Indications
Nutmeg is the seed of the fruit of the Myristica fragrans tree, used as a kitchen spice. In Unani and Ayurvedic medicine it is an ingredient in remedies traditionally used for indigestion, wind and diarrhoea, for poor sleep, and in tonics for male sexual weakness. Scientific evidence for these uses is limited. Nutmeg is safe in cooking amounts, but it becomes toxic in larger amounts, so medicinal products must be used exactly as directed.
How It Works
Nutmeg contains aromatic oils, including myristicin and elemicin. In small amounts these relieve wind and stimulate digestion, and they have mild calming effects. In larger amounts they act strongly on the brain and can cause poisoning with confusion and hallucinations.
Dosage and Administration
Take products containing nutmeg only as directed on the label or by a registered practitioner. Never increase the dose, and do not take powdered nutmeg in large amounts as a home remedy.
Interactions
- It may add to the effect of sedatives, sleeping pills and alcohol.
- Myristicin has weak MAO blocking activity; take care with antidepressants such as Fluoxetine, Sertraline or Moclobemide, and with Tramadol or Pethidine.
- Tell your doctor about all medicines and herbal products you take.
Contraindications
- Pregnancy and breastfeeding (medicinal amounts).
- Children.
- Epilepsy or mental illness, unless a doctor agrees.
- Allergy to nutmeg or any ingredient.
Side Effects
At the recommended dose side effects are uncommon; stomach upset, dry mouth or drowsiness may occur.
Get urgent medical help if you develop a fast or pounding heartbeat, confusion, hallucinations, severe dizziness, agitation, flushing with fever, or signs of a serious allergic reaction (swelling of the face or throat, difficulty breathing, widespread rash). These can be signs of nutmeg poisoning.
Pregnancy and Lactation
Cooking amounts are fine, but medicinal amounts should not be used in pregnancy, as nutmeg has been linked with miscarriage and can harm the baby. Avoid medicinal use while breastfeeding.
Precautions and Warnings
- Do not drive or use machines if you feel drowsy or light headed.
- Male sexual problems can be linked to diabetes, heart disease or hormonal problems; see a doctor for proper assessment.
- Keep nutmeg powder and products away from children.
Overdose
Nutmeg poisoning can start a few hours after a large amount and may cause nausea, vomiting, fast heartbeat, dry mouth, anxiety, confusion, hallucinations and, rarely, fits. Seek emergency medical help straight away.
Therapeutic Class
Herbal ingredient (Unani and Ayurvedic carminative and tonic).
Storage
Store below 30°C in a dry place, away from light and out of the reach of children.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.