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Pregnancy and breast-feeding: There is not enough reliable information about the safety of taking Indian gooseberry as medicine if you are pregnant or breast-feeding. Stay on the safe side and stick to food amounts.
Bleeding disorders: Indian gooseberry might increase the risk of bleeding or bruising in some people. If you have a bleeding disorder, use Indian gooseberry with caution.
Diabetes: Indian gooseberry might decrease blood sugar levels. Your diabetes medications might need to be adjusted by your healthcare provider.
Liver disease: In theory, taking Indian gooseberry with ginger, Tinospora cordifolia, and Indian frankincense might make liver function worse in people with liver disease. But it's not known if taking Indian gooseberry alone can have these effects.
Surgery: Indian gooseberry might increase the risk of bleeding during and after surgery. Stop taking Indian gooseberry at least 2 weeks before a scheduled surgery. *
Even though Phyllanthus has been used for centuries in Ayurvedic medicine, little is known about its long-term safety. Side effects tend to be mild and may include stomach upset and diarrhea.
Due to the lack of research, Phyllanthus should be avoided in children, pregnant women, and nursing mothers. It should also be avoided in people with Wilson's disease as it may further reduce uric acid levels and increase the risk of liver damage.
Interactions
Research has shown that phyllanthin can bind to platelet receptors and inhibit blood clotting. As such, Phyllanthus should not be used with anticoagulants like Plavix (clopidogrel) as this can lead to increased bleeding and easy bruising.
Phyllanthus supplements should be stopped at least two weeks before scheduled surgery to prevent excessive bleeding.
Phyllanthus can also interact with drugs used to treat diabetes, potentially enhancing their effects and causing an adverse drop in blood sugar (hypoglycemia). It may also have a similar effect when used with anti-hypertensive medications, leading to an adverse drop in blood pressure (hypotension). *
