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Boswellia
Biological Description Boswellia is the plant that is related to the incense tree family. Fragrant ...
Side Effects and Interactions of Boswellia

Different parts of Boswellia Serrata have been traditionally used to treat such varied health conditions as asthma, dysentery, ulcers (especially ulcerative colitis, an inflammatory bowel disease), rheumatism (rheumatoid arthritis), and skin disorders for very long time. Boswellia is an herbal medicine extracted from the gummy resin of the tree bark of Boswellia serrata.

As almost every herbal remedy it should be used after your doctor’s consultation after knowing its beneficial properties and some adverse effects, associated with it.

It is very important for you to tell you doctor, if you are pregnant or planning to become pregnant while using this medicine. You doctor should know, whether you are breastfeeding. In all these cases you should not use boswellia, to avoid birth defects or spontaneous abortion. You doctor should know whether you are taking any medicine, in order to avoid interaction. Perhaps, you will be advised not to take Boswellia if you are allergic to any medicine (prescription or over-the-counter (OTC) or dietary supplement), and in case you have stomach pain and upset, or any other health problems (such as high blood pressure or heart or blood vessel disease). If you have stomach upset or gastritis, you may make your stomach just upset worse.

Boswellia has few side effects. They are rare, but should be mentioned, though none of them are serious. You may have the following side effects:

  • Stomach pain;
  • Diarrhea;
  • Skin rash, burning;
  • Stomach discomfort, including nausea;
  • Acid reflux (heartburn);
  • A feeling of fullness in stomach;

Some studies reported the irritation of the skin from a multiherb product containing boswellia. And allergic contact dermatitis has been associated with the use of a naturopathic cream containing the herb extract.

If you experience something else that could be a side effect, and do not sure about that – you’re your doctor as well. There are some other possible effects associated with the boswellia treatment:

  • Chest pain
  • Tightness in your throat or chest
  • Breathing problem
  • Swollen skin
  • Skin hives, rash, or itchy skin

In case you have any of the listed above side effects, stop taking your medicine right away and talk to your doctor. It is very much like you have an allergy to your medicine, which causes these symptoms. The herb has not been shown to cause ulcers, respiratory, cardiovascular, or psychological side effects. Boswellia is generally safe when used as directed, without exceeding recommended dosage. If boswellia is used with supplements that possess similar properties, it increases its beneficial effects as well as side effects. So, dosages of other agents may need to be reduced. Also it is very important to know, that high in fat meals seem to increase the concentration of boswellia in the body.

You should remember, that you can use boswellia, as a herb remedy, but if you are using it in treating such diseases and conditions as arthritis, colitis, or any other conditions you should stay under your doctor supervision. Any inflammatory joint condition should be closely monitored by a doctor as well. No way for self-treatment.

There are no known drug interactions or contraindications with the use of the herb. But there are a possibility, that boswellia may increase or decrease the effects of medications. Animal studies point out that the herb may increase the effects or toxicity of some drugs. For example, such as Singulair – a montelukast, used for treating asthma. There are the same concerns about mixing boswellia with cholesterol-lowering drugs, some anticancer and antifungal drugs. But there were no human studies yet. Boswellia may also reduce the effectiveness of some anti-inflammatory pain relievers (Motrin, Advil among ibuprofen and aspirin; Aleve, Naprosyn among naproxen). Studies were not made on the issue yet as well.

Boswellia interact not only with medicines, but also with some herbs and dietary supplements. Better not mix the herb together with the following:

  • Supplements that may have anticancer properties (mistletoe - Viscum album)
  • Cholesterol-lowering supplements (such as garlic - Allium sativum)
  • Antifungal agents (such as tea tree oil - Melaleuca alternifolia)
  • Supplements used to treat joint diseases (such as glucosamine or chondroitin)

Use the herb with caution and with your doctor’s supervising.

