Stinging Nettle: Benefits, Dosage, Contraindications
Other name(s)
Great Nettle
Scientific name(s)
Urtica dioica, Urtica urens
Family or group:
Plants
Active ingredients:
Flavonoids
Lectins
Polysaccharides
Potassium
Calcium
Magnesium
Indications
Rating methodology
EFSA approval.
Osteoarthritis ✪✪✪✪✪
Oral or topical use of nettle leaf extract could improve pain symptoms in patients suffering from osteoarthritis. Some clinicians use nettle leaf extract in combination with conventional nonsteroidal anti-inflammatory drugs (NSAIDs) or other analgesics. It seems that adding nettle could allow the use of lower doses of analgesics in some patients. Other clinical research shows that a combination containing nettle, rosehip, devil’s claw, and vitamin D taken orally daily for 12 weeks improves overall symptoms by 28% and pain scores by 33% more than placebo in adults suffering from knee osteoarthritis.
Posologie
Synergies
Five Herbs Plus Thiamine Reduce Pain and Improve Functional Mobility in Patients With Pain: A Pilot Study.
Nettle sting of Urtica dioica for joint pain--an exploratory study of this complementary therapy.
Nettle sting for chronic knee pain: a randomised controlled pilot study.
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Randomized controlled trial of nettle sting for treatment of base-of-thumb pain.
Stinging nettle cream for osteoarthritis.
COMMUNITY HERBAL MONOGRAPH ON URTICA DIOICA L. AND URTICA URENS L., HERBA
Evidence for antirheumatic effectiveness of Herba Urticae dioicae in acute arthritis: A pilot study.
Type 2 Diabetes ✪✪✪✪✪
Studies suggest that stinging nettle may benefit people with type 2 diabetes. A meta-analysis of small clinical trials found that daily intake of 1.5 to 10 g of nettle for 8 to 12 weeks reduces fasting blood glucose, but does not significantly improve glycated hemoglobin (HbA1c). Another review suggested a reduction in HbA1c and postprandial blood glucose, but these results are based on a limited number of studies. Combining it with milk thistle and boswellia (200 mg each) three times a day for three months slightly reduces fasting blood glucose compared to placebo in adults with type 2 diabetes taking antidiabetic medication.
Posologie
Synergies
The effect of nettle (Urtica dioica) supplementation on the glycemic control of patients with type 2 diabetes mellitus: A systematic review and meta-analysis
Effects of Urtica dioica on Metabolic Profiles in Type 2 Diabetes: A Systematic Review and Meta-analysis of Clinical Trials
Effectiveness and Safety of Ayurvedic Medicines in Type 2 Diabetes Mellitus Management: A Systematic Review and Meta-Analysis
Improved glycemic control in patients with advanced type 2 diabetes mellitus taking Urtica dioica leaf extract: a randomized double-blind placebo-controlled clinical trial.
Benign Prostatic Hyperplasia ✪✪✪✪✪
Numerous clinical observations show a decrease in urinary frequency, post-void residual volume, prostate volume, and hormone levels with doses of extracts ranging from 600 to 1200 mg per day over periods of 3 to 6 months. Other studies show that using nettle root at a dose of 120 mg three times per day improves symptoms of benign prostatic hyperplasia in 81% of subjects treated, compared to 14% for placebo. However, some studies conclude that testosterone levels were not affected and no change in prostate size was observed.
Posologie
Synergies
Extracts From Fruits of Saw Palmetto (Sabal Serrulata) and Roots of Stinging Nettle (Urtica Dioica): Viable Alternatives in the Medical Treatment of Benign Prostatic Hyperplasia and Associated Lower Urinary Tracts Symptoms
[Stinging Nettle Root Extract (Bazoton-uno) in Long Term Treatment of Benign Prostatic Syndrome (BPS). Results of a Randomized, Double-Blind, Placebo Controlled Multicenter Study After 12 Months]
[Phytotherapy of benign prostate syndrome and prostate cancer: better than placebo].
The efficacy and safety of Urtica dioica in treating benign prostatic hyperplasia: A systematic review and meta-analysis
Long-term Efficacy and Safety of a Combination of Sabal and Urtica Extract for Lower Urinary Tract Symptoms--A Placebo-Controlled, Double-Blind, Multicenter Trial
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Urtica dioica for treatment of benign prostatic hyperplasia: a prospective, randomized, double-blind, placebo-controlled, crossover study.
Combined Sabal and Urtica Extract Compared With Finasteride in Men With Benign Prostatic Hyperplasia: Analysis of Prostate Volume and Therapeutic Outcome
The efficacy and safety of Urtica dioica in treating benign prostatic hyperplasia: a systematic review and meta-analysis
COMMUNITY HERBAL MONOGRAPH ON URTICA DIOICA L. AND URTICA URENS L., HERBA
Arthritis ✪✪✪✪✪
ESCOP recommends nettle leaves as an adjunct in the symptomatic treatment of arthritis and rheumatic conditions. Native Americans used it to relieve rheumatic pains. Applying fresh leaves for 30 seconds on the painful area can alleviate arthritic pains. The combination of these effects (purifying, remineralizing) with its anti-inflammatory effects make it an option for arthritis treatment.
