Magnolia: benefits, dosage, contraindications

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Magnolias are flowering plants, from the Magnoliaceae family, consisting mainly of trees and shrubs, found in temperate and tropical regions of Asia, North America, and South America. The bark and flowers are used in traditional Chinese medicine to address "Qi stagnation," which refers to a disturbance or blockage of vital energy, causing various physical and emotional symptoms. Magnolol (up to 16%) and honokiol (up to 9%) are major bioactive constituents of magnolia. Another major constituent is the isoquinoline alkaloid, magnocurarine (0.15-0.23%). The bark also contains an essential oil, the main components of which are cadinol (14%), 1,4-cineole (6%), p-cymene (8%), and B-eudesmol (17%) and geraniol (9%). Traditionally in China, magnolia is used to address nasal congestion, colds, sinusitis, allergic rhinitis, headaches, as well as gastrointestinal disorders such as constipation, dyspepsia, gastritis, nausea, and vomiting. Clinically, magnolia has applications in treating anxiety, depressive states, coughing, and shortness of breath.

Other name(s) 

Chuan houpu

Scientific name(s)

Magnolia officinalis

Family or group: 

Plants

Active ingredients:

Magnolol

Honokiol


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Gingivitis
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A clinical study shows that chewing gum containing magnolia bark extract plus xylitol for 5 minutes three times a day for 30 days reduces gingival bleeding better than gum containing only xylitol. Gingival bleeding was reduced by 33% for patients chewing gum with magnolia bark extract and xylitol, compared to only 24% for patients chewing gum with xylitol alone, and 11% for patients chewing sugar-free gum. Another clinical study shows that using toothpaste containing 0.3% magnolia extract twice a day reduces the severity of gingivitis by approximately 20% after three months, compared to only 12% for patients using toothpaste without magnolia extract.

Posologie

posologieOral route: bark, flower

duration1 - month

formulationchewing gum


Anxiety
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Clinical research shows that taking a blend containing magnolia bark extract at 250 mg three times a day for 6 weeks reduces stress-induced anxiety by nearly twice as much as a placebo in women suffering from anxiety. However, the effect of magnolia alone has not been evaluated. Another controlled, randomized, multicenter study demonstrated the efficacy of a formulation containing 60 mg magnolia bark extract and 50 mg magnesium, over 24 weeks on psycho-affective disorders and sleep disorders in symptomatic postmenopausal women. Insomnia, fatigue, anxiety, depression, irritability, and loss of libido significantly decreased after the fourth week of treatment.

Posologie

posologieOral route: bark, flower

posologie60 - 750 mg

duration6 - weeks

formulationinfusion, standardized extract, dry extract


Synergies


Stress
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Clinical research shows that taking a blend of magnolia bark extract and phellodendron at 250 mg twice a day for 4 weeks improves overall mood and reduces stress compared to a placebo in patients with moderate psychological stress levels.

Posologie

posologieOral route: bark, flower

posologie250 - 500 mg

duration1 - month

formulationinfusion, standardized extract, dry extract


Dental Plaque
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Clinical research shows that using toothpaste containing 0.3% magnolia extract twice a day reduces the severity of plaque by about 14% after three months, compared to only 10% for patients using toothpaste without magnolia extract. Although statistically significant, this improvement may not be clinically significant.

Posologie

posologieOral route: bark, flower

duration6 - months

formulationtoothpaste


Depression
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A mixture of honokiol and magnolol with ginger rhizome creates a synergistic antidepressant action in rodent experiments. These antidepressant effects are observed at doses ranging from 20 to 40 mg/kg body weight in rats, corresponding to 3.2 to 6.4 mg/kg in humans. A clinical study confirms these results in postpartum women. It showed that magnolia tea helps improve sleep quality, and alleviates symptoms of postpartum or postnatal depression, a mental condition associated with childbirth.

Posologie

posologieOral route: bark, flower

posologie160 - 550 mg

formulationinfusion, standardized extract, dry extract


Asthma
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A herbal complex from traditional Chinese medicine (Banxia Houpu Tang) that includes Magnolia officinalis has long been used in bronchial asthma. Indeed, trials conducted in animals have shown that some components of magnolia plants seem to have anti-asthmatic properties via mechanisms related to the anti-allergic reaction, as previously explained.

Posologie

posologieOral route: bark, flower

posologie160 - 550 mg

formulationstandardized extract, dry extract


Alzheimer's Disease
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Magnolol and honokiol may improve cholinergic function, which could be useful in Alzheimer's disease. At high doses, these components increase the release of acetylcholine in the hippocampus of the brain and have a neurotrophic effect, theoretically improving neuronal function.