Annie
Osteo bi-flex uses with glucosamin and chondriotin what they call --Loxin AKBA which they say is a Boswellia serrata extract and also MSM. Another ingredient that adds in joint health. What is your reason for the caution not to mix together these other supplements with Boswellia?
heysue
I use another product with glucosamine and boswellia. I want to know the same thing the previous writer asked. Also, would it be likely to worsen tinnitus as aspirin, white willow, bromelain....do?
Thanks,
Sue
otis hertz
what is the normal dosage?
Lily
What is better for you to use, if you have Ostrioarthritis, Boswellia ir Glucosamine and Chondrotin.
actoby
if side effects of boswellia are diarrhea, why would i want to take this herb? since i suffer from crohns disease. diarrhea is the last thing i would want.
Dorothy
According to a very recent MRI I have several bulging discs and a fracture in my lower back. Would you recommend boswellia, or would it help the pain for this condition?
herb
i have been taking boswellia 250 mg for abt 1-1/2 years for arthritis, with predisone 5 mg and glucosimine. the arth. went from almost crippling to a peaceful non-issue. i often wondered if the boswellia did any good or not and wether itwas worth the extra expence. a week ago . in preparatin for dental extraction i stopped taking aspirin and also boswellia . i dont know what boswellia does or how it works but my arth is definately coming back amd im abt ready to start taking boswellia again . you be the judge.
mabel
I would like to see the responses to annie and heysue
bird
Why do you caution not using boswellia with glucosamine and chondrotin and specifically as the product called Osteo Bio-Flex. Would you please cite the dosage perimeters related to the aforementioned product. How long is the possitive effects- time distance for taking the dosages to have a positive effect. It seems obvious that Boswellia is a well established anti-inflammatory. Are there any micro-observation evaluations of the actual knee
cartlidge tissue before and after taking Boswellia?
MIMI
I WOULD LIKE TO HAVE THE SAME ANSWERS. I HAVE RECENTLY STARTED FLEX-PROTEX WITH A PROPRIETARY BLEND, 300MG, OF BOSWELLIA, ASHWAGANDHA, YUCCA AND TURMERIC (CURCUMIN 95%) EXTRACT, GLUCOSAMINE DERIVATIVE 750MG, AND STABILIZED RICE BRAN DERIVATIVE 50MG.
jess
I would like to know why it is better not to mix Boswellia with Glucosamine and chondroitin. I started taking Glucosamine Chondroitin MSM and it contains Boswellia 100mg and the Glucosamine is 1500mg. Is this safe because i looked around and other sites say you can take together. please respond is this safe.
CC
Why do you not recommend taking Boswellia with glucosamine or chondroitin? A number of supplements mix the three?
Robert K
Quite coincidently I research recently Boswellia (in relation to my mother cancer treatment) in PubMed (that’s what doctors use) and can answer some question here. According to clinical studies there are no serious side effects or known interactions with ANY medications or substances both clinically and historically by few thousands years of use. By reading stated interactions on this site, its obvious someone is thinking if Boswellia treats joints better not to take any medicine which does same. Sorry there is no research which supports such a claim. Don’t believe me? Quote your sources! Even as with any herbal product it’s not impossible it could interact with something, historically Boswellia has really good record and is believed to o be safe with any adjunct therapy. Only (not confirmed clinically still theoretically possible) possible word of caution: one study suggest Boswellia may increase blood clotting - hence caution has to be observed in relevant condition, therapy or drug used.
Effective dosage is not known even elephant dosage of 126mg/kg of body weight/day given to children in Swiss studies produced not known side effects. Dosage used in other studies usually oscillated between 600-3000mg/day (for treating condition ranging from: cancer, Crohm disease, Asthma, arthritis, osteoarthritis). 150-250mg/day of Loxin was proved in Indian study to be safe and effective for knee osteoarthritis, even probably Boswellia cannot be overdosed at all. If taking Loxin take into consideration it contains approx 10 time dosage of AKBA acid – hence adjust dosage. Actoby: Boswellia DOES NOT cause diarrhea. Dorthy: boswellia has very strong anti-inflammatory properties but its not a pain reliever per se. It could be supportive in decreasing swelling and blocking enzyme which is responsible for joint degradation, which should decrease some pain – but that’s about it.
MY SOURCES: www.ncbi.nih.gov/pubmed/ - “Frankincense systematic review” by prof E. Ernest, free full papers and abstracts (of paid ones) of found 9 clinical studies. Review of dozens of studies relating to wide ranges of Boswellia topics.
