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Cassia Angustifolia Leaf

High concern

Senna is an FDA-approved nonprescription stimulant laxative for short-term constipation but EFSA has concluded that hydroxyanthracene derivatives in senna leaf raise safety concerns including genotoxicity and potential carcinogenicity, and the EU has prohibited use of these compounds as food substances except in defined medicinal preparations. Long-term/chronic use is associated with electrolyte loss, melanosis coli, and laxative dependence.

Found in
44 products

What it is

Leaf of Cassia angustifolia (senna), a flowering plant containing sennosides (anthranoid glycosides).

Pharmacological laxative; herbal tea ingredient. Not a typical food ingredient.

Why it's flagged

What regulators actually say

"The Panel concluded that the hydroxyanthracene derivatives aloe-emodin, emodin and the structurally related substance danthron have been shown to be genotoxic in vitro."

EFSA Scientific Opinion on hydroxyanthracene derivatives in food (2018) — efsa.europa.eu

"Aloe-emodin, emodin, danthron, and preparations from the leaf of Cassia senna L. and Cassia angustifolia Vahl shall not be added to food."

Commission Regulation (EU) 2021/468 amending Annex III of Regulation 1925/2006 — eur-lex.europa.eu

"Senna is a stimulant laxative used to treat constipation; chronic use can cause electrolyte abnormalities and melanosis coli."

Regulatory status

United States — FDA

Senna sennosides recognized as OTC laxative under 21 CFR 334; not a food additive.

European Union — EFSA

Hydroxyanthracene derivatives from senna leaf prohibited in food in the EU under Regulation 2021/468.

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