Posologie

posologieOral route: bark, flower

posologie160 - 550 mg

formulationstandardized extract, dry extract


Properties


Anxiolytic

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The bark of Magnolia officinalis has been utilized in traditional Chinese medicine to treat various mental disorders including anxiety. Researchers have focused their efforts on demonstrating the antidepressant, anxiolytic, and sedative effects of decoctions containing Magnolia. The GABA system plays a crucial role in our brain by regulating our responses to stress and anxiety. Honokiol and dihydrohonokiol, two natural compounds of Magnolia, exhibit anxiolytic effects in animals by interacting with gamma-aminobutyric acid A (GABA-A) receptors and muscarinic receptors. A study also explored the effects of dihydrohonokiol-B, a cousin of honokiol, which, when combined with anxiolytic medications like diazepam, shows enhanced efficacy. This synergy suggests that Magnolia could potentially enhance the effects of conventional anxiety treatments. Additionally, Magnolia extracts have shown an affinity for adenosine A(1) receptors, a type of receptor in the brain that plays a role in sleep regulation and anxiety, which is consistent with traditional anxiolytic activities.

Usages associés

Stress, Anxiety

Antibacterial

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Honokiol and magnolol have marked antimicrobial effects against: - Actinobacillus actinomycetemcomitans, a bacillus part of the human oral flora involved in periodontal diseases. - Porphyromonas gingivalis, a bacterial species present in the oral cavity, responsible for gingivitis and potentially promoting Alzheimer's disease through the release of toxic proteins. - Prevotella intermedia, a pathogenic bacterium involved in periodontal infections, including gingivitis and periodontitis. - Micrococcus luteus, a soil, dust, water, and air bacterium part of the natural skin flora and can also colonize the mouth, mucous membranes, particularly the oropharynx and upper human respiratory tract. They were NOT active against Shigella flexneii, Staphylococcus epidermidis, Enterobacter aerogenes, Proteus vulgaris, Escherichia coli, and Pseudomonas aeruginosa. An extract of bark and magnolol inhibited the growth of Helicobacter pylori, a bacterium responsible for gastric ulcers, in an in vitro study.

Usages associés

Gingivitis, Oral Infections, Dental Plaque

Neurological

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Research suggests that magnolol and honokiol could play a key role in enhancing cholinergic function, essential for memory and learning. They promote the increase of acetylcholine, a vital neurotransmitter, particularly in the hippocampus, the brain region associated with memory formation. This action could be beneficial in the context of Alzheimer's disease, where neuronal communication is often compromised. In addition to increasing acetylcholine, these compounds also nourish neurons (neurotrophic effect), promoting healthy neuronal function. Their antioxidant effect reduces reactive oxygen species and reinforces their neuroprotective properties. Research has shown that Magnolia can also intervene in decreasing the levels of beta-amyloid peptide, a component associated with the progression of Alzheimer's disease, and protect against the cell death it induces.

Usages associés

Alzheimer's Disease

Antiallergic

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Magnolia contains a compound called magnone. This is particularly interesting against allergic symptoms such as nasal congestion and rhinitis. Its action is based on its ability to counter the activity of platelet-activating factor, a crucial element in the body's allergic and inflammatory reactions. In terms of asthma treatment, magnolia is promising by intervening in cortisol metabolism. It inhibits the enzyme responsible for the conversion of cortisol to cortisone, which increases the availability of corticosteroid, a glucocorticoid similar to cortisol and useful in asthma management. The magnolol and honokiol compounds, also present in magnolia, offer dual action: they relax airways by acting as calcium antagonists and reduce type IV allergic reactions, mediated by T lymphocytes. Additionally, the alkaloids in magnolia act against contractions induced by acetylcholine, providing an additional pathway by which magnolia can assist in asthma treatment.

Usages associés

Asthma

Anticancer

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Laboratory studies show that magnolol, a compound of magnolia, may have beneficial effects against leukemia. This action is due to its ability to intervene in various cellular signaling pathways, which are crucial in cancer development and progression. Magnolol and honokiol regulate the expression of certain genes and promote apoptosis; the programmed process of cell death. This mechanism is particularly important as it allows for the controlled elimination of cancerous cells. Moreover, obovotol, as well as some alkaloids present in magnolia, also contribute to these anticancer effects. These substances could enhance magnolia's antitumor action by targeting different stages and mechanisms involved in cancer cell growth and survival.


