As with all medications, gotu kola can cause side effects. Mild side effects include nausea, headache, dizziness, and drowsiness. Topical use can trigger allergic skin reactions or a burning sensation in some people. High doses of gotu kola extract may damage the liver, especially in combination with other medications. People with liver damage should not take gotu kola, and the herb is not recommended for anyone with a history of cancerous skin lesions. Always discuss natural supplements with a doctor before adding them to your regimine.

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