Drug & supplement interaction

Skullcap + Sennosides (OTC drug)

Sennosides (OTC drug) brand names: Senokot XTRA, Senokot.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Skullcap and Sennosides (OTC drug) in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Skullcap and Sennosides (OTC drug)

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Sennosides (OTC drug) and Skullcap in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Skullcap safety at a glance

Skullcap overall Use caution Often used short-term, but evidence is limited and product quality varies, so use with care.
Pregnancy Avoid Not enough safety data, so it is best avoided during pregnancy.
Breastfeeding Avoid Safety is unknown, so avoid while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Sennosides (OTC drug) and Skullcap? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Sennosides (OTC drug)

Interactions in our licensed database are recorded against drug classes, not just single drug names. Sennosides (OTC drug) is filed under 2 classifications — stimulant laxatives, oral drugs. Skullcap has documented interactions with 1 drug class — the most serious being cns depressants (moderate) — and none of Sennosides (OTC drug)’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Skullcap Does Interact With Other Medications

Skullcap has 248 moderate known drug interactions in our database — Sennosides (OTC drug) isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Skullcap

Covers the 2,830 medications we’ve checked against Skullcap. Pick one to open its full report.

What to actually watch for

What Skullcap Itself Has Been Linked To

This is not an interaction — nothing below involves Sennosides (OTC drug). It is the side-effect record for Skullcap on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Skullcap, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • Memory problems Worth acting on Additional detail

    “A single skullcap extract dose of 100 mg does not seem to have adverse CNS effects. However, a higher dose of 200 mg might cause sedation and cognitive impairment. One patient taking skullcap 350 mg three times daily for 2 weeks reported vivid dreams. It is unclear if this event was associated with skullcap.”

    Skullcap · Natural Medicines adverse-effect record, reported in cognitive impairment.

    2 sources cited
    1. 12216. Wolfson P, Hoffmann DL. An investigation into the efficacy of Scutellaria lateriflora in healthy volunteers. Altern Ther Health Med 2003;9:74-8.
    2. 91690. Brock C, Whitehouse J, Tewfik I, Towell T. American skullcap (Scutellaria lateriflora): a randomised, double-blind placebo-controlled crossover study of its effects on mood in healthy volunteers. Phytother Res 2014;28(5):692-8.
  • Vivid dreams or nightmares Additional detail

    Recorded for Skullcap in the same Natural Medicines adverse-effect record shown under Memory problems above.

  • Drowsiness Additional detail

    Recorded for Skullcap in the same Natural Medicines adverse-effect record shown under Memory problems above.

Everything above comes from the Natural Medicines adverse-effect record for Skullcap — expand a row for the licensed statement it rests on. We haven’t matched Sennosides (OTC drug) to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Sennosides (OTC drug).

From our Q&A

Questions About Skullcap or Sennosides (OTC drug)

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Skullcap or Sennosides (OTC drug), not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Sennosides (OTC drug)

This page covers Skullcap only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Sennosides (OTC drug) page lists 46 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Jalap (major), Oleander (major), Alder Buckthorn (moderate) and Aloe (moderate).

By severity: 3 major · 34 moderate · 9 minor.

From our pharmacist’s overview on the Sennosides (OTC drug) page

“Jalap is the ingredient I would flag first for anyone taking sennosides (Senokot, Senokot XTRA). It is a strong stimulant laxative itself, and stacking two laxatives can drain fluid and potassium quickly.”

Reviewed by 2 · Jul 18, 2026

Open the Sennosides (OTC drug) interaction page

One more smart check

Taking Skullcap as Part of a Dietary Supplement Product? Check It for Interactions

We hold 926 real supplement products containing Skullcap, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Skullcap. Even though Skullcap itself has no known interaction with Sennosides (OTC drug), another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Skullcap and Sennosides (OTC drug) Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Skullcap
Top 25%

#196 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Sennosides (OTC drug)
Top half

#1,106 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Skullcap reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Skullcap and Sennosides (OTC drug) records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Skullcap

What is Skullcap?

Skullcap
  • Anxiety and stress
  • Trouble sleeping
  • Nervous tension
  • Muscle spasms
  • General relaxation

American skullcap is an herb traditionally used to calm anxiety and promote relaxation, but solid human evidence is very limited. It is generally considered relatively safe for short-term use in healthy adults, though it should be avoided in pregnancy and breastfeeding and used cautiously because of possible liver concerns and product mislabeling.

Scutellaria lateriflora · Lamiaceae · Above-ground parts (leaves, stems, and flowers) · Tea, capsules, tinctures, liquid extracts, dried herb

An interaction check asks whether these two react with each other — it does not ask whether Skullcap is a good idea for someone in your situation. Here is what our Skullcap record says about it on its own.

Skullcap: dosing

There is no official, standardized dose for American skullcap. The right amount can vary depending on the product and the form (tea, capsule, or tincture).The safest approach is to follow the directions on the product label and not take more than recommended.

From our Skullcap monograph — the full record covers uses, side effects and every documented interaction.

Read the full Skullcap monograph & all interactions
Medication

About Senna

What Is Senna Used For?

Brand names: Senokot XTRA, Senokot

All supported senna products — tablets and oral liquids — are indicated for occasional constipation (irregularity). Senna generally produces a bowel movement within 6 to 12 hours.

See full Senna drug information
Keep checking

Other Drugs & Skullcap

Browse every other medication we’ve checked against Skullcap — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
248Moderate
0Minor
2,581No known interaction
Moderate

248 interactions

Showing 60 of 248 moderate interactions — see all 248 on the Skullcap page.

No interaction 2,581 drugs checked — show the list
Evidence & sources

Skullcap References

The 3 references that drive our Skullcap monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Wolfson P, Hoffmann DL. An investigation into the efficacy of Scutellaria lateriflora in healthy volunteers. Altern Ther Health Med 2003;9:74-8.
  2. Awad, R., Arnason, J. T., Trudeau, V., Bergeron, C., Budzinski, J. W., Foster, B. C., and Merali, Z. Phytochemical and biological analysis of skullcap (Scutellaria lateriflora L.): a medicinal plant with anxiolytic properties. Phytomedicine. 2003;10(8):6 PubMed
  3. Brock C, Whitehouse J, Tewfik I, Towell T. American skullcap (Scutellaria lateriflora): a randomised, double-blind placebo-controlled crossover study of its effects on mood in healthy volunteers. Phytother Res 2014;28(5):692-8.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Skullcap and Sennosides (OTC drug) Together: Common Questions

Is it safe to take Skullcap with Sennosides (OTC drug)?
We do not list a known interaction between Skullcap and Sennosides (OTC drug). That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
How was the Skullcap and Sennosides (OTC drug) combination checked?
Interactions in our licensed database are recorded against drug classes. Sennosides (OTC drug) is filed under 2 classifications, and Skullcap has documented interactions with 1 drug class — none of Sennosides (OTC drug)'s classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Skullcap interact with any other medications?
Yes. Skullcap has 248 documented drug interactions in our database — Sennosides (OTC drug) is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Sennosides (OTC drug) interact with any supplements?
Yes. Sennosides (OTC drug) has documented interactions with 46 supplements in our database — Skullcap is not one of them. The Sennosides (OTC drug) interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Sennosides (OTC drug) and Skullcap?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.