Chris: Not sure if senna extract is the samwe as Senokot &/or Senokot-S
(w/stool softener, which is better for you I learned). I take them whenever
I haven't gone w/only the metamucil. I don't really think cramping is
bothering me cuz of all the pain I have anyways. It might be worth it to
tyr. I alweays figure, it can't hurt to try something. If it doesn't work
or I don;t like the way it effects me, then I stop taking it. Good Luck &
Blessed Be! Karla B.