Ashwagandha

An herbal adaptogen (Withania somnifera) traditionally used in Ayurvedic medicine and taken today mainly for stress relief; NCCIH cautions it may interact with several medication classes.

Herbal

What it is

Ashwagandha (Withania somnifera) is an herb used in Ayurvedic medicine, taken today mostly for stress and general wellbeing, though NCCIH notes there is not enough reliable evidence to draw firm conclusions for most of its purported uses. It may be reasonably safe for short-term use (up to 3 months), but long-term safety data is lacking. It can cause drowsiness, stomach upset, diarrhea, and vomiting, and rare cases have linked it to liver injury. NCCIH advises it should be avoided in pregnancy and breastfeeding, before surgery, and in people with autoimmune or thyroid disorders, and states there is evidence it might interact with medications for diabetes and high blood pressure, immunosuppressants, sedatives, anticonvulsants, and thyroid hormone medications.

Known interaction categories

  • Insufficient evidence
  • Monitor
  • Use caution

Published interaction pages on this site

Related guides

Sources

Last reviewed 2026-08-24

Medical information disclaimer: this information is general and educational. It does not diagnose conditions, prescribe treatment, or determine whether a combination is safe for you personally. Follow your prescription label and ask a pharmacist or clinician before starting, stopping, or combining products. Full disclaimer.