Overview

Terminalia is a tree. Terminalia arjuna, Terminalia bellirica, and Terminalia chebula are three species used in medicine, especially Ayurvedic medicine.

Terminalia contains ingredients that help stimulate the heart. It might also help the heart by lowering cholesterol and blood pressure. Terminalia arjuna is used for its bark, while Terminalia bellirica and Terminalia chebula are used for their fruits.

People use terminalia for heart disease, heart failure, high cholesterol, diabetes, high blood pressure, and many other conditions, but there is no good scientific evidence to support these uses.

Uses & Effectiveness ?

We currently have no information for TERMINALIA overview.

Side Effects

When taken by mouth: Terminalia arjuna is possibly safe when used for up to 3 months. But don't use Terminalia arjuna without medical supervision. It might affect your heart.

There isn't enough reliable information to know if other species of Terminalia, including Terminalia bellirica or Terminalia chebula, are safe or what the side effects might be.

Special Precautions and Warnings

When taken by mouth: Terminalia arjuna is possibly safe when used for up to 3 months. But don't use Terminalia arjuna without medical supervision. It might affect your heart.

There isn't enough reliable information to know if other species of Terminalia, including Terminalia bellirica or Terminalia chebula, are safe or what the side effects might be. Pregnancy: Terminalia is possibly unsafe when taken by mouth during pregnancy. Stay on the safe side and avoid using any Terminalia species.

Breast-feeding: There isn't enough reliable information to know if Terminalia is safe to use when breast-feeding. Stay on the safe side and avoid use.

Bleeding disorders: Terminalia might slow blood clotting. This might increase the risk of bruising and bleeding in people with bleeding disorders.

Surgery: Terminalia might interfere with blood sugar control and increase the risk of bleeding during surgery. Stop taking Terminalia at least 2 weeks before a scheduled surgery.

Interactions ?

    Moderate Interaction

    Be cautious with this combination

  • Medications for diabetes (Antidiabetes drugs) interacts with TERMINALIA

    Terminalia bellirica and Terminalia chebula might lower blood sugar levels. Taking Terminalia bellirica or Terminalia chebula along with diabetes medications might cause blood sugar to drop too low. Monitor your blood sugar closely.

  • Medications that slow blood clotting (Anticoagulant / Antiplatelet drugs) interacts with TERMINALIA

    Terminalia arjuna might slow blood clotting. Taking Terminalia arjuna along with medications that also slow blood clotting might increase the risk of bruising and bleeding.

  • Medications changed by the liver (Cytochrome P450 2C9 (CYP2C9) substrates) interacts with TERMINALIA

    Some medications are changed and broken down by the liver. Terminalia arjuna might change how quickly the liver breaks down these medications. This could change the effects and side effects of these medications.

  • Medications changed by the liver (Cytochrome P450 2D6 (CYP2D6) substrates) interacts with TERMINALIA

    Some medications are changed and broken down by the liver. Terminalia arjuna might change how quickly the liver breaks down these medications. This could change the effects and side effects of these medications.

  • Medications changed by the liver (Cytochrome P450 3A4 (CYP3A4) substrates) interacts with TERMINALIA

    Some medications are changed and broken down by the liver. Terminalia arjuna might change how quickly the liver breaks down these medications. This could change the effects and side effects of these medications.

  • Omeprazole (Prilosec) interacts with TERMINALIA

    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.

  • Chlorzoxazone (Parafon Forte, Paraflex) interacts with TERMINALIA

    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.

Dosing

Terminalia arjuna has most often been used by adults in doses of 500 mg by mouth three times daily for up to 3 months. Terminalia chebula has most often been used by adults in doses of 200 mg by mouth 2-3 times daily for up to 3 months. There isn't enough reliable information to know what an appropriate dose of Terminalia bellirica might be. Keep in mind that terminalia can affect the heart. Speak with a healthcare provider to find out what species and dose might be best for a specific condition.
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CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. 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.

This copyrighted material is provided by Natural Medicines Comprehensive Database Consumer Version. Information from this source is evidence-based and objective, and without commercial influence. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version.
© Therapeutic Research Faculty 2020.