Pregnancy Use

Not to be used in pregnancy.

PRACTICE POINTS/PATIENT COUNSELLING

• Tribulus has been used traditionally in various parts of the world to treat colicky spasms, diarrhoea, cardiovascular disease, various kidney disorders, including kidney stones, and as an insect repellent.

• Tribulus has not undergone significant clinical testing, so much information is speculative and based on animal and test tube studies.

• Popular as an aphrodisiac, some research suggests that it increases levels of DHEA, testosterone and NO release, providing a theoretical basis for this activity. Until controlled studies are available, it is uncertain whether these effects are clinically significant.

• Tribulus is also popular amongst athletes as an ergogenic aid, although large controlled studies of efficacy are lacking.

ANSWERS TO PATIENTS' FREQUENTLY ASKED QUESTIONS

What will this herb do for me?

Preliminary research suggests that this herb increases androgen levels and improves sexual function, but human studies are not available to confirm these effects. When will it start to work? This is unknown. Are there any safety issues?

Pregnant and lactating women and peoplewith androgen-sensitive tumours should avoid use.

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