sagrada belongs to the category of anthraquinone laxatives, (plant extracts that act exclusively in the large intestine, increasing peristalsis and irritating the mucosa).
In particular, the cascara is indicated if you want to obtain an easy defecation, characterized by poltaceous, soft and abundant stools. Its purgative action is lower than that of senna and aloe juice; however, if taken in high doses it exerts a rather violent action. For this reason, any abuse or prolonged use should be avoided.
which can be found in herbal tea cut for the preparation of drinks that are able to promote intestinal transit. At the same time, the extracts of the bark of the plant can be contained in food supplements (always used to promote intestinal transit) and in over-the-counter drugs (OTC) with indications for the short-term treatment of constipation.
However, it should be noted that very often cascara is not sold individually, but in the complex of laxative preparations based on anthraquinone drugs (senna, buckthorn and rhubarb). Similarly, even in food supplements and over-the-counter drugs that contain it, extracts from the plant's bark are not the only ingredients, but are associated with extracts of other plants having similar properties.
In any case, before using cascara in any form, it is very important to consult with your doctor in order to identify any contraindications to the use of similar products.
Update: New European Regulation of 18 March 2021
On April 8, 2021, the ban on marketing foods and food supplements containing hydroxyanthracenes and their derivatives, a family of molecules contained in various plants, such as aloe, cassia, rhubarb and senna, came into force.
More in detail, the new European Regulation of March 18, 2021 - which came into force, precisely, April 8, 2021 - modifies Annex III of Regulation (EC) No. 1925/2006 of the European Parliament and of the Council to as regards the botanical species containing hydroxyanthracene derivatives.
The full text can be consulted by clicking here. However, we can summarize the main points as follows:
- The following are added to the list of substances whose use in food is prohibited (Annex III part A of the aforementioned regulation):
- Aloe-emodin and all preparations in which this substance is present;
- Emodin and all preparations in which this substance is present;
- Preparations based on leaves of Aloe species containing hydroxyanthracene derivatives;
- Dantrone and all preparations in which this substance is present.
- The following are added to the list of substances whose use in food is subject to Community surveillance (Annex III part C):
- Preparations based on the root or rhizome of Rheum palmatum L., Rheum officinale Baillon and their hybrids containing hydroxyanthracene derivatives;
- Preparations based on leaves or fruits of Cassia senna L. containing derivatives of hydroxyanthracene;
- Preparations based on bark of Rhamnus frangula L. o Rhamnus purshiana A.D. containing derivatives of hydroxyanthracene.
Furthermore, the use of the bark of the plant and the products that contain it or contain its extracts must not be done in the case of:
- Known allergy to one or more components;
- Intestinal obstructions;
- Inflammatory pathologies of the intestine;
- Diverticulitis;
- Gastritis;
- Appendicitis;
- Abdominal pain whose cause is not identified;
- Pregnancy;
- Breastfeeding.
Similarly, even the use in children under the age of 10-12 years must not be carried out (the age under which cascara should not be administered may vary according to the product considered; therefore, read the leaflet if present and always consult your pediatrician before administering similar products to children).
We conclude by reiterating that the use of cascara-based preparations or products or its extracts should always be preceded by a medical consultation.
Excessive consumption of laxatives, including cascara, can in fact have important metabolic and gastrointestinal repercussions, up to causing particularly severe and irreversible complications.
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