Anti-inflammatory

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The lignans of magnolia, particularly magnolol and honokiol, play a key role in modulating inflammatory responses. They can downregulate the activation of the nuclear factor-kappa B (NF-κB), a central element in controlling the gene transcription of inflammatory responses. By blocking NF-κB activation, magnolol and honokiol help reduce the expression of genes involved in pro-inflammatory processes. Furthermore, these lignans interfere with the formation of eicosanoids, important signaling molecules in inflammatory and immune processes. They inhibit the production of prostaglandin E2 and thromboxane B2, two notable eicosanoids. This is likely due to the inhibitory effect of magnolol and honokiol on key enzymes like phospholipase A2 and cyclooxygenase, involved in the synthesis of eicosanoids.

Usages associés

Gingivitis

Digestive Effect

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Magnolia is an antispasmodic that works by relaxing the smooth muscles of the digestive tract. Both magnolol and honokiol are non-competitive muscarinic antagonists and inhibit contractions induced by acetylcholine, serotonin, or calcium-dependent contractions induced by acetylcholine. Moreover, magnolia extracts have anti-gastric ulcer activity. Indeed, intragastric administration of an aqueous and methanolic magnolia extract (400 mg/kg) reduced gastric juice secretion and increased the pH of gastric secretions in mice pretreated with indomethacin.


Antioxidant

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When absorbed by the body, honokiol exhibits significant antioxidant properties, particularly effective against hydroxyl radicals. These radicals are reactive oxygen species known for their potential to cause cellular damage. The antioxidant effectiveness of honokiol is attributed to the presence of allyl groups in its chemical structure. These allyl groups allow for more effective interaction with free radicals, neutralizing their harmful activity. Comparatively, honokiol presents a superior antioxidant capability to that of magnolol, another compound from magnolia. This difference is explained primarily by the higher activity of the allylic groups in honokiol, which enhance its power to neutralize free radicals.


Antidepressant

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In animals, a mixture of honokiol and magnolol with ginger rhizome creates a synergistic antidepressant action by regulating serotonergic functions and gastrointestinal system functions. Indeed, the mixture of honokiol and magnolol increased serotonin levels in various brain regions, and ginger rhizome reduced cholecystokinin levels in gastric mucosa and serum gastrin in rats.

Usages associés

Depression

Cardiovascular

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The positive effects of magnolia on atherosclerosis are attributed to the antioxidant activities of magnolol and honokiol. Laboratory research suggests that honokiol decreases the expression of inducible nitric oxide synthase, the generation of reactive oxygen species, intracellular calcium accumulation, and mitigates the effects of oxidized low-density lipoprotein. Magnolol also interferes with the generation of reactive oxygen species.


Safety dosage

Adult from 18 years: 160 mg - 550 mg (dry extract)

There is no typical dosage, but commercial magnolia-based products are standardized according to the constituents magnolol and honokiol, which represent 40 to 90% of the total polyphenols.


Interactions

Médicaments

Barbiturates: moderate interaction

Theoretically, the concomitant use of high doses of magnolia bark and barbiturates could increase the risk of drowsiness and depression of motor reflexes.

Benzodiazepines: moderate interaction

Theoretically, the concomitant use of high doses of magnolia bark and benzodiazepines could increase the risk of drowsiness and depression of motor reflexes.

Central nervous system depressants: moderate interaction

Theoretically, the concomitant use of high doses of magnolia bark and CNS depressants can increase the risk of drowsiness and depression of motor reflexes.

Antiplatelet agents/Anticoagulants: moderate interaction

Some data suggest that magnolia may inhibit platelet aggregation. However, this effect has not been demonstrated in humans. Theoretically, magnolia could have additive effects and increase the risk of bleeding when used with antiplatelet agents.


Precautions

Nursing women: use with caution

There is insufficient reliable information about the safety of using magnolia bark during breastfeeding; studies show it has been used safely in women with postpartum depression, in the form of herbal tea.

Surgical intervention: avoid

Magnolia may have depressing effects on the central nervous system (CNS) and antiplatelet effects. Theoretically, magnolia could cause additional CNS depression when combined with anesthesia and other medications during and after surgery. It may also cause excessive bleeding if used perioperatively. It is recommended to discontinue treatment at least two weeks before a surgical intervention.


Contraindications

Pregnant women: prohibited

Stimulation of uterine contractions has been reported when magnolia is used orally. There is not enough reliable information available on the safety of using magnolia bark during pregnancy.