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Safety Issues
Damiana appears to be safe at the recommended dosages. It appears on the FDA's GRAS (generally recognized as safe) list and is widely used as a food flavoring. The only common side effect of damiana is occasional mild gastrointestinal distress. However, because damiana contains low levels of cyanide-like compounds, excessive doses may be dangerous. Safety in young children, pregnant or nursing women, or those with severe liver or kidney disease is not established.