Posologie
Five Herbs Plus Thiamine Reduce Pain and Improve Functional Mobility in Patients With Pain: A Pilot Study.
Nettle sting of Urtica dioica for joint pain--an exploratory study of this complementary therapy.
[Cytokine secretion in whole blood of healthy subjects following oral administration of Urtica dioica L. plant extract].
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Randomized controlled trial of nettle sting for treatment of base-of-thumb pain.
Plant Extracts From Stinging Nettle (Urtica Dioica), an Antirheumatic Remedy, Inhibit the Proinflammatory Transcription Factor NF-kappaB
Evidence for antirheumatic effectiveness of Herba Urticae dioicae in acute arthritis: A pilot study.
Joint Pain ✪✪✪✪✪
Nettle is known for being "purifying" against joint pain. The nettle leaf has a structuring, building capacity (recalcifying). It plays an important role in bone consolidation, thus in remineralization. EMA indicates that nettle leaves are a traditional herbal medicine for the relief of minor joint pain. Several studies tend to show these effects, particularly in cases of osteoarthritis.
Posologie
Five Herbs Plus Thiamine Reduce Pain and Improve Functional Mobility in Patients With Pain: A Pilot Study.
Nettle sting of Urtica dioica for joint pain--an exploratory study of this complementary therapy.
Nettle sting for chronic knee pain: a randomised controlled pilot study.
[Cytokine secretion in whole blood of healthy subjects following oral administration of Urtica dioica L. plant extract].
Randomized controlled trial of nettle sting for treatment of base-of-thumb pain.
Stinging nettle cream for osteoarthritis.
COMMUNITY HERBAL MONOGRAPH ON URTICA DIOICA L. AND URTICA URENS L., HERBA
Evidence for antirheumatic effectiveness of Herba Urticae dioicae in acute arthritis: A pilot study.
Acne ✪✪✪✪✪
EMA recognizes nettle leaves as traditional herbal medicine used for seborrheic skin conditions. This suggests a benefit for acne-prone skin in particular. Traditionally, nettle is known as "purifying" against moderate acne and skin eruptions.
Posologie
Hair Loss ✪✪✪✪✪
The nettle leaf shows a capacity to structure and build (recalcifying). It plays a role in bone consolidation, thus in remineralization. Externally, a decoction of dry or fresh leaves is used as a tonic in scalp seborrhea and against hair loss.
Posologie
Urinary Disorders ✪✪✪✪✪
EMA indicates leaves to increase urine output and as an adjuvant in minor urinary complaints.
Posologie
Eczema ✪✪✪✪✪
The EMA recognizes nettle leaves as a traditional herbal medicinal product used for seborrheic skin conditions. This suggests a benefit for eczema in particular. It is reputed as "cleansing", against skin outbreaks. In Ayurvedic medicine, nettle is used in combination with other plants to treat skin outbreaks and eczema.
Posologie
Prostatitis ✪✪✪✪✪
Nettle root might have an interest in the treatment of prostatitis thanks to its components, such as polysaccharides and lectins. These substances act by playing an immunomodulatory role. This activity might be useful in chronic non-specific prostatitis, often associated with autoimmune disorders.
Posologie
Synergies
Search for the antiprostatic principle of stinging nettle (Urtica dioica) roots.
Serenoa Repens Associated With Urtica Dioica (ProstaMEV) and Curcumin and Quercetin (FlogMEV) Extracts Are Able to Improve the Efficacy of Prulifloxacin in Bacterial Prostatitis Patients: Results From a Prospective Randomised Study
Properties
Anticancer
There is interest in using nettle for prostate diseases, especially benign prostatic hyperplasia (BPH) and prostate cancer. Preliminary research shows that a water extract of nettle leaves may decrease the activity of adenosine deaminase (or adenosine aminohydrolase, a hydrolase that catalyzes the reaction in tissues) of the prostate in men with localized prostate cancer. Animal and cell culture research shows that nettle root extract can reduce the proliferation of prostate cancer cells. In vitro research shows that lignans from nettle root interfere with the binding of dihydrotestosterone (DHT) to sex hormone binding globulin (SHBG). The binding of DHT and SHBG stimulates prostate cancer growth. By interfering with this binding, stinging nettle is thought to reduce the growth of prostate cancer. Preliminary research shows that nettle root extract inhibits the sodium-potassium pump in human hyperplastic prostate tissue. Inhibition of the sodium-potassium pump may reduce metabolism and growth of prostate cells.
