Supplement × Supplement·a caution·Emerging evidence

Ashwagandha + Gotu Kola

Caution Emerging evidence

Both are calming botanicals that may have additive sedative and central nervous system depressant effects, and both have isolated case reports linking them to liver injury. Combining them can amplify drowsiness and adds to cumulative hepatic monitoring concerns.

From the database

What the row says.

Every entry follows the same shape: what is happening, the mechanism, and the recommendation.

Substances
Pair type
Caution
Evidence
Emerging
Source citations
1
Scope
Supplement × Supplement
Last verified
June 4, 2026
CautionEmerging evidence

What is happening. Both are calming botanicals that may have additive sedative and central nervous system depressant effects, and both have isolated case reports linking them to liver injury. Combining them can amplify drowsiness and adds to cumulative hepatic monitoring concerns.

Mechanism. Gotu kola may exert mild GABAergic, sedating effects; ashwagandha has anxiolytic and sedative properties. Both have rare hepatotoxicity case reports, so concurrent use raises additive CNS depression and shared liver-monitoring considerations.

Recommendation. Start low, watch for excess sedation especially if also using sleep aids or alcohol, and limit duration of combined use. Avoid before driving until individual response is known. Monitor for any signs of liver dysfunction.

Stack Score

How it moves the number.

Effect on the composite score

If both Ashwagandha and Gotu Kola are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1Brinker F. Herbal Contraindications and Drug Interactions. 4th ed. Eclectic Medical Publications. 2010.Needs sourceNo link

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