Cascara

Cascara is used for constipation. Because it produces quick, easy bowel movements with a soft or loose stool, Cascara is used by people with hemorrhoids or anal fissures. It is often recommended following anal or rectal surgery, and is used for bowel cleansing prior to bowel examinations and similar diagnostic tests.

Do not take Cascara if you have an intestinal obstruction, appendicitis, abdominal pain of unknown origin, or an inflammatory intestinal disorder such as ulcerative colitis, irritable bowel syndrome, or Crohn's disease. Cascara is not for children under 12. Avoid the fresh rind of the Cascara plant. Taking it can lead to intestinal spasms and pain, bloody diarrhea, and kidney irritation. Cascara may cause cramping and nausea. Long-term use can deplete the body's stores of potassium and sodium, which are necessary for normal heart and muscle function. Chronic use may also cause kidney problems and fluid retention, irregular heart rhythms, bone deterioration, muscle weakness, and reduced intestinal activity. Do not use any stimulating laxative such as Cascara for more than 2 weeks without consulting your doctor. Prolonged use may increase the risk of colon and rectal cancer. Because laxatives such as Cascara can cause fluid loss and potassium deficiency, you should not combine it with other potassium-depleting medications, including licorice root, steroid medications (such as prednisone (Deltasone)), and thiazide diuretics (such as HydroDIURIL). When potassium is low, certain heart medications may have a stronger effect. Be wary of laxatives such as Cascara while taking digoxin (Lanoxin) or a medication for heart irregularities. You may also want to avoid Cascara if you are taking the arthritis drug Indocin; it can reduce the medication's effect. This information is for educational purposes and should not replace discussions with your doctor.