Indications
Centella asiatica, also called Gotu kola or Indian pennywort (thankuni in Bangla), is a herb used in Ayurvedic, Unani and folk medicine. In syrups it is commonly combined with Adhatoda vasica and is traditionally used to soothe cough, help loosen phlegm and support recovery from colds and chest irritation. On its own it has been traditionally used for minor wounds, skin health and memory. Scientific evidence for these uses is limited, and it is not a cure for any disease.
How It Works
The herb contains natural compounds called triterpenes (such as asiaticoside and madecassoside). Laboratory studies suggest they may calm inflammation, have antioxidant effects and support the formation of collagen in healing skin. How much these effects matter in people taking a syrup is not well established.
Dosage and Administration
Take as directed on the label or by a registered practitioner. Shake the bottle well and use the measuring cup provided. Children should only be given it on the advice of a doctor or practitioner. If cough lasts more than one week or is getting worse, see a doctor.
Interactions
- It may add to the drowsiness caused by sedatives, sleeping pills or alcohol.
- Use with care alongside medicines that can affect the liver, such as Paracetamol in high doses, Isoniazid or Methotrexate.
- It may affect blood sugar and cholesterol; people taking diabetes medicines should monitor their sugar.
Contraindications
- Known allergy to Centella asiatica or plants of the same family.
- Existing liver disease, unless a doctor advises otherwise.
- Pregnancy, unless advised by a doctor.
Side Effects
It is usually well tolerated. Possible effects include stomach upset, nausea, drowsiness and, rarely, skin rash. Rare cases of liver inflammation have been reported with Centella products.
Get urgent medical help if you notice yellow skin or eyes, dark urine or severe tummy pain, or signs of an allergic reaction such as swelling of the face, lips or throat, or difficulty breathing. Also see a doctor urgently for cough with high fever, blood in the phlegm or breathlessness.
Pregnancy and Lactation
Safety in pregnancy and breastfeeding has not been established. Herbal combinations should be avoided during pregnancy and breastfeeding unless a doctor recommends them.
Precautions and Warnings
Do not use it for longer than recommended. Tell your doctor if you have liver disease, diabetes or are due for surgery. Syrups may contain sugar, which people with diabetes should take into account. Herbal remedies should not replace medical care for serious or long-lasting illness.
Overdose
Taking a large amount may cause stomach upset and drowsiness. If a large amount has been swallowed, especially by a child, contact a doctor or hospital.
Therapeutic Class
Ayurvedic and Unani herbal preparation; traditional cough and respiratory remedy.
Storage
Store below 30°C in a dry place, away from light and out of the reach of children. Close the bottle tightly after use.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.