Nimba
Azadirachta indica A. Juss.
Nimba (Azadirachta indica A. Juss.) is a plant drug, also called Nimbah, Arista and Aristah. Azadirachta indica is recognized by WHO as a traditional medicine plant widely used across developing countries.
| Botanical name | Azadirachta indica A. Juss. |
|---|---|
| Family | Meliaceae · other entries in this family |
| Order | Sapindales |
| Pharmacopoeia status | Azadirachta indica is recognized by WHO as a traditional medicine plant widely used across developing countries. Listed in Indian Pharmacopoeia and Ayurvedic Pharmacopoeia of India. |
| Taxon identifiers | GBIF 3190474 · Wikidata Q170461 · NCBI Taxonomy 124943 |
| Sanskrit | निम्बः (nimbaḥ), Arista, Aristah, Picumandah, Picumarda, Picumardah, Prabhadrah |
|---|---|
| Hindi | नीम (nīma), Nimb |
| English | Indian Lilac, Margosa Tree, Margosa Trees, Neem Tree |
| Tamil | வேம்பு, Vembu, Vempu, Veppu |
| Malayalam | Aruveppu, Aryaveppu, Veppu |
| Telugu | Vemu, Vepa |
| Kannada | Bevu, Chikkabevu, Huchchabevu, Kahibevu, Nimba, Oilevevu, Turakbevu |
| Marathi | Balantanimba, Kadunimb, Limba, Nimb |
| Bengali | Nim, Nimgaachh, Nimgacha |
| Gujarati | Kadvo Limbdo, Leemado |
| Urdu | Neem |
| Punjabi | Bakam, Nim, Nimb |
| Oriya | Neemo, Nimba |
| Assamese | Mahanim |
Sources: Ayurvedic Pharmacopoeia of India; Ayurvedic Pharmacopoeia of India (column alignment reconstructed); efloraofindia, Azadirachta indica: Hindi "नीम (nim)"; efloraofindia, Azadirachta indica: Sanskrit "निम्ब (nimba)"; efloraofindia, Azadirachta indica: Tamil "வேம்பு (vempu)". How we source.
The evidence at a glance
12papers on this site for this drug, published 2017 to 2024, 11 with a DOI.
- 3Systematic reviews and meta-analyses
- 9Other clinical studies and reviews
A count is not a conclusion and a tier is a study design, not a verdict. Each paper is listed with what it measured on the page below. See the research index for how papers are tiered.
Names and identification
| Language | Name |
|---|---|
| English | Neem |
| Latin/Botanical | Azadirachta indica A. Juss. |
Parts Used
- Leaf
- Bark
- Seed
- Oil
- Flower
- Root
Dosha Effects
| Dosha | Effect |
|---|---|
| Pitta | Decreases |
| Kapha | Decreases |
| Vata | May Increase |
Key Phytochemical Constituents
- Azadirachtin (limonoid - primary bioactive, 72-90% of biological activity)
- Nimbidin (bitter compound with anti-inflammatory activity)
- Nimbolide (cytotoxic tetranortriterpenoid)
- Nimbin (triterpenoid)
- Gedunin (limonoid)
- Salannin (tetranortriterpenoid)
- Quercetin (flavonoid antioxidant)
- Nimbidol (antimicrobial compound)
Therapeutic Actions (Karma)
- Antibacterial
- Antifungal
- Anti-parasitic
- Blood purifier
- Anti-diabetic
- Antipyretic
- Insecticidal
How does it work?
- Nimbolide antimicrobial cell wall disruption: Nimbolide inhibits microbial cell wall synthesis and shows greatest zone of inhibition against S. epidermidis, S. aureus, P. aeruginosa, and K. pneumoniae
- Azadirachtin immunomodulatory activity: Modulates immune cell function including T-cell and macrophage activity, relevant to immune-mediated skin conditions like psoriasis and atopic dermatitis
- Limonoid anti-inflammatory cascade: Nimbidin and gedunin suppress prostaglandin synthesis and inhibit complement activation
- Antifungal membrane disruption: Neem compounds disrupt fungal cell membrane integrity, with reported activity against dermatophytes (Trichophyton, Microsporum) and Malassezia species
Which traditional uses are supported by research?
