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CENAT GRANULADO

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Talk to a doctor about this medicine

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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 CENAT GRANULADO

Translated with AI

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

CENAT Granules

Plantago ovata seeds / Cuticles of Plantago ovata seeds

(Ispaghula husk)

Read the entire package leaflet carefully because it contains important information for you.

This medication can be obtained without a prescription. Nevertheless, to obtain the best results, it should be used properly.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If symptoms worsen or persist after 7 days, you should consult a doctor.
  • If you consider that any of the adverse effects you are experiencing is serious or if you notice any adverse effect not mentioned in this package leaflet, inform your doctor or pharmacist.

Contents of the Package Leaflet

  1. What Cenat is and what it is used for
  2. What you need to know before taking Cenat
  3. How to take Cenat
  4. Possible side effects
  5. Storage of Cenat
  6. Contents of the pack and further information

1. What Cenat is and what it is used for

Cenat belongs to a group of medications called bulk-forming laxatives. These medications work by facilitating the absorption of water by the intestinal bolus, forming a gel that increases the volume and fluidity of the stool.

Cenat is used for:

  • Chronic habitual constipation, or as a result of bed rest after surgical operations, for example, after rectal or anal surgery, due to changes in diet, travel, or prolonged treatment with drastic laxatives.
  • Conditions that involve alternating episodes of diarrhea and constipation (irritable colon, diverticulosis). Regulation of bowel movements in patients with an artificial anus (colostomy).
  • Symptomatic treatment of functional diarrhea and as an additional measure in cases of Crohn's disease.
  • Proctological (rectal) processes such as hemorrhoids, fissures (or anal abscesses), which reduce the pain of defecation and facilitate the evacuation of stool, as it is richer in water.
  • To complete the daily intake of fiber when it is insufficient (weight loss diets and certain metabolic disorders).
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 Cenat

Do not take Cenat

  • If you are hypersensitive (allergic) to Plantago ovataor Ispaghula huskor to any of the other components of the medication.
  • If you experience nausea, vomiting, or other abdominal symptoms of unknown diagnosis.
  • If you have intestinal obstruction or have been diagnosed with stenosis (narrowing) of the digestive tract.

Be careful with Cenat

  • Consult your doctor if you have difficulty breathing or swallowing.
  • Maintain adequate hydration with an intake of 1-2 liters of water per day during treatment with Cenat.

Use of other medications

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

Because Cenat can delay the absorption of certain medications, you should take Cenat 30 minutes or 1 hour before or after the administration of other medications such as: coumarin derivatives (oral anticoagulants), digitalis-based medications, lithium, vitamins such as B12, calcium, magnesium, iron, or zinc.

Due to the risk of intestinal obstruction, do not take Cenat if you are taking antidiarrheal medications or products that inhibit intestinal motility (diphenoxylate, loperamide, opioids).

Use of Cenat with food and drinks

As a general rule, Cenat should be administered after meals.

In the case of using Cenat as a complementary treatment for obesity, it is useful to take it 30 minutes before main meals to induce a feeling of fullness.

Pregnancy and breastfeeding

Consult your doctor or pharmacist before using any medication.

Driving and using machines

No effects of this medication on the ability to drive and use machinery are expected.

Important information about some of the components of Cenat

This medication contains sucrose. If your doctor has indicated that you have an intolerance to certain sugars, consult with them before taking this medication.

3. How to take Cenat

Follow the administration instructions of Cenat indicated by your doctor. Consult your doctor or pharmacist if you have doubts.

Remember to take your medication.

Cenat is administered orally.

Considering the safety of dietary fiber administration, there is no limitation to the treatment.

Take the granules without chewing and with a sufficient amount of liquid (a full glass) to avoid blockage of the throat.

Drink 1 to 2 liters of water daily during treatment with Cenat.

If symptoms worsen or persist after 7 days, you should consult a doctor.

If you think the action of Cenat is too strong or too weak, inform your doctor or pharmacist.

Adults and children over 12 years old

Take 2 dessert spoons of granules (10 g of granules) at night after dinner. If necessary, you can take an additional spoon in the morning (which would be equivalent to a total of 15 g of granules per day).

In case of diarrhea, take an initial dose of two spoons 3 times a day (30 g of granules/day) for 2 or 3 days and then reduce the dose to one heaped spoon 3 times a day (15 g/day).

