Tormentil Dosing and Safety

safety

Allergies

Avoid with known allergy or hypersensitivity to tormentil, its constituents, or other members of the rose family.

Side Effects and Warnings

Tormentil appears to be safe when used in doses and durations described in currently available studies. Mild abdominal pain has been reported.
Tormentil may lower blood sugar levels. Caution is advised in people with diabetes or hypoglycemia and in those taking drugs, herbs, or supplements that affect blood sugar. Blood glucose levels may need to be monitored by a qualified healthcare professional, including a pharmacist. Medication adjustments may be necessary.
Tormentil may alter bleeding risk. Caution is advised in people with bleeding disorders or those taking drugs that may affect bleeding. Dosing adjustments may be necessary.
Use cautiously in pregnant or lactating women, due to a lack of sufficient data.
Avoid with known allergy or hypersensitivity to tormentil, its constituents, or other members of the rose family.

Pregnancy and Breastfeeding

There is currently a lack of high-quality scientific data on the use of tormentil during pregnancy or lactation.

dosing

Adults (18 years and older)

There is little available dosing information from high-quality studies for use of tormentil alone. Tormentil has been taken by mouth as a tea, extract (powdered, liquid, or alcohol), or capsules, and has also been used in combination with other herbs or therapies. It has also been applied to the skin and used as a gargle.
For ulcerative colitis, tormentil capsules (containing 200 milligrams of tormentil extract) have been taken by mouth in daily doses of 1,200 milligrams (three times 400 milligrams), 1,800 milligrams (three times 600 milligrams), 2,400 milligrams (three times 800 milligrams) and 3,000 milligrams (three times 1,000 milligrams) for three weeks.

Children (under 18 years old)

Overall, the available evidence is insufficient for use of tormentil before 18 years of age. For diarrhea caused by rotavirus, three drops of tormentil root extract per year of life has been given by mouth three times daily until discontinuation of diarrhea or after five days. Quicklyte® (sodium chloride, potassium chloride, sodium citrate, glucose, tormentil root dry extract) has also been given by mouth. Children with diarrhea are advised to consult with a pediatrician before using tormentil.

interactions

Interactions with Drugs

Tormentil may lower blood sugar levels. Caution is advised when using medications that may also lower blood sugar. People taking insulin or drugs for diabetes by mouth should be monitored closely by a qualified healthcare professional, including a pharmacist. Medication adjustments may be necessary.
Tormentil may alter the risk of bleeding when taken with drugs that affect bleeding. Some examples include aspirin, anticoagulants (blood thinners) such as warfarin (Coumadin®) or heparin, antiplatelet drugs such as clopidogrel (Plavix®), and nonsteroidal anti-inflammatory drugs such as ibuprofen (Motrin®, Advil®) or naproxen (Naprosyn®, Aleve®).
Tormentil may also interact with agents that affect the liver, agents that are toxic to cells, agents used for the lungs, agents used for the stomach, agglutinating agents, antibiotics, antielastase agents, anti-inflammatories, antivirals, growth-promoting agents, or hydrocortisone.

Interactions with Herbs and Dietary Supplements

Tormentil 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.
Tormentil may alter the risk of bleeding when taken with herbs and supplements that are believed to affect bleeding. Multiple cases of bleeding have been reported with the use of Ginkgo biloba, and fewer cases with garlic and saw palmetto. Numerous other agents may theoretically increase the risk of bleeding, although this has not been proven in most cases.
Tormentil may also interact with agglutinating herbs or supplements, antibacterials, antielastase herbs or supplements, anti-inflammatories, antioxidants, antivirals, growth-promoting herbs or supplements, herbs or supplements that affect the liver, herbs or supplements that are toxic to cells, herbs or supplements used for the lungs, herbs or supplements used for the stomach, or hydrocortisone.