Amla:

• Hypoglycemia: May lower blood sugar—use caution in diabetics on medication.
• Excessive coldness: Can aggravate Vata in excess due to its cooling, sour nature—combine with warming herbs for balance.
• Pregnancy: Generally safe in moderation.

Neem:

• Pregnancy & fertility: Contraindicated in pregnancy; may have anti-fertility effects.
• Children: Not recommended for prolonged internal use in small children.
• Excess Vata: May aggravate Vata causing dryness or anxiety.

Turmeric:

• Gallbladder issues: Avoid if gallstones or bile duct obstruction present.
• High doses in pregnancy: Avoid large amounts internally. Culinary use generally safe.
• Bleeding disorders: Use caution due to blood-thinning properties.

Black Pepper:

• May cause irritation in sensitive individuals or aggravate acid reflux.
• Use cautiously with bleeding disorders.

Manjistha:

• Pregnancy & breastfeeding: Avoid internally due to lack of safety data.
• Cold conditions & constipation: May worsen dryness/sluggish digestion in Vata types unless balanced.
• Low blood pressure: Monitor if prone to hypotension.

Gotu Kola:

• Sedation/drowsiness: May cause drowsiness—avoid combining with strong sedatives or before driving.
• Pregnancy: Use with caution; topical use is safer.
• Liver disease: Monitor liver function in high doses or long-term use.