Puncturevine Fruit — Safety & Interactions
Ci Ji Li · Fructus Tribuli
Contraindicated / High risk. Use only under practitioner supervision.
Contraindications
- Pregnancy
- Use without supervision in hormone-sensitive or prostate-related conditions
- Marked deficiency patterns without clear Liver wind, Liver yang, or qi stagnation features
Cautions
- MSK reports gastrointestinal irritation as well as case reports of severe liver, kidney, neurologic toxicities, and priapism with Tribulus use.
- Commercial sports and libido supplements are not equivalent to traditional processed decoction fruit and may deliver much higher exposures.
- Due to potential hormonal activity, prostate-cancer patients are advised by MSK to consult their physicians before using Tribulus.
Drug Interactions
| Drug Class / Substrate | Mechanism | Severity | Source |
|---|---|---|---|
| Diuretics - Tribulus may increase diuretic effects | |||
| Antihypertensive drugs - Tribulus may have additive blood-pressure-lowering effects | |||
| Antidiabetics - Tribulus may have additive blood-sugar-lowering effects | |||
| Clopidogrel - an herbal formula containing Tribulus has been associated with stent thrombosis | |||
Pregnancy
Not recommended during pregnancy. Consult a qualified practitioner before any use.
This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before using herbal medicines, especially if you take prescription medications.