Senna alexandrina

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Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.

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Is it allowed to take Senna alexandrina during lactation?
Is it safe for a nursing mother and a child?

Indian Senna, Senna or Tinnevelly Senna. Shrub. Leaves, fruits, and flowers are used. It contains anthraquinones, naphtoquinones, flavonoids, mineral salts, polysaccharides (mucilage). Unproved effect: Irritant of intestine. Not absorbed by GI tract, laxative. American Academy of Pediatrics: Maternal Medication Usually Compatible With Breastfeeding. Eleventh WHO Model List of Essential Drugs 2002: Compatible with breastfeeding.

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/23121117
  2. http://onlinelibrary.wiley.com/doi/10.1111/apt.12109/pdf
  3. http://www.ncbi.nlm.nih.gov/pubmed/22686865
  4. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3523241/pdf/bfm.2011.0122.pdf
  5. http://www.ncbi.nlm.nih.gov/pubmed/16831611
  6. http://www.gastrojournal.org/article/S0016-5085(06)00865-1/pdf
  7. http://whqlibdoc.who.int/hq/2002/55732.pdf
  8. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  9. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  10. http://www.ncbi.nlm.nih.gov/pubmed/11155610
  11. http://apps.who.int/medicinedocs/pdf/s2200e/s2200e.pdf
  12. http://www.ncbi.nlm.nih.gov/pubmed/10205441
  13. http://www.ncbi.nlm.nih.gov/pubmed/8136086
  14. http://www.ncbi.nlm.nih.gov/pubmed/1870445
  15. http://www.ncbi.nlm.nih.gov/pubmed/2583443
  16. http://www.ncbi.nlm.nih.gov/pubmed/2583443
  17. http://www.ncbi.nlm.nih.gov/pubmed/3368521
  18. http://www.ncbi.nlm.nih.gov/pubmed/6996138
  19. http://www.ncbi.nlm.nih.gov/pubmed/4511106
  20. http://www.ncbi.nlm.nih.gov/pubmed/4570522
  21. http://www.ncbi.nlm.nih.gov/pubmed/14045350
  22. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1921820/pdf/canmedaj01013-0035.pdf
  23. http://www.ncbi.nlm.nih.gov/pubmed/13396280
  24. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1974525/pdf/brmedj03143-0039.pdf

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