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Senokot Senna - 20 Tablets

Senokot Senna - 20 Tablets

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  • ✔️ Relieves occasional constipation gently within 8–12 hours
  • ✔️ Plant-derived senna stimulates natural bowel muscle contractions
  • ✔️ Taken at bedtime for a comfortable morning result
  • ✔️ Suitable for adults and young people aged 12 and over
  • ✔️ Each pack contains 20 tablets for short-term constipation relief

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Are Senna Tablets for Constipation Right for You?

 

Constipation is something most people experience at some point — and it can be genuinely uncomfortable. Senokot Senna 20 Tablets offer a well-established, over-the-counter option for short-term relief. Each tablet contains senna, a plant-derived active ingredient that has been used as a laxative for centuries. If you're looking for senna tablets for constipation that work gently overnight, Senokot is one of the most recognised names in the UK. You can browse our full range of constipation treatments if you'd like to compare your options before deciding.

Senokot Senna tablets are classified as a stimulant laxative and are available without a prescription for adults and children aged 12 and over. They're designed for occasional use — not as a long-term solution — and are taken orally, usually at bedtime.

 

How Do Senokot Senna Tablets Work?

 

Senna works by stimulating the nerve endings in the wall of the large intestine (colon), encouraging the muscles to contract and push stool towards the rectum. The active compounds responsible are called sennosides — specifically sennoside A and sennoside B — which are converted by gut bacteria into their active form in the colon.

  • Sennosides are absorbed minimally in the small intestine and reach the colon largely intact.
  • Gut bacteria convert sennosides into rhein anthrone, the compound that stimulates bowel muscle contractions.
  • Increased peristalsis (bowel movement) moves stool along more quickly.
  • A bowel movement typically occurs within 8 to 12 hours of taking the tablet.

This is why most people take Senokot at bedtime — so it works while they sleep and produces a result the following morning.

 

Who Should Use Senokot Senna Tablets?

 

Senokot Senna tablets are suitable 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.

  • Adults experiencing occasional, short-term constipation
  • People who need a predictable, overnight result
  • Those who prefer a plant-derived laxative option
  • Individuals who have been advised by a pharmacist that a stimulant laxative is appropriate

They are not suitable for children under 12, people with bowel obstruction, inflammatory bowel conditions such as Crohn's disease or ulcerative colitis, or those with unexplained abdominal pain. Always check with your pharmacist if you're unsure.

 

How Does Senokot Compare to Other Laxative Types?

 

Feature Senokot Senna Tablets Lactulose (Osmotic Laxative)
Type of laxative Stimulant Osmotic
Onset of action 8–12 hours 24–48 hours
Suitable for children under 12 No (without GP advice) Yes (with appropriate dosing)
Plant-derived Yes (senna plant) No (synthetic sugar)

 

Is Senokot Suitable for Long-Term Use and How Should It Be Stored?

 

Senokot Senna tablets should be stored below 25°C in a dry place, away from direct sunlight and out of the reach of children. Check the expiry date on the packaging before use and do not use the product after that date. If you're managing a digestive condition alongside constipation, you may also find our IBS and cramps collection helpful for broader gut health support.

These tablets are intended for short-term use only — no longer than 7 consecutive days. Prolonged use of stimulant laxatives without medical supervision can lead to electrolyte imbalances and, over time, reduced bowel function. If constipation persists beyond a week, speak to your GP.

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.

Senokot Senna 20 Tablets specifications
Treatment category Constipation relief
Mechanism of action Stimulant laxative — stimulates colonic peristalsis via sennosides
Effective for Occasional constipation in adults and children aged 12+
Suitable for Adults and children aged 12 and over
Active ingredient Senna (7.5 mg total sennosides per tablet)
Pack size 20 tablets
Strength 7.5 mg sennosides per tablet
UK classification General Sale List (GSL)
Drug class Stimulant laxative (anthraquinone glycoside)
Preparation Film-coated tablet
Route of administration Oral

Specifications of Senokot Senna 20 Tablets

 

What Is Senokot Senna and What Is It Used For?

