Cascara sagrada

What is it? 

Cascara sagrada is a type of bark from the buckthorn tree, commonly found in North America. It has been used for centuries by indigenous people as a natural laxative to treat constipation.

How does it work?

Cascara sagrada works by increasing the contractions of the large intestine, thereby promoting bowel movements and relieving constipation. It contains anthraquinones, which stimulate the muscles in the intestines and increase the production of mucus, helping to soften and lubricate the stool.

What are the active ingredients?

Active ingredients are Anthraquinones, including cascarosides and aloins.

What forms does it come in?

• Capsules
• Tablets
• Teas
• Liquid extracts

When was it first used for medicinal purposes?

Cascara sagrada has been used by indigenous people in North America for centuries. Its use as a natural laxative was documented by Spanish explorers in the 16th century.

Summary:

Cascara sagrada is a natural laxative made from the bark of the buckthorn tree. It works by increasing the contractions of the large intestine to promote bowel movements. The active ingredients in cascara sagrada are anthraquinones, including cascarosides and aloins. It is available in various forms, including capsules, tablets, teas, and liquid extracts. Cascara sagrada is primarily used to treat constipation and improve bowel regularity, and may also be used to relieve bloating and abdominal discomfort associated with constipation.

What does Cascara sagrada help with?

• Constipation: Cascara is one of the most well-studied herbal laxatives. Its active compounds stimulate the colon to contract and move stool along, while also pulling water into the bowel to keep things soft. Most people see results within 6 to 12 hours.
• Chronic constipation: For people who struggle with ongoing constipation, cascara can provide reliable relief. It's best used short-term or cyclically rather than every day, since the colon can become dependent on stimulant laxatives over time.
• Bowel irregularity: When the digestive system is sluggish due to travel, dietary changes, or stress, cascara can help reset the rhythm. It works gently enough that it's been used across age groups in traditional settings.
• Sluggish digestion: Traditional herbalists used cascara not just for constipation but for a general sense of digestive heaviness or fullness. Its mild bitter properties were also thought to stimulate bile flow and support digestion more broadly.
• Hemorrhoid discomfort (by softening stool): Straining during bowel movements is a major driver of hemorrhoid pain and worsening. By softening stool and reducing the effort needed to go, cascara can take pressure off irritated hemorrhoidal tissue.
• Bowel prep before procedures: Cascara has historically been used as part of bowel preparation protocols. Its reliable stimulant effect makes it useful before colonoscopy or other procedures requiring a clean colon, though modern medical prep solutions are now more common.
• Occasional bloating from backed-up stool: When bloating is caused by slow transit and stool buildup rather than gas alone, moving things along with cascara can bring quick relief. It addresses the root cause — stool not moving — rather than just treating the sensation.
• Liver and gallbladder sluggishness (traditional use): Traditional herbalists in both Indigenous American and later Western herbal medicine used cascara as a tonic for the liver and gallbladder, believing it supported bile production and fat digestion. This use is not well-studied in modern clinical trials but has a long historical record.

What can it help prevent?

• Constipation
• Irregular bowel movements
• Fecal impaction
• Risk of colon cancer
• Risk of diverticulitis
• Risk of hemorrhoids

Which foods are rich in it?

There are no foods that are rich in cascara sagrada.

What are possible side effects?

Possible side effects of cascara sagrada include:

• Abdominal cramps
• Bloating
• Nausea
• Diarrhea
• Dehydration

Overdose or prolonged use:

Can lead to dehydration, electrolyte imbalances, and changes in the normal bacteria in the intestines.

Withdrawals: N/A

What’s the recommended daily dose?

The recommended daily dose of cascara sagrada varies depending on the form and concentration of the product. It is important to follow the manufacturer's instructions and consult a healthcare professional before taking cascara sagrada.

How long does it take to work?

Within 6 to 12 hours of taking it.

What time of day is best to take it?

Morning or early afternoon is preferable.

Should I take it with food?

It is best to take cascara sagrada with a full glass of water, either with or without food.