You can use it, but there is a risk of impactation.
I would use tiles/paper as its so much safer.
Sand can get smelly, hold bacteria and is harder to clean. I find tiles so much easier as you can just wipe them over.
I started with sand, read the posts on here about impaction (and saw a picture of the results, its truly AWFUL) and went over to tiles, all within the space of a fortnight.
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