Consult a healthcare practitioner if symptoms worsen or if laxative effect does not occur within seven days. Consult a healthcare practitioner immediately if you experience chest pain, vomiting, or difficulty swallowing or breathing after taking this product. Consult a healthcare practitioner before using this product if you experience a sudden change in bowel habits that has persisted for more than two weeks, have unexplained rectal bleeding, or have failed to defecate after using a laxative. Consult a healthcare practitioner before using this product if you are taking medications that inhibit peristalsis (e.g., opioids, loperamide). Consult a healthcare practitioner before using this product if you have diabetes or difficulty swallowing. Consult a healthcare practitioner before using this product if you experience symptoms such as abdominal pain, nausea, vomiting, or fever (as these could be signs of abnormal constrictions of the gastrointestinal tract, diseases of the esophagus and/or upper opening of the stomach (cardia), potential or existing intestinal obstruction, intestinal paralysis, megacolon, fecal impaction, inflammation of the intestines, or appendicitis).