Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS website.
Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature [CLICK HERE].

About Senna

NHS medicines information on senna - what it's used for and key facts.

Senna is a natural laxative made from the leaves and fruit of the senna plant. It's used to treat difficulty pooing (constipation). It works by stimulating the muscles in your gut.

Before trying senna, it's better to try other ways to help your constipation by:

  • having more fibre in your diet
  • drinking more water and exercising

Only use senna if you have tried other types of laxatives first such as:

Senna comes as tablets and as a liquid that you swallow (syrup).

It's available on prescription and to buy from pharmacies. You can buy small packs from supermarkets (up to 20 standard strength tablets, 10 maximum strength tablets or 100ml of syrup).

It's also combined with other ingredients in constipation remedies such as Manevac and Senokot Dual Relief tablets.

Key facts

  • Senna takes about 8 hours to work.
  • It's best to take it at bedtime so it works overnight.
  • The most common side effects are stomach cramps and diarrhoea. These are usually mild and do not last long.
  • Do not take senna for more than 1 week unless it has been prescribed for you. Long-term use of senna can stop your bowel working properly on its own.
  • Your pee may turn a red-brown colour while you take senna. This is harmless and returns to normal after you stop taking it.


OutUK's A to Z of Gay Health continues and you can read this week's feature [CLICK HERE]. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features.

If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.

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