If want to do own reaserch on PubMed note: 1)on top ride side there is option which displays full free articles and reviews (very helpful). PubMed usually displays only abstracts, placing visual icon of Medical journal (which directs to full article) at the top right hand side.
louise33
I thought that was a very informative article
Kelly
does boswellia interact with tamodar?
minthb
I think I have a skin reaction to boswellia. How long should I expect the itchiness to disappear after stopping boswellia?
amitbiotech
we have researched a formulation with Boswellia with boerhaavia diffusa, tinospora cordifolia,hemidesmus indicus . the result is pain relief within 1 hr and lasting 12 hr in most inflamatory conditions. 500 mg capsules . it is rare that some people compaint of water retention, cheast heaviness, tomach heaviness. the side effects show 1/1000 cases .Because this medicine has replaced NSAIDs we are confident we can reach the benefits to many , keeping in mind that some can be alergic . Did i mention the medicine does not cause Ulcer and acidity in the stomach , as a matter of fact many patients take it for stomach ULCERS .
Nat
I was very surprised to see the recommended message of not mixing Boswellia with glucosamine or chondroitin. There are many products that mix the three and add turmeric and/or ginger ~~ not to say that they all can be wrong and this site has the right answer BUT I think who ever wrote this site may want to revamp their study/research because it is questionable. I'm not very old, but I have had joint surgery (at 9 and 10) and was taking glucosamine or chondroitin for quite some time ~ I remember the researchers claiming it does not help... and now look, its number one recommended. These DR's. will hide all natural remedies from us because they want to keep making their pharmaceutical sales ~~~ Don't be fooled by their so called "FDA" approval ~~ their FDA "approval" also approved VIOXX and we know how that ended.... the only way to really get the secrets to all of the herbal medicines this earth offers us is to research through tribes and medicine men that know the earth ~~
Boswelled
This is perhaps the finest medicine known to man, there must be an effort to conserve this resource and produce a variety of global stocks of boswellia.
Gretchen3
Boswellia has significantly improved my life, I have undiagnosed bowel inflmation, maybe from a MMR booster at age 39, anyhow, after years on a gluten free died, Boswellia is allowing me to have 1-2 bowel movents a day vs. 4-6. I am a much happiuer camper. My Colon appears not to be swollen and can hold more pooo, longer. I bought it for my son's asthma, and then, upon further reading decided to try some before I gave it to him and was thrilled with the results.
Spirowriter
Has anyone experienced depression while taking Boswellia? I have been taking it for about a week and am already eperiencing severe depression, as well as heartburn and chest discomfort. Maybe I should just quit taking it. The trouble is, I experience depression from any drug that is prescribed for my joint and body pains....even Bufferin!
brx
My mom was taking boswellia serrata two 400mg tablets up to tree times a day in the beginning and reduced it to one 400mg tablet and in the end even as low as 200mg .. she suffered from poliarthritis and now after 4-5 years was able to stop taking it
(.. I don't know how old the posts are in here but Spirowriter above might consider taking vitamin B supplements as a low intake is known for causing depression and all medications are known to cause an inceased need of vitamins especially vitamin B)
texgal
I have been taking Chondroitin, Glucosamine and MSM for years. Recently started having more joint pain. Last night took turmeric and Boswellia for first time. Joints seemed better but bruising appeared on hands. Plan to discontinue the turmeric and also discontinue the Ginkgo I also was taking and continue with the Boswellia for a few days. So many of the supplements and food I eat are blood thinners, so I need to weed them down to the ones that are most helpful to me.
ethics
I have just started taking Boswellia for chronic and disabling back pain, and the results are amazing; my pain has almost disappeared - some days I could hardly walk before taking it, but now I feel mobile again. I think this herb is amazing. I also suffer from chronic depression and feel much more positve - although that could also be related to the lack of chronic back pain. My joints are no longer noisy and clicking, I feel like a new person!
EVa
Does Boswella thin the blood? If so, is it thinned a lot or not much?
I plan to take stomach test next week and need to know before I take
the colon and stomach tests.
Linda
Does anyone know if there is an interaction of Boswellia with Coumadin (warfarin) blood thinner? Haven't found anything online so far.
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