Anuloma DS Tablet For Constipation

Anuloma DS Tablet is proprietary polyherbal Ayurvedic medicine from Sagar Pharmaceutical. It is useful in the management of constipation.

Anuloma DS is a blend of medicinal herbs and has carminative and laxative properties. It contains Ajmoda, Cumin seeds, Choti Harad, Licorice, Dry Ginger, Senna leaves and Rock Salt. The main ingredient of Anuloma medicine is Senna leaves which is a habit-forming herbal purgative. So, take this medicine only occasionally. Here is given more about Anuloma DS Tablets such as indication/therapeutic uses, Key Ingredients, and dosage.

• Manufacturer: Sagar Pharmaceuticals
• Availability:  Online and at medical stores
• Type of medicine: Proprietary Ayurvedic Medicine
• Main Indication: Constipation
• MRP/Price: 10 Tablets @ Rs. 40.00

Anuloma DS Tablet Composition

Ingredients present in this formulation are given below:

1. Ajamoda Ptychotis ajowan 16 mg
2. Jeeraka Cuminum cyminum16 mg
3. Balharda Black Terminalia chebula 16 mg
4. Yashtimadhu Glycyrrhiza glabra 16 mg
5. Shunthi Zingiber officinale16 mg
6. Saindhav Salt Natural potassium nitricum 20 mg
7. Sonamukhi Cassia lanceolata 1160 mg

Key Ingredients of Anuloma DS Tablet

Cassia Angustifolia (Cassia lanceolata Wall., Cassia elongate Lem—Lisanc., Cassia medicinatis Bisch., Senna officinalis Roxb., Senna Angustifolia Batka) is Latin name of Senna.

Senna contains a glucoside acid called cathartic acid, chrysoretin a yellow coloring matter, a peculiar non-fermentable saccharine crystalline principle termed cathartomannite and two bitter principles sennacrol and sennapicrin.  Senna leaf and fruit are stimulant laxatives, where the leaf is a stronger cathartic than the fruit.

Senna has the following Ayurvedic properties

1. Rasa (taste on the tongue): Kashaya (Astringent), Katu (Pungent), Tikta (Bitter)
2. Guna (Pharmacological Action): Laghu (Light), Tikshna (Sharp), Ruksha (Dry)
3. Virya: Ushna (Heating)
4. Vipaka (transformed state after digestion): Katu (Pungent)
5. Karma: Rechana / laxative

Senna has few side-effects. It is a habit-forming laxative. It should not be given to children under 12 years old. It is used in combination with other warming herbs to protect the digestive fire and to clear Ama. It has Carminative, Expectorant, Hepatoprotective, Peristaltic and laxative action.

Haritaki / Harad / Halelaa siyaah or Chebulic Myrobalan is used in the treatment of for the digestive weakness, oedema, dermatosis, urinary diseases, irregular fever and as a blood purifier. It has laxative activity. Haritaki should not be taken in acute coughs, acute diarrhea, and early-stage dysentery.

Shveta-jiraka, Ajaaji are names of White Cumin seeds or Cuminum cyminum Linn. It is carminative, antispasmodic and used in dyspepsia and diarrhea. It is stimulant, diuretic, antibacterial, emmenagogue, and galactagogue.

Shunthi (Synonyms: Zingiber officinale, Sukku, Chukku, Aushadha, Muhaushadha, Nagara, Vishva, Vishvabheshaja, Shringavera, Vishva) is dry ginger powder. It is hot in potency and increases Pitta and decreases Kapha. It is a digestive stimulant. Ginger is also used to give relief in seasickness and morning sickness.

Saindhava namak, sendha namak or Rock salt, is brownish-white crystal salt mined from the underground dry sea beds. It is hot in potency but believed to be more cooling than natural sea salt. Sendha namak is preferred in Ayurveda for digestive disorders. It stimulates salivation and digestion.

Ayurvedic Action of Anuloma DS Tablet

• Anulomana: laxative, redirects the flow downwards.
• Deepana: Appetiser
• Pachana: Toxin digester
• Rasayana: Rejuvenative
• Virechana: Medium strength laxative.

Biomedical Action of Anuloma DS Tablet

1. Carminative: Preventing the formation or causing the expulsion of flatulence.
2. Expectorant: Promotes the secretion of sputum by the air passages, used to treat coughs.
3. Laxative: Tending to stimulate or facilitate the evacuation of the bowels.

