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Sarpagandha has advantages, but it must be used carefully.  Common adverse effects include gastrointestinal problems, depression, tiredness, and congestion of the nose.  Pregnant women, those with a history of depression, and people on blood pressure or antidepressant drugs should avoid it.  High dosages or prolonged use can cause major side effects.  Before beginning sarpagandha, always get advice from a trained medical professional or Ayurvedic practitioner to guarantee safe and suitable use for your unique health requirements.