Skip to content

Who should avoid taking shilajit? A comprehensive guide to safety and contraindications

5 min read

The U.S. Food and Drug Administration (FDA) does not strictly regulate dietary supplements like shilajit, making it crucial to understand who should avoid taking shilajit before considering its use. While promoted for various health benefits, for certain individuals, this ancient substance may pose significant health risks.

Quick Summary

Individuals with autoimmune disorders, certain blood conditions, heart issues, or low blood pressure should avoid shilajit. It is also not recommended for pregnant or breastfeeding women, children, or those taking specific medications due to safety concerns and potential interactions.

Key Points

  • Consult a Healthcare Provider: Always discuss shilajit with a doctor before use, especially if you have existing health conditions or take medication.

  • Avoid During Pregnancy and Breastfeeding: The safety of shilajit for pregnant or nursing women is not established, and it should be avoided.

  • Do Not Use with Certain Blood Disorders: Individuals with hemochromatosis, sickle cell anemia, or thalassemia should avoid shilajit due to its high iron content.

  • Cautious with Heart and Blood Pressure Conditions: People with low blood pressure or those on blood pressure medication are at risk of dangerously low blood pressure levels.

  • Beware of Contaminants: Unpurified shilajit can contain toxic heavy metals and other harmful contaminants; only use purified products from reputable, third-party-tested sources.

  • Monitor for Allergic Reactions: Stop taking shilajit immediately if you develop a rash, increased heart rate, or dizziness.

  • Not for Autoimmune Disorders: The immune-modulating effects of shilajit may exacerbate symptoms in individuals with conditions like lupus or RA.

In This Article

Understanding Shilajit's Safety

Shilajit is a sticky, tar-like substance found in mountainous regions, formed by the decomposition of plant matter over centuries. Used for thousands of years in Ayurvedic medicine, it is purported to offer benefits ranging from increased energy to enhanced cognitive function. However, unlike pharmaceutical drugs, shilajit and other dietary supplements are not strictly monitored by the FDA for quality, purity, or safety. This lack of regulation, combined with shilajit's active compounds and potential contaminants, necessitates a careful approach, especially for individuals with certain health conditions.

Key Groups Who Should Avoid Shilajit

Individuals with Blood Disorders

Shilajit contains high levels of iron, which can be dangerous for individuals with blood disorders that involve iron regulation. Conditions that require avoiding shilajit include:

  • Hemochromatosis (Iron Overload): A genetic disorder that causes the body to absorb too much iron. Shilajit's iron content can worsen this condition and lead to serious health complications.
  • Sickle Cell Anemia: Shilajit is contraindicated for those with this blood disorder, as its effects on blood cells are not fully understood and may exacerbate the condition.
  • Thalassemia: Like hemochromatosis, this inherited blood disorder involves improper hemoglobin production, and excess iron from shilajit could be harmful.

Pregnant and Breastfeeding Women

Due to a significant lack of research on shilajit's effects during pregnancy and lactation, it is strongly advised that women who are pregnant, breastfeeding, or trying to conceive avoid this supplement. The potential risks to both the mother and developing child from contaminants and unknown hormonal impacts outweigh any potential, unproven benefits.

People with Autoimmune Disorders

Some research suggests that shilajit may modulate or stimulate the immune system. For individuals with autoimmune disorders such as lupus, rheumatoid arthritis (RA), or multiple sclerosis (MS), this effect could be detrimental and potentially worsen their condition.

Those with Heart Conditions and Blood Pressure Issues

Shilajit has been shown to have blood pressure-lowering (hypotensive) effects. This is a concern for several groups:

  • Individuals with Low Blood Pressure (Hypotension): Taking shilajit could cause blood pressure to drop dangerously low, leading to dizziness, fainting, or shock.
  • Individuals on Blood Pressure Medications: The combination of shilajit with antihypertensive drugs could lead to a synergistic effect, causing blood pressure to fall excessively.
  • People with Active Heart Disease: Taking shilajit with active heart disease is not recommended due to its effect on heart function and potential interactions with related medications.

Diabetics on Medication

Shilajit can lower blood sugar levels. This poses a risk for individuals with diabetes, especially those taking anti-diabetic medications like insulin or metformin. The combination can lead to hypoglycemia (dangerously low blood sugar), which can cause shakiness, confusion, and fatigue.

Other Concerns: Children, Allergies, and Kidney Issues

  • Children and the Elderly: There is a lack of safety information for these age groups, and shilajit is not recommended for children due to insufficient research.
  • Allergies: Some individuals may experience an allergic reaction to shilajit, with symptoms such as rashes, itching, or swelling.
  • Kidney Conditions: High doses or impure shilajit can strain the kidneys, potentially worsening existing kidney conditions or increasing the risk of kidney stones.