These summaries come from the source notes, which do not name the studies behind them.
- Acne (Yauvanpidika): traditionally used for acne. A clinical study reported reduced inflammatory acne in participants using a neem face wash.
- Fungal skin infections (Dadru/Kushtha): traditionally used for fungal skin infections. Research has reported broad-spectrum antifungal activity against dermatophytes and Malassezia.
- Dandruff/scalp conditions: traditionally used for dandruff and scalp conditions. A clinical study reported reduced dandruff with neem leaf paste.
- Wounds and antiseptic use (Vrana): traditionally used on wounds and as an antiseptic. Research has reported antimicrobial activity against major wound-infecting pathogens.
How is it used traditionally?
Called ‘Sarva Roga Nivarini’ (curer of all ailments). Extensively used in Kushtha (skin diseases), Prameha (diabetes), and Krimi (parasitic infections). Twigs used as toothbrush (Datun).
Where is it described in the classical texts?
- Charaka Samhita
- Sushruta Samhita
- Bhavaprakasha Nighantu
What do recent studies show?
- Gopinath H, Karthikeyan K 2021. Neem in Dermatology: Shedding Light on the Traditional Panacea. Indian journal of dermatology. PMID 35283494 · doi:10.4103/ijd.ijd_562_21
Dermatology review summarised reported uses and evidence for neem in acne, eczema, psoriasis, warts, and fungal infections, including proposed anti-inflammatory, antimicrobial, and antioxidant mechanisms, while noting the need for more rigorous clinical trials. - Dani PB, Ghorpade VK 2025. Effect of Neem Leaf Paste Application on Dandruff. Cureus. PMID 40242687 · doi:10.7759/cureus.80685
A clinical study reported that applying neem leaf paste reduced dandruff symptoms. Neem is traditionally used for scalp conditions, including those linked to Malassezia species.
Only studies that could be traced to a published paper are listed here. An absence here means we could not identify the source, not that no work exists.
Recent safety updates
- Topical neem preparations are generally well-tolerated; however, neem oil can cause contact dermatitis in sensitized individuals. Internal consumption of neem oil has raised toxicity concerns especially in children - oral neem oil should be used with caution
- Long-term safety data for cosmetic-grade neem preparations is limited; comprehensive safety testing needed. Neem oil should not be applied undiluted to skin. Pregnancy contraindicated for oral neem use due to potential abortifacient effects
Recommended Dosage
Leaf powder: 1 to 3 g (Ayurvedic Pharmacopoeia of India, Part I, Vol. II); Leaf juice: as given under Standard Dosage; Neem oil: external use only
Safety, contraindications and cautions
- Pregnancy (abortifacient)
- Trying to conceive (anti-fertility)
- Infants/children (internal use)
- Organ transplant patients (immunostimulant)
What is it made of?
Part(s) Analyzed: Leaf/Bark/Seed
Terpenoids
- Azadirachtin (0.2-0.6%)
- Nimbin (0.1-0.3%)
- Nimbidin
- Nimbinin
- Nimbolide (0.05-0.2%)
- Salannin
- Gedunin
- Mahmoodin
Flavonoids
- Quercetin (0.1-0.3%)
- Kaempferol
- Myricetin
- Rutin
Alkaloids
- Nimbimine
- Nimbidine
- Nimbinine
Phenolics
- Gallic acid (0.5-1.0%)
- Catechol
- Protocatechuic acid
Tannins
- Condensed tannins (2-5%)
- Gallic acid tannins
Steroids_Saponins
- Beta-sitosterol (0.1%)
- Stigmasterol
- Campesterol
Glycosides
- Nimbosterol
- Nimbioside
Fatty_acids
- Oleic acid (40-50%)
- Stearic acid (15-20%)
- Palmitic acid (15-18%)
Coumarins
- Scopoletin (trace)
- Margosine
Principal limonoid content
- Azadirachtin: 0.2-0.6%
- Nimbin: 0.1-0.3%
- Limonoids: major fraction
Dosage forms and preparation
Dosage Forms: Tablet, Capsule, Churna, Kwatha, Arishtam (Nimbarishta), Oil (external), Cream, Tincture, Swarasa (fresh juice)
Standard Dosage: 1-3 g bark powder daily; 400-600 mg standardized bark extract twice daily; 10-20 mL Nimbarishta after meals; 10-15 mL fresh juice
Optimal Timing: Before meals for digestive and hepatoprotective benefits. Arishtam taken post-meal, with equal water.
