Terminalia chebula
Scientific names: Terminalia chebula
Family: Combretaceae
Alternate names: Abhaya, Badamier chebule, Bala Harade, Black yrobalan, Chebulic Myrobalan, Chebulische, Gall nut, Gallnut, Halela Zard, Hara, Harad, Harade, Harada, Harra, Harro, He li le, He Zi, Indian gall nut, Indian gallnut, Indian gall-nut, Ink nut, Jangalii harro, Kadukka, Kadukkai, Kadukkaya, Karkchettu, Manja lawai, Mirobalanos índicos, Mirobaran no ki, Myrobalan, Myrobolan Chébule, Myrobalanenbaum, Pathya, Rispiger, Terminalia Chebulic, Thuulo harro
Background
Terminalia chebula is a tree that grows throughout India, Burma, Sri Lanka, and Mauritius. Its fruit is called Haritaki and is used in Ayurvedic medicine.
The fruit of the Terminalia chebula tree contains chemicals that might have pain-relieving affects. It might also reduce blood sugar.
People use Terminalia chebula for aging skin, constipation, diabetes, diarrhea, high cholesterol, osteoarthritis, and many other conditions, but there is no good scientific evidence to support these uses.
Don't confuse Terminalia chebula with other Terminalia species, including Terminalia bellirica and Terminalia arjuna. These are not the same.
The fruit of the Terminalia chebula tree contains chemicals that might have pain-relieving affects. It might also reduce blood sugar.
People use Terminalia chebula for aging skin, constipation, diabetes, diarrhea, high cholesterol, osteoarthritis, and many other conditions, but there is no good scientific evidence to support these uses.
Don't confuse Terminalia chebula with other Terminalia species, including Terminalia bellirica and Terminalia arjuna. These are not the same.
Safety Safety definitions
When taken by mouth: Terminalia chebula is possibly safe when used for up to 8 weeks. There isn't enough reliable information to know what the side effects from Terminalia chebula might be.
When applied to the skin: Terminalia chebula is possibly safe when used for up to 40 days. There isn't enough reliable information to know what the side effects from Terminalia chebula might be.
Breast-feeding: There isn't enough reliable information to know if Terminalia chebula is safe to use when breast-feeding. Stay on the safe side and avoid use.
Surgery: Terminalia chebula might interfere with blood sugar control during surgery. Stop taking Terminalia chebula at least 2 weeks before a scheduled surgery.
When applied to the skin: Terminalia chebula is possibly safe when used for up to 40 days. There isn't enough reliable information to know what the side effects from Terminalia chebula might be.
Special Precautions & Warnings:
Pregnancy: Terminalia chebula is possibly unsafe when taken by mouth during pregnancy. Stay on the safe side and avoid use.Breast-feeding: There isn't enough reliable information to know if Terminalia chebula is safe to use when breast-feeding. Stay on the safe side and avoid use.
Surgery: Terminalia chebula might interfere with blood sugar control during surgery. Stop taking Terminalia chebula at least 2 weeks before a scheduled surgery.
Effectiveness
Effective Effectiveness definitions
There is interest in using Terminalia chebula for a number of purposes, but there isn't enough reliable information to say whether it might be helpful.
Dosing & administration
Terminalia chebula has most often been used by adults in doses of 400-600 mg by mouth daily for up to 3 months. Speak with a healthcare provider to find out what dose might be best for a specific condition.
Interactions with pharmaceuticals
Chlorzoxazone (Parafon Forte, Paraflex)
Interaction Rating=Moderate Be cautious with this combination.
The body breaks down chlorzoxazone to get rid of it. Terminalia chebula might decrease how quickly the body breaks down chlorzoxazone. Taking Terminalia along with chlorzoxazone might increase the effects and side effects of chlorzoxazone.
Medications for diabetes (Antidiabetes drugs)
Interaction Rating=Moderate Be cautious with this combination.
Terminalia chebula might lower blood sugar levels. Taking Terminalia chebula along with diabetes medications might cause blood sugar to drop too low. Monitor your blood sugar closely.
Omeprazole (Prilosec)
Interaction Rating=Moderate Be cautious with this combination.
The body breaks down omeprazole to get rid of it. Terminalia chebula might decrease how quickly the body breaks down omeprazole. Taking Terminalia chebula along with omeprazole might increase the effects and side effects of omeprazole.
Interactions with herbs & supplements
Herbs and supplements that might lower blood sugar: Terminalia chebula might lower blood sugar. Taking it with other supplements with similar effects might lower blood sugar too much. Examples of supplements with this effect include aloe, bitter melon, cassia cinnamon, chromium, and prickly pear cactus.
Interactions with foods
There are no known interactions with foods.
Products
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Practitioner product
Per tablet:
- Terminalia bellirica (Terminalia) ext. 125 mg
- Apium graveolens ext. 62.5 mg
- Potassium citrate 69.1 mg equiv. potassium 25 mg
- Magnesium citrate monohydrate 105.1 mg equiv. magnesium 12.5 mg
- Pyridoxal 5-phosphate monohydrate (P5P) 19.6 mg equiv. pyridoxine 12.5 mg
- Hydroxocobalamin (Vitamin B12) 50 μg
- Calcium folinate (Activated folate) 108 μg equiv. folinic acid 100 μg
- Menaquinone 7 (Vitamin K2) 22.5 μg
Practitioner product
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Natural Medicines rates safety based on scientific evidence according to the following scale: Likely Safe, Possibly Safe, Possibly Unsafe, Likely Unsafe, Unsafe, and Insufficient Evidence to Rate. For more information about Natural Medicines’ Safety Rating System, click here.
The Natural Medicines Effectiveness Ratings are assigned for specific indications. A product might be rated "Possibly Effective" for one condition, but be rated "Likely Ineffective" for another condition, depending on the evidence. For more info click here.
