PURSENNID*40COATED TABLETS 12MG

Pursennid 12 mg film-coated tablets
Sennosides A+B

What it is and what it is used for
Pursennid contains the active ingredient from the Senna plant, which belongs to a group of medicines that stimulate bowel movements.

Pursennid is indicated for the short-term treatment of occasional constipation. Pursennid works by stimulating bowel movements within 6-12 hours. For this reason, it is best to take it in the evening.

Consult your doctor if you do not feel better or if you feel worse after 7 days.

What you need to know before taking the medicine
Do not take Pursennid
• if you are allergic to sennosides A+B or any of the other ingredients of this medicine (listed in section 6);
• if your doctor or pharmacist has told you not to take laxatives;
• if you suffer from an inflammatory bowel disease (e.g. Crohn's disease or ulcerative colitis);
• if you suffer from nausea, diarrhoea, vomiting or stomach cramps;
• if you have acute, severe or persistent stomach pain or if your abdomen is soft to the touch and hurts when you move. In these cases, inform your doctor because you might have an undiagnosed bowel disease;
• if you have been diagnosed with severe dehydration with water and salt loss (e.g. low potassium levels);
• if the patient is a child under 10 years of age.

Warnings and precautions
Talk to your doctor or pharmacist before taking Pursennid.

Persistent constipation should first be treated by eating a diet rich in fibre, found for example in fruit, vegetables and cereals, by drinking sufficient fluids and by engaging in physical activity.

Pay particular attention and inform your doctor:
• if you have not observed any positive effect after taking Pursennid
• if you need to take the medicine for more than 7 days. Prolonged use can lead to addiction and can compromise bowel function
• if symptoms continue or worsen during the use of Pursennid
• if you suffer from an inflammatory bowel disease
• if skin rashes, nausea or vomiting appear
• if you have recently undergone abdominal surgery.

Children and adolescents
Pursennid should not be given to children under 10 years of age. In children aged between 10 and 12 years, Pursennid can only be used under the supervision of a doctor.

Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them.

Stop treatment and consult your doctor immediately if you or your child
• experience typical symptoms of an allergic reaction:
- severe skin itching with redness or swelling/hives
• experience persistent abdominal pain, nausea and diarrhoea with excessive fluid loss
• if constipation continues or worsens during treatment with Pursennid.

Side effects with unknown frequency (frequency cannot be estimated from the available data):
• allergic reactions (severe skin itching with redness or swelling/hives)
• colon disease causing constipation or increased abdominal volume (megacolon), abdominal pain, inflammation of the gastric and rectal mucosa, cramps, nausea, diarrhoea
• fatigue, drug addiction
• muscle cramps and weakness (myopathy)
• kidney problems, yellowish-brown discoloration of urine (chromaturia)
• increased activity of the adrenal glands (hyperaldosteronism), calcium and magnesium deficiency, excessive fluid loss (dehydration), sodium loss (hyponatremia), potassium loss (hypokalemia) from the body, salt loss from the body
• low blood pressure (hypotension).

Reporting of side effects
If you get any side effects, including any not listed in this leaflet, talk to your doctor or pharmacist. You can also report side effects directly via the national reporting system at: https://www.aifa.gov.it/content/segnalazionireazioni-avverse.
By reporting side effects you can help provide more information on the safety of this medicine.