Consult a health care practitioner prior to use if you have kidney disorder, diabetes, are taking antiplatelet medication or blood thinners, have stomach ulcers or excess stomach acid, have any cardiac disorder, or are taking heart medication. Consult a health care practitioner if constipation lasts for more than 7 days. Do not use if you have liver or gall bladder disorders, bile duct or bowel obstruction. Do not use if you currently have abdominal pain, nausea, fever, vomiting, hemorrhoids, or chronic gastrointestinal disorders. Do not use if you are currently taking licorice root, thiazide diuretics, corticosteroids, or drugs that may aggravate electrolyte imbalance. Discontinue use if you develop signs of liver trouble (such as abdominal pain, dark urine or jaundice).