Side Effects and Warnings
Milk thistle appears to be well tolerated in recommended doses for up to 6 years. Some patients in studies have experienced stomach upset, headache, and itching. There are rare reports of appetite loss, gas, heartburn, diarrhea, joint pain, and impotence with milk thistle use. One person experienced sweating, nausea, stomach pain, diarrhea, vomiting, weakness and collapse after taking milk thistle. This reaction may have been due to an allergic reaction, and improved after 24 hours. High liver enzyme levels in one person taking milk thistle returned to normal after the person stopped taking the herb.
In theory, milk thistle may lower blood sugar levels. Caution is advised in patients with diabetes or hypoglycemia, and in those taking drugs, herbs, or supplements that affect blood sugars. Serum glucose levels may need to be monitored by a healthcare provider, and medication adjustments may be necessary.
Theoretically, because milk thistle plant extract might have estrogenic effects, women with hormone sensitive conditions should avoid milk thistle above ground parts. Some of these conditions include breast, uterine, and ovarian cancer, endometriosis and uterine fibroids. The more commonly used milk thistle seed extracts are not known to have estrogenic effects.
source: Natural Standard
Milk thistle appears to be well tolerated in recommended doses for up to 6 years. Some patients in studies have experienced stomach upset, headache, and itching. There are rare reports of appetite loss, gas, heartburn, diarrhea, joint pain, and impotence with milk thistle use. One person experienced sweating, nausea, stomach pain, diarrhea, vomiting, weakness and collapse after taking milk thistle. This reaction may have been due to an allergic reaction, and improved after 24 hours. High liver enzyme levels in one person taking milk thistle returned to normal after the person stopped taking the herb.
In theory, milk thistle may lower blood sugar levels. Caution is advised in patients with diabetes or hypoglycemia, and in those taking drugs, herbs, or supplements that affect blood sugars. Serum glucose levels may need to be monitored by a healthcare provider, and medication adjustments may be necessary.
Theoretically, because milk thistle plant extract might have estrogenic effects, women with hormone sensitive conditions should avoid milk thistle above ground parts. Some of these conditions include breast, uterine, and ovarian cancer, endometriosis and uterine fibroids. The more commonly used milk thistle seed extracts are not known to have estrogenic effects.
source: Natural Standard