Punarnavasavam Uses, Ingredients, Dose and Side Effects

Punarnavasavam is a liquid Ayurvedic medicine useful in gastritis, edema, fiver and liver diseases. It is a fermented product and contains 5 – 10 % of self generated alcohol. This self generated alcohol and the water present in the product acts as a media to deliver water and alcohol soluble active herbal components to the body.  
Punarnavasavam dose: 12 – 24 ml. one or two times a day, usually advised after food.
If needed, it can be mixed with equal quantity of water.

Punarnavasav uses – 
Punarnavasava is widely used as herbal anti inflammatory and anti oedema medicine. it reduces swelling, useful in liver and spleen conditions, and fever. Specially indicated for dropsy and anemia.
It is used for treating osteo arthritis, gout, rheumatoid arthritis. It helps to reduce the swelling and inflammation.
It is used in treating joint pains associated with elevated blood ESR levels.
It is used to reduce excess water collection in the body following intake of hormonal tablets and steroids.

Traditional uses:
Shotha – oedema, swelling, inflammatory conditions.
Udara – ascites,
Pleeha – splenomegaly
Amlapitta – gastritis, hyperacidity
Yakrut – liver disorders
Gulma – abdominal tumor, distension
Jvara – fever
Kruchra sadhya roga – chronic, difficult-to-treat disorders.

Doctors also prescribe Punarnavadyasav for treating:
Swelling induced due to continuous steroid medicine intake
Ankle swelling,
Puffy face, facial swelling
Fatty liver changes, Hepatic steatosis
Obesity, high cholesterol

Commonly prescribed combinations –
Along with Punarnavasav: Loha bhasma for anemia, jaundice, liver disorders etc.
Along with Rasna Erandadi Kashaya or Rasna Saptaka Kashaya for the treatment of rheumatoid arthritis.

Punarnavasavam side effects:
Punarnavasava in prescribed dosage is not having any side effects.
High dosage may cause temporary Blood pressure variations and gastric irritation.
People with diabetes and high BP should take this medicine only under medical supervision.

Punarnavasavam ingredients: 
Shunti – Ginger – Zingiber officinalis – Rhizome – 16 g
Pippali – Long pepper – Piper longum – Fruit – 16 g
Maricha – Pepper – Piper nigrum  -Fruit – 16 g
Haritaki – Terminalia chebula – Fruit rind – 16 g
Darvi – Berberis aristata – Stem – 16 g
Vibhitaki – Terminalia bellirica – Fruit rind – 16 g
Amla – Emblica officinalis – Fruit – 16 g
Gokshura Tribulus terrestris – Root / whole plant – 16 g
Kantakari –  Solanum xanthocarpum – Root / whole plant – 16 g
Brihati –  Solanum indicum – Root / whole plant – 16 g
Vasaka – Adhatoda vasica – Root – 16 g
Erandamoola Castor root – Ricinus communis – 16 g
katuki – Picrorrhiza kurroa – Root – 16 g
Punarnava – Boerhaavia diffusa – Root – 16 g
Gajapippali  Scindapsus officinalis – Fruit – 16 g
Pichumarda – Neem – Azadirachta indica – Stem bark – 16 g
Guduchi – Giloya – Tinospora cordifolia – Stem – 16 g
Patola – Trichosanthes dioica – leaf – 16 g
Shushka Mulaka – Dry Radish –  Raphanus sativus – root – 16 g
Duralabha – Fagonia cretica – Root – 16 g
Dhataki –  Woodfordia fruticosa – Flower – 256 g
Sita – sugar – 1.6 kg
Draksha – Dry grapes – Vitis vinifera – Fruit – 320 g
Madhu – Honey 800 g
water – 8.19 liters

Method of manufacturing:
The herbs in the list till Sita (sugar) are made into coarse powder. sugar is dissolved in water and filtered. To the sugar solution, the rest of the ingredients are added in a clean container. It is sealed and kept for a month for fermentation. Filtered. 

Reference: Bhaishajya Ratnavali, Shotha rogadhikara, 197-201
punarnavasavam
Manufacturers: 
AVP,  AVS (Kottakkal), Baidyanath

Safe for kids? 
It is safe to use this medicine in lower dose, in children above 5 years of age.
Pregnancy and lactation –
During pregnancy it is best to take only under medical supervision. Self medication during pregnancy should be avoided.
It can be taken during lactation period, under doctor’s advice, for a short period of time.
Expiry date: 10 years from the date of manufacture.
Storage: Store in a cool place in tightly closed amber coloured bottle, protect from light and moisture.