You should try to make the last daily intake of Cenat after dinner, but not just before bedtime, and you should take it in an upright position.

As a complementary treatment for obesity, take Cenat 30 minutes before main meals to induce a feeling of fullness.

Children from 6 to 12 years old

Administer half of the doses indicated for adults and children over 12 years old.

If you take more Cenat than you should

If you have taken more Cenat than you should, consult your doctor or pharmacist.

Overdose of Plantago ovatacan cause abdominal discomfort and flatulence and may even cause intestinal obstruction.

In case of overdose or accidental ingestion, consult the Toxicology Information Service, phone 915 62 04 20, indicating the medication and the amount ingested.

If you forget to take Cenat

Do not take a double dose to make up for forgotten doses.

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, Cenat can cause side effects, although not everyone experiences them.

The side effects of this medication are generally mild and transient. At the start of treatment and depending on the dose, some discomfort such as flatulence and a feeling of fullness may appear, which disappear in a few days without needing to stop the medication.

In certain cases, abdominal distension may appear and exceptionally, isolated cases of intestinal, throat, or esophageal obstruction may occur, especially if the granules are ingested without sufficient water.

Occasionally, allergic reactions to Plantago ovatamay occur, mainly due to inhalation of the powder, and isolated cases of anaphylactic reactions may exist. Due to the granule presentation of Cenat, this problem is very unlikely.

If you consider that any of the side effects you are experiencing is serious or if you notice any side effect not mentioned in this package leaflet, inform your doctor or pharmacist.

5. Storage of Cenat

Keep in the original packaging. Keep the bottle perfectly closed. Keep out of the reach and sight of children.

Expiration date

Do not use Cenat after the expiration date (EXP.) that appears on the bottle. The expiration date is the last day of the month indicated. Medications should not be thrown away through the sewage system or in the trash. Ask your pharmacist how to dispose of the packaging and medications you no longer need. This will help protect the environment.

6. Contents of the pack and further information

Composition of Cenat granules

  • The active ingredients are Plantago ovata seeds, Cuticles of Plantago ovata seeds (Ispaghula Husk).
  • The other components are: Carum carvi essential oil; Salvia officinalis essential oil; Mentha piperita essential oil; Gum arabic; Talc; Yellow iron oxide (E-172); Red iron oxide (E-172); Titanium dioxide (E-171); Solid paraffin; Liquid paraffin; Sucrose.

Appearance of the product and contents of the pack

Cenat is presented in bottles containing 250 or 400 g of granules for oral administration.

Marketing authorization holder and manufacturer

Marketing authorization holder

Cooper Consumer Health B.V.

Verrijn Stuartweg 60,

1112 AX Diemen,

Netherlands

Manufacturer

MADAUS GMBH

Lütticher Strasse, 5

(Troisdorf) – 53842

Germany

You can request more information about this medication by contacting the local representative of the marketing authorization holder:

Vemedia Pharma Hispania, S.A.

C/ Aragón, 182, 5ª planta

08011 Barcelona

Spain

Date of the last revision of this package leaflet:September 2022.

Online doctors for CENAT GRANULADO

Discuss questions about CENAT GRANULADO, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (29)
Doctor

Anna Biriukova

General medicine 6 years exp.

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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5.0 (29)
Doctor

Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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€60
5.0 (2)
Doctor

Svetlana Kolomeeva

Cardiology 18 years exp.

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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5.0 (2)
Doctor

Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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€55

Frequently Asked Questions

Is a prescription required for CENAT GRANULADO?
CENAT GRANULADO 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 CENAT GRANULADO?
The active ingredient in CENAT GRANULADO is ispaghula (psylla seeds). This information helps identify medicines with the same composition but different brand names.
Who manufactures CENAT GRANULADO?
CENAT GRANULADO is manufactured by Cooper Consumer Health B.V.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of CENAT GRANULADO 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 CENAT GRANULADO is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to CENAT GRANULADO?
Other medicines with the same active substance (ispaghula (psylla seeds)) include AGIOLAX GRANULADO, PLANTABEN 3.5 g EFFERVESCENT POWDER, PLANTAGO OVATA CINFA 3.5 g POWDER FOR ORAL SUSPENSION. 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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