 

Senokot Senna 20 Tablets contain senna as the active ingredient — specifically standardised to provide 7.5 mg of total sennosides per tablet. Senna is a naturally occurring plant extract derived from the leaves and pods of Cassia senna. It belongs to a class of medicines called stimulant laxatives, which work by directly stimulating the muscles of the bowel to contract.

These tablets are used to relieve occasional constipation in adults and young people aged 12 and over. Constipation is defined by the NHS as passing fewer than three stools per week, or passing stools that are hard, dry, or difficult to pass. Senokot is not intended to treat the underlying cause of constipation — it provides symptomatic relief while you address contributing factors such as diet, hydration, and physical activity.

 

What Do You Need to Know Before Using Senokot Senna Tablets?

 

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

  • You have a bowel obstruction or suspected bowel obstruction
  • You have severe abdominal pain of unknown cause
  • You have inflammatory bowel disease (e.g. Crohn's disease or ulcerative colitis)
  • You are allergic to senna or any other ingredient in the tablet
  • You are under 12 years of age
  • You are pregnant (especially in the first trimester) — seek medical advice first
  • You have a condition causing muscle weakness (e.g. myasthenia gravis)

Speak to your pharmacist or GP before use if you are breastfeeding, as small amounts of senna metabolites may pass into breast milk. The following medicines may interact with senna:

  • Diuretics (water tablets) — increased risk of electrolyte imbalance
  • Corticosteroids — may worsen potassium loss
  • Digoxin and other cardiac glycosides — electrolyte disturbances can affect their action
  • Other laxatives — avoid combining without pharmacist advice

 

How Should You Use Senokot Senna Tablets?

 

Always follow the directions on the packaging or as advised by your pharmacist. Here's how to take Senokot Senna tablets correctly:

  1. Take the tablets orally with a full glass of water.
  2. Swallow the tablets whole — do not crush or chew them.
  3. Take at bedtime for a bowel movement the following morning.
  4. Do not take more than the recommended dose in any 24-hour period.
  5. Do not use for more than 7 consecutive days without speaking to a doctor.
Indication Age Group Dose Frequency
Occasional constipation Adults and children 12+ 2 tablets Once daily at bedtime
Occasional constipation (elderly) 65 and over 2 tablets (start with 1 if sensitive) Once daily at bedtime
Children under 12 Under 12 Not recommended without GP advice

 

What Are the Possible Side Effects of Senokot Senna Tablets?

 

Like all medicines, Senokot Senna tablets can cause side effects, although not everyone experiences them. Knowing what to expect can help you manage them if they occur.

Common side effects:

  • Abdominal cramps or discomfort
  • Loose stools or diarrhoea (especially if the dose is too high)
  • Discolouration of urine (yellow-brown or reddish) — harmless and caused by senna metabolites

Less common side effects:

  • Nausea
  • Electrolyte imbalance with prolonged use (e.g. low potassium)
  • Skin reactions such as rash or itching (rare)
  • Melanosis coli — a harmless darkening of the bowel lining seen with long-term use

If you experience severe abdominal pain, blood in your stool, or symptoms of dehydration, stop taking the tablets and seek medical advice promptly. If you're also managing related digestive symptoms, our indigestion range may offer additional support.

 

How Should You Store Senokot Senna Tablets?

 

  • Store below 25°C in a dry place away from direct heat and sunlight.
  • Keep the tablets in their original packaging.
  • Store out of the sight and reach of children.
  • Do not use after the expiry date printed on the pack.
  • Do not dispose of medicines via wastewater or household waste — return unused tablets to your pharmacy.

If you're looking for broader digestive health support alongside constipation relief, you might also find our vitamins and supplements collection useful — particularly fibre supplements that support regular bowel habits long-term.

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 Senokot Senna tablets online in the UK?

You can buy Senokot Senna 20 Tablets directly from Cured Pharmacy, a UK GPhC-registered online pharmacy. No prescription is needed, as these are a General Sale List (GSL) medicine. Simply add them to your basket and they'll be dispatched quickly to your door.

How do Senokot Senna tablets work in the body?

Senna contains naturally occurring compounds called sennosides, which are converted by gut bacteria in the colon into an active form called rhein anthrone. This stimulates the nerve endings in the bowel wall, causing the muscles to contract and move stool along. The result is typically a bowel movement within 8 to 12 hours.

