Cascara – more precisely the cortex of the plant – contains anthraquinone, compounds responsible for its laxative effect. There are several mechanisms by which anthraquinones promote intestinal activity and the evacuation of stool. They facilitate the contraction of the muscles of the colon, thus increasing intestinal peristalsis, and they also increase the secretion of water and salts in the part of intestines, making stools bulkier and softer and therefore easier to expel. Usually, the laxative effect occurs 6-12 hours after ingestion.
What is Cascara?
The Cascara is known for its laxative effects. It is therefore useful against occasional constipation. It should not be used against chronic constipation and for prolonged therapy, but it is good to use it for no more than twice a week and no more than two weeks.
How should Cascara be taken?
Cascara is commercially available for oral use in the form of tablets and herbal teas.
Side effects associated with Cascara
Similar to all anthraquinone solutions, prolonged use can lead to addiction. It can cause the intestine not to work properly and peristalsis is greatly reduced, leading to a condition known as "lazy bowel syndrome".
In general, the use of Cascara is well tolerated; However, in case of overdose or individual sensitivity it can manifest with strong abdominal pain and diarrhea, leading to loss of fluids and minerals accompanied with the appearance of other disorders linked to this condition (fatigue, muscle cramps, confusion, weakness).
Contraindications and warnings associated with the use of Cascara
This herbal remedy is not recommended for children and pregnant women as well as lactating mothers. It is also contraindicated in patients suffering from various gastrointestinal disorders accompanied with occasional constipation (colitis, irritable bowel, bowel obstruction). Moreover, particular attention should also be paid to patients with liver, kidney or heart disease.
