Table. Adverse effects of herbs used as galactagogues .

Herb	Adverse effects
Alfalfa Medicago sativa	Dose-related bleeding
Blessed thistle Cnicus benedictus	Gastric irritation and potential allergies, as it is part of the ragweed family
Chaste tree Vitex agnus-castus	Nausea, vomiting, irritation, pruritus, rash, headache, increased menstruation
Dill Anethum graveolens	Alterations in sodium balance
Fennel Foeniculum vulgare	Allergic reactions, dermatitis (photo and contact)
Fenugreek seed Trigonella foenum-graecum	Hypoglycaemia, hypertension, diarrhoea and maple syrup body odour in mother Allergy potential as part of the peanut family
Goat’s rue Galega officinalis	Hypoglycaemia, hypotension, coughing, dose-related toxicity
Milk thistle (silymarin) Silybum marianum	Allergic reactions, diarrhoea
Malunggay Moringa oleifera	Hypoglycaemia, sedation
Raspberry leaf Rubus idaeus	Hypersensitivity reactions, changes in blood glucose
Shatavari Asparagus racemosus	Possible teratogenicity – avoid in pregnancy
Damiana Turnera diffusa	Hepatotoxicity, confusion and hallucinations with high-dose Turnera