Cheah KL, Norhayati MN, Husniati Yaacob L, Abdul Rahman R. Effect of Ashwagandha (Withania somnifera) extract on sleep: A systematic review and meta-analysis. View abstract. Be aware that antidepressants and vitamins typically work with each other the vitamins won't replace your medication. View abstract. People taking certain medications may need to avoid using ashwagandha. 2009;15(4):423-430. Is this an emergency? View abstract. Learn about the uses and potential benefits of Ashwagandha including dosage guidelines, side effects, interactions and safety/efficacy ratings. Xanax. It's best to talk to your doctor before you start taking antidepressants and vitamins, especially mixed supplements. Kaur, K., Rani, G., Widodo, N., Nagpal, A., Taira, K., Kaul, S. C., and Wadhwa, R. Evaluation of the anti-proliferative and anti-oxidative activities of leaf extract from in vivo and in vitro raised Ashwagandha. The most common side effects include: Other less common side effects of ashwagandha include: If you experience side effects when taking ashwagandha, be sure to stop using it and seek advice from a healthcare provider. 2013;12(4):312-22. Skinmed. Ashwagandha may help the body cope with stress. Large-scale studies are necessary to prove ashwagandha's effects on stress further. The body naturally produces thyroid hormones. View abstract. Its effect on arterial blood pressure in anaesthetized dogs. Within this specific study, participants were randomized to receive a placebo (sugar pill with no active ingredients), an ashwagandha dose of 250 milligrams (mg) per day or 600 milligrams per day. Ashwagandha (Withania somnifera) is a natural herb used for centuries in Ayurveda. Certain ingredients can influence the effectiveness of your antidepressants and how they affect your health. Some barbiturates include phenobarbital, pentobarbital and secobarbital. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Some products may not mix well with other drugs or natural products. Ashwagandha Blood Pressure Medication Interaction Ashwagandha Side Effects + Drug Interactions - Vida Optima Do note that ashwagandha itself does not . As this is a relatively new area of research, more vigorous studies are needed. View abstract. Staff, Cotellic With Turmeric And Black Pepper Interaction. Kelgane SB, Salve J, Sampara P, Debnath K. Efficacy and tolerability of ashwagandha root extract in the elderly for improvement of general well-being and sleep: A prospective, randomized, double-blind, placebo-controlled study. Effect of standardized root extract of ashwagandha (Withania somnifera) on well-being and sexual performance in adult males: a randomized controlled trial. Consult your doctor before taking ashwagandha if you use digoxin. Cent.Nerv.Syst.Agents Med.Chem. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Are there any side effects of ashwagandha? Ashwaganda and Xanax Interactions Checker - Drugs.com However, if you were to combine St. John's wort with antidepressants like SSRIs, you could end up with disastrous results. Curr Clin Pharmacol. Supplements that are similar to ashwagandha include: It's typically best to take just one supplement or herb at a time for a medical condition. Ashwagandha may be used for anxiety due to its perceived anti-inflammatory and antioxidant properties. Ashwagandha may interact with various medications. It is essential to talk to your healthcare provider before taking ashwagandha if you are taking any other substances. It is also important to note that ashwagandha may interact with certain medications, such as immunosuppressants and sedatives. One clinical trial evaluated how ashwagandha root extract affects memory and overall cognitive function. The combination could decrease the effectiveness of these medications. Effects of Withania somnifera in patients of schizophrenia: a randomized, double blind, placebo controlled pilot trial study. Anyone with upcoming surgery should stop using ashwagandha at least two weeks prior. Acta Oncol. Singh, R. H., Narsimhamurthy, K., and Singh, G. Neuronutrient impact of Ayurvedic Rasayana therapy in brain aging. doi:10.1371/journal.pone.0257843, Verma N, Gupta SK, Tiwari S, Mishra AK. Of note, the benefits were strongest in those who took at least 600 milligrams