Gotu Kola: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews

Overview

Gotu kola (Centella asiatica) is an herb in the parsley family. It has a long history of use in the traditional Chinese and Ayurvedic medicine systems.

Gotu kola contains certain chemicals that seem to decrease swelling and blood pressure. It also seems to increase collagen production, which might be helpful for wound healing.

People use gotu kola for burns and poor circulation that can lead to varicose veins. It is also used for scars, stretch marks, and many other conditions, but there is no good scientific evidence to support most of these uses.

Uses & Effectiveness

Possibly Effective for

Burns. Applying gotu kola to second-degree burns seems to decrease the time that it takes for burns to heal.
Poor circulation that can lead to varicose veins and other conditions (venous insufficiency). Taking gotu kola or a specific extract of gotu kola (Centellase) by mouth for 4-8 weeks seems to improve blood circulation and reduce swelling in people with poor blood circulation in the legs.

Possibly Ineffective for

Memory and thinking skills (cognitive function). Taking gotu kola alone or with other ingredients by mouth doesn't seem to improve memory or thinking skills.
Skin damage caused by radiation therapy (radiation dermatitis). Applying a cream containing gotu kola extract doesn't seem to reduce skin damage caused by radiation treatment for breast cancer.

There is interest in using gotu kola for a number of other purposes, but there isn't enough reliable information to say whether it might be helpful.

Side Effects

When taken by mouth: Gotu kola extract is possibly safe for most people when taken for up to 12 months. It might cause nausea and stomach pain.

When applied to the skin: Gotu kola is possibly safe when used for up to 10 weeks. It might cause itchiness and redness.

Special Precautions and Warnings

Pregnancy: Gotu kola is possibly safe when applied to the skin during pregnancy. There isn't enough reliable information to know if gotu kola is safe to take by mouth when pregnant. Stay on the safe side and avoid use.

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

Liver disease: Gotu kola might cause liver damage. People who already have a liver disease should avoid using gotu kola. It might make liver problems worse.

Surgery: Gotu kola might cause too much sleepiness if combined with medications used during and after surgery. Stop using gotu kola at least 2 weeks before a scheduled surgery.

Interactions

Moderate Interaction

Be cautious with this combination

Medications that can harm the liver (Hepatotoxic drugs) interacts with Gotu Kola
Gotu kola might harm the liver. Some medications can also harm the liver. Taking gotu kola along with a medication that can harm the liver might increase the risk of liver damage.
Sedative medications (CNS depressants) interacts with Gotu Kola
Gotu kola might cause sleepiness and slowed breathing. Some medications, called sedatives, can also cause sleepiness and slowed breathing. Taking gotu kola with sedative medications might cause breathing problems and/or too much sleepiness.

Dosing

Gotu kola extract has most often been used by adults in doses of 60-450 mg by mouth daily for 4-12 months. It's also used in creams, gels, and ointments. Speak with a healthcare provider to find out what type of product and dose might be best for a specific condition.

View References

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