Last update: Aug. 19, 2017
Moderately safe. Probably compatible.
Mild risk possible. Follow up recommended.
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Suggestions made at e-lactancia are done by APILAM´s pediatricians and pharmacists, and are based on updated scientific publications.
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Bitter bark is also known as Cascara Sagrada. Here it is a list of alternative known names::
Bitter bark in other languages or writings:
Bitter bark belongs to these groups or families:
Main tradenames from several countries containing Bitter bark in its composition:
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e-lactancia is a resource recommended by Instituto de Salud Infantil, Grecia-Institute of Child's Health in Greece
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The bush bark is used.
It contains anthraquinone (cascarosides) irritant, tannins and resins.
Unproven properties: laxative.
Indications according to Commission E of the German Ministry of Health: constipation, purge for pre-surgical and pre-exploration procedures.
According to old reports that are not well-documented, may be excreted into breast milk and can cause diarrhea in infants.
Other laxatives are considered safer like bulk forming ones, osmotic ones, emollient or lubricants. It is critical to follow a balanced and rich-in-fiber diet as well as an adequate fluid intake and routinely exercising.
The American Academy of Pediatrics: medication that is usually compatible with breastfeeding.