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Senna is also known as Cassia senna, tinnevelly senna, India senna, Alexandrian senna, and Khartoum senna. Senna has been used in alternative medicine as an aid to treat constipation. Not all uses for senna have been approved by the FDA. Senna should not be used in place of medication prescribed for you by your doctor. Senna is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.