How do I use Senokot Senna tablets step by step?

Take 2 tablets orally with a full glass of water, swallowing them whole without crushing or chewing. The best time to take them is at bedtime so they work overnight. Do not take more than 2 tablets in any 24-hour period, and do not use for more than 7 consecutive days without speaking to a pharmacist or GP.

What is the best time to take Senokot Senna tablets?

Senokot Senna tablets are best taken at bedtime because they typically take 8 to 12 hours to produce a bowel movement. Taking them in the evening means you're likely to have a comfortable result the following morning. This fits naturally into most people's daily routines without disruption.

What are the side effects of Senokot Senna tablets and how do I manage them?

The most common side effects are abdominal cramps and loose stools, which usually settle once the bowel has moved. You may also notice your urine turning a yellow-brown or reddish colour — this is harmless and caused by senna metabolites being excreted. If you experience severe pain, blood in your stool, or signs of dehydration, stop taking the tablets and contact your GP.

Who is eligible to take Senokot Senna tablets?

Senokot Senna tablets are suitable for adults and young people aged 12 and over who are experiencing occasional constipation. They are not suitable for children under 12 without GP guidance, or for people with bowel obstruction, inflammatory bowel disease, or severe unexplained abdominal pain. Pregnant or breastfeeding women should seek medical advice before use.

Can I take Senokot Senna tablets during pregnancy?

Senna is generally not recommended during pregnancy, particularly in the first trimester, due to limited safety data. If you're pregnant and struggling with constipation, speak to your GP or midwife before taking any laxative. They may recommend safer alternatives such as dietary changes, increased fluid intake, or a bulk-forming laxative.

What happens if I miss a dose of Senokot Senna tablets?

If you forget to take your dose at bedtime, simply take it the following evening — do not double up to make up for a missed dose. Senokot is taken on an as-needed basis for occasional constipation, so missing a single dose is not a concern. If constipation persists, speak to your pharmacist for further advice.

How long can I use Senokot Senna tablets for?

Senokot Senna tablets should not be used for more than 7 consecutive days without medical advice. Prolonged use of stimulant laxatives can lead to electrolyte imbalances, reduced bowel function, and dependence. If constipation continues beyond a week, it's important to see your GP to rule out an underlying cause.

What are the alternatives to Senokot Senna tablets for constipation?

There are several types of laxative available, including bulk-forming laxatives (e.g. ispaghula husk/Fybogel), osmotic laxatives (e.g. lactulose or macrogol), and stool softeners (e.g. docusate). You can explore our full constipation treatments range to compare options. Your pharmacist can help you decide which type is most appropriate for your situation.

Can Senokot Senna tablets be used for IBS-related constipation?

Senna can sometimes be used for constipation-predominant IBS, but it should be used with caution and ideally under pharmacist or GP guidance. Stimulant laxatives can occasionally worsen cramping in people with IBS. For broader IBS symptom management, our IBS and cramps collection includes a range of suitable products.

Do Senokot Senna tablets interact with other medicines?

Yes, senna can interact with certain medicines. The most clinically significant interactions are with diuretics and corticosteroids (increased risk of low potassium) and cardiac glycosides such as digoxin (where electrolyte disturbances can affect the drug's action). Always tell your pharmacist about all medicines you are taking before starting Senokot.

Are Senokot Senna tablets suitable for elderly people?

Senokot Senna tablets can be used by older adults, but it's worth starting with a lower dose if you are sensitive to laxatives, and ensuring adequate fluid intake. Elderly people are at greater risk of electrolyte imbalance with prolonged laxative use, so it's advisable to use them for the shortest time necessary and seek GP advice if constipation is a recurring problem.

What is the latest research on senna as a laxative?

Senna has been used medicinally for over a thousand years and remains one of the most studied stimulant laxatives. Current evidence supports its short-term effectiveness for constipation relief, and it is listed in the British National Formulary (BNF) as a first-line stimulant laxative option. Research continues to confirm its safety profile when used as directed for short periods.

Is Senokot Senna a natural or synthetic laxative?