per day of ashwagandha for at least eight weeks. J Ethnopharmacol 1999;67:233-39. No, that's not true all the time. Ashwagandha can also interact with some medications and affect how they work. Indian J Med Res 2015 Jan;141(1):100-6. Am J Ther 2023;30(1):e80-e83. Although side effects do not always occur, you may experience drowsiness, stomach pain, or loose stools when taking ashwagandha. Ahumada F, Aspee F, Wikman G, and et al. Taking ashwagandha along with diabetes medications might cause blood sugar to drop too low. Discard any remaining ashwagandha supplements once they expire or as indicated on the packaging. This product can contain high amounts of iron. You should also review supplement labels with a healthcare provider to discuss any potential interactions with foods, other supplements, and medications. Ashwagandha contains several active constituents including: The mechanism of how ashwagandha works, for all of its purported benefits, is not well understood. We can, however, make some educated guesses on drug interactions based on ashwagandha works, and the effects it is known to have. 2020;72:28-36. However, even if supplements are third-party tested, they are necessarily safe for all or effective in general. O'Connor J, Lindsay K, Baker C, Kirby J, Hutchins A, Harris M. The impact of ashwagandha on stress, sleep quality, and food cravings in college students: quantitative analysis of a double-blind randomized control trial. Ashwagandha has been traditionally used for anxiety, insomnia, aging, and other conditions that may be exacerbated by stress. levothyroxine, desiccated thyroid) could potentially increase thyroid hormone levels too much, increasing the risk of side effects. These include drugs like thyroid desiccated, levothyroxine, or liotrix. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Ashwagandha is popular in Ayurveda medicine, and Indians have used it for more than 3,000 years to treat a wide range of healthy disorders. Naturopathic care for anxiety: a randomized controlled trial ISRC TN78958974. I recommend taking it at bedtime for a better night's rest or you can take it during the day. However, you should not stop taking any prescribed medication. A systematic review and meta-analysis of randomized controlled trials. Ashwagandha may also contain withanolides, which are thought to have anti-inflammatory and antioxidant properties. Monitor your blood pressure closely. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. Investigation of CYP2B6, 3A4 and -esterase interactions of Withania somnifera (L.) dunal in human liver microsomes and HepG2 cells. Drugs that cause sleepiness and drowsiness are called sedatives. View abstract. Aerobic capacity and recovery were assessed for all participants throughout the study. Some medications, called sedatives, can also cause sleepiness and slowed breathing. J Med Food 2022. Bhattacharya, S. K. and Muruganandam, A. V. Adaptogenic activity of Withania somnifera: an experimental study using a rat model of chronic stress. For most people, ashwagandha is a safe and effective supplement for taking the edge off stress. Additionally, ashwagandha may increase testosterone levels in the body. A study compared ashwagandha to a placebo to determine whether the herb would have a positive effect on insomnia. 2022;13(2):100510. doi:10.1016/j.jaim.2021.08.003, Gopukumar K, Thanawala S, Somepalli V, Rao TSS, Thamatam VB, Chauhan S. Efficacy and safety of Ashwagandha root extract on cognitive functions in healthy, stressed adults: a randomized, double-blind, placebo-controlled study. You can also connect with Dr. Brian Staiger on LinkedIn. View abstract. Read more: 8 Warning Signs of Depression You Shouldn't Ignore. J.Transl.Med. Withania somnifera, known as ashwagandha, has a role in ayurvedic medicine for a wide range of health conditions. 1993;31(7):607-611. It's worth noting that a drawback of both these studies is that they were performed on small sample sizes. Ashwagandha, also known as 'Indian Ginseng' is an evergreen shrub indigenous to India, the Middle East, and some parts of Africa. Studies on immunomodulatory activity of Withania somnifera (Ashwagandha) extracts in experimental immune inflammation. Certain supplements may contain ingredients that are dangerous when mixed with specific medications, even if they are safe on their own. Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Devi, P. U., Sharada, A. C., Solomon, F. E., and Kamath, M. S. In vivo growth inhibitory effect of Withania somnifera (Ashwagandha) on a transplantable mouse tumor, Sarcoma 180. Talk with a healthcare provider about the right ashwagandha dosage for your needs. Nevertheless, be sure to talk to your doctor before adding on ashwagandha to blood pressure medicine, such as: Ashwagandha might increase the effects and adverse effects of thyroid hormone drugs. Bjrnsson HK, Bjrnsson ES, Avula B, et al. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version. While supplement and drug-induced serotonin syndrome poses a major risk for people taking SSRIs, other antidepressants can require stricter dietary changes. Withania somnifera extract. Additionally, a pilot study looked at ashwagandha's effects on people with mild cognitive impairment. Thyroid Suppression Test. Nutrients. Begum, V. H. and Sadique, J. These severity listings are for informational use only. Although ashwagandha is one of the more well-studied herbals on the market, there have not been extensive drug-interaction studies with it. 2011;68(1):3-8. ASHWAGANDHA: Overview, Uses, Side Effects, Precautions, Interactions Ahmad MK, Mahdi AA, Shukla KK, et al. Association of l-DOPA with recovery following Ayurveda medication in Parkinson's Disease. Researchers from another review concluded that ashwagandha might be useful in conditions such as: Studies used in this review included human, animal, and lab research. Lu, L., Liu, Y., Zhu, W., Shi, J., Liu, Y., Ling, W., and Kosten, T. R. Traditional medicine in the treatment of drug addiction. Drug-induced hepatocellular injury due to herbal supplement ashwagandha. Chandrasekhar K, Kapoor J, Anishetty S. A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults. You can also use ashwagandha as an herbal tea. Ashwagandha might cause sleepiness and drowsiness. For this reason, it's always best to tell a healthcare provider if you are taking any medications and/or supplements before starting a new supplement. A variety of of vitamins and nutritional supplements have been shown to help treat depression. Am J Drug Alcohol Abuse 2009;35(1):1-11. View abstract. Ashwagandha - More Interactions. Ashwagandha drug interactions | HealthTap Online Doctor If you consume something that isn't recommended, you could end up reducing the effectiveness of your medication or increasing the likelihood of side effects. Because ashwagandha supports immune system function, it might interact with medications designed to reduce immune system activity, known as immunosuppressants, according to the University of Maryland Medical Center. Also learn why ingredients such as alpha-lipoic acid, soy, resveratrol, quercetin may impair thyroid function. Panda S, Kar A. Withania somnifera and Bauhinia purpurea in the regulation of circulating thyroid hormone concentrations in female mice. Pusec CM, Wolsky R, Llerena C, Sura P. A Case of Supplement-Induced Hepatitis. Biochem.Biophys.Res Commun. Just be sure to choose a supplement from a reputable manufacturer and follow the . Indian J Psychol Med. Unlike people taking SSRIs who can consume most foods without issue, people taking MAOIs need to avoid foods rich in tyramine, a nonessential amino acid. Hydroxyzine has moderate interactions with at least 207 different drugs. Therefore, it should be used cautiously with drugs used to treat diabetes, including: Just like with potential interactions between ashwagandha and diabetes drugs, there may be a potential issue with drugs used to treat high blood pressure as studies show ashwagandha mayhave blood-pressure-lowering effects. Ashwaganda and levothyroxine Interactions - Drugs.com J Funct Morphol Kinesiol. Therefore, it is recommended to consult with a healthcare professional before adding ashwagandha to a weight loss plan, especially if you have any underlying medical conditions or are taking any medications . The Best Brain Supplements For Cognitive Health - Forbes While the side effects of ashwagandha are minimal, some people may experience: Gastrointestinal upset. Phytother Res 2022. Durg S, Bavage S, Shivaram SB. Supplement use should be individualized and vetted by a healthcare professional, such as a registered dietitian, pharmacist, or healthcare provider. Some people should avoid using ashwagandha due to safety concerns. Herbs like Ashwagandha are known to interact with SSRI and other medicines. Xanax is in the drug class benzodiazepines. View abstract. Many of the studies on ashwagandha have been performed in laboratory settings or on animal models, but some human trials do exist. Never start, stop or otherwise change your therapy before speaking with your provider. Yakugaku Zasshi 2008;128(8):1159-1167. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. However, certain vitamins, supplements and medications are processed via the same enzymatic pathway (cytochrome P450) as your antidepressants. . Does Ashwagandha Interact With Any Medications? Malhotra, C. L., Mehta, V. L., Das, P. K., and Dhalla, N. S. Studies on Withania-ashwagandha, Kaul. Fertil Steril 2010;94:989-96. Levothyroxine is in the drug class thyroid drugs . Still, a seal of approval from one of these agencies is your best bet for supplement quality since dietary supplements and herbs are not regulated in the United States. Is it safe to take ashwagandha every day? It may cause you to become sleepy or drowsy. 2013;45(4):417-8. Should You Take Ashwagandha for Thyroid Issues? - Healthline Some herbal supplements with antidepressant properties are safe to consume alongside medications. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. Interactions with other substances: ashwagandha may interact with certain medications, supplements, and herbs. An alternative treatment for anxiety: a systematic review of human trial results reported for the Ayurvedic herb ashwagandha (Withania somnifera). You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you. Ashwagandha interacts with 623 drugs. You may think that these supplements are safe because they also have antidepressant effects, but it's not that simple. Mixing tyramine and MAOI antidepressants can result in headache, nausea, anxiety, dangerously high blood pressure and even hemorrhagic stroke. Ashwagandha is thought to have a positive impact on chronic stress. View abstract. Another traditional use of ashwagandha in Ayurveda is for memory issues. Withania somnifera, known as ashwagandha, has a role in ayurvedic medicine for a wide range of health conditions. View abstract. People who are pregnant or breastfeeding should not use ashwagandha. Prez-Gmez J, Villafaina S, Adsuar JC, Merellano-Navarro E, Collado-Mateo D. Effects of ashwagandha (Withania somnifera) on VO2max: A systematic review and meta-analysis. Next Steps to Take, Understanding Your Childs Life With ADHD. Anbalagan K and Sadique J. Withania somnifera (ashwagandha), a rejuvenating herbal drug which controls alpha-2 macroglobulin synthesis during inflammation. It also covers possible side effects of the herb, interactions, dosage information, and guidance regarding selecting ashwagandha supplements. As an adaptogen, helping the body resist physiological and psychological stress, Steroidal lactones (withanolides, withaferins), GLP-1 Agonists (e.g. View abstract. It may also interact with other herbs, supplements, and even foods. View abstract. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. View abstract. Ashwagandha is an evergreen shrub that grows in Asia and Africa. Skinmed. For example, it may increase the sedative effect of medications that treat anxiety and insomnia. J Ayurveda Integr Med. Efficacy of Withania somnifera supplementation on adult's cognition and mood. PLoS One. It is commonly used for stress. Ashwagandha - An Herbal TikTok Sensation | Science-Based Medicine Serotonin syndrome can even result in death. View abstract. Liver damage. Phytother.Res 2010;24(1):129-135. View abstract. V. The effect of total alkaloids (ashwagandholine) on the central nervous system. Hypothyroidism, After Thyroid Removal. Is Fish Oil Dangerous With Antidepressants? Treatment of osteoarthritis with a herbomineral formulation: a double-blind, placebo-controlled, cross-over study. Liver Int. J Ethnopharmacol 1991;33:91-5. Mild Interactions of hydroxyzine include: ashwagandha; brimonidine; eucalyptus; nettle; sage; siberian ginseng; This information does not contain all possible interactions or adverse effects. Sleep Sci. It is just a general precaution that ashwagandha may decrease blood sugar. 