Storage: Dry powders and extracts: below 25 deg C, RH <60%, protected from light. Arishtam: amber glass bottles, room temperature, no refrigeration needed. Do not store in reactive metal containers.
Marker Compounds: Nimbidin, Nimbolide, Nimbin, Nimbinin, Gallic acid, Catechin, Margolone, Margolonone
Synergistic Combinations
Published research
Literature indexed in PubMed that concerns this subject, grouped by study type. A paper appearing here is a record of what has been published, not evidence that the subject works, and laboratory or animal results do not transfer to people. Study titles link to PubMed so you can read the source rather than take our word.
Systematic reviews and meta-analyses3
- 2021. Antiplasmodial, antimalarial activities and toxicity of African medicinal plants: a systematic review of literatureMalaria journal. PMID 34433465 · doi:10.1186/s12936-021-03866-0
- 2018. Nutritional strategies for psoriasis: current scientific evidence in clinical trialsEuropean review for medical and pharmacological sciences. PMID 30556896 · doi:10.26355/eurrev_201812_16554
- 2017. Effectiveness of Azadirachta indica (neem) mouthrinse in plaque and gingivitis control: a systematic reviewInternational journal of dental hygiene. PMID 26876277 · doi:10.1111/idh.12191
Other clinical studies and reviews9
- 2024. Alternative first-line malaria treatmentAnnals of African medicine. PMID 38358164 · doi:10.4103/aam.aam_35_23
- 2024. Therapeutic Applications of Neem (Azadirachta indica): A Narrative ReviewAdvances in mind-body medicine. PMID 39447127
- 2024. Botanical Briefs: Neem Oil (Azadirachta indica)Cutis. PMID 38478934 · doi:10.12788/cutis.0928
- 2024. Insights into Nimbolide molecular crosstalk and its anticancer propertiesMedical oncology (Northwood, London, England). PMID 38761317 · doi:10.1007/s12032-024-02379-5
- 2021. Azadirachta indica A. Juss. In Vivo Toxicity-An Updated ReviewMolecules (Basel, Switzerland). PMID 33419112 · doi:10.3390/molecules26020252
- 2021. Azadirachta indica A. Juss (neem) as a contraceptive: An evidence-based review on its pharmacological efficiencyPhytomedicine : international journal of phytotherapy and phytopharmacology. PMID 34092456 · doi:10.1016/j.phymed.2021.153596
- 2021. Potential benefits of phytochemicals from Azadirachta indica against neurological disordersNeurochemistry international. PMID 33753160 · doi:10.1016/j.neuint.2021.105023
- 2020. Azadirachta indica A. juss, Morinda citrifolia L. and Triphala as herbal endodontic irrigants: A scoping reviewAyu. PMID 35370381 · doi:10.4103/ayu.AYU_102_20
- 2017. Neem (Azadirachta indica): towards the ideal insecticide?Natural product research. PMID 27687478 · doi:10.1080/14786419.2016.1214834
Reviewed by Dr. Awadesh Pratap Singh, BAMS, on 11 October 2026. What that review covered.
Consult a qualified vaidya before acting on anything here. Ayurvedic practice is prescribed to a person, not to a condition: the same dravya is given, withheld or substituted depending on your constitution, your agni, the season and what else you are already taking. A page cannot know any of that. Self-prescribing from a reference is how the wrong preparation, the wrong dose or the wrong anupana gets used.
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