Indian Gooseberry Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Indian Gooseberry interacts with medications. The heart of this page is the interaction list — every drug Indian Gooseberry is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Indian Gooseberry is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Indian Gooseberry against your medication
Add one medicationIndian Gooseberry Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Indian Gooseberry drug interaction is moderate for people taking blood thinners or diabetes medications, and low for most others. None of the known interactions are rated major, and all of them trace back to two effects: a possible influence on blood clotting and a blood-sugar-lowering effect.
The combinations that deserve the most attention involve anticoagulant and antiplatelet drugs, including aspirin and clopidogrel. Human studies found that Indian gooseberry can reduce platelet clumping and lengthen bleeding and clotting times, although the research is conflicting, so the added bleeding risk is not fully established. Diabetes medications also matter: Indian gooseberry can lower blood glucose on its own, so combining the two could push blood sugar too low, and diabetes drug doses may need adjusting.
Although the number of medications involved sounds large, nearly all of them are simply individual blood thinners or diabetes drugs affected by the same two concerns. The supporting evidence comes from small human studies with mixed results, so a meaningful problem is not proven for every medication counted, but the potential effects are real enough to take seriously with these two groups.
Based on HelloPharmacist’s Indian Gooseberry interaction data and reviewed under our editorial standards.
Drugs that interact with Indian Gooseberry
208 medications have a known interaction with Indian Gooseberry, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Indian Gooseberry using our pharmacist-reviewed interaction data.
AI summaries are generated from our Indian Gooseberry interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Indian Gooseberry combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Indian Gooseberry affects
Every type of medication (drug category) Indian Gooseberry is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Anticoagulant/Antiplatelet Drugs
Theoretically, Indian gooseberry may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs; however, research is conflicting.
Clinical research shows that taking Indian gooseberry 500 mg as a single dose or twice daily for 10 days reduces platelet aggregation by about 24% to 36%, increases bleeding time by about 3.8-5.9 seconds, and increases clotting time by about 9.8-12.7 seconds when compared to baseline. However, taking Indian gooseberry 500 mg along with clopidogrel 75 mg or ecosprin 75 mg, as a single dose or for 10 days, does not significantly reduce platelet aggregation or increase bleeding time or clotting time when compared with clopidogrel 75 mg or ecosprin 75 mg alone. Until more is known, use caution when taking Indian gooseberry in combination with anticoagulant/antiplatelet drugs.
Antidiabetes Drugs
Taking Indian gooseberry with antidiabetes drugs might increase the risk of hypoglycemia.
Clinical research shows that taking Indian gooseberry fruit or fruit extract alone or in conjunction with antidiabetes medications can lower blood glucose levels. Dose adjustments to diabetes medications might be necessary.
Aspirin
Theoretically, Indian gooseberry may increase the risk of bleeding if used with aspirin; however, research is conflicting.
Clinical research shows that taking Indian gooseberry 500 mg as a single dose or twice daily for 10 days reduces platelet aggregation by about 24% to 36%, increases bleeding time by about 3.8-5.9 seconds, and increases clotting time by about 9.8-12.7 seconds when compared to baseline. However, taking a single dose of Indian gooseberry 500 mg along with ecosprin 75 mg, or taking a combination of Indian gooseberry 500 mg twice daily plus ecosprin 75 mg once daily for 10 days, does not significantly reduce platelet aggregation or increase bleeding time or clotting time when compared with ecosprin 75 mg alone.
Clopidogrel (Plavix)
Theoretically, Indian gooseberry may increase the risk of bleeding if used with clopidogrel; however, research is conflicting.
Clinical research shows that taking Indian gooseberry 500 mg as a single dose or twice daily for 10 days reduces platelet aggregation by about 24% to 36%, increases bleeding time by about 3.8-5.9 seconds, and increases clotting time by about 9.8-12.7 seconds when compared to baseline. However, taking a single dose of Indian gooseberry 500 mg along with clopidogrel 75 mg, or taking a combination of Indian gooseberry 500 mg twice daily plus clopidogrel 75 mg once daily for 10 days, does not significantly reduce platelet aggregation or increase bleeding time or clotting time when compared with clopidogrel 75 mg alone.
Indian Gooseberry: Uses, Safety & Side Effects
Indian gooseberry (amla) is a vitamin C-rich fruit used in Ayurvedic medicine for many purposes, from antioxidant support to cholesterol and digestion. Early research is promising for some uses like cholesterol, but most claims are not yet proven by strong human studies. It is generally well tolerated as a food, but talk to your pharmacist or doctor before taking concentrated supplements.

- Scientific name
- Phyllanthus emblica
- Family
- Phyllanthaceae
- Part used
- Fruit (sometimes seeds, leaves, and bark)
- Common forms
- Capsules, tablets, powder, juice, dried fruit, and extracts
- Antioxidant support
- Cholesterol and heart health
- Immune support
- Digestive health
- Skin and hair care
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated as a food, but supplement safety is less studied.