Anuloma DS Tablet Therapeutic Uses

Anuloma tablet is used to get symptomatic relief from constipation. It can be taken in constipation associated with piles, post-surgery, old age, etc.

1. Chronic constipation
2. Constipation associated with other medical condition

Anuloma DS Tablet Dosage

1. The recommended dosage of medicine is 1-2 tablets once a day, before going to bed or as directed by a physician.
2. It is to be taken with water.
3. Or take as directed by a doctor.

Contraindications of Anuloma DS Tablet

1. Intestinal obstruction
2. Abdominal pain of unknown origin
3. Intestinal inflammation
4. Prolapsed rectum or anus
5. Kidney dysfunction
6. Children under 12 years

Caution

Senna should not be used for longer than 1–2 weeks as frequent use causes the colon to function poorly, creating laxative dependence.

Drug interactions

1. Cardiac glycoside drugs.
2. decrease the effects of hormone replacement therapy.
3. warfarin, diuretics
4. Birth control pills (Contraceptive drugs) reduced the effect

Suggestions, Side-effects, and Warnings of Anuloma DS Tablet

1. It is completely safe to take this medicine in recommended doses occasionally.
2. Do check the list of ingredients and their contraindications to avoid any side effects.
3. Long-term, frequent use or use of high doses has been linked to serious side effects including laxative dependence and the liver damage.
4. The laxative effect is seen 8–12 hours after administration, though sometimes up to 24 hours can be required.
5. Sennosides irritate the lining of the large intestine, causing contraction.
6. Senna containing medicines should not be used regularly.
7. Senna should not be used by people with abdominal pain (either diagnosed or undiagnosed), intestinal blockage, Crohn’s disease, ulcerative colitis, appendicitis, stomach inflammation, anal prolapse, or hemorrhoids.
8. Senna should not be used in people with dehydration, diarrhea, or loose stools. It can make these conditions worse.
9. Senna intake along with diuretic might decrease potassium in the body.
10. In some people, Senna can cause diarrhea. Diarrhea can increase the effects of warfarin and increase the risk of bleeding.
11. If you take warfarin, do not take excessive amounts of senna.
12. Elderly patients should initially take half of the normal prescribing dose.
13. Senna can reduce the amount of estrone in the body.
14. Senna may reduce the absorption of iron.
15. Senna use should be avoided in children below the age of 12 years.
16. Laxatives containing anthraquinone glycosides should not be used at a high dose for more than 2 weeks at a time due to the potential risk of causing an electrolyte imbalance.
17. In rare cases, prolonged use of Senna may lead to cardiac arrhythmias, nephropathies, edema and accelerated bone deterioration.
18. Senna abuse has also resulted in tetany, aspartyl glucosamine excretion, and hypogammaglobulinemia.
19. Long-term use of Senna may lead to loss of electrolytes, in particular, potassium ions. As a result of hypokalemia, hyperaldosteronism, albuminuria, hematuria, inhibition of intestinal motility, and muscle weakness may occur. Enhancement of cardioactive glycosides and anti-arrythics may also occur with hypokalemia.
20. Senna abuse has resulted in finger clubbing, which was reversible upon discontinuation of the drug.
21. Anatomic alteration of the colon is seen secondary to chronic use with Senna (more than three times weekly for 1 year or longer). The result is a loss of haustral folds, a finding that suggests neuronal injury or damage to colonic longitudinal musculature.
22. Prolonged use of Senna may lead to melanosis coli.
23. Keep away from the sight and reach of children.
24. Effectivity of herbal medicine depends on many factors. A medicine suitable for one person may not essentially give the same result in another person.
25. The exact dose depends on the age, strength, digestive power of the patient, the nature of the illness, the state of the viscera and humours, and the properties of individual drugs.
26. Please maintain a gap of at least an hour between intake of any allopathic drug and Ayurvedic medicine to avoid drug interaction, if any.
27. Do not use many different medicines for the treatments of the same disease.
28. Do not take during pregnancy without consulting doctor. If you’re pregnant or breastfeeding, try to ease constipation without taking medicine by eating more fiber, drinking plenty of liquids and doing some gentle exercise.
29. Laxatives are safe for pregnant women if they aren’t absorbed by the digestive system. Senna may not be suitable if you’re pregnant or breastfeeding because it is partly absorbed in the gut. You may take Isabgol husk, a bulk-forming laxative.