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CASCARA


Brand & Generic Names

Aromatic Cascara Fluidextract
Cascara Sagrada
Caroid Laxative
Nature's Remedy


Basic Information

  • Habit forming? No
  • Prescription needed? No
  • Available as generic? Yes
  • Drug class: Laxative (stimulant)

Uses

    Constipation relief.

Dosage & Usage Information

How to take:
Follow package instructions.
Tablet--Swallow with liquid. If you can't swallow whole, chew or crumble tablet and take with liquid or food.
Liquid--Drink 6 to 8 glasses of water each day, in addition to one taken with each dose.

When to take:
Usually at bedtime with a snack, unless directed otherwise.

If you forget a dose:
Take as soon as you remember.

What drug does:
Acts on smooth muscles of intestine wall to cause vigorous bowel movement.

Time lapse before drug works:
6 to 10 hours.

Don't take with:
Any other medicine without consulting your doctor or pharmacist.
Don't take within 2 hours of taking another medicine. Laxative interferes with medicine absorption.


Overdose

SYMPTOMS:
Vomiting, electrolyte depletion.

WHAT TO DO:

    Overdose unlikely to threaten life. If person takes much larger amount than prescribed, call doctor, poison-control center or hospital emergency room for instructions.

Possible Adverse Reactions or Side Effects

Life-threatening:

    None expected.

Common:

    Rectal irritation.

Infrequent:

  • Dangerous potassium loss (thirst, weakness, heartbeat irregularity, paralysis, nausea and diarrhea).
  • Belching, cramps, nausea.

Rare:

  • Irritability, confusion, headache, rash, breathing difficulty, irregular heartbeat, muscle cramps, unusual tiredness or weakness.
  • Burning on urination.
  • Discoloration of urine.

Warnings & Precautions

Don't take if:

  • You have symptoms of appendicitis, inflamed bowel or intestinal blockage.
  • You are allergic to a stimulant laxative.
  • You have missed a bowel movement for only 1 or 2 days.

Before you start, consult your doctor:

  • If you have a colostomy or ileostomy.
  • If you have congestive heart disease.
  • If you have diabetes.
  • If you have high blood pressure.
  • If you have a laxative habit.
  • If you have rectal bleeding.
  • If you take other laxatives.

Over age 60:
Adverse reactions and side effects may be more frequent and severe than in younger persons.

Pregnancy:
Risk to mother and unborn child outweighs drug benefits. Don't use.

Breast-feeding:
Drug passes into milk. Avoid drug or discontinue nursing until you finish medicine. Consult doctor for advice on maintaining milk supply.

Infants & children:
Use only under medical supervision.

Prolonged use:
Don't take for more than 1 week unless under a doctor's supervision. May cause laxative dependence.

Skin & sunlight:
No problems expected.

Driving, piloting or hazardous work:
No problems expected.

Discontinuing:
May be unnecessary to finish medicine. Follow doctor's instructions.

Others:
Don't take to "flush out" your system or as a "tonic."


Possible Interaction with Other Drugs

GENERIC NAME COMBINED EFFECT
------------------------ -----------------------
Antacids* Irritation of stomach or small
intestine.
Digoxin Increased toxicity due to decreased
potassium level.
Diuretics* May cause dangerous low potassium
level.
Ranitidine Irritation of stomach or small
intestine.


Possible Interaction with Other Substances

INTERACTS WITH COMBINED EFFECT
--------------- ---------------
Alcohol: None expected.
Beverages: None expected.
Cocaine: None expected.
Foods: None expected.
Marijuana: None expected.
Tobacco: None expected.



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