2021;45(1):176. doi:10.1186/s42269-021-00635-6, White PT, Subramanian C, Motiwala HF, Cohen MS. Natural withanolides in the treatment of chronic diseases. 2003;19(3):211-222. of signs you need emergency medical attention or call 911. Tohda, C. [Overcoming several neurodegenerative diseases by traditional medicines: the development of therapeutic medicines and unraveling pathophysiological mechanisms]. Ashwagandha - Diazepam Interaction Details | HelloPharmacist The Journal of Psychiatry study reported that omega-3 fats and vitamin D are the two essential nutrients that are most likely to help reduce depression symptoms. Andallu B, Radhika B. Hypoglycemic, diuretic and hypocholesterolemic effect of winter cherry (Withania somnifera, Dunal) root. View abstract. J Ethnopharmacol. OTHER NAME(S): Ajagandha, Amangura, Amukkirag, Asan, Asana, Asgan, Ashwagandha has most often been used by adults in doses up to 1000 mg daily, for up to 12 weeks. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. In our latest question and answer, the pharmacist discusses whether or not ashwagandha supplements interact with prescription drugs. Ashwagandha side effects. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Some benzodiazepine drugs include alprazolam, known as the brand Xanax; clonazepam, known as Klonopin; diazepam, known as Valium; lorazepam, known as Ativan; and triazolam, known as Halcion. View abstract. Prog.Neuropsychopharmacol.Biol.Psychiatry 7-1-2008;32(5):1093-1105. View abstract. low blood sugar). 2021 Nov 25;13(2):100510. A 2020 case study examined five adults who had experienced signs of hepatotoxicity, or toxicity to the liver, after using ashwagandha in varying doses. In large amounts, any of these could potentially affect the way your body processes antidepressants. The liver damage never progressed to liver failure, and most cases were resolved within five months. Immunopharmacol.Immunotoxicol. National Library of Medicines list Insomnia is a common sleep disorder that is defined as an inability to get adequate sleep. 1998;20(1):191-198. Created for people with ongoing healthcare needs but benefits everyone. Ashwagandha has mild interactions with at least 29 different drugs. Ashwagandha: Benefits, Side Effects, and More - Verywell Health View abstract. 2008;6:14. Be sure to confirm new supplements fit your dietary needs or preferences. 2022 Mar 25;14(3):e23494. Who Shouldn't Take Ashwagandha? ashwagandha and guggul used for thyroid conditions and find out if they are beneficial. J Altern Complement Med. Study participants were randomized to receive a placebo, 225 milligrams per day of ashwagandha, or 400 milligrams per day of ashwagandha for 30 days. They also are not very good drugs, because they have multiple potentially . Harvard Health Publishing states that other medications, supplements and your diet all have the potential to affect the way your body processes your antidepressants. View abstract. However, some adverse effects are generally associated with ashwagandha. Do not use this product if you have stomach problems or ulcers. 2021;270:113766. The drug interactions listed above are not all of the possible interactions or adverse effects. View abstract. Curr Sports Med Rep. 2017;16(4):230-239. doi:10.1249/JSR.0000000000000385. Some vitamins and supplements can interfere with blood-thinning blood pressure drugs, Dr. Glatter says. Some people may need to avoid taking Ashwagandha, however, including those who: 2014;20(12):901-908. doi:10.1089/acm.2014.0177, Remenapp A, Coyle K, Orange T, et al. Brittany Lubeck, RD, is a nutrition writer and registered dietitian with a master's degree in clinical nutrition. Ultimately, the supplements and foods you can . Hydroxyzine: Generic, Uses, Side Effects, Dosages - RxList 9-1-2010;10(3):238-246. Long-term safety studies on ashwagandha are lacking. Headache. Underactive Thyroid. Phytother Res 1991;5:111-14. Since you don't mention any drugs in your question, we'll list some of the potential interactions below. Which Supplements Should Be Avoided When Taking Statins
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