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Docusate and senna: Drug information

Docusate and senna: Drug information
(For additional information see "Docusate and senna: Patient drug information" and see "Docusate and senna: Pediatric drug information")

For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: US
  • Docuzen [OTC];
  • DOK Plus [OTC] [DSC];
  • FT Senna-S [OTC];
  • FT Stool Softener [OTC];
  • GoodSense Stimulant Lax Plus [OTC];
  • GoodSense Stimulant Laxative [OTC] [DSC];
  • Laxacin [OTC];
  • Senexon-S [OTC];
  • Senna Plus [OTC];
  • Senna S [OTC];
  • Senna-Plus [OTC];
  • Senna-S [OTC];
  • Senna-Time S [OTC];
  • Senokot S [OTC];
  • Stimulant Laxative [OTC];
  • Stool Softener/Laxative [OTC]
Pharmacologic Category
  • Laxative, Stimulant;
  • Stool Softener
Dosing: Adult
Constipation

Constipation: Oral: Initial: 2 tablets (17.2 mg sennosides plus 100 mg docusate) once daily (maximum: 4 tablets twice daily).

Dosing: Older Adult

Constipation: Oral: Consider half the initial dose in older, debilitated patients

Dosing: Pediatric

(For additional information see "Docusate and senna: Pediatric drug information")

Constipation

Constipation: Oral: OTC tablet (Docusate 50 mg and sennosides 8.6 mg/tablet):

Children 2 to <6 years: Initial: 1/2 tablet (docusate 25 mg/sennosides 4.3 mg) once daily at bedtime; may increase to maximum dose of 1 tablet (docusate 50 mg/sennosides 8.6 mg) twice daily

Children 6 to <12 years: Initial: 1 tablet (docusate 50 mg/sennosides 8.6 mg) once daily at bedtime; may increase to a maximum dose of: 2 tablets (docusate 100 mg/sennosides 17.2 mg) twice daily

Children ≥12 years and Adolescents: Initial: 2 tablets (docusate 100 mg/sennosides 17.2 mg) once daily at bedtime; may increase to a maximum dose of: 4 tablets (docusate 200 mg/sennosides 34.4 mg) twice daily

Adverse Reactions

The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified. Frequency not defined.

Gastrointestinal: Abdominal cramps, diarrhea, nausea, vomiting

Genitourinary: Urine discoloration (red/brown)

Contraindications

OTC labeling: When used for self-medication, do not use for >7 days or concomitantly with mineral oil.

Significant drug interactions exist, requiring dose/frequency adjustment or avoidance. Consult drug interactions database for more information.

Warnings/Precautions

Other warnings/precautions:

• OTC labeling: Not recommended for over-the-counter (OTC) use in patients experiencing stomach pain, nausea, vomiting, or a sudden change in bowel movements which lasts >2 weeks. Not recommended for use longer than 1 week. Not recommended for use in children <2 years of age. Discontinue use and contact healthcare provider if rectal bleeding occurs.

Dosage Forms: US

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Tablet, Oral:

Docuzen: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6 (sunset yellow), quinoline yellow (d&c yellow #10), sodium benzoate]

DOK Plus: Docusate sodium 50 mg and sennosides 8.6 mg [DSC] [contains fd&c blue #1 (brill blue) aluminum lake, fd&c red #40(allura red ac)aluminum lake, fd&c yellow #6(sunset yellow)alumin lake, sodium benzoate]

FT Senna-S: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6(sunset yellow)alumin lake]

FT Stool Softener: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c blue #2 (indigo carm) aluminum lake, fd&c red #40(allura red ac)aluminum lake]

GoodSense Stimulant Lax Plus: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c blue #2 (indigo carm) aluminum lake, fd&c red #40(allura red ac)aluminum lake]

GoodSense Stimulant Laxative: Docusate sodium 50 mg and sennosides 8.6 mg [DSC] [contains fd&c blue #2 (indigo carm) aluminum lake, fd&c red #40(allura red ac)aluminum lake, sodium benzoate]

Laxacin: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6 (sunset yellow), quinoline yellow (d&c yellow #10), sodium benzoate]

Senexon-S: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6 (sunset yellow), quinoline yellow (d&c yellow #10), sodium benzoate]

Senna Plus: Docusate sodium 50 mg and sennosides 8.6 mg [DSC] [contains fd&c yellow #5 (tartrazine), fd&c yellow #6 (sunset yellow), sodium benzoate]

Senna Plus: Docusate sodium 50 mg and sennosides 8.6 mg [DSC] [contains fd&c yellow #6 (sunset yellow), quinoline yellow (d&c yellow #10), sodium benzoate]

Senna Plus: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6(sunset yellow)alumin lake, quinoline (d&c yellow #10) aluminum lake]

Senna Plus: Docusate sodium 50 mg and sennosides 8.6 mg [DSC] [contains fd&c yellow #6(sunset yellow)alumin lake, quinoline (d&c yellow #10) aluminum lake, sodium benzoate]

Senna S: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6 (sunset yellow), quinoline yellow (d&c yellow #10)]

Senna S: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6(sunset yellow)alumin lake, quinoline (d&c yellow #10) aluminum lake]