Insufficient reliable information available; avoid using.
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Indian gooseberry, often called amla or amalaki, comes from a small to medium tree (Phyllanthus emblica) that grows widely across India and parts of Southeast Asia. The fruit is small, round, and green, with a sour and somewhat bitter taste.
Amla has been used for centuries in traditional Ayurvedic medicine. It is one of the richest natural sources of vitamin C and contains many plant compounds thought to act as antioxidants.
Today, people take amla as juice, powder, dried fruit, or in capsules and tablets. Supplements are often made from extracts of the whole fruit.
How it works
Indian gooseberry is rich in vitamin C and contains plant compounds such as tannins, flavonoids, and polyphenols (including emblicanin and gallic acid). Many of these act as antioxidants, meaning they may help protect cells from a type of damage called oxidative stress.
Researchers believe these compounds may also affect cholesterol processing and reduce inflammation in the body. Some lab studies suggest amla may influence blood sugar and certain enzymes.
It is important to know that much of this is based on test-tube and animal research. The way amla behaves in a lab does not always match what happens in the human body.
Does Indian Gooseberry work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Possibly Effective Dyslipidemia
Oral Indian gooseberry seems to be beneficial for lowering low-density lipoprotein (LDL) cholesterol. It is unclear if oral Indian gooseberry is beneficial for improving levels of high-density lipoprotein (HDL) cholesterol and triglycerides.
Possibly Effective Gastroesophageal reflux disease (GERD)
Oral Indian gooseberry seems to be beneficial for reducing symptoms of GERD.
Also studied for 21 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Aging skin
Oral Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Androgenic alopecia
It is unclear if oral or topical Indian gooseberry is beneficial for androgenic alopecia.
Insufficient Reliable Evidence To Rate Cancer
Although there has been interest in using oral Indian gooseberry for cancer, there is insufficient reliable information about the clinical effects of Indian gooseberry for this purpose.
Insufficient Reliable Evidence To Rate Cardiovascular disease (CVD)
It is unclear if oral Indian gooseberry is beneficial for the prevention of CVD.
Insufficient Reliable Evidence To Rate Coronavirus disease 2019 (COVID-19)
It is unclear if oral Indian gooseberry is beneficial for the treatment of COVID-19 in hospitalized adults.
Insufficient Reliable Evidence To Rate Dental hypersensitivity
Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Diabetes
Several small or limited-quality clinical studies suggest that oral Indian gooseberry may modestly improve glycemic control and blood lipid levels in patients with type 2 diabetes.
Insufficient Reliable Evidence To Rate Gingivitis
Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Halitosis
It is unclear if oral Indian gooseberry is beneficial for halitosis.
Insufficient Reliable Evidence To Rate Hangover
It is unclear if oral Indian gooseberry is beneficial for hangover prevention.
Insufficient Reliable Evidence To Rate Hepatitis B
Although there has been interest in using oral Indian gooseberry for hepatitis B, there is insufficient reliable information about the clinical effects of Indian gooseberry for this purpose.
Insufficient Reliable Evidence To Rate Hypertension
It is unclear if oral Indian gooseberry is beneficial for hypertension.
Insufficient Reliable Evidence To Rate Impaired glucose tolerance (prediabetes)
Oral Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Metabolic syndrome
It is unclear if oral Indian gooseberry is beneficial for metabolic syndrome.
Insufficient Reliable Evidence To Rate Obesity
It is unclear if oral Indian gooseberry is beneficial for weight loss.
Insufficient Reliable Evidence To Rate Oral mucositis
It is unclear if oral Indian gooseberry is beneficial for the prevention or treatment of radiation-induced oral mucositis.
Insufficient Reliable Evidence To Rate Osteoarthritis
Oral Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Periodontitis
It is unclear if topical Indian gooseberry is beneficial for periodontitis.
Insufficient Reliable Evidence To Rate Tobacco and nicotine dependence
Oral Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Vitiligo
Oral Indian gooseberry has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
As a food, Indian gooseberry has a long history of use and is generally considered safe for most people. Concentrated supplements and extracts are less studied, so caution is reasonable.
Because amla may lower blood sugar, people with diabetes should monitor their levels closely. It may also have mild blood-thinning effects, so people with bleeding disorders or those scheduled for surgery should use caution and check with their healthcare provider.
Pregnancy and breastfeeding: There is not enough reliable safety information for supplement doses during pregnancy or breastfeeding. To be safe, it is best to avoid amla supplements during these times unless your doctor advises otherwise.
Always talk to a pharmacist or doctor before starting amla, especially if you have a health condition or take other medicines.
Side effects
Indian gooseberry is usually well tolerated when used in normal food amounts. Some people may notice mild side effects, especially with higher doses.
Possible side effects include upset stomach, diarrhea, or acid reflux because of its sour, acidic nature. Because amla may lower blood sugar, it could in theory cause low blood sugar in sensitive individuals.