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Comments

  1. Wt happen if we take 2 spoon every two hours

  2. Najla Fayaz says:

    Sir, is this kasha yam is safe in lactation period. How many times does it take ones or twice. Baby has 4mnt only..I

  3. My mom is suffering from Liver Cirrhosis due to Hepatitis C infection. How useful will this medication be for her..?? She is at the moment taking only homeopathic medication for the same. She has been suffering quite some as she has water retention in her feet and stomach usually. Please advise, hope you can help her recover.

  4. can this help in fatty liver disease? How? what is the best dosage for 28 year old person?

  5. Sir,I was advice this medicine along with ayaskrithi for a swelling around my ankle( left).I am obese.is punarnavasavm is for weight loss?

  6. Aparna Ghosh says:

    My father is havin swelling ankle initially.. nw d knees hv also swollen.. n thr is a pain too.. will this product b beneficial for him??

  7. Sir is this product useful to reduce weight? Am just 22 and my bmi is 30. 3… Can you suggest an ayurvedic medicine o be taken along with exercise to reduce weight?

    • Dr Malini Bhat says:

      No it is used in treating gastritis, edema, fiver and liver diseases. Do consult the doctor for medicines for reducing weight because we all are genetically different with different constitutions and patterns, we respond to treatments in many different ways. Hence Standard Ayurvedic Treatments are always individually formulated.

  8. sir, does it helps psoriasis? what dosage?

  9. Sir
    I am a CKD patient with swollen ankles / legs . My doctor has advised taking this medicine 15 ml, 4 times a day. Should I restrict myself to the standard dosage of 25 ml or continue with the docs advise. Kindly clarify how safe it is for kidney and odema

  10. Sir is it helpful for joint pain and whole body swelling?

  11. Venkat reddy says:

    Sir, Can i use this product for psoriasis arthritis? I have swelling at all major joints? Does it help me?

  12. N S RAGHAVAN says:

    I am taking Dashmoolarishta , Maharasnadikashyam, Eranda sukumaram, and Dhanwahthari 100 Aavarthi for my lower back pain and general weekness. Will taking Punarnavasava help in reducing my ankle swelling, without causing side effects. Is it alcoholic in nature and will it induce sleepinesss during day..thanks..Raghavan

  13. If taken in empty stomach will it cause stomach pain. I’m suffering from stomach pain for nearly 12 hours now. Please let me know immediately

  14. I am suffering from stomach pain after having punarnavasavam with water dosage 30ml with water after 2hours of food for last 12 hrs. Why?

  15. Doctor, I am using balarishtam and punarnavasavam, yogaraja guggulu vatika daily 4 for knee pain from 2 months. I am 33 years old. While planning for pregnancy when can I stop the medicine? Is this medicine can cause problems while pregnant?

    • All three can be continued till pregnancy is confirmed through urine test. After that, consult your doctor for further advice.
      These three do not affect the chances of pregnancy.

  16. i am suffering kidney stones problem both kidneys have 5mm stones, my doctor suggest some medicines and punarnavasavam syrup.. what is the use for kidney stones this medicine??

  17. Is it reduce blood urea and creatinine level?

  18. Hi is it useful for gave syndrome??

  19. Sir,
    Punarnavasavam can reduce blood urea and creatinine level for poly cystic kidney patients?

  20. kiran netkar says:

    Is this product useful for upper left back radiating pain and gastratis and phyrangities.

  21. My father is heart patient. Due to which his kidney n liver r affected. Our renowned ayurvedic doctor has told to start with punarnavasava, arjunarishta, kumari asav. And even chandraprabha Vati. He is even taking allopathic medicines. Just wanted to confirm if it’s safe to start with above herbs?

  22. prasanth avent says:

    sir which ayurvedic medicine improves kidney filteration strength

  23. Sir, I am suffering from swelling in kidney and urinary tract infection and burning feeling in stomach. Is it reduce the swelling and infection and burning in stomach?

  24. Ahamed Abdul Jaleel says:

    I m 55 yr old. Due to enlargment of prostate I have difficulty to pass urine. Punarnavasavam usage will be having any benefits.

  25. Dear sir I have swelling in abdominal and hip , groin pain also Wright leg paining i cannot walk I am using punarnavasam balaristam gokshuradi guggul dazzle and still pain remains same I am 40 year

    • Hi, the cause for swelling needs to be evaluated first.

      Shallaki tablet – 1 tablet 2 times a day after food, for a month could be useful. Available in amazon website here
      http://amzn.to/2pm1CsB

      For further personal health advice, please consult an Ayurveda doctor directly.
      If you want my help in finding a good Ayurveda doctor for you, then let me know your place.

      For email advice (not a reliable option, we do not promise any cure), please write to our health experts here (paid service) – http://easyayurveda.com/consult/

  26. Firoz Khan says:

    Hello good morning Sir,

    Is punarnavasav is safe for diabetics patient?

