For practitioner dispensing and professionally guided use.
Always read the label and follow the directions for use.
Cases of liver injury have been reported following the consumption of Tinospora cordifolia products.
Reported presentations have included acute hepatitis and autoimmune-like liver injury.
Do not use Tinospora to self-treat liver disease, abnormal liver enzymes, fatty liver disease, hepatitis, jaundice or another liver condition.
Consult a doctor before use if you have current or previous liver disease, abnormal liver-function results, autoimmune hepatitis or a history of liver injury caused by a medicine, herb or supplement.
Stop use and seek prompt medical assessment if yellowing of the skin or eyes, dark urine, pale stools, persistent nausea, loss of appetite, unusual itching, upper abdominal pain or marked fatigue develops.
Do not continue the product while waiting to see whether possible liver symptoms settle.
Tinospora is traditionally positioned as an immune-supporting herb, but stronger immune activity is not automatically beneficial for every person.
Consult the healthcare professional managing your condition before use if you have an autoimmune or inflammatory disease.
Professional advice is particularly important for people with rheumatoid arthritis, lupus, multiple sclerosis, autoimmune thyroid disease, inflammatory bowel disease, psoriasis or another immune-mediated condition.
Do not use without specialist approval if you take immunosuppressive or antirejection medicines.
This includes people who have received an organ transplant or who use medicines such as tacrolimus, ciclosporin, sirolimus, mycophenolate, methotrexate or biologic immune therapies.
Do not change or discontinue immunosuppressive medication without advice from the prescribing specialist.
Tinospora should not be described as preventing, curing or treating bacterial or viral infections.
It does not replace vaccination advice, antibiotics when medically required, antiviral treatment or professional assessment of persistent infection.
Seek prompt medical advice for high or persistent fever, breathing difficulty, chest pain, dehydration, confusion, severe weakness or rapidly worsening symptoms.
Persistent fatigue should not automatically be attributed to stress or reduced immunity.
Ongoing tiredness may be associated with inadequate sleep, nutrient deficiency, thyroid dysfunction, diabetes, infection, medication effects, sleep apnoea, depression, heart or lung disease or another condition requiring investigation.
Tinospora may influence blood-glucose regulation in some people.
Consult your doctor or pharmacist before use if you have diabetes, experience low blood glucose or take insulin or glucose-lowering medication.
Monitor for symptoms such as sweating, trembling, dizziness, confusion, weakness or an unusually rapid heartbeat.
Use during pregnancy or breastfeeding only under the direct supervision of an appropriately qualified healthcare practitioner.
Reliable safety information is insufficient to support routine unsupervised use during pregnancy or breastfeeding.
High doses should be used cautiously in men wanting to conceive a child.
Men experiencing fertility concerns or receiving fertility treatment should discuss Tinospora with the healthcare professionals managing their care.
Reliable medicine-interaction information remains limited.
Tell your doctor, pharmacist or healthcare practitioner about all prescription medicines, over-the-counter products and supplements being used before starting Tinospora.
Clinical research involving different Tinospora extracts, powders, combination products or purified constituents should not automatically be transferred to this 1:2 liquid preparation.
The current product provides an adult dosage only.
Do not give this concentrated 60% ethanol preparation to a child or adolescent unless an age-appropriate amount has been individually prescribed.
Discontinue use at least seven days before general anaesthesia, surgery, dental surgery or an invasive procedure unless otherwise directed by the treating medical team.
Tell the surgeon, anaesthetist, dentist and pharmacist that Tinospora has been used.
Contains ethanol.
Keep out of reach of children.