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CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

CÁSCARA SAGRADA ARKOPHARMAhard capsules

Rhamnus purshianusD.C.

Read the entire package leaflet carefully before starting to take this medication, as it contains important information for you.

  • Follow the administration instructions for the medication contained in this package leaflet or as indicated by your pharmacist, doctor, or nurse. Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your pharmacist, doctor, or nurse, even if they are not listed in this package leaflet. See section 4.
  • You should consult a doctor if your symptoms worsen or do not improve after 4 days.

Contents of the Package Leaflet

  1. What CÁSCARA SAGRADA ARKOPHARMA is and what it is used for
  2. What you need to know before taking CÁSCARA SAGRADA ARKOPHARMA
  3. How to take CÁSCARA SAGRADA ARKOPHARMA
  4. Possible side effects
  5. Storage of CÁSCARA SAGRADA ARKOPHARMA
  6. Package Contents and Additional Information

1. What CÁSCARA SAGRADA ARKOPHARMA is and what it is used for

Plant-based medication for the short-term treatment of occasional constipation.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking CÁSCARA SAGRADA ARKOPHARMA

Do not takeCÁSCARA SAGRADA ARKOPHARMA

  • If you are allergic to the active ingredients or any of its other components.
  • Do not use this medication in children under 12 years of age.
  • If you have abdominal pain of unknown origin.
  • If you are suffering from or have recently suffered from diarrhea or vomiting with significant loss of fluids and electrolytes.
  • If you have intestinal obstruction and stenosis, atony, appendicitis, inflammatory diseases of the colon (such as Crohn's disease, ulcerative colitis).

Be especially careful withCÁSCARA SAGRADA ARKOPHARMA

  • If you are taking other medications such as cardiac glycosides, anti-arrhythmic medications, medications that induce QT interval prolongation, diuretics, corticosteroids, or licorice root.
  • If you have acute or persistent undiagnosed gastrointestinal disorders.
  • If you need to take laxatives frequently, the cause of constipation should be investigated.
  • The frequent use of this type of laxative should be avoided.
  • If you have kidney disease.

Use of other medications

Tell your pharmacist or doctor if you are using or have recently used other medications, including those purchased without a prescription.

Prolonged use or abuse of laxatives can lead to a decrease in potassium levels, which can increase the action of other medications administered for the heart (anti-arrhythmics, diuretics, corticosteroids, and licorice root).

The action of this medication on intestinal transit could modify the levels of other medications taken orally at the same time.

TakingCÁSCARA SAGRADA ARKOPHARMAwith food and drinks

Food and drinks do not affect the effect of the medication.

Pregnancy and breastfeeding:

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your pharmacist or doctor before using this medication.

Use during pregnancy and breastfeeding is not recommended.

Driving and using machines

No effects on the ability to drive and use machines have been reported.

3. How to take CÁSCARA SAGRADA ARKOPHARMA

Follow the administration instructions for the medication contained in this package leaflet or as indicated by your pharmacist or doctor. If in doubt, ask your pharmacist or doctor.

The recommended dose is:

Adults and adolescents over 12 years: take 1 capsule per day before bedtime with a glass of water.

The dosage should be adjusted according to need. In general, it is sufficient to take the medication two or three times, on consecutive days or not, to achieve the desired effect.

CÁSCARA SAGRADA ARKOPHARMA needs some time to take effect, between 6 and 12 hours after administration, so it is recommended to take it at night for the effect to occur the next morning.

If symptoms worsen or do not improve after 4 days, you should consult a doctor.

Use in children:

Do not use in children under 12 years of age without a medical prescription.

Use in the elderly:

Elderly patients may be more sensitive to the action of this medication and therefore may require a lower dose.

If you take more CÁSCARA SAGRADA ARKOPHARMA than you should

In case of overdose or accidental ingestion of large quantities, colic pain and severe diarrhea may occur, making it necessary to replenish fluids, and in the particular case of elderly patients or those who have taken cardiac glycosides, diuretics, corticosteroids, or licorice root at the same time, they should consult a doctor to monitor potassium levels.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the product and the amount ingested.

If you forget to take CÁSCARA SAGRADA ARKOPHARMA

In case of forgetting a dose, do not take a double dose to make up for the forgotten dose.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medications, this medication can cause side effects, although not everyone will experience them.

This medication can cause abdominal pain and liquid stools, particularly in people with irritable colon. However, these effects are often due to taking a higher dose than necessary, so in these cases, the dose should be reduced.

Note that prolonged use or abuse of laxatives can lead to imbalances that will be observed in a urine analysis (albuminuria and hematuria). The urine may appear dark (brownish) due to compounds being eliminated. This has no clinical significance and will disappear when treatment is stopped.

Reporting side effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this package leaflet. You can also report them directly through the Spanish Medication Surveillance System for Human Use: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of CÁSCARA SAGRADA ARKOPHARMA

Keep this medication out of the reach and sight of children.

Do not store above 30°C.

Do not use this medication after the expiration date shown on the packaging, after the abbreviation "CAD". The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and medications you no longer need at the SIGRE point in the pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Package Contents and Additional Information

Composition of CÁSCARA SAGRADA ARKOPHARMA:

Each capsule contains as the active ingredient: 250 mg of cryomilled bark of Rhamnus purshianusDC. (Sacred Bark).

The other components are the excipients: gelatin (capsule coating).

Appearance of the product and package contents:

There is one presentation in bottles containing 50 capsules.

Marketing Authorization Holder and Manufacturer:

Holder:

Arkopharma LABORATORIOS, S.A.U

C/ Amaltea, 9

28045 MADRID

Manufacturer:

Laboratoires ARKOPHARMA

LID de Carros le Broc

Zone Industrielle lère Avenue 2709 m

06511 CARROS (France)

Date of the last revision of this package leaflet: September 2016

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES

Discuss questions about CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

5.0 (194)
Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

5.0 (73)
Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Rita Isabel Calero Garcia

General medicine 2 years exp.

Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

0.0 (14)
Doctor

Antonio Cayatte

General medicine 44 years exp.

Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic. His clinical background includes: 

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad

Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association. Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

Dr. Antonio Cayatte provides comprehensive care for a broad spectrum of common health concerns, including:

  • Respiratory & ENT: acute bronchitis, concerns related to pneumonia, sinusitis, tonsillitis, ear infections, sore throat conditions, and allergic rhinitis
  • Eye Health: allergic and infectious conjunctivitis, as well as red or irritated eyes
  • Digestive & Urinary: gastroesophageal reflux disease (GERD), gastritis, urinary tract infections, and cystitis
  • Chronic Conditions: hypertension, elevated cholesterol, and structured weight management planning

Get CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES Prescription Online

1

Fill in a 2-min form

Tell us your symptoms, history, and what medicine you're requesting.

2

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

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Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES?

CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES?

The active ingredient in CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES is cascara. This information helps identify medicines with the same composition but different brand names.

Who manufactures CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES?

CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES is manufactured by Arkopharma Laboratorios S.A.U.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to CÁSCARA SAGRADA ARKOPHARMA HARD CAPSULES?

Other medicines with the same active substance (cascara) include CASTOR OIL REIG JOFRE 1g/ml ORAL LIQUID, BEKUNIS 5 mg GASTRO-RESISTANT TABLETS, CITRAFLEET POWDER FOR ORAL SOLUTION IN SACHETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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