Psyllium

Be careful of

Cautions

• AmountAlways mix it with at least 8 ounces (240 mL) of liquid and drink it right away. Swallowed with too little liquid it can swell and block the throat or bowel; in 2007 FDA ruled that granular psyllium laxatives are not generally recognized as safe after reports of esophageal obstruction.
• ConditionDo not use it if you have difficulty swallowing, a narrowing of the gut, a bowel blockage, undiagnosed rectal bleeding, or a sudden change in bowel habit lasting more than two weeks. Do not take it just before bed. Do not use it as a laxative for more than a week without a doctor's advice.
• InteractionTake it at least half an hour to an hour apart from other medicines. MedlinePlus says not to take digoxin, aspirin or other salicylates, or nitrofurantoin within 3 hours of psyllium. Using it for high cholesterol should be under medical supervision.
• AllergyAllergic reactions, including runny nose, asthma and anaphylaxis, can occur, and a death from anaphylaxis after taking a psyllium product has been reported. Avoid breathing in the powder while mixing it; that can cause allergy.
• NoteGas and bloating are common side effects. Tell your doctor if you have diabetes, kidney disease, heart disease or high blood pressure, or follow a low-sugar or low-sodium diet.
• PregnancyTell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
• Ask a clinicianTalk with a clinician or pharmacist before using this if you take prescription medicines, are pregnant or breastfeeding, or are giving it to a child.