Monograph No. 053 / Herbals & Others
Herbals & Others
Ginger: Benefits, Dosage, and Safety
Ginger (Zingiber officinale) is a culinary and herbal rhizome studied mainly for nausea and vomiting, with research suggesting possible benefit in pregnancy but uncertain effects elsewhere.
Ginger (Zingiber officinale) is a culinary and herbal rhizome studied mainly for nausea and vomiting, with research suggesting possible benefit in pregnancy but uncertain effects elsewhere.
What ginger is
Ginger is the rhizome (underground stem) of Zingiber officinale, a tropical plant native to warm parts of Asia and now grown in South America, Africa, and the Middle East. It is used both as a food spice and as an herbal dietary supplement. It is not an essential nutrient, so no dietary requirement exists. Its characteristic pungency comes from compounds called gingerols and shogaols.
What it does
- Traditionally used to ease indigestion and gastrointestinal discomfort
- Studied as an agent that may reduce nausea and vomiting, especially in pregnancy
- Contains bioactive compounds (gingerols, shogaols) investigated for anti-inflammatory and antioxidant activity
- Used as a culinary spice and flavoring, not as a source of essential nutrients
Intake and dosing
Ginger is not an essential nutrient, so no Recommended Dietary Allowance or Tolerable Upper Intake Level has been set. Doses in studies vary widely. Because supplement doses are not standardised, discuss an appropriate amount with a clinician or pharmacist.
Deficiency and who is at risk
Not applicable. Ginger is not an essential nutrient, so there is no deficiency state or associated deficiency signs.
Who may need more
- No one requires ginger nutritionally; it is not an essential nutrient
- Sometimes used by pregnant people seeking relief from nausea and vomiting, after consulting a health care provider
- People exploring options for occasional nausea or gastrointestinal discomfort
Food sources
Fresh ginger root, dried and ground ginger spice, crystallized or candied ginger, ginger tea, and ginger-flavored foods and beverages. As a food, ginger is generally recognized as safe (GRAS) by the U.S. FDA.
Forms and absorption
Common forms include fresh or dried root, capsules and tablets, powdered extract, liquid extracts (tinctures), and teas. Most clinical studies used dietary supplements rather than food. Products vary widely in gingerol content and standardization, so potency is not consistent across brands.
Safety, excess and interactions
Ginger has been used safely in many research studies when taken orally as a dietary supplement, and topical products may also be safe. Side effects can include abdominal discomfort, heartburn, diarrhea, and mouth or throat irritation. Use during pregnancy may be safe, but anyone considering ginger while pregnant should consult a health care provider; little is known about safety while breastfeeding. Anyone taking medication should talk with a health care provider before use, because some herbs and medicines interact in harmful ways.
Too much
Ginger has been used safely in many oral research studies. Reported side effects, most often with powdered ginger, include abdominal discomfort, heartburn, diarrhea, and mouth and throat irritation. Higher intakes may increase gastrointestinal upset. No Tolerable Upper Intake Level has been set because ginger is not a nutrient with an established DRI.
Interactions to know
- Anticoagulant and antiplatelet drugs (for example warfarin): ginger may theoretically increase bleeding risk and is often cautioned against in people with bleeding disorders
- Antihypertensive drugs: ginger may lower blood pressure, so combined use warrants caution
- Oral hypoglycemic agents and other diabetes medicines: ginger may increase the risk of low blood sugar
- General: some herbs and medicines interact in harmful ways, so consult a health care provider before combining ginger with any medication
How status is measured
Not routinely measured. There is no established blood test or biomarker for ginger intake or status, since ginger is not an essential nutrient.
What the evidence supports
We grade the strength of evidence behind each common reason people take ginger, mirroring how the NIH describes it.
NCCIH states research shows ginger may be helpful for pregnancy-related nausea and vomiting; supported by several meta-analyses, though some underlying studies are of lower quality.
NCCIH notes most studies of ginger for motion sickness have not shown it to be helpful.
NCCIH states it is uncertain whether ginger is a helpful addition to standard treatments for chemotherapy-associated nausea and vomiting.
NCCIH describes the evidence as uncertain; some meta-analyses suggest possible benefit but results are not conclusive.
NCCIH notes oral ginger might be helpful for knee osteoarthritis symptoms but much of the research has been of poor quality; topical ginger has not been shown to help.
NCCIH lists ginger among conditions it is promoted for; systematic reviews suggest possible benefit but the evidence base is limited.
Sources
- S1.gov verifiedNIH National Center for Complementary and Integrative Health (NCCIH)Ginger: Usefulness and Safetywww.nccih.nih.gov/health/ginger
- S2.gov verifiedNIH Office of Dietary Supplements (ODS)Dietary Supplement Fact Sheets - Ginger (Zingiber officinale) listingods.od.nih.gov/factsheets/list-all/
- S3.gov verifiedNIH National Center for Complementary and Alternative Medicine (NCCAM/NCCIH)Herbs at a Glance: Gingerwww.govinfo.gov/content/pkg/GOVPUB-HE20_7250-PURL-LP
- S4.gov verifiedNIH National Library of Medicine (NCBI Bookshelf, StatPearls)Ginger Rootwww.ncbi.nlm.nih.gov/books/NBK565886/
Every figure on this page is quoted from the sources above. Science changes; we re-check and re-date pages as authorities update their guidance.