A Clinical Trial of Multi Herbal Preparation (EZCol) Syrup for Constipation in Pakistani Population

Background: Constipation is one of the symptoms of intestinal syndrome which would be happened along with some other disease in patients. There are several treatment available to cure the constipation but use of stimulant laxative in chronic and acute constipation is more safe and useful of any age patients. In this cross sectional study we clinically observed the efficacy of multi herbal extract (Cassia senna, Rheum palmatum and Cuscuta reflexa) in constipation. We have used local company syrup (EZCol syrup). This syrup contains multi herbs and senna leaves extract is main ingredient of this syrup. The active constituents of enna leaves are Sennosides which considered as an effective treatment for constipation. Sennosides increase the transfer rate of materials from the large intestine. We aimed to assure the effect of senna leaves extract along with other herbal extract (Rheum palmatum and Cuscuta reflexa) for the treatment of constipation.

Materials and Methods: In this study, 35 patients were observed after taking the syrup (dose 15 mL 2 time/daily for 3 days). A questionnaire (ROUTE2-003) was developed and distributed to the patients after prescription of EZCol syrup. The study was approved form ethical committee of Rashid Lateef Medical College and Arif Memorial Teaching Hospital, Lahore Pakistan.

Results: Treatment was continued for 3 days and data was compiled and result shown significant cure in constipation. Maximum patients felt relief from constipation just within 3 days. Some patients felt diarrhea at third day. Moreover no further significant complications were found in patients.

Conclusion: Senna is an FDA-approved over-the-counter (OTC) laxative. Senna leaves extract is a safe, effective and well-tolerated herbal supplement for the treatment of constipation having no significant adverse effect.