Consult a health care practitioner prior to use, if you are pregnant or breastfeeding, if you are taking medications which inhibit peristaltic movement (e.g. opioids, loperamide), or if you are experiencing any of the following; sudden change in bowel habits that have persisted for more than two weeks, undiagnosed rectal bleeding, failure to defecate following the use of laxative products, diabetes mellitus in which blood sugar is difficult to regulate, or symptoms such as abdominal pain, nausea, vomiting or fever. If symptoms worsen or if laxative effect does not occur within seven days, consult a health care practitioner.