Citrus Bergamot Side Effects: The Hidden Risks Nobody Talks About
- Herbs around us
- Oct 3
- 3 min read
Citrus bergamot supplements are gaining attention for their potential benefits in cholesterol management and cardiovascular wellness. But like any supplement, safety matters. Before adding bergamot to your routine, it’s important to understand possible side effects, interactions, and precautions.
This article explores what science and clinical studies say about citrus bergamot’s safety profile, who should use caution, and how to minimize risks.
Quick Answer
Citrus bergamot supplements are generally safe for most healthy adults when taken at doses of 500–1,000 mg per day. Reported side effects are usually mild and may include digestive upset. However, bergamot can interact with cholesterol-lowering medications such as statins, and higher doses may increase the risk of muscle discomfort. Pregnant and breastfeeding women, as well as people with chronic conditions, should consult their healthcare provider before use.

Common Side Effects Reported
Most people tolerate citrus bergamot well, but some mild side effects may occur, especially at higher doses:
Stomach discomfort (nausea, cramps)
Heartburn or acid reflux
Mild headaches
Rare cases of muscle aches, similar to statin side effects
These effects are usually temporary and resolve once the supplement is stopped or the dosage adjusted.
Potential Drug Interactions
Because bergamot’s active compounds act in ways similar to statins, interactions are possible:
Statins (e.g., atorvastatin, simvastatin): May increase the risk of muscle pain or weakness.
Blood pressure medications: Bergamot may enhance their effects, leading to lower blood pressure.
Other supplements: Combining bergamot with red yeast rice or berberine should be done cautiously due to overlapping cholesterol-lowering effects.
If you are on prescription medication, it’s essential to consult your doctor before taking citrus bergamot.
Who Should Avoid Citrus Bergamot?
Certain groups should use extra caution or avoid citrus bergamot altogether:
Pregnant or breastfeeding women (lack of safety data).
People with liver or kidney conditions (metabolism may be affected).
Individuals with muscle disorders (rare cases of muscle pain have been reported).
Children and adolescents (limited research on safety).
Dosage-Related Concerns
Most side effects are linked to dosage. Clinical studies generally use 500–1,000 mg per day of standardized extract. Exceeding these amounts may increase the likelihood of side effects without proven additional benefits.
Taking supplements with meals may help reduce stomach-related discomfort.
Clinical Evidence on Safety
A 2014 clinical study on 237 participants reported that citrus bergamot extract significantly improved cholesterol without major adverse events.
Reviews in pharmacology journals confirm a favorable safety profile when bergamot is used at studied doses.
However, researchers emphasize the need for medical supervision when combined with prescription medications.
Tips for Safe Use
Choose third-party tested supplements to ensure purity.
Start with the lowest effective dose (500 mg/day) and monitor your body’s response.
Avoid combining with cholesterol-lowering drugs unless your doctor advises.
Always check labels for standardized extracts (bergamot polyphenolic fraction).
Citrus bergamot supplements are considered safe for most adults and provide promising benefits for cholesterol and metabolic health. Still, no supplement is entirely without risk. The key is knowing the proper dosage, being aware of potential interactions, and consulting with a healthcare professional if you have existing conditions or take medication.
When used responsibly, bergamot can be a valuable addition to a heart-healthy lifestyle.
FAQ
What are the side effects of citrus bergamot?
Mostly mild, including digestive upset, heartburn, or rare cases of muscle pain.
Can citrus bergamot interact with medications?
Yes. It may interact with statins, blood pressure drugs, or other cholesterol-lowering supplements.
Is citrus bergamot safe long-term?
Studies up to 12 weeks suggest good safety. Long-term safety requires more research.
Should pregnant women take citrus bergamot?
No. There is not enough research to confirm safety during pregnancy or breastfeeding.
What is the safest dose of citrus bergamot?
500–1,000 mg per day of standardized extract, ideally taken with meals.
References
Gliozzi M, et al. Bergamot polyphenolic fraction improves metabolic syndrome. Int J Cardiol. 2014.
Mollace V, et al. Citrus Bergamot: From Calabrian Traditional Medicine to Clinical Use. Front Pharmacol. 2019.
Mayo Clinic. Cholesterol management: Lifestyle and natural products.