Avoid in individuals with a known allergy or hypersensitivity to Indian bael.

In general, there is a lack of available safety reports on Indian bael. Based on traditional use, Indian bael may be safe when used in the traditional manner and the fresh, ripe fruit is taken by mouth, or when preparations of the pulp are taken in a drink (e.g., nectar, squash) or jam. Avoid dosages that exceed those used in traditional medicine.

Although not well studied in humans, large quantities of Indian bael may result in digestive complaints and constipation. It may also lower blood sugar. Patients taking thyroid hormones, herbs for thyroid disorders, or herbs that may exacerbate or induce hyperthyroidism, should use caution.

Indian bael is not recommended in pregnant or breastfeeding women due to a lack of available scientific evidence. Indian bael leaves have been traditionally used to induce abortion and to sterilize women.

There is no proven safe or effective dose for bael fruit. Traditionally, individuals have taken 2-12 grams of the fruit powder, 28-56 milliliters of a bael decoction, or 12-20 milliliters of an infusion by mouth.

There is no proven safe or effective dose for bael fruit for children, and use is not recommended.

Indian bael, as extracts of the leaves or seeds, may lower blood sugar levels. Caution is advised when using medications that may also lower blood sugar. Patients taking drugs for diabetes by mouth or insulin should be monitored closely by a qualified healthcare professional, including a pharmacist. Medication adjustments may be necessary.

Although not well studied in humans, Indian bael may interact with thyroid hormones or anti-thyroid drugs. Caution is advised.

Indian bael, as extracts of the leaves or seeds, may lower blood sugar levels. Caution is advised when using herbs or supplements that may also lower blood sugar. Blood glucose levels may require monitoring, and doses may need adjustment.

Although not well studied in humans, Indian bael may interact with thyroid extracts or anti-thyroid herbs or supplements. Caution is advised.