Black catechu is an herb generally used to treat conditions such as high blood pressure, diarrhea and gastrointestinal disorders. Allina Hospitals and Clinics list additional uses for black catechu as mouthwash for oral and throat-related disorders and skin disorders. Due to its ability to lower blood pressure, caution should be exercised especially when combining medications. As always, it is imperative to consult a licensed physician prior to embarking on a new treatment or attempting to self-medicate.
Pregnancy and Lactation
Women who are pregnant, planning to become pregnant or nursing should not take black catechu. According to Allina Hospitals and Clinics, the effects of black catechu on the unborn fetus or nursing child is unknown. As with most herbal medicines, the risks here outweigh any possible benefit from its use. It is best to avoid their use until determined to be safe.
Contraindications
Black catechu can be helpful in the treatment of high blood pressure. There exists an element of risk with blood pressure going too low and contraindications with other blood pressure medications as well as those used for heart disease. According to AyurvedicMedicine.org, these medications for blood pressure should not be taken with black catechu. Anticholinergics, analgesics and opioids taken with black catechu have a tendency to increase the risk of severe constipation, notes AyurvedicMedicine.com.
Allergic Reactions
Black catechu is not for everyone. While its use is generally acceptable with low side effects for most individuals, there is always a risk for allergic response. The Health Encyclopedia by Thomson Micromedex suggests that this drug may also cause an allergic reaction that includes symptoms related to hives, itching, swollen skin, chest pains and difficulty breathing. These symptoms can be serious and should be treated by a physician.



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