Senna-Plus: Docusate sodium 50 mg and sennosides 8.6 mg [DSC] [contains fd&c yellow #5 (tartrazine), fd&c yellow #6 (sunset yellow), quinoline yellow (d&c yellow #10), sodium benzoate]

Senna-Plus: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6(sunset yellow)alumin lake]

Senna-S: Docusate sodium 50 mg and sennosides 8.6 mg [DSC]

Senna-S: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6(sunset yellow)alumin lake, quinoline (d&c yellow #10) aluminum lake]

Senna-S: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c yellow #6(sunset yellow)alumin lake, quinoline (d&c yellow #10) aluminum lake, sodium benzoate]

Senna-Time S: Docusate sodium 50 mg and sennosides 8.6 mg

Senokot S: Docusate sodium 50 mg and sennosides 8.6 mg

Stimulant Laxative: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c red #40 (allura red ac dye), sodium benzoate]

Stool Softener/Laxative: Docusate sodium 50 mg and sennosides 8.6 mg [contains fd&c blue #2 (indigo carm) aluminum lake, fd&c red #40(allura red ac)aluminum lake]

Stool Softener/Laxative: Docusate sodium 50 mg and sennosides 8.6 mg [DSC] [contains fd&c red #40(allura red ac)aluminum lake, sodium benzoate]

Generic: Docusate sodium 50 mg and sennosides 8.6 mg

Generic Equivalent Available: US

Yes

Pricing: US

Tablets (Senokot S Oral)

8.6-50 mg (per each): $0.53

Disclaimer: A representative AWP (Average Wholesale Price) price or price range is provided as reference price only. A range is provided when more than one manufacturer's AWP price is available and uses the low and high price reported by the manufacturers to determine the range. The pricing data should be used for benchmarking purposes only, and as such should not be used alone to set or adjudicate any prices for reimbursement or purchasing functions or considered to be an exact price for a single product and/or manufacturer. Medi-Span expressly disclaims all warranties of any kind or nature, whether express or implied, and assumes no liability with respect to accuracy of price or price range data published in its solutions. In no event shall Medi-Span be liable for special, indirect, incidental, or consequential damages arising from use of price or price range data. Pricing data is updated monthly.

Administration: Adult

Oral: Once-daily doses should be taken at bedtime.

Administration: Pediatric

Oral: Administer with water at bedtime

Use: Labeled Indications

Constipation: Relief of occasional constipation

Medication Safety Issues
Sound-alike/look-alike issues:

Senokot may be confused with Depakote

Pregnancy Considerations

See individual agents.

Breastfeeding Considerations

See individual agents.

Dietary Considerations

Some products may contain sodium.

Mechanism of Action

Docusate is a stool softener; sennosides are laxatives

Brand Names: International
International Brand Names by Country
For country code abbreviations (show table)

  • (AR) Argentina: Laxoya;
  • (AU) Australia: Chemplus sennalax | Co senna | Colaxsen | Coloxyl c senna | Coloxyl with senna | Pharmacist formula consti eze | Trust Koloxese;
  • (CO) Colombia: Sennax plus;
  • (DO) Dominican Republic: Senokot con Docusato | Senokot s;
  • (EE) Estonia: Senna plus;
  • (ES) Spain: Rovilax;
  • (JP) Japan: Laxoben d | Safiel | Swing;
  • (MX) Mexico: Laxoya;
  • (NZ) New Zealand: Coloxyl c senna | Laxsol;
  • (PE) Peru: Senokot con Docusato;
  • (PR) Puerto Rico: Colace 2 in 1 | Docqlax | Docusate sodium | Docusate sodium & senna | Docusate sodium and senna | Docusate/sennosides | Docuzen | Laxacin | Medi laxx | Senexon-S | Senna and docusate sodium | Senna plus | Senna s | Sennalax-s | Stimulant laxative plus stool softener;
  • (VE) Venezuela, Bolivarian Republic of: Alliviax
  1. Docusate Sodium 50 mg & Senna 8.6 mg (docusate and senna) [prescribing information]. Livonia, MI: Rugby Laboratories; October 2013.
  2. Dok Plus (docusate and senna) [prescribing information]. Livonia, MI: Major Pharmaceuticals; June 2018.
  3. Hookey LC, Depew WT, Vanner SJ. Combined low-volume polyethylene glycol solution plus stimulant laxatives versus standard-volume polyethylene glycol solution: A prospective, randomized study of colon cleansing before colonoscopy. Can J Gastroenterol, 2006;20(2):101-105. [PubMed 16482236]
  4. Iida Y, Miura S, Asada Y, et al. Bowel preparation for the total colonoscopy by 2,000 mL of balanced lavage solution (Golytely) and sennoside. Gastroenterol Jpn, 1992;27:728-733. [PubMed 1468604]
  5. Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US Multi-Society Task Force on Colorectal Cancer. Am J Gastroenterol. 2014;109(10):1528-1545. [PubMed 25223578]
  6. Senna Plus (docusate and senna) [prescribing information]. Brooklyn, NY: Geri-Care Pharmaceuticals Corp; July 2019.
  7. Senna-S (Docusate and senna) [prescribing information]. Boca Raton, FL: Chain Drug Consortium; date unknown.
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