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What are the side effects of taking saruga pinnata powder with rheumatoid arthritis?
General Medicine
Consultation #53543
84 days ago
800

What are the side effects of taking saruga pinnata powder with rheumatoid arthritis? - #53543

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Hi rheumatoid arthritis and suffer with slight swelling and inflammation. I have had this condition dance 2019 I am taking plasmoquine and colchicine. I would like to take saruga pinnata powder but wanna know the side effects.

How long have you been experiencing swelling and inflammation?:

- More than 2 years

How would you rate the severity of your swelling and inflammation?:

- Mild — noticeable but not limiting

Have you noticed any particular triggers for your symptoms?:

- Certain foods

How effective do you find your current medications (plasmoquine and colchicine)?:

- Very effective

Are you currently taking any other supplements or herbal remedies?:

- Yes, one or two

How is your overall energy level throughout the day?:

- Moderate — some fatigue

Have you experienced any side effects from your current medications?:

- No side effects

Doctors' responses

Dr. Raj Ladani
Bachelor of Ayurvedic Medicine and Surgery
83 days ago
5

Hello, Since you are already managing Rheumatoid Arthritis (RA) with Plasmoquine (Hydroxychloroquine) and Colchicine, it is crucial to be cautious with herbal additions. ​Saruga Pinnata (Sarpagandha) Side Effects ​"Saruga pinnata" is likely a reference to Rauvolfia serpentina (commonly known as Sarpagandha). While sometimes used for its sedative and anti-inflammatory properties, it is not a standard primary treatment for Rheumatoid Arthritis and carries significant risks when combined with your current medications:
​Hydroxychloroquine can affect heart rhythm (QT prolongation). Sarpagandha also affects heart rate and rhythm, potentially increasing the risk of arrhythmias.
​It can increase gastric acid secretion, leading to stomach ulcers or aggravating the nausea often caused by Colchicine.
​Common side effects include extreme drowsiness, nasal congestion, and in some cases, depression or mental confusion.
​Long-term use is associated with depressive symptoms, which can complicate the chronic fatigue already present in RA.
​In Ayurveda, Rheumatoid Arthritis is viewed as Amavata. It is caused by the accumulation of Ama (toxic undigested metabolic waste) and the aggravation of Vata dosha. The Ama settles in the joints, causing the swelling (Shotha) and inflammation you are experiencing. Treatment focuses on “digesting” this Ama and balancing Vata.
​ ​For RA with swelling and inflammation, Ayurveda typically suggests formulations that act as Amapachana (toxin digesters) and Vata-Hara (Vata reducers). ​Prescribed medicine : 1. ​RG Forte Tablet: 2 tablets twice daily after food. (Specifically formulated for RA to reduce inflammation and morning stiffness).
2. ​Rasnerandadi Kwath: 15 ml mixed with 45 ml lukewarm water, twice daily before food. (Excellent for inflammatory joint pain and swelling). 3. ​Kaisora Guggulu: 2 tablets twice daily after food. (Acts as a natural blood purifier and anti-inflammatory specifically for “Pitta-Vata” conditions like RA). 4. ​Myaxyl Oil (External): Apply gently over swollen joints without vigorous massage.


0 replies
Dr. Snehal Tasgaonkar
Bachelor of Ayurvedic Medicine and Surgery
83 days ago
5

Garuga pinnata a traditional herb. ✔️ Benefits: Mild anti-inflammatory → may reduce swelling Mild pain relief Antioxidant → supports joint health Limitations: Works only as support, not a main treatment Does not control rheumatoid arthritis progression Risks: Possible stomach irritation Unknown long-term safety May interact with arthritis medicines Can combine with: Tab. Ampachak Vati. 2 tabs twice a day before food. Tab. Sinhanad Guggul 2 tabs twice a day before food. Cap. Palsinuron 2 caps twice a day before food. Cap. Arnopen 2 caps twice a day before food Syp. Dashmoolarishta 3 tsp twice a day before food with warm water. Castor Oil. 3 tsp at bed time with a cup of hot water.


0 replies
Dr. Khushboo
Bachelor of Ayurvedic Medicine and Surgery
83 days ago
5

Saruga is traditionally used as an analgesic properties it can cause nausea vomiting or many Gastro intestinal discomfort As you provided the history about rheumatoid arthritis so our goal is to balance digestive fire toxins and pacify the vata and Kapha dosha 👇👇👇👇👇👇👇👇👇 1) Rasnasaptakam Kwath 15 ml diluted with 45 ml lukewarm water, twice daily before food. 2) Sallaki tablet- 1 tablet twice daily after meals. 3) Yograj Guggulu 2 tablets twice daily with warm water after meals. 4) Saruga (Pongamia pinnata) Powder 2-3 grams once daily with warm water (please Monitor for mild gastric irritation). 5) Kottamchukkadi Thailam Warm the oil slightly and apply gently over affected joint follow wiith a warm compress.


0 replies
Dr. Ravi Chandra Rushi
Master of Surgery in Ayurveda
81 days ago
5

Rheumatoid arthritis ≠ treated by Colchicine or Plasmoquine usually. RA is an autoimmune (Amavata) condition → needs proper long-term management. About Saruga pinnata powder (Moringa / Drumstick leaf) Benefits Reduces inflammation & joint pain Improves immunity Mild detox (Ama reducing) Possible Side Effects Gastric irritation / loose motions (if high dose) Acidity in some people May lower BP or sugar slightly Not good on empty stomach in sensitive people Generally safe in small dose Safe Dose Saruga pinnata powder ½ teaspoon twice daily after food with warm water (Start low → ¼ tsp for 3–4 days, then increase) Better Ayurvedic Combination for arthritis (More Effective) Instead of only this, add: Simhanada Guggulu 1 tablet twice daily after food Maharasnadi Kwath 15 ml + 15 ml water twice day Diet (Very Important) Avoid Curd Cold food Non-veg (reduce) heavy, oily food take Warm, light food dry ginger, garlic (small amount in food)


0 replies
Dr. Raghuveer SN
Bachelor of Ayurvedic Medicine and Surgery
84 days ago
5

Saruga pinnata is used in some traditional practices for inflammation, but strong clinical evidence and safety data are limited, especially when you are already on medicines like plasmoquine and colchicine. In your case, since your symptoms are well controlled, adding a new herb should be done cautiously. Possible concerns with Saruga pinnata: Can cause digestive irritation in some people May interact with existing medicines Quality and purity vary (important factor) So it is not advisable to start it on your own, especially long term. Better approach: Continue your current treatment and support it with safe measures like diet control and gentle anti-inflammatory support. At home, warm food, avoiding trigger foods, and mild oil massage on joints can help. Yograj Guggulu – 1 tablet twice daily after food Shallaki (Boswellia) tablet – 1 tablet twice daily These are safer and more commonly used for joint inflammation. Always introduce one thing at a time and monitor. Regards, Dr Raghuveer (Ayurvedacharya)


0 replies
Dr. Haresh Patel
Doctor of Medicine in Ayurveda
84 days ago
5

dont take long time its not safe do nasya with cow ghee 2 drop each nostril 2 times day take cow ghee 5 ml at morning empty stomch take shalaki 2-0-2 after food for 90 days take castrol oil 5 ml at night with warm water


0 replies

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