Can I Take tongkat ali with ashwagandha?

SUMMARY:

There is limited formal interaction data for tongkat ali combined with ashwagandha; they are often used together but may have additive or opposing effects on hormones, blood pressure, blood sugar, or sleep. Because evidence is sparse, use caution and discuss combination use with a healthcare provider if you have cardiovascular disease, diabetes, take sedatives or hormone-related medications, or are pregnant or breastfeeding.

ADDITIONAL NOTES:

Both are herbal adaptogens with limited formal interaction studies. Potential concerns (based on their pharmacologic effects) include additive changes to blood pressure or blood sugar, effects on sleep or alertness, and influence on hormonal systems; watch for dizziness, palpitations, insomnia, low blood sugar, or changes in mood/energy. Avoid or use with supervision if on antihypertensives, antidiabetics, sedatives, hormone therapies, or if pregnant/breastfeeding. If you experience new or worsening symptoms after combining them, stop and seek medical advice.