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Adverse Effects and Drug Interactions

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No adverse effects have been reported. Theoretically, banaba may cause blood glucose to be excessively lowered when combined with drugs that can cause hypoglycemia, such as sulfonylureas, or with CAM supplements that have hypoglycemic activity (Gymnema sylvestre, American ginseng, etc.). Doses of these medications or CAM supplements may have to be adjusted to prevent excessive lowering of blood glucose.

Complementary and Alternative Medicine (CAM) Supplement Use in People with Diabetes: A Clinician's Guide

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