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Senefol

Senefol

Ask a doctor about a prescription for Senefol

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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 Senefol

INFORMATION ABOUT THE MEDICINE FOR THE PATIENT

Sennae foliolum cum fructu

SENEFOL

7.5 mg of hydroxyanthracene derivatives, calculated as sennoside B, per tablet

Mechanism of Action:

The active compounds formed from the anthranoid glycosides contained in the leaves and fruits of senna
affect the peristalsis of the large intestine, inhibit water absorption, which causes softening of the fecal mass
and facilitates defecation.

Indications:

A herbal medicine for short-term treatment of constipation.

Contraindications:

The medicine should not be used in case of known hypersensitivity to the active substance, intestinal obstruction and
stricture, atony, appendicitis, inflammatory bowel diseases (e.g., Crohn's disease, ulcerative colitis), abdominal pain of unknown origin,
dehydration combined with electrolyte loss. The medicine should not be used in children under 12 years of age.

Warnings and Precautions:

The product is not intended for long-term use. The decision to use it for a period longer than 1-2 weeks can be made by a doctor.
Taking laxative medicines for a longer period can disrupt the functioning of the intestines and cause dependence.
Preparations containing hydroxyanthracene glycosides should only be recommended when proper defecation cannot be achieved through dietary changes.
Do not use in patients with fecal impaction and gastrointestinal disorders, such as abdominal pain, nausea, and vomiting, unless the doctor decides otherwise.
Such symptoms may indicate the possibility of intestinal obstruction. In patients with renal function disorders, there is a risk of electrolyte imbalance.
Using the medicine in patients with fecal incontinence requires more frequent changing of diapers to avoid prolonged contact of feces with the skin.

Interactions:

Chronic abuse of the medicine can lead to hypokalemia (decreased potassium levels), which can then enhance the effect of concurrently administered cardiac glycosides, antiarrhythmic drugs, QT-prolonging drugs, and sinus rhythm-restoring drugs.
Concomitant use of the preparation with drugs that cause hypokalemia, such as diuretics, adrenal cortex steroids, licorice root, may exacerbate electrolyte deficiency.

Special Warnings: Use in Children and Adolescents:

Do not use in children under 12 years of age.
Pregnancy and Breastfeeding:
There is a lack of sufficient data on the use during pregnancy, therefore, it is not recommended to use it during this period.
It is not recommended to use during breastfeeding, due to the lack of sufficient data on the penetration of metabolites into milk.
Small amounts of active metabolites (rein) penetrate into the milk of breastfeeding women, however, no laxative effect has been observed in infants.
Driving and Operating Machines:
No effect.

Dosage, Administration, and Route of Administration:

Route of Administration:Oral.
Senefol, 2024.10.18
1 / 2
Dosage:Adolescents over 12 years of age, adults: 2-4 tablets before bedtime.
The preparation should be taken with a large amount of water. Do not exceed the dose of 4 tablets.
Due to individual sensitivity, dosing should be started with the smallest dose (1 tablet), which should be increased if necessary to determine the effective dose.
The laxative effect occurs after a period of 8 to 12 hours, in case of its absence, the next dose of the preparation should be taken after 12 hours.
Taking the medicine 2-3 times a week is usually sufficient to achieve a therapeutic effect.

Overdose:

Cramping, diarrhea, with the possibility of dehydration and electrolyte loss (water and electrolyte imbalance) may occur.
It is necessary to balance the water and electrolyte deficit. It is recommended to monitor potassium levels, especially in the elderly.
Prolonged overdose of anthranoids can lead to liver inflammation.

Procedure in Case of Missed Dose:

A double dose should not be used to make up for a missed dose.

Adverse Reactions:

In individuals hypersensitive to the preparation's ingredients, allergic reactions may occur, including itching, hives, rash.
Cramping and abdominal pain may occur. The used dose should then be reduced.
Long-term use of the medicine may cause dark discoloration of the colonic mucosa (pseudomelanosis coli), which usually disappears after the end of the treatment.
The possibility of changing the urine color with metabolites (to pink or reddish-pink, depending on pH) has no clinical significance.
Reporting Adverse Reactions:
If any adverse reactions occur, including any adverse reactions not listed in this leaflet, you should inform your doctor or pharmacist, or nurse.
Adverse reactions can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products: Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: 22 49-21-301, fax: 22 49-21-309.
Website: https://smz.ezdrowie.gov.pl.
Adverse reactions can also be reported to the marketing authorization holder. By reporting adverse reactions, more information can be collected on the safety of the medicine.