  27. M D Singh says:

    Sir,Dialysis in twice a week is it useful

  28. Sir,
    Can I take Gasex Tablet along with punarnavasav for stomach gases and for swelling in feet,Please reply,
    Thanks.

  29. Sir,
    My age is 51,I was suffering from blocked nose and burning sensation at anus, A Doctor gave me powder and after 15 days I got relief from my blocked nose, After that he gave me Mehndi powder for 3 months for burning sensation,After
    3 months (20 May 2017),Burning sensation stopped,But my feet were swollen and weight was increased by 5 Kg,I fear it might be a steroid,Currently from 2/6/2017 I am taking Punarnavasava 2 spoon for two times,Swollen feet is normal
    now,Dr have suggested to take one month, So is there another medicine for side effects that may cause along with Punarnavasava,Please reply,
    Thanks.

    • Hi, never take any medicine from any doctor without a prescription letter. You have the right to know the name of the medicine.
      I feel in your case, Punarnavasava is working very well. Please continue.
      You may also take Gokshuradi guggulu tablet -1 tablet 2 times a day after food, along with the above for 1 month time.
      Available locally, or here, in the amazon website
      http://amzn.to/2rNMQvG

      • Sir,
        Currently I am taking Punarnavasav and Gokshuradi guggulu,( For adverse effects of long term use of steroids- 5 Months) But sometimes I am feeling pain in legs and waist,So can I take Shelcal 500 tablet along with this ayurvedic medicine if yes than how much gap should I take? and what should be exact dose,Please reply,
        Thanks.

        • Hi, You can take shelcal 500 mg 1 tablet per day, along with the two Ayurvedic medicines. It can be continued for 2 – 3 months time.

        • I am taking Punarnavasav from 2 June 2017,So how long I should continue Punarnavasav for adverse effect of (steroid-5 months) Currently my hip and thighs are swollen slightly,After using Puarnavasav I have got 75% relief,So how many days I should consume,Please reply,
          Thanks.

          • You can consume it for 6 more weeks and then stop it.

          • bp1339Pramod says:

            Currently I am taking Punarnavasav and Gokshuradi guggulu,But I have question regarding amoebic dysentery,Can I take kutajarishta syrup along with these two medicines,Please reply,
            Thanks.

            • Yes, you can. . If the dysentery is very severe, then kutajarishta alone might not help.

              For personal health advice, please consult an Ayurveda doctor directly.
              If you want my help in finding a good Ayurveda doctor for you, then let me know your place.

              For email advice (not a reliable option, we do not promise any cure), please write to our health experts here (paid service) – http://easyayurveda.com/consult/

          • bp1339Pramod says:

            I am taking Punarnavasav and Gokshuradi guggulu,from 2 June 2017 ( For adverse effects of long term use of steroids- 5 Months) Currently after Sitting on the Floor for Eating (20 minutes),Afterward when I stand my legs and waist are paining for 1 minute, My Dr. have suggested to consume for (3 to 4 months total) So is there any harm to consume these medicines,Please reply

  30. Thank you very much Dr.

  31. Brother my age is 34, at the age of 5 yrs I had eaten white ice while is was sweating all over as I was playing with frnds..the same day evening I felt breathing suffocation n i was admitted in hospital…since than i was good till age 20 but after that i m facing trouble in breathing in the month of July/august/September…when it’s cloudy climate I feel short of oxygen n some time conditions worsen and i have to spend the whole night sitting near window…i m also having dust allergy……plz help me..

    • For personal health advice, please consult an Ayurveda doctor directly.
      If you want my help in finding a good Ayurveda doctor for you, then let me know your place.

      For email advice (not a reliable option, we do not promise any cure), please write to our health experts here (paid service) – http://easyayurveda.com/consult/

  32. punarnavasa aristam i had but body full itching why

  33. Sir I purchase punarnava tonic can I use for safety with low dose

  34. Hello Doctor,
    I am having a family history of kidney problems. My 3 uncles died due to Kidney failure. Can I take this medicine precautionary. I am 42 years old.

  35. Dear Doctor,
    I am having a family history of Kidney failure. My 3 uncles died in Kidney failure. Can I take Punarnavasavam as precautionary . If so what will be the dose. I am 42 years old.

    • I cannot guarantee that it will prevent kidney failure. It helps to improve kidney function. 5 ml, mixed with 10 ml water, 2 times a day before food can help.

      For personal health advice, please consult an Ayurveda doctor directly.
      If you want my help in finding a good Ayurveda doctor for you, then let me know your place.

