Tamper Evident: Do not use this product if printed band around cap or seal under cap is broken or missing. This contains senna. Read and follow directions carefully. Do not use if you have or develop diarrhea, loose stools, or abdominal pain. Consult your physician if you have frequent diarrhea. If you are pregnant, nursing, taking medication, or have medical condition, consult you physician before using this product. Do not take capsules if you have difficulty in swallowing. A very small percentage of individuals, particularly health car providers who have been occupationally expose to psyllium dust, may develop sensitivity to psyllium. This sensitivity may result in an allergic reaction. If you experience a strong reaction, with difficulty in swallowing or breathing after taking this product, seek immediate medical attention. Keep out of the reach of children.