Allergic reactions are uncommon but possible. Stop using it and seek medical care if you have signs of an allergy such as rash, swelling, or trouble breathing.
Indian Gooseberry: Reported Adverse Effects
Documented safety reports on Indian Gooseberry from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionDyspepsia Gastrointestinal
Orally, epigastric discomfort or dyspepsia have been reported by up to four individuals in clinical trials.
- Shanmugarajan D, Girish C, Harivenkatesh N, Chanaveerappa B, Prasanna Lakshmi NC. Antihypertensive and pleiotropic effects of Phyllanthus emblica extract as an add-on therapy in patients with essential hypertension-A randomized double-blind placebo-contro
- Usharani P, Fatima N, Muralidhar N. Effects of Phyllanthus emblica extract on endothelial dysfunction and biomarkers of oxidative stress in patients with type 2 diabetes mellitus: a randomized, double-blind, controlled study. Diabetes Metab Syndr Obes. 20
Fatigue Neurologic/CNS
Orally, fatigue has been reported by one individual in a clinical trial.
Pain Musculoskeletal
Orally, musculoskeletal pain has been reported by three individuals in a clinical trial.
Pruritus Dermatologic
Orally, itching has been reported by one individual in a clinical trial.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no official, standardized dose of Indian gooseberry. The right amount depends on the product, whether it is a juice, powder, or extract, and how concentrated it is.
Because doses vary so much between products, the safest approach is to follow the directions on the product label. Do not assume more is better.
Check with your pharmacist or doctor before starting amla, especially if you take other medicines or have a health condition. They can help you decide whether it is appropriate for you.
Indian Gooseberry & Pregnancy
Indian Gooseberry & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 6 references that drive our Indian Gooseberry monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Sabu, M. C. and Kuttan, R. Anti-diabetic activity of medicinal plants and its relationship with their antioxidant property. J Ethnopharmacol. 2002;81(2):155-160. PubMed
- Fatima N, Pingali U, Muralidhar N. Study of pharmacodynamic interaction of Phyllanthus emblica extract with clopidogrel and ecosprin in patients with type II diabetes mellitus. Phytomedicine. 2014;21(5):579-85. PubMed
- Shanmugarajan D, Girish C, Harivenkatesh N, Chanaveerappa B, Prasanna Lakshmi NC. Antihypertensive and pleiotropic effects of Phyllanthus emblica extract as an add-on therapy in patients with essential hypertension-A randomized double-blind placebo-contro
- Akhtar MS, Ramzan A, Ali A, Ahmad M. Effect of amla fruit (Emblica officinalis Gaertn.) on blood glucose and lipid profile of normal subjects and type 2 diabetic patients. Int J Food Sci Nutr. 2011;62(6):609-16.
- Usharani P, Fatima N, Muralidhar N. Effects of Phyllanthus emblica extract on endothelial dysfunction and biomarkers of oxidative stress in patients with type 2 diabetes mellitus: a randomized, double-blind, controlled study. Diabetes Metab Syndr Obes. 20 PubMed
- Majeed M, Mundkur L, Paulose S, Nagabhushanam K. Novel Emblica officinalis extract containing ß-glucogallin vs. metformin: a randomized, open-label, comparative efficacy study in newly diagnosed type 2 diabetes mellitus patients with dyslipidemia. Food Fu
This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Brands that make products with Indian Gooseberry
399 brands in our database make a supplement containing Indian Gooseberry.
Supplement products with Indian Gooseberry
2,318 products in our database contain Indian Gooseberry. Open any to see its full ingredient list and every drug interaction we check.
Indian Gooseberry: Common Questions
What is Indian Gooseberry used for, and does it work?
Does Indian Gooseberry interact with prescription medications?
How are Indian Gooseberry interactions rated?
Is it safe to take Indian Gooseberry with my medications?
Where does this Indian Gooseberry interaction information come from?
What is Indian Gooseberry (amla) used for?
Is Indian Gooseberry safe to take?
Can I take amla while pregnant or breastfeeding?
Does amla really lower cholesterol?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Indian Gooseberry
A rotating sample of real supplements in our database that list Indian Gooseberry — open any to see its full ingredients and every drug interaction we check.
- Pure Food Men's 50+ Multivitamin & Mineral by Natural Factors Whole Earth & Sea
- Clean & Lean Recovery Shake Chocolate by Lyfe Fuel
- Child Ease by InfoWars Life
- Amla Extract (40% Tannins) by BulkSupplements.com
- Veda Balance Gut by Prajna Ayurveda
- Yogaraj Guggul by Harmony Nutraceuticals
- Source of Life Gold Tablets by Natures Plus
- Mullein Rasayana - 2 by Ayurvedic Rasayanas
- Protein & Greens Vanilla Flavor by Paradise
- Triphala by BulkSupplements.com
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