Gotu kola

• SalveAerial partsExternalTraditional use

  Traditional external use to support wound healing and for minor skin inflammation. The EMA classifies the use of the herb for minor wounds as 'traditional use' - effectiveness rests on long-standing experience, not on confirmed clinical trials.

  Preparation & dosage

  Apply a salve or cream containing an extract of the dried herb (or standardised triterpene extract) thinly once or twice daily to the cleaned, minor superficial wound, graze or mild skin irritation. Do not use on deep, heavily bleeding or infected wounds. Consult a doctor if there is no improvement or if the condition worsens.

  Sources: [1] [4] [6]

• TinctureAerial partsInternalClinical trial

  Internal use of the standardised triterpene extract for chronic venous insufficiency. A systematic review (Chong & Aziz 2013) pools controlled trials in which TTFCA improved microcirculatory parameters and symptoms such as leg heaviness, swelling and pain. This indication is not part of the EMA monograph but rests on these clinical data.

  Preparation & dosage

  Standardised titrated triterpene extract (TTFCA) of the herb, typically about 60-120 mg per day in two single doses, taken orally. The extract is adjusted to asiaticoside, asiatic acid and madecassic acid. For the relief of symptoms of chronic venous insufficiency such as heaviness and tension, swelling and pain of the legs. Use for limited periods; have persistent or new venous complaints assessed by a doctor.

  Doses per day

  2×

  ⚠ Age restriction: ≥ 18 years — Not recommended for children and adolescents under 18 years due to a lack of data.

  Sources: [3] [5] [6]

Gotu kola is usually well tolerated in customary amounts. With internal use, rare cases of liver injury (hepatotoxicity, jaundice) have been reported - mainly at high doses or with prolonged intake; therefore use only time-limited courses and exercise caution in pre-existing liver disease. Externally, allergic contact dermatitis may occasionally occur, especially in those sensitive to the carrot family (Apiaceae). At high doses a sedative effect may be enhanced. Do not use in pregnancy or lactation due to a lack of data.