Jorvan

Indications

Jogaraj Guggulu (also spelled Yogaraj Guggulu) is a classical Ayurvedic tablet made mainly from guggul, a gum resin from the Commiphora wightii tree, combined with a number of other herbs. It is traditionally used for joint pain and stiffness, rheumatic complaints, arthritis, gout, muscle aches and back pain, and as a digestive support. Scientific evidence for these uses is limited, and it should not replace medical assessment or treatment for arthritis or ongoing joint pain.

How It Works

Guggul contains substances called guggulsterones. Laboratory and small human studies suggest these may have mild anti-inflammatory effects and may affect blood fats. The other herbs in the formula, such as ginger family plants, black pepper and triphala fruits, are traditionally believed to aid digestion and help the body absorb the resin. How the whole combination works in people has not been well studied.

Dosage and Administration

Take as directed on the label or by a registered Ayurvedic practitioner, usually after meals with warm water. Do not take more than the recommended amount and do not use it for long periods without advice. If joint pain, swelling or stiffness continues, see a doctor.

Interactions

Guggul may reduce the levels of Propranolol and Diltiazem in the blood, making them less effective. It may affect thyroid hormone levels and so interfere with Levothyroxine or medicines for an overactive thyroid. It may add to the effect of medicines that slow blood clotting, such as Warfarin, Aspirin or Clopidogrel, and may interact with hormone medicines such as oral contraceptives. Tell your doctor or pharmacist about all medicines and herbal products you use.

Contraindications

• Allergy to guggul or any ingredient listed on the pack
• Pregnancy and breastfeeding
• Bleeding disorders, unless a doctor advises it
• Hormone sensitive conditions such as breast or womb cancer, endometriosis or fibroids
• Children, unless advised by a practitioner

Side Effects

Possible side effects include stomach upset, nausea, loose stools, headache, hiccups and skin rash or itching. Some people have had allergic skin reactions to guggul.

Get urgent medical help if you notice swelling of the face, lips or throat, difficulty breathing, a widespread or blistering rash, unusual bleeding or bruising, or yellowing of the skin or eyes.

Pregnancy and Lactation

Guggul has traditionally been thought to stimulate the womb and menstrual flow, so do not use it during pregnancy. Its safety during breastfeeding is not known; avoid it while breastfeeding.

Precautions and Warnings

Take advice before use if you have thyroid disease, liver disease, inflammatory bowel disease or diarrhoea. Stop taking it at least two weeks before planned surgery. Some Ayurvedic products have been found to contain heavy metals; use only registered products from a reliable source. Hot, red, swollen joints with fever need prompt medical attention.

Overdose

Taking too much may cause stomach upset, diarrhoea and other unwanted effects. If someone has taken much more than the recommended amount, or a child has swallowed the tablets, contact a doctor or go to the nearest hospital and take the pack with you.

Therapeutic Class

Ayurvedic herbal preparation (traditional remedy for joint and muscle pain).

Storage

Store below 30°C in a dry place, away from light and out of the reach of children. Keep the container tightly closed.