Terminalia

Evidence status

Limited evidence to recommend for any consumer outcome yet.

10 papers · 0 claims · 31 outcomes scored

Buy well

Recommended Terminalia products

Real products that dose Terminalia where the research does, in a clean formulation, from brands we've audited. We only list ones we'd stand behind.

Life Extension

Cardio Peak with Standardized Hawthorn and Arjuna

Well dosed 1,500 mg/day C formula

Brand audit 90/100
Life Extension

Cardio Peak

Well dosed 1,500 mg/day C formula

Brand audit 90/100
Swanson

Arjuna Bark 500 mg

Well dosed 1,000 mg/day C formula

Brand audit 69/100
NutriGold

Arjuna Gold 500 mg

Well dosed 1,000 mg/day A formula
Herbal Hills

Arjuna 500 mg

Well dosed 1,500 mg/day A formula
New Sun

Ayurvedic BP Formula

Well dosed 1,000 mg/day A formula

Chosen for adequate Terminalia dosing vs. the studied range, a clean formulation (grade A–C), and independent brand-quality audits. Not sponsored.

Risk profile

Adverse events and known drug interactions

Safety events

adrenal_insufficiency / HPA axis suppression severe

Cushingoid features (facial puffiness) moderate

weight_gain moderate

new-onset diabetes mellitus (HbA1c 6.5%) moderate

subclinical_hypothyroidism (TSH 7.19 µIU/mL, anti-TPO positive) mild

Drug interactions

Sertraline major decreases concentration

Sources

1. Effect of E-OJ-01 on Left Ventricular Ejection Fraction and Myocardial Oxygen Consumption: A Randomized, Double-Blind, Placebo-Controlled Study. (2022) ↑
2. Effects of Withania somnifera (Ashwagandha) and Terminalia arjuna (Arjuna) on physical performance and cardiorespiratory endurance in healthy young adults. (2010) ↑
3. Effectiveness of Mouthrinse formulated from Aqueous Extract of Terminalia chebula on Salivary Streptococcus mutans Count and pH among 8- to 12-year-old School Children of Karnataka: A Randomized Clinical Trial. (2016) ↑
4. Comparison of Antimicrobial Efficacy of (between) 0.2% Chlorhexidine and Herbal Mouthwash on Salivary Streptococcus mutans: A Randomized Controlled Pilot Study. (2018) ↑
5. Evaluation of the Analgesic Activity of Standardized Aqueous Extract of Terminalia chebula in Healthy Human Participants Using Hot Air Pain Model. (2015) ↑
6. A randomized, double-blind, placebo-controlled, cross-over study to evaluate analgesic activity of Terminalia chebula in healthy human volunteers using a mechanical pain model. (2016) ↑
7. Randomized Double-Blind Placebo-Controlled Supplementation with Standardized Terminalia chebula Fruit Extracts Reduces Facial Sebum Excretion, Erythema, and Wrinkle Severity. (2023) ↑
8. Effects of dietary supplementation with a standardized aqueous extract of Terminalia chebula fruit (AyuFlex®) on joint mobility, comfort, and functional capacity in healthy overweight subjects: a randomized placebo-controlled clinical trial. (2017) ↑
9. Effects of plant extracts on patients with heart failure: a network meta-analysis of randomized controlled trials. (2025) ↑
10. A randomized, double-blind, placebo-, and positive-controlled clinical pilot study to evaluate the efficacy and tolerability of standardized aqueous extracts of Terminalia chebula and Terminalia bellerica in subjects with hyperuricemia. (2016) ↑

Generated August 14, 2026