Storage of the Medicine:

Store in closed packaging, at a temperature up to 25°C, in a place invisible and inaccessible to children.
Do not use the medicine after the expiration date stated on the packaging.

Composition:

Sennae foliolum cum fructu
300 mg
Each tablet contains 7.5 mg of hydroxyanthracene derivatives, calculated as sennoside B.
Excipients: potato starch, anhydrous colloidal silica.

Marketing Authorization Holder and Manufacturer:

Labofarm sp. z o.o.
ul. Lubichowska 176B
83-200 Starogard Gdański
tel. 58 561 20 08
e-mail: [email protected]

Date of Last Update of the Leaflet:

Senefol, 2024.10.18
2 / 2

Alternatives to Senefol in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Senefol in Ukraine

Dosage form: leaves, 100 g, 200 g in packs
Active substance: senna glycosides
Manufacturer: PrAT "Liktravi
Prescription not required
Dosage form: leaves, 50 g in packs
Active substance: senna glycosides
Manufacturer: PrAT "Liktravi
Prescription not required
Dosage form: leaves, 50 g, 100 g in packs
Active substance: senna glycosides
Manufacturer: AT "Lubnifarm
Prescription not required
Dosage form: leaves, 50 g or 100 g in a pack
Active substance: senna glycosides
Prescription not required
Dosage form: leaves, 100 g in a pack
Active substance: senna glycosides
Manufacturer: TOV "Ternofarm
Prescription not required
Dosage form: tablets, tablets 13.5mg
Active substance: senna glycosides
Prescription not required

Alternative to Senefol in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 800 mg/g
Active substance: senna glycosides
Manufacturer: Roha Arzneimittel Gmbh
Prescription not required
Dosage form: TABLET, 7.5 mg senosides A-B
Active substance: senna glycosides
Prescription not required
Dosage form: CAPSULE, 300 mg
Prescription not required
Dosage form: TABLET, 51.72-92.59 mg/60-78.95 mg
Active substance: cascara, combinations
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 0.375 g / 0.375 g / 0.750 g
Manufacturer: Rinter Corona S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 4.1 g/20.5 mg Senoside b
Prescription not required

Online doctors for Senefol

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Senefol – subject to medical assessment and local rules.

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

CameraBook a video appointment
€55
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Mar Tabeshadze

Endocrinology10 years of experience

Dr. Mar Tabeshadze is a licensed endocrinologist and general practitioner in Spain. She provides online consultations for adults, offering medical support for a wide range of endocrine conditions and related health concerns.

  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Maryna Kuznetsova

Cardiology16 years of experience

Dr Marina Kuznetsova is an internal medicine doctor and cardiologist with a PhD in medicine. She provides online consultations for adults with chronic and acute conditions, with a strong focus on cardiovascular health. Her approach is based on current clinical guidelines and evidence-based treatment strategies.

Areas of expertise:

  • dyslipidaemia and lipid metabolism disorders
  • prevention and management of atherosclerosis
  • blood pressure monitoring and antihypertensive therapy
  • arrhythmias: diagnosis, follow-up, and treatment adjustment
  • cardiovascular care and recovery support after Covid-19
Dr Kuznetsova helps patients manage cardiovascular risk factors, optimise long-term treatment, and gain clarity in complex health situations – all through accessible and structured online care.
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Antonio Cayatte

General medicine43 years of experience

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.

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Lina Travkina

Family medicine12 years of experience

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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Dmytro Horobets

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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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Dr Alexandra Alexandrova is a licensed general medicine doctor in Spain, specialising in trichology, nutrition, and aesthetic medicine. She offers online consultations for adults, combining a therapeutic approach with personalised care for hair, scalp, and overall health.

Areas of expertise:

  • Hair loss in women and men, postpartum hair loss, androgenetic and telogen effluvium.
  • Scalp conditions: seborrheic dermatitis, psoriasis, scalp irritation, dandruff.
  • Chronic conditions: hypertension, diabetes, metabolic disorders.
  • Online trichology consultation: customised treatment plans, nutritional support, hair growth stimulation.
  • Hair loss prevention: hormonal imbalance, stress factors, haircare strategies.
  • Routine health check-ups, prevention of cardiovascular and metabolic diseases.
  • Personalised nutritional advice to improve hair strength, skin health, and hormonal balance.
  • Aesthetic medicine: non-invasive strategies to enhance skin quality, tone, and metabolic wellness.

Dr Alexandrova follows an evidence-based and holistic approach: online consultations with a therapist and trichologist on Oladoctor provide professional support for hair, scalp, and overall health — all from the comfort of your home.

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