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Tribulus Terrestris Side Effects & Safety

This content is for informational purposes only and does not constitute medical advice. Consult your healthcare provider before starting any supplement. Full disclaimer

Safety Profile

Overall safety rating: Generally Safe

Potential Side Effects

  • Mild GI discomfort (stomach upset, cramping) — usually transient
  • Sleep disturbances (insomnia) reported occasionally
  • Rare case reports of elevated liver enzymes with prolonged high-dose use
  • Theoretical concern: may worsen BPH symptoms in susceptible individuals

Drug & Supplement Interactions

  • Blood pressure medications — tribulus may have mild hypotensive effects; monitor if combining
  • Diabetes medications — some animal studies suggest hypoglycemic effects; monitor blood glucose
  • Lithium — tribulus has diuretic properties that could affect lithium clearance; consult psychiatrist
  • Hormone-sensitive conditions — avoid with hormone-sensitive cancers until more data is available

Maximum Dose

Do not exceed: 1500mg daily has been used in studies without significant adverse effects

References

  1. (). Evaluation of the efficacy and safety of Tribulus terrestris in male sexual dysfunction — a prospective, randomized, double-blind, placebo-controlled clinical trial. Maturitas. DOI
  2. (). A systematic review on the herbal extract Tribulus terrestris and the roots of its putative aphrodisiac and performance enhancing effect. Journal of Dietary Supplements. DOI
  3. (). The effect of five weeks of Tribulus terrestris supplementation on muscle strength and body composition during preseason training in elite rugby league players. Journal of Strength and Conditioning Research. DOI