Indications
This is an Ayurvedic herbal combination containing Shatavari (Asparagus racemosus root), Vidarikand (Pueraria tuberosa root), Ashwagandha (Withania somnifera root) and other herbs. It is traditionally used by breastfeeding mothers to support breast milk supply, and as a general tonic for tiredness and weakness after childbirth. Scientific evidence that it increases milk supply is limited.
How It Works
Shatavari and Vidarikand contain plant compounds called saponins and phytoestrogens, which are thought to influence the hormones involved in milk production, including prolactin. Ashwagandha is traditionally regarded as a restorative herb that helps the body cope with stress and fatigue. How strongly the combination affects milk supply has not been well established.
Dosage and Administration
Take as directed on the label or by a registered Ayurvedic practitioner, often with warm milk or water. Do not take more than the recommended amount. Herbal products work best alongside frequent breastfeeding, a good latch, enough fluids and food, and rest. If milk supply does not improve within one to two weeks, seek advice from a doctor or breastfeeding counsellor.
Interactions
Ashwagandha may add to the effect of sedatives and sleeping tablets, and may affect thyroid medicines such as Levothyroxine, medicines for diabetes, blood pressure medicines and medicines that suppress the immune system. Shatavari may have a mild water tablet (diuretic) effect. Tell your doctor or pharmacist about all medicines and herbal products you use.
Contraindications
- Allergy to asparagus, any of these herbs or any ingredient listed on the pack
- Pregnancy
- Hormone sensitive conditions such as breast cancer, unless a doctor advises it
- Overactive thyroid, unless a doctor advises it
- Autoimmune diseases, unless a doctor advises it
Side Effects
Most people tolerate it well. Possible effects include stomach upset, loose stools, nausea, drowsiness and allergic skin reactions. Rarely, products containing Ashwagandha have been linked to liver problems.
Get urgent medical help if you notice swelling of the face, lips or throat, difficulty breathing, a widespread rash, yellowing of the skin or eyes, dark urine, or severe stomach pain. Also seek prompt advice if your baby becomes unusually sleepy, unsettled, develops a rash or diarrhoea, or feeds poorly.
Pregnancy and Lactation
Do not use this product during pregnancy, as Ashwagandha may increase the risk of miscarriage. The product is intended for breastfeeding mothers, but the safety of these herbs for the nursing baby has not been fully studied. Use it only for a limited period, watch the baby for any changes, and ask a doctor if you are unsure.
Precautions and Warnings
Low milk supply is often due to infrequent feeding, poor latch or other causes that a doctor or breastfeeding counsellor can help with. Take advice before use if you have thyroid, liver or autoimmune disease, or diabetes. Stop it at least two weeks before planned surgery. Use only registered products from a reliable source.
Overdose
Taking too much may cause stomach upset, diarrhoea and drowsiness. If someone has taken much more than the recommended amount, or a child has swallowed the product, contact a doctor or go to the nearest hospital and take the pack with you.
Therapeutic Class
Ayurvedic herbal preparation (galactagogue, used to support breast milk supply).
Storage
Store below 30°C in a dry place, away from light and out of the reach of children. Keep the container tightly closed.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.