Karela, or bitter melon, is a tropical plant cultivated for its fruit. It contains active constituents like saponins, alkaloids, and glycosides such as momordin, charantin, and charantosides. Karela has traditionally been used as an antidiabetic, cardio-protective, anthelmintic, stimulant, laxative, and tonic. While generally low in toxicity, it can interact with insulin and anti-diabetic drugs. Karela should be avoided by pregnant women and those with gastric ulcers or heartburn.