Who should avoid lemon balm?

Written by
Thomas Wilson
Reviewed by
Prof. Benjamin Murphy, Ph.D.Some people should totally avoid lemon balm or use extreme caution. For many years, I have advised clients about the safety of herbs for specific health conditions. The compounds in the herb interact with bodily systems that can be affected. Knowing the contraindications can keep you from harm. Always consult your doctor for medical advice.
Pregnant/Breastfeeding Women
- Insufficient safety data exists for these groups
- Potential effects on hormonal balance concern
- Essential oils pose particular absorption risks
- Avoid all forms without obstetrician approval
Thyroid Condition Patients
- Interferes with thyroid medication absorption
- May suppress thyroid hormone production
- Requires endocrinologist supervision if used
- Regular TSH level monitoring essential
Young Children
- Avoid under age 6 except mild teas
- Use half-strength preparations for older children
- Never administer essential oils topically or internally
- Requires pediatrician approval before use
Surgical Patients should stop taking lemon balm well in advance of any procedures. Discontinue this supplement at least two weeks before any scheduled surgery. This will help prevent any bleeding complications, as well as interactions with anesthesia. I advise my clients to keep a detailed log of all supplements they take. This log should be presented to your surgical team.
Drug interactions pose serious risks to some patients. Serotonergic drugs, for example, such as SSRIs, etc., can cause serotonin syndrome when used with lemon balm. Medicines that have sedative effects can cause excessive drowsiness when combined. Patients must always inform their prescribing physicians of all prescription and non-prescription medications that they are taking. Pharmacists are an excellent source for determining possible drug interaction problems.
Different populations require specialized safety measures. Elderly patients often take multiple medications that require screening. Immunocompromised patients must avoid potentially immunomodulatory agents. Patients with glaucoma must deal with the risks of high intraocular pressure. I develop individually tailored plans with healthcare professionals.
Take safety precautions when there is uncertainty. When applying a topical preparation, perform patch tests first. When introducing any new preparation, use the smallest dose. Document and evaluate any unusual reactions right away. These precautions facilitate the early identification of potential concerns.
Read the full article: 10 Lemon Balm Uses: More Than You Knew!