)

If you experience severe abdominal pain, rectal bleeding, or symptoms of dehydration (such as dizziness or extreme thirst), stop taking the tablets and seek medical advice promptly. Long-term or excessive use of stimulant laxatives can lead to laxative dependence and reduced bowel function — this is why the 7-day limit is important.

 

How Should You Store Senna Tablets Safely?

 

Proper storage helps maintain the quality and safety of your tablets. Follow these guidelines:

  • Store below 25°C in a cool, dry place
  • Keep away from direct sunlight and moisture
  • Keep out of the sight and reach of children
  • Do not store in the bathroom or near a sink
  • Do not use after the expiry date printed on the packaging
  • Do not transfer tablets to a different container — keep in original packaging
  • Return unused or expired tablets to your local pharmacy for safe disposal

If you're managing multiple health conditions and need a range of OTC products, our vitamins and supplements collection may also be of interest for supporting overall digestive and gut health.

Written and reviewed by our qualified team

Your safety and success are our highest priorities. Our medical team rigorously evaluates every product and piece of advice we provide, ensuring you receive only the most effective, science-backed solutions available.

Frequently Asked Questions

Where can I buy senna laxative tablets online in the UK?

You can buy Care Natural Senna Strong Laxative Tablets directly from Cured Pharmacy online for just £4.99 per 100-tablet pack. No prescription is needed, as senna tablets are a General Sale List (GSL) medicine in the UK. They're dispatched quickly and discreetly to your home address. You can also browse our full constipation range for additional options.

How do senna laxative tablets work in the body?

Senna tablets contain sennosides, which pass through the small intestine and are converted by gut bacteria in the large intestine into active compounds. These compounds stimulate the smooth muscle of the colon, increasing peristaltic contractions and reducing water reabsorption, which softens the stool and promotes a bowel movement. The process typically takes 8 to 12 hours from the time of ingestion.

How do I take senna tablets step by step?

Take 2 senna tablets at bedtime with a large glass of water — at least 200ml. Swallow them whole without crushing or chewing. Make sure you're drinking plenty of fluids throughout the day, as hydration supports the laxative effect and reduces the risk of cramping.

What is the correct dose of senna tablets for adults?

The standard adult dose is 2 tablets (providing 15mg of sennosides) taken once daily at bedtime. Do not exceed this dose and do not take senna tablets for more than 7 consecutive days without speaking to a pharmacist or GP. Senna tablets are not recommended for children under 12 years of age.

What is the best time to take senna tablets?

Bedtime is the recommended time to take senna tablets, as they typically work within 8 to 12 hours. Taking them at night means you're likely to experience a bowel movement the following morning, which fits naturally into most people's daily routines. Avoid taking them with food if possible, as this may slightly delay absorption.

What are the side effects of senna laxative tablets?

The most common side effects are abdominal cramps, bloating, and loose stools or diarrhoea — these are usually mild and short-lived. Less commonly, you may notice a harmless discolouration of your urine (yellow-brown or reddish), which is caused by the sennoside metabolites. If you experience severe pain, rectal bleeding, or signs of dehydration, stop use and contact your pharmacist or GP.

How do I manage side effects of senna tablets?

If you experience cramping, try reducing your dose slightly and ensure you're drinking enough water throughout the day. Eating a light meal before taking the tablets may also help reduce discomfort. If diarrhoea develops, stop taking the tablets and allow your bowel to settle — our diarrhoea range has products that can help if needed.

Who should not take senna tablets?

Senna tablets are not suitable for children under 12, people with intestinal obstruction, inflammatory bowel disease (such as Crohn's disease or ulcerative colitis), or those with unexplained severe abdominal pain. Pregnant or breastfeeding women should seek medical advice before use. People taking digoxin or diuretics should also consult their pharmacist first, due to the risk of electrolyte imbalance.

How long does it take for senna tablets to work?

Senna tablets generally produce a bowel movement within 8 to 12 hours of taking a dose. This makes them well-suited to overnight use — take them at bedtime and expect results the following morning. If there is no effect after 24 hours, do not double the dose; instead, speak to your pharmacist for advice.

Can I take senna tablets long term?

No — senna tablets are intended for short-term use only, for a maximum of 7 consecutive days. Prolonged use of stimulant laxatives can lead to laxative dependence, where the bowel becomes reliant on the medicine to function. If constipation is a recurring problem, speak to your GP about underlying causes and longer-term management strategies.

What happens if I miss a dose of senna tablets?

If you forget to take your dose at bedtime, simply take it the following night as normal — do not take a double dose to make up for the missed one. Senna tablets are used on an as-needed basis for occasional constipation, so missing a single dose is unlikely to cause any problems. Continue with your normal dose the next evening if constipation persists.

Are senna tablets safe during pregnancy?

Senna tablets are generally not recommended during pregnancy without medical advice, particularly in the first trimester. The NHS advises that pregnant women experiencing constipation should first try dietary changes — increasing fibre, fluid intake, and gentle exercise. If laxatives are needed, a healthcare professional should advise on the most appropriate option for use during pregnancy.

What are the alternatives to senna laxative tablets?

Alternatives to senna include osmotic laxatives such as lactulose or macrogol (e.g. Movicol), bulk-forming laxatives such as ispaghula husk (e.g. Fybogel), and stool softeners such as docusate sodium. Each works differently — osmotic laxatives draw water into the bowel, while bulk-forming types add fibre to soften stool. Your pharmacist can help you choose the most appropriate option based on your symptoms and medical history.

Can senna tablets interact with other medicines?

