Herb & supplement monograph

Kamala Drug Interactions, Uses, Safety & More

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Interaction report

Drugs that interact with Kamala

0 medications have a known interaction with Kamala, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Kamala. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

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 Kamala combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Kamala: Uses, Safety & Side Effects

The bottom line

Kamala is a red powder from the fruit of the Mallotus philippensis tree, used in traditional medicine mainly to expel intestinal worms and as a dye. Modern human evidence for its safety and effectiveness is very limited, and it can cause significant digestive upset, so it should only be used under professional guidance, if at all.

Scientific name
Mallotus philippensis
Family
Euphorbiaceae
Part used
Red powder (glands and hairs) from the surface of the fruit; sometimes bark and leaves
Common forms
Powder, capsules, traditional preparations; also used historically as a dye
People commonly use it for
  • Intestinal worms (especially tapeworm)
  • Skin conditions and parasites
  • Constipation/laxative effect
  • Wound care (traditional)
  • Use as a natural orange-red dye

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Limited modern safety data and a known tendency to cause strong digestive effects.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Kamala is a bright red or orange-red powder collected from the surface of the fruit of the Mallotus philippensis tree, which belongs to the spurge family (Euphorbiaceae). The tree grows widely across South and Southeast Asia, Australia, and parts of Africa.

For centuries the powder has been used in traditional medicine systems, including Ayurveda, mostly to help expel intestinal worms. It has also been used to treat certain skin problems and as a natural dye for silk and wool because of its strong color.

Today Kamala is much less common than mainstream antiparasite medicines, but it may still appear in some traditional or herbal products.

Uses & effectiveness

The most well-known traditional use of Kamala is as a worm-expelling (anthelmintic) remedy, particularly against tapeworms. Older texts describe it as a purgative that helps remove worms from the gut.

It has also been used traditionally for skin conditions, parasites, wounds, and as a laxative. As a dye, it has a long history of giving fabrics an orange-red color.

It is important to be honest about the evidence: high-quality human studies are lacking for nearly all of these uses. Much of what is known comes from traditional practice, laboratory tests, and animal research. This means we cannot say Kamala is proven safe or effective by modern standards, and safer, better-studied treatments exist for worms and other conditions.

How it works

Kamala contains plant compounds such as rottlerin (also called mallotoxin) and related substances found in the red powder of the fruit. In laboratory studies, these compounds have shown activity against parasites and certain microbes, and rottlerin has been studied for various biological effects in cells.

The powder is also thought to act as a strong laxative, which may help physically clear worms from the intestines. Most of this information comes from test-tube and animal research, not from well-controlled human trials, so the exact way it works in people is not firmly established.

Safety & precautions

Kamala has not been well studied for safety in modern clinical settings. Because it acts as a purgative, it can cause significant cramping, diarrhea, and fluid loss. People who are frail, dehydrated, or who have digestive disease should be especially careful.

Pregnancy: Kamala has traditionally been used to stimulate the uterus and as a strong laxative, so it should be avoided during pregnancy.

Breastfeeding: There is no reliable safety information for nursing mothers or infants, so it is best avoided while breastfeeding.

Quality and purity of herbal products can vary widely, and products may be contaminated or mislabeled. Always talk with a pharmacist or doctor before using Kamala, and do not use it as a substitute for proven treatment of parasitic infections.

Side effects

The most expected side effects relate to its strong action on the gut, including nausea, vomiting, abdominal cramping, and diarrhea. Heavy purging can lead to dehydration and loss of important electrolytes.

Because reliable human safety data are limited, the full range of possible side effects is not well known. Allergic reactions are possible with any plant product. Stop use and seek medical care if you have severe stomach pain, persistent vomiting, signs of dehydration, or any serious reaction.

Dosing

There is no well-established, standardized dose of Kamala supported by modern clinical research. Traditional amounts vary and were often given by experienced practitioners as part of specific preparations.

If you are considering a product that contains Kamala, follow the directions on the label and check with a pharmacist or doctor first. Do not exceed the recommended amount, and avoid using it for self-treatment of worm infections without medical guidance, since safer and better-studied options are available.

Pregnancy & Breastfeeding

Kamala & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Kamala & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

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

Brand directory

Brands that make products with Kamala

3 brands in our database make a supplement containing Kamala.

Pharmacist Counseling Corner

Kamala: Common Questions

Does Kamala interact with prescription medications?
We do not currently list any known drug interactions for Kamala. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Kamala interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Kamala with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Kamala interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Kamala used for?
It has been used in traditional medicine mainly to expel intestinal worms, and also for skin conditions and as a laxative. It is also used as a natural orange-red dye for fabrics.
Is Kamala safe to take?
There is very little modern safety data, and it can cause strong digestive effects like cramping and diarrhea. It should only be used with guidance from a pharmacist or doctor, if at all.
Can I use Kamala during pregnancy or breastfeeding?
No. It has traditionally been used to stimulate the uterus and acts as a strong laxative, so it should be avoided in pregnancy and while breastfeeding.
Is Kamala a good treatment for worms today?
Modern, well-studied anti-parasite medicines are safer and more reliable. Talk to a healthcare provider for proper diagnosis and treatment rather than self-treating with Kamala.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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