Asiatic Pennywort Herb — Safety & Interactions

Ji Xue Cao · Herba Centellae

Contraindications

  • Spleen and Stomach deficiency-cold with loose stools or poor appetite
  • Cold-pattern dysmenorrhea or menstruation with marked Cold signs

Cautions

  • High doses or prolonged use may cause digestive upset or contribute to liver irritation in susceptible patients
  • Use with caution in patients with existing liver disease or when combining with other potentially hepatotoxic supplements

Drug Interactions

Drug Class / Substrate Mechanism Severity Source
CYP450 substrate drugs In vitro gotu kola inhibits CYP1A2, CYP2C9, CYP2C19, CYP2D6, and CYP3A4 and may alter intracellular concentrations of substrate drugs Moderate Memorial Sloan Kettering Integrative Medicine — Gotu Kola

This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before using herbal medicines, especially if you take prescription medications.