Yes — senna tablets can interact with digoxin, diuretics, and antiarrhythmic medicines, primarily because prolonged use can lower potassium levels (hypokalaemia), which affects how these medicines work. If you are taking any regular prescription medicines, always check with your pharmacist before starting senna tablets. Do not take senna alongside other laxatives without medical advice.

What are the latest studies on senna as a laxative?

Senna has been studied extensively over many decades and remains a well-evidenced stimulant laxative for short-term constipation. Clinical guidelines from NICE and the NHS continue to support its use as a first-line option for occasional constipation in adults. Research also supports its use in palliative care settings to manage opioid-induced constipation, where it is frequently prescribed alongside opioid analgesics.

How Should You Use Senna Strong Laxative Tablets?

Using senna tablets correctly gives you the best chance of effective, comfortable relief. Always read the patient information leaflet included in the pack before you start, and follow these steps:

Increasing your dietary fibre intake — through fruit, vegetables, and wholegrains — alongside taking senna tablets can help support normal bowel function and reduce the likelihood of constipation returning.

What Is the Correct Dose of Senna Tablets?

The dose of senna tablets varies by age. Always follow the dosage instructions on the pack and never exceed the stated dose. Taking more than recommended does not speed up the effect and increases the risk of side effects such as cramping and diarrhoea.

When Is the Best Time to Use Senna Tablets?

Bedtime is the ideal time to take senna tablets. Because they take 8 to 12 hours to work, taking them in the evening means you're likely to experience a bowel movement the following morning — fitting naturally into your daily routine without disruption. Avoid taking them in the morning or afternoon, as this may cause the laxative effect to occur at an inconvenient time during the day.

If you find that taking them at bedtime causes disturbed sleep due to abdominal discomfort, try taking them slightly earlier in the evening — around 6–7pm — so the effect occurs in the early morning hours instead.

How Long Can You Use Senna Tablets For?

Senna tablets are intended for short-term use only. The maximum recommended duration is 7 consecutive days. Using stimulant laxatives for longer than this without medical supervision can lead to laxative dependence, where the bowel becomes less able to function without stimulation. It can also cause electrolyte imbalances, particularly low potassium, which can affect heart and muscle function.

If your constipation has not resolved after 7 days, or if it keeps coming back, speak to your GP. Persistent constipation can sometimes be a sign of an underlying condition that needs proper investigation and treatment. Lifestyle changes — including more fibre, fluids, and physical activity — are the foundation of long-term bowel health.

Do not exceed the recommended dose. If in doubt, speak to your pharmacist.

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Not the brand in the picture their the ones I wanted

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Good product reasonable price

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THIS MEDCATION WORKS FOR MY CONDITION AND GIVES ME THE
RELIEF I REQUIRE

What Are the Most Common Side Effects of Senna Tablets?

Most people tolerate senna tablets well when taken at the recommended dose for a short period. However, because senna stimulates the muscles of the large intestine, some degree of abdominal activity is expected and is part of how the medicine works.

  • Abdominal cramps or griping pain
  • Loose stools or diarrhoea
  • Bloating and flatulence
  • Discomfort or urgency around the time of bowel movement

These effects are usually mild and short-lived. They tend to resolve once the bowel has emptied. Drinking plenty of water and avoiding a double dose can help minimise cramping.

What Are the Less Common Side Effects of Senna Tablets?

Less commonly, some people may notice other effects that are worth being aware of, even if they are not dangerous in most cases.

  • Discolouration of urine — may appear yellow-brown or reddish due to sennoside metabolites (this is harmless and temporary)
  • Nausea, particularly if taken on an empty stomach
  • Skin reactions such as rash, itching, or hives (rare)
  • Electrolyte imbalance (low potassium or sodium) with prolonged use — may cause muscle weakness or fatigue

If you notice any skin reactions or persistent nausea, stop taking the tablets and speak to your pharmacist. Urine discolouration alone is not a cause for concern and will resolve once you stop taking senna.

What Are the Serious Side Effects of Senna Tablets?

Serious side effects from senna tablets are uncommon when used correctly and for short periods. However, you should stop taking the tablets immediately and seek medical attention if you experience any of the following:

  • Rectal bleeding or blood in your stool
  • Severe or worsening abdominal pain
  • Signs of dehydration — extreme thirst, dizziness, dark urine, or reduced urination
  • Muscle weakness, irregular heartbeat, or confusion (which may indicate low potassium)
  • No bowel movement after 3 days of use

These symptoms may indicate a more serious underlying condition and require prompt medical assessment. Do not continue taking senna if any of these occur.

What Should You Do If You Experience Side Effects?

For mild side effects such as cramping or bloating, try reducing your fluid intake of caffeinated drinks, increasing water consumption, and ensuring you haven't exceeded the recommended dose. If diarrhoea develops, stop taking the tablets and allow your bowel to settle naturally. Mild side effects usually resolve within 24 hours of stopping the medicine.

For any side effect that concerns you, or that does not improve after stopping the tablets, contact your pharmacist or GP. You can also report side effects directly to the MHRA via the Yellow Card scheme at yellowcard.mhra.gov.uk.

Can Senna Tablets Interact With Other Medicines?

Yes — senna tablets can interact with several medicines, primarily through their effect on electrolyte balance. The most clinically significant interactions include digoxin (where low potassium increases toxicity risk), diuretics (which can compound electrolyte loss), and antiarrhythmic medicines. If you are taking any of these, speak to your pharmacist before using senna tablets. Do not combine senna with other laxatives without professional advice, as this increases the risk of diarrhoea and dehydration.

If you are concerned about any side effects, contact your pharmacist or GP immediately.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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