      For email advice (not a reliable option, we do not promise any cure), please write to our health experts here (paid service) – http://easyayurveda.com/consult/

  36. Hi sir can i take puarnavasav for thyroid(hypo)

    • Yes. But you may also need other medicines.
      For personal health advice, please consult an Ayurveda doctor directly.
      If you want my help in finding a good Ayurveda doctor for you, then let me know your place.

      For email advice (not a reliable option, we do not promise any cure), please write to our health experts here (paid service) – http://easyayurveda.com/consult/

  37. ramakrishna says:

    Sir I am suffering with chronic kidney disease,my creatinine is 1.3, urea 33, hemoglobin 12.8, electrolytes ,BP and sugar levels are normal I am taking steroid.is there any medication in Ayurveda please suggest me.my age is 47, weight 68.

  38. Sir,I am taking it from last week but my swelling is increased

  39. Vijendra singh says:

    Sir I am gerd patients can I take punarnavarishta

  40. I was prescribed “punarnavasav’ for grade 1 fatty liver & was taking it for almost 4 months now along with “liv 52”. There has been substantial improvement in the symptoms. However a ‘new’ doctor now is saying to continue only with Liv 52. as different .punarnavasav’ contains alcohol. Is this TRUE ? As punarnavasav’ is a common prescription for fatty liver.

    • Hi, Punarnasava is useful in fatty liver disorder. But now that you have taken it for 4 months, it is better to stop it and continue with Liv 52 tablet -1 tablet 2 times a day after food for another 2 months time.

  41. Sanjukta Ray says:

    Does it help to cure costochondritis?

  42. N.Satyanarayana,hyder Hyde says:

    My husband got parotidictomy left in the year 2015 operated, in 2017 Nov the doctors want to take pet CT in the 3 findings are there in lungs, Dm and HTN, he is having plz tell us what to take.

    • It is very hard to understand the condition. Please Contact Any Of Below Ayurvedic Doctors. Please book the appointment by phone before going there.

      Dr. Srilakshmi
      Kerala Ayurveda Limited, Somajiguda 6-3-906/B/1, Somajiguda, Near Yasoda Speciality Hospital, Hyderabad, A.P., India.
      PIN: 500 082 Phone: 040-66613357/040-23378813 Email: sgclinic.hyd@keralaayurveda.biz

  43. Jitendra says:

    Namaste Sir,

    It is mentioned “People with diabetes and high BP should take this medicine only under medical supervision.”

    What is the effect of punarnavasava on BP? It increases or decreases BP? What about in case of punarnavarishta?

    When should one take punarnavadi Gugglu and when punarnavadi Mandoor?

    regards
    Jitendra

  44. How many days requires to cure oedema if it is taken?is it also help in reducing swollen eyelids

    • About 2 – 3 weeks time. But if there is infection, you may need other medicines.
      For personal health advice, please consult an Ayurveda doctor directly.
      If you want my help in finding a good Ayurveda doctor for you, then let me know your place.

      For email advice (not a reliable option, we do not promise any cure), please write to our health experts here (paid service) – http://easyayurveda.com/consult/

  45. Hi Sir,
    My Mother is having Diabetic Nephropathy with Chronic Kidney Disease. She also has pedal edema from 6 months and also has developed BP.

    After consulting Ayurvedic doctor, my Mother is taking Punarnavasa from Sandhiu Pharmacy from past 3-4 months.
    Dosage has been 5ml every hour for max 12 hours in day (about 60ml in a day).

    I see there is no expiry date of Punarnavasa bottle? Does taking older stock of Punarnavasa effective in curing Pedal edema?

    How about using Punarnavadi Kadha from Sandhu Pharmacy? Is Punarnavadi Kadha more effective than Punarnavasa? Any writeup on Punarnavadi Kadha will help us.

    https://indiameds.in/sandu_punarnavadi_kadha_450ml_ayush_ayurveda_unani_siddha_homeopathy_online_medicine

  46. Hi sir , my kid diagnosed by nephrotic syndrome , our aayurvedic doctor gave punarnavasav for him , he is taking daily twice 20 ml with equal amount of water , is it safe for this age , he is 5 Years 9 months old ?

  47. Venkat Raman says:

    Dr sir Mai 10 days punarnavavadi kwath 15 ml khana khane se pahle le Raha hu kya isko khana khane ke bad Lena chahiye meri Ko Levit aur Sujan ki shikayat hai
    Venkat Raman
    Chennai

  48. Hi sir ,
    Am meenu ,age 34.
    Am having some body pain from last few days, actually I had primilout tablets to delay my periods for a temple program. After that only it started ,now my periods are regular. I feel little swelling also .can I use this punarnavasavam for this? If not, which medicine can I use, please suggest .

  49. Sumathi Muralidharan says:

    Hi sir,
    Am sumatSu. Can I use punarnasavam for reducing weight ???

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