Amla
Amla, also called Indian gooseberry, is the fruit of Phyllanthus emblica. It contains vitamin C and polyphenols, including tannins.
Also listed as Phyllanthus Emblica, Anwala, Indian Gooseberry, Emblica Officinalis
What do the safety studies cover?
Short lipid trials reported mainly mild problems, including indigestion, and did not provide long-term follow-up. The healthy-volunteer trial excluded pregnancy, breastfeeding and serious kidney or liver disease, so its reassuring findings do not settle safety in those groups. 1 2
Blood thinners and diabetes medicines
In a small study of 10 people with type 2 diabetes, amla extract affected platelet aggregation and prolonged bleeding and clotting times. Aspirin and clopidogrel combinations were also studied; actual clinical bleeding risk was not established. This is a reason to review the combination with the prescribing clinician. 3
Other situations that deserve a medication review
A cardiovascular review advises caution with glucose-lowering medicines because amla may add to their effect. Memorial Sloan Kettering also flags possible interference with chemotherapy or radiation through antioxidant activity; cancer treatment is a setting for discussion with the oncology team. 4 5
For information, not individual medical advice. Ingredient studies do not establish the effectiveness of these products.