Medicinal Ingredients (per teaspoon): Psyllium (Plantago ovata, husk) 1.428 g, Arabinogalactan (D-Galacto-L-arabinan, Larix occidentalis, gum) 1.26 g, Pectin (Malus domestica, fruit) 0.35 g, Marshmallow (Althaea officinalis, root) 0.175 g, Anise (Pimpinella anisum, fruit) 0.175 g, Triphala (Amla, Bibhitaki, Haritaki):, Amla (Phyllanthus emblica, fruit) 0.165 g, Bibhitaki (Terminalia bellirica, fruit) 0.165 g, Haritaki (Terminalia chebula, fruit) 0.165 g, Ginger (Zingiber officinale, rhizome) 0.042 g, Peppermint (Mentha x piperita, leaf) 0.035 g Non-Medicinal Ingredients: Slippery Elm Bark Powder (Certified Organic) Our slippery elm bark powder is Certified Organically Grown. Adults and adolescents 13 and over: 2 teaspoons 1-3 times per day. Children and adolescents 6 - 12 years: 1 teaspoon 1-3 times per day. Dosage Directions: Mix with 150 ml of liquid (water, milk, fruit juice, or similar beverage) per 2tsp. Stir briskly and drink immediately. Take 2 hours before or after taking other medications or health products. Effects observed 12-24 hours after first dose and may take 2-3 days. In addition, maintain adequate liquid intake. Duration of Use: Consult a health care practitioner if symptoms persist or if laxative effect does not occur within 7 days. Cautions and Warnings: Consult a health care practitioner before use: if you have 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 the superior opening of the stomach (cardia), potential or existing intestinal blockage, paralysis of the intestine, megacolon, faecal impaction, inflamed bowel, appendicitis); if you are taking medications which inhibit peristaltic movement (e.g. opioids, loperamide); if you are breastfeeding; if you have gallstones or anemia. Consult a health care practitioner immediately if you experience chest pain, vomiting, or difficulty in swallowing or breathing after taking this product. Consult a health care practitioner if symptoms worsen or persist. Contraindications: Do not use: if you are pregnant; if you have difficulty swallowing; if you have diabetes mellitus in which blood sugar is difficult to regulate; if you are experiencing a sudden change in bowel habits that has persisted for more than 2 weeks, undiagnosed rectal bleeding, or failure to defecate following the use of another laxative product. Known Adverse Reactions: May cause temporary gas and/or bloating. Hypersensitivity, such as allergy, has been known to occur following inhaled and/or ingested psyllium; in which case, discontinue use. Do not use if seal is broken. Keep out of reach of children. Store in a cool dry place to preserve freshness.