Docusate Sodium/Sennosides
Docusate/senna is a combination medication containing docusate and senna. The two laxatives work together to treat constipation.
What is Docusate/senna?
What is Docusate/senna used for?
- Occasional constipation
How Docusate/senna works
Docusate/senna contains a stool softener (docusate) and a stimulant laxative (senna). Docusate draws water into your intestines to soften your stool, while senna works on your intestines to help push it out.
Drug facts
| Common Brands | Senna-S, Dok Plus, Senexon-S |
|---|---|
| Drug Class | Stool softener / Stimulant laxative |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | Lower-cost generic available |
| Availability | Over-the-counter |
Side effects of Docusate/senna
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
See Risks and Warnings
The following Docusate/senna side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
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Pros and cons of Docusate/senna
Pros
- Contains two medications, so there's fewer pills and can sometimes be cheaper
- Available over-the-counter so you don't need a prescription from your provider
- Works fast to help you have a bowel movement
Cons
- Should only be used short-term (less than 7 days)
- Some people have stomach cramps
- Can cause loose, watery stools
Pharmacist tips for Docusate/senna
- Before using this medication, contact your provider if you have stomach pain, nausea, or vomiting or if you've noticed sudden changes in your stool for more than 2 weeks.
- Don't take docusate/senna if you're taking mineral oil, unless your provider tells you to. Taking docusate/senna with mineral oil can raise the amount of mineral oil your body absorbs.
- It's recommended to take your first dose at bedtime because you can expect to have a bowel movement the following morning. You don't have to take it at bedtime, however, especially if your body responds differently to the medication.
- Stay hydrated and eat food that is high in fiber to help your body have regular, easy bowel movements.
- Contact your provider if you don't have a bowel movement after using docusate/senna for 1 week. This could be a sign of a more serious problem.
Risks and warnings for Docusate/senna
Docusate/senna can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Complete or partial blockage of intestines
Stop taking docusate/senna and call your provider if you have rectal bleeding (from your anus) or cannot have a bowel movement after taking docusate/senna. These could be signs of a more serious problem.
Self-medication
Before you start taking docusate/senna, speak with your provider first if you have stomach pain, nausea, or vomiting or if you've noticed sudden changes in your stool for more than 2 weeks. Docusate/senna may not be the best medication for you, and your provider should make sure there's not a more serious problem going on.
Docusate/senna dosage
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 50mg/8.6mg | 60 tablets | $6.01 | $0.10 |
Typical dosage for Docusate/senna
- Adults and Children age 12 and older: The typical starting dose is 2 pills by mouth once a day. The maximum dose is 4 pills two times a day.
- Children age 6—11: The typical starting dose is 1 pill by mouth once a day. The maximum dose is 2 pills two times a day.