Comparison of Safe vs. Unsafe Shilajit Consumption

Aspect High-Quality, Purified Shilajit Unpurified, Low-Quality Shilajit
Source Reputable supplier with transparent sourcing and manufacturing. Unknown or unregulated origin, often from online marketplaces with no quality control.
Purity Lab-tested and certified free from heavy metals (lead, mercury, arsenic), fungus, and free radicals. High risk of contamination with toxic heavy metals, fungal organisms, and other impurities.
Regulation While not FDA-regulated, suppliers often use third-party testing to ensure quality and safety. Not monitored by any regulatory body, high variation in composition and potency.
Medical Consultation Recommended to consult a healthcare provider, even with high-quality products. Urgent medical consultation needed to assess risks, but avoidance is the safest choice.
Side Effects Mild side effects like stomach upset, headaches, or dizziness are possible. Severe side effects including poisoning, organ damage, and dangerous interactions.
Safety Profile Generally considered safe for most healthy adults within recommended doses for short periods. Highly unsafe for human consumption due to toxic contaminants.

The Dangers of Unpurified Shilajit

One of the most critical risks associated with shilajit is the consumption of unpurified products. Due to its geological origins, raw shilajit can naturally contain a range of harmful substances, including heavy metals like lead, mercury, and arsenic. These toxins can accumulate in the body over time, leading to heavy metal poisoning and other severe health problems. Additionally, raw shilajit may be contaminated with microbes such as bacteria and fungi.

Since the supplement industry is not heavily regulated, consumers must rely on manufacturers' claims about purification and third-party testing. A lack of transparent sourcing and testing can lead to unknowingly consuming a harmful product. Always look for products that have been tested by independent labs and provide a certificate of analysis (COA) to confirm their purity.

Potential Drug Interactions

In addition to medical conditions, shilajit can interact with certain medications, altering their effectiveness or causing adverse side effects.

  • Diabetes Medications: As mentioned, shilajit can lower blood sugar, increasing the risk of hypoglycemia when combined with anti-diabetic drugs.
  • Blood Pressure Medications: Due to its hypotensive effects, shilajit can amplify the action of antihypertensive drugs, potentially causing blood pressure to drop too low.
  • Blood Thinners (Anticoagulants): Shilajit may have mild anticoagulant properties, potentially increasing the risk of bleeding in individuals taking blood thinners like warfarin.
  • Immunosuppressants: Individuals on immune-suppressing medications, such as those after an organ transplant, should avoid shilajit due to its potential to stimulate the immune system.
  • Thyroid Medications: Shilajit may affect thyroid hormone regulation, which could interfere with thyroid medications.

Consulting a healthcare provider is essential to determine if shilajit is safe to take alongside your current medication regimen.

Conclusion: Prioritize Safety Before Supplementing

While shilajit is celebrated in traditional medicine, it is not a suitable supplement for everyone. Individuals with blood disorders like hemochromatosis, autoimmune diseases, low blood pressure, or active heart conditions should avoid it. The supplement is also contraindicated for pregnant and breastfeeding women, children, and those on specific medications for diabetes, blood pressure, and immune suppression. The risk of heavy metal contamination in unpurified products is a serious concern, emphasizing the need for consumers to choose high-quality, independently tested shilajit from reputable suppliers. Prioritizing safety through informed decision-making and consulting a healthcare professional is paramount when considering any herbal supplement.

Authoritative Outbound Link

For a detailed overview of shilajit and its potential interactions with medications, refer to the information provided by the National Institutes of Health via their PMC website: Shilajit: A Natural Phytocomplex with Potential Procognitive Activity

Frequently Asked Questions

Many people can take purified shilajit daily within the recommended dosage, typically 250 to 500 mg, for short periods. However, long-term safety is not well-studied, and it is best to take breaks after a few months and consult with a healthcare professional.

Common side effects can include gastrointestinal discomfort such as nausea or diarrhea, headaches, dizziness, and allergic reactions like rashes. Some people might experience lowered blood pressure.

Yes, some studies indicate that shilajit may have a hypotensive or blood pressure-lowering effect. This is a significant risk for individuals with low blood pressure or those already on blood pressure medication, as it could cause an unsafe drop in blood pressure.

Diabetics on medication should avoid shilajit or use it with extreme caution and under strict medical supervision. Shilajit can lower blood sugar, and combining it with diabetes medications could lead to dangerously low blood sugar levels (hypoglycemia).

Shilajit can interact with certain medications, including those for blood pressure, diabetes, blood thinners, and immunosuppressants. It is crucial to consult a healthcare provider before combining shilajit with any other medicines to avoid potential interactions and adverse effects.

Unpurified or raw shilajit is dangerous because it can contain harmful contaminants like toxic heavy metals (lead, mercury, arsenic), fungus, and free radicals. Consuming these contaminants can lead to heavy metal poisoning and other severe health issues.

If you experience any signs of an allergic reaction, such as a rash, hives, itching, or swelling, you should stop taking shilajit immediately and seek medical attention. Increased heart rate and dizziness can also be symptoms of an adverse reaction.

The safety of shilajit for children and older adults has not been well-studied, so it is generally not recommended for these age groups. It is best to avoid use in children entirely and for older adults to consult a doctor before starting.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.