Senna is a plant-derived ingredient, extracted from the leaves and pods of the Cassia senna plant, making it a naturally sourced active ingredient. However, "natural" does not mean it is without risk — it is still a medicine and should be used according to the recommended dose and duration. If you're interested in supporting gut health more broadly, our vitamins and supplements range includes fibre and probiotic options.

How Should You Use Senokot Senna Tablets?

Senokot Senna tablets are taken orally with a full glass of water. Always read the label carefully before use and follow the instructions provided. Do not crush or chew the tablets — swallow them whole.

What Is the Correct Dose of Senokot Senna Tablets?

The recommended dose varies by age. Always use the lowest effective dose and do not exceed the maximum stated on the packaging. If you are unsure whether the dose is appropriate for you, speak to your pharmacist before taking.

When Is the Best Time to Use Senokot Senna Tablets?

The ideal time to take Senokot Senna tablets is at bedtime. Because senna typically takes 8 to 12 hours to produce a bowel movement, taking the tablets in the evening means you're likely to experience relief the following morning. This timing minimises disruption to your daily routine and allows the medicine to work while you sleep.

Try to take the tablets at the same time each evening if you are using them on consecutive days. Maintaining good fluid intake throughout the day — aiming for 6 to 8 glasses of water — will also support the laxative effect and reduce the risk of cramping.

How Long Can You Use Senokot Senna Tablets For?

Senokot Senna tablets are intended for short-term use only. You should not take them for more than 7 consecutive days without seeking advice from your GP or pharmacist. Stimulant laxatives used over a prolonged period can lead to electrolyte imbalances, reduced natural bowel function, and in rare cases, dependence on laxatives to produce a bowel movement.

If constipation persists beyond one week, or if you find yourself needing laxatives regularly, it's important to speak to your GP. There may be an underlying cause — such as a dietary issue, medication side effect, or bowel condition — that needs to be addressed properly.

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

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What Are the Most Common Side Effects of Senokot Senna Tablets?

Most people tolerate Senokot Senna tablets well when taken at the recommended dose. However, as with any stimulant laxative, some side effects can occur — particularly if the dose is higher than needed or if you are sensitive to senna.

  • Abdominal cramps or discomfort
  • Loose stools or diarrhoea
  • Discolouration of urine (yellow-brown or reddish tint) — harmless and temporary
  • Flatulence or bloating

What Are the Less Common Side Effects of Senokot Senna Tablets?

Less frequently, some people may experience side effects that are more noticeable, particularly with repeated or prolonged use. These are not common at standard doses but are worth being aware of.

  • Nausea
  • Low potassium levels (hypokalaemia) — more likely with prolonged use or in combination with diuretics
  • Skin reactions such as rash, itching, or urticaria (rare)
  • Melanosis coli — a harmless darkening of the bowel lining that can occur with long-term stimulant laxative use and typically reverses after stopping

What Are the Serious Side Effects of Senokot Senna Tablets?

Serious side effects from senna at recommended doses are uncommon, but you should be aware of warning signs that require prompt medical attention. Stop taking the tablets immediately and contact your GP or call 111 if you experience any of the following:

  • Severe or persistent abdominal pain
  • Blood in your stool or rectal bleeding
  • Signs of dehydration — extreme thirst, dizziness, or very dark urine
  • Muscle weakness or irregular heartbeat (possible signs of electrolyte imbalance)
  • Allergic reaction — swelling of the face, lips, or throat, difficulty breathing

What Should You Do If You Experience Side Effects of Senokot Senna Tablets?

If you experience mild side effects such as cramping or loose stools, these often resolve on their own once the bowel has moved. Reducing your dose or ensuring you are drinking enough water may help. If side effects are persistent, worsening, or causing significant discomfort, stop taking the tablets and speak to 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 Senokot Senna Tablets Interact With Other Medicines?

Yes. Senna can interact with several medicines, and it's important to tell your pharmacist about everything you are taking — including over-the-counter products and supplements. Key interactions to be aware of include diuretics and corticosteroids (which can worsen potassium loss), cardiac glycosides such as digoxin (where low potassium can increase the risk of toxicity), and other laxatives (which may compound the effect and cause excessive bowel stimulation). If you are taking any regular prescribed medicines, always check with your pharmacist before starting senna.

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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