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Noni

What is it?

Noni is an herbal medicine used for diarrhea, upset stomach, constipation, indigestion, intestinal worm infections, sinus infections and pressure, sore throat, and urinary tract infections. Other uses include chronic pain, gum disease, wounds, acne, tuberculosis, and influenza. It may also be used as a general tonic.

Other names for noni include: Morinda citrifolia, Caribe, Hog apple, Indian Mulberry, Menkoedoe, Mengkudu, Mulberry, Nhau, Nono, Nonu, and Wild pine.

Ask your doctor, nurse, or pharmacist if you need more information about this medicine or if any information in this leaflet concerns you.

Before Using:

Tell your doctor if you

  • are taking medicine or are allergic to any medicine (prescription or over-the-counter (OTC) or dietary supplement)
  • are pregnant or plan to become pregnant while using this medicine
  • are breastfeeding
  • have other health problems, such as high blood pressure or heart or blood vessel disease

Dosage:

Talk with your caregiver about how much noni you should take. The amount depends on the strength of the medicine and the reason you are taking Noni. If you are using this medicine without instructions from your caregiver, follow the directions on the medicine bottle. Do not take more medicine or take it more often than the directions tell you to.

To store this medicine:

Keep all medicine locked up and away from children. Store medicine away from heat and direct light. Do not store your medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down and not work the way it should work. Throw away medicine that is out of date or that you do not need. Never share your medicine with others.

Drug and Food Interactions: Do not take noni without talking to your doctor first if you are taking:

  • Warfarin (Coumadin(R), Jantoven(R)) (2)

Warnings:

  • Before taking noni, tell your doctor if you are pregnant or breastfeeding
  • Use of noni if you have chronic kidney problems may cause an increase in potassium that may cause other health problems (1)

Side Effects:

Call your doctor right away if you have any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hand, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, or rash.
  • Hepatotoxicity (3)
  • Hepatitis (4-5)

Other Possible Side Effects: You may have other side effects. Tell your doctor if you have side effects that you think are caused by this medicine.

References:

1. Mueller B, Scott M, Sowinski K et al: Noni juice (Morinda citrifolia): hidden potential for hyperkalemia? Am J Kidney Dis 2000; 35(2):310-312.

2. Carr ME, Klotz J, & Bergeron M: Coumadin resistance and the vitamin supplement "Noni". Am J Hematol 2004; 77(1):103.

3. West BJ, Jensen JC, & Westendorf J: Noni juice is not hepatotoxic. World J Gastroenterol 2006; 12(22):3616-3619.

4. Stadlbauer V, Ficker P, Lackner C et al: Hepatotoxicity of Noni juice: report of two cases. World J Gastroenterol 2005; 11(30):4758-4760.

5. Millonig G, Stadlmann S, & Vogel W: Herbal hepatotoxicity: acute hepatitis caused by a Noni preparation (Morinda citrifolia). Eur J Gastroenterol Hepatol 2005: 17(4):445-447.


Last Updated: 11/4/2014

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