Herbal teas are often viewed as a safe and gentle alternative to caffeinated beverages, but this assumption overlooks the potent properties of many herbs. Lemongrass, a popular ingredient in both cuisine and tea, contains bioactive compounds that can have significant physiological effects. For most healthy adults, a moderate amount of lemongrass tea is well-tolerated. However, its diuretic, hypotensive, and other properties mean that it poses specific risks for certain populations, making it crucial to know who should not drink lemongrass tea.
Health Conditions That Warrant Caution
Pregnancy and Breastfeeding
One of the most widely cited contraindications for lemongrass tea is pregnancy. Compounds in lemongrass have been shown to stimulate uterine contractions and menstrual flow, which can potentially increase the risk of miscarriage. While data specifically regarding lemongrass tea's effects on breastfeeding infants is limited, health experts generally recommend that breastfeeding women avoid it to be on the safe side, as the herb can affect breast milk production. Always consult a doctor before consuming lemongrass if you are pregnant or breastfeeding.
Low Blood Pressure (Hypotension)
Lemongrass is a natural diuretic and vasodilator, meaning it helps widen blood vessels and remove excess fluid and sodium from the body. For individuals with high blood pressure, this can be beneficial. However, for those with pre-existing low blood pressure (hypotension), drinking lemongrass tea can exacerbate the condition, leading to symptoms like dizziness, weakness, and fainting. People already taking medication for high blood pressure should also be cautious, as the combined effect could cause a dangerous drop in pressure.
Kidney or Liver Conditions
Lemongrass is known for its detoxification properties, which are often cited as a health benefit. However, for individuals with compromised kidney or liver function, this effect can be harmful rather than helpful. A 2015 study found that prolonged, high-dose consumption of lemongrass tea significantly decreased the estimated glomerular filtration rate (eGFR) and creatinine clearance rate in healthy adults, indicating potential stress on the kidneys. This suggests that those with kidney or liver disease should avoid it altogether.
Diabetes and Blood Sugar Fluctuations
Research indicates that lemongrass may have blood sugar-lowering effects. While this can be a positive outcome for some, it poses a risk for individuals with diabetes who are already managing their blood sugar with medication. Combining lemongrass tea with antidiabetic drugs, such as insulin, could lead to hypoglycemia (dangerously low blood sugar). Regular monitoring is essential, and consultation with a healthcare provider is strongly advised.
Medication Interactions with Lemongrass Tea
Lemongrass can interfere with the way certain medications are processed by the body, altering their effectiveness or increasing side effects. This is particularly true for drugs metabolized by the liver, as lemongrass can change how quickly the liver breaks down these medications.
Specific Medication Interactions
- Blood Thinners (Anticoagulants): Due to its potential blood-thinning properties, high doses of lemongrass can increase the risk of bleeding when taken with medications like warfarin or aspirin.
 - Diuretics and Antihypertensives: As mentioned, lemongrass's natural diuretic and blood pressure-lowering effects can be compounded by prescription drugs for these conditions, risking excessive fluid loss or severe hypotension.
 - Sedative Medications: Lemongrass has mild sedative effects, and combining it with other sedating drugs like pentobarbital could intensify drowsiness and other side effects.
 
Lemongrass Allergies
Although not common, some individuals can develop an allergic reaction to lemongrass. Symptoms can include skin rashes, itching, swelling, or respiratory distress. If any signs of an allergic reaction appear after consuming lemongrass tea, stop use immediately and seek medical attention. Skin sensitivity is also possible when applying lemongrass oil topically.
Lemongrass Tea Safety Comparison
To provide clarity on lemongrass tea and its alternatives, here is a comparison for different risk groups:
| Risk Group | Lemongrass Tea Safety | Alternative Tea Option | 
|---|---|---|
| Pregnant/Breastfeeding | Likely unsafe; avoid | Ginger tea (for nausea), decaffeinated green tea | 
| Low Blood Pressure | Potentially unsafe; avoid high doses | Rooibos tea, some fruit-based teas | 
| Kidney/Liver Issues | Potentially harmful; consult doctor | Chamomile tea, unsweetened cranberry juice | 
| Taking Blood Thinners | Potentially dangerous; consult doctor | Chamomile tea, fruit-based teas | 
| Taking Diuretics | Potentially dangerous; consult doctor | Mild herbal infusions, plain water | 
| Known Allergies | Unsafe; avoid completely | Any non-allergic herbal tea, plain water | 
Enjoying Lemongrass Tea Safely (For Healthy Individuals)
For those without the aforementioned health concerns, lemongrass tea can be a safe and enjoyable beverage. However, moderation is key. A typical recommendation is 1-2 cups per day. Starting with a small amount allows you to monitor how your body reacts before increasing consumption. Always use high-quality lemongrass from a reliable source and listen to your body; if you experience any discomfort, stop consumption immediately.
Key Safe Practices for Lemongrass Tea
- Begin with small amounts to test for any adverse reactions.
 - Ensure quality ingredients by purchasing from a reputable supplier.
 - Store correctly in an airtight container to maintain freshness.
 - Listen to your body and stop if any irritation occurs.
 - Use caution with concentrated forms, such as essential oils.
 
Conclusion
While lemongrass tea offers a refreshing, citrusy flavor and several potential health benefits, it is not suitable for everyone. Specific populations—including pregnant and breastfeeding women, individuals with low blood pressure, those with kidney or liver disease, diabetics, and anyone on specific medications—face genuine health risks. The potential for drug interactions, blood pressure reduction, and effects on kidney function are well-documented reasons for caution. The key takeaway is clear: while a soothing cup of lemongrass tea might be perfect for some, others must consult a healthcare professional to ensure it aligns with their health needs. When in doubt, prioritize professional medical advice over anecdotal experiences, especially when dealing with potent herbal compounds. For more detailed information on herb-drug interactions, consult reliable resources such as the U.S. National Library of Medicine's PubMed database.
How to enjoy Lemongrass tea without risk (for healthy people)
Lemongrass tea can be a safe and enjoyable beverage for most healthy adults when consumed in moderation. Here are some key practices to follow:
- Moderation is key: Limit your intake to 1-2 cups per day to enjoy its benefits without overdoing it.
 - Ensure quality ingredients: Buy fresh or dried lemongrass from a reputable supplier to avoid contaminants.
 - Listen to your body: Pay attention to how you feel after drinking the tea. If you notice any discomfort, such as dry mouth or dizziness, consider reducing or stopping your consumption.
 
Final Recommendations
Ultimately, the decision to drink lemongrass tea should be made with a full understanding of its potential effects. For healthy individuals, it's a low-risk, pleasant drink. For those with pre-existing conditions or on medication, the risk profile changes significantly. Never substitute an herbal remedy for prescribed medical treatment without explicit clearance from your doctor. Being an informed consumer of herbal products is the first step toward safeguarding your health.