who should not take ashwagandha

2 min read 12-03-2025

Ashwagandha, an ancient Ayurvedic herb, has gained immense popularity for its purported stress-reducing and health-boosting properties. However, this adaptogen isn't suitable for everyone. Understanding who should avoid ashwagandha is crucial for ensuring safety and preventing potential adverse effects. This article explores the various groups who should exercise caution or completely abstain from ashwagandha.

Who Should Avoid Ashwagandha?

While generally considered safe, ashwagandha can interact negatively with certain medications and health conditions. Here's a breakdown of who should avoid this popular supplement:

1. Pregnant and Breastfeeding Women

Pregnant women: There's insufficient research on ashwagandha's effects during pregnancy. The potential risks outweigh the benefits, so it's best to avoid it.

Breastfeeding women: Similarly, limited research exists on ashwagandha's impact on breastfeeding mothers and infants. It's advisable to err on the side of caution and avoid use until more data is available. Consult your doctor before considering ashwagandha while breastfeeding.

2. Individuals with Autoimmune Diseases

Ashwagandha may stimulate the immune system. For those with autoimmune diseases like lupus, rheumatoid arthritis, or multiple sclerosis, this stimulation could exacerbate symptoms. It's crucial to consult a doctor before considering ashwagandha if you have an autoimmune condition.

3. People with Thyroid Issues

Ashwagandha might interfere with thyroid function. Individuals with hypothyroidism or hyperthyroidism should avoid it without consulting their physician first. Ashwagandha can either suppress or stimulate thyroid hormone production depending on the individual.

4. Those Taking Certain Medications

Ashwagandha can interact negatively with several medications, including:

Sedatives and hypnotics: Ashwagandha's sedative properties can intensify the effects of these medications, potentially leading to excessive drowsiness or other side effects.
Immunosuppressants: The immune-boosting effects of ashwagandha may counteract the effects of immunosuppressant drugs.
Blood thinners: Ashwagandha may increase the risk of bleeding when taken with blood thinners.
Blood pressure medications: Ashwagandha can lower blood pressure, potentially causing adverse interactions with blood pressure medications. Always consult your doctor before combining ashwagandha with any medication.

Always check for potential drug interactions with your physician or pharmacist before adding ashwagandha to your regimen.

5. Individuals with a History of Allergies

While rare, allergic reactions to ashwagandha are possible. Symptoms might include skin rashes, itching, or difficulty breathing. If you have a history of allergies, start with a low dose and monitor for any adverse reactions.

6. Those Planning Surgery

Ashwagandha's blood-thinning properties may increase bleeding risk during and after surgery. It's best to discontinue use at least two weeks before any scheduled procedure. Consult your surgeon or anesthesiologist about its use.

7. Children and the Elderly

While some traditional uses exist, there's a lack of research on ashwagandha's safety and efficacy in children and the elderly. More data is needed before recommending its use in these populations.

Important Considerations

Start with a low dose: If you decide to try ashwagandha after consulting your doctor, start with a low dose to assess tolerance.
Monitor for side effects: Pay attention to any side effects such as diarrhea, upset stomach, or drowsiness.
Choose reputable brands: Select high-quality ashwagandha supplements from reputable brands that provide third-party testing results.
Consult your doctor: Before taking ashwagandha, or any supplement, consult your healthcare provider. They can assess your health status, medications, and potential interactions to ensure safe and effective use.

This information is for educational purposes only and should not be considered medical advice. Always consult with a healthcare professional before starting any new supplement or making changes to your medication regimen. They can provide personalized recommendations based on your individual health needs.