Boswellia should not be taken by the following groups of people:
- Pregnant or breastfeeding individuals: Boswellia may stimulate blood flow in the uterus and pelvis, potentially causing miscarriage or complications during pregnancy, and its safety during breastfeeding is not well established.
- People with autoimmune diseases (such as multiple sclerosis, lupus, rheumatoid arthritis): Boswellia might stimulate the immune system and worsen symptoms of these conditions.
- Individuals taking certain medications, especially those metabolized by the liver, immunosuppressants, blood thinners (like warfarin), or NSAIDs, as Boswellia can interact and enhance effects or side effects, increasing risks like bleeding.
- Those with severe kidney problems or electrolyte disorders should consult a doctor before use due to potential risks.
- People who may be prone to syndrome of inappropriate antidiuretic hormone secretion (SIADH) or are at risk when taking high doses of Boswellia, as intoxication has been reported at high doses.
In all cases, it is advisable to consult a healthcare provider before taking Boswellia to ensure safety and avoid adverse interactions or effects.
Common side effects for most users include stomach pain, heartburn, nausea, diarrhea, headache, and skin rash with topical use.
This guidance applies to medicinal doses and supplements, not the small amounts sometimes used as flavoring in food.