Usages associés
Antiandrogenic
SHBG (Sex Hormone Binding Globulin) proteins transport androgens and estrogens at the plasma level. Thus, in men, these hormones bound to SHBG are generally transported to receptor sites on the prostate. With age, testosterone production decreases and the estrogen/testosterone ratio thus increases. This phenomenon then leads to increased synthesis of SHBG transport proteins, which can then prompt prostate tissue cells to divide and grow rapidly, resulting in benign prostatic hyperplasia. Therefore, studies have shown that lignans (including secoisolariciresinols), derived from nettle root extract, inhibit androgen binding to SHBG and also prevent these transport proteins from binding to prostate membrane receptors, thereby limiting proliferative activity on prostate tissues. Other hypotheses have been formulated, indicating an action of nettle root extract on testosterone 5-α-reductase, on other enzymes such as human leukocyte elastase (HLE), a marker of prostatic inflammation by lipophilic steroids of nettle root. Finally, aromatase is responsible for converting testosterone to 17-β-estradiol. This enzyme plays an important role in the pathophysiology of prostate hypertrophy as it specifically induces increased synthesis of androgen receptors and a change in prostate structure. Octadecanoic acids contained in these roots are highly inhibitory of aromatase, according to laboratory experiments.
Usages associés
Immunomodulatory
Polysaccharides would interact in vitro with T-lymphocytes (immunomodulating activity). Lectins also have immunomodulating activity by stimulating the production of interferon-γ by lymphocytes and by inhibiting autoimmune disorders often found in chronic nonspecific prostatitis.
Usages associés
Anti-inflammatory
The aerial parts of the nettle and the root have anti-inflammatory effects. Laboratory studies on nettle extract have shown anti-inflammatory activity, notably by inhibiting NF-kappaB activation and reactions derived from cyclooxygenase and 5-lipoxygenase. Phenolic acid isolated from the nettle also reduces leukotriene B4 synthesis. In humans, a study revealed that oral intake of 1.34 g of nettle leaf extract for three weeks significantly decreased TNF-alpha and IL-1-beta levels stimulated by lipopolysaccharides. Additionally, nettle leaf extract reduces the induction of primary T-cell responses and TNF-alpha, suggesting potential in treating diseases like rheumatoid arthritis and Crohn's disease.
Usages associés
Hypoglycemic
Certain cell cultures and animal research show that nettle leaf can increase insulin secretion from the pancreas. Other cell culture research shows that nettle leaf extract can inhibit the activity of peroxisome proliferator-activated receptors (PPAR)-gamma. Further cell culture research shows that nettle's aerial parts can inhibit alpha-glucosidase activity.
Usages associés
Hypotensive
Animal research shows that extracts from the aerial parts of stinging nettle can induce an acute hypotensive effect along with diuretic and natriuretic effects (promoting sodium urinary excretion). Leaf juice can increase urinary output and slightly decrease systolic blood pressure and body weight in people with venous insufficiency.
Antiallergic
Nettle leaf, rich in quercetin, could help alleviate allergic rhinitis. Quercetin is recognized for its anti-inflammatory properties and its ability to stabilize mast cells, thereby reducing histamine release. A clinical study showed that daily nettle intake for a month decreased interferon-gamma levels, an inflammation indicator. However, nettle did not significantly improve clinical symptoms of allergic rhinitis, nor did it alter some biological markers associated with this condition.
Diuretic
The leaf and the entire aerial part are slightly diuretic and increase the excretion of chlorides and urea, which is favorable for rheumatism and gout.
Usages associés
Remineralizing
The leaves contain flavonoids, sterols (sitosterol), numerous organic acids, chlorophyll and carotenoids, vitamins (C, B group, K), and mineral salts (silica, potassium, nitrates, calcium, magnesium). As such, leaves are considered alkalinizing.
Usages associés
Safety dosage
Adults aged 18 years and older: 380 mg - 2280 mg (powder)
- Dried, cut, fragmented or ground herbal substance: 2-4 g in a single dose up to 3 times a day in infusion. - Powdered herbal substance: 380-570 mg in a single dose up to 4 times a day. - Fresh herb juice: 10-15 ml in a single dose up to 3 times a day. - Tincture (1:5), extraction solvent, ethanol 45%: 2-6 ml in a single dose up to 3 times a day. - Dry extract (5-10:1), extraction solvent: water corresponding to 2-4 g of herbs in a single dose up to 3 times a day.
Children aged 12 to 18 years: 275 mg
- Dried, cut, fragmented or ground herbal substance: 2-4 g in a single dose up to 3 times a day in infusion. - Powdered herbal substance: 380-570 mg in a single dose up to 3 times a day. - Expressed juice (1:0.5-1.1) from fresh herb: 10-15 ml in a single dose up to 3 times a day. - Tincture (1:5), extraction solvent: ethanol 45% (V/V): 2-6 ml in a single dose up to 3 times a day. - Dry extract (5-10:1), extraction solvent: water corresponding to 2-4 g of herbs in a single dose up to 3 times a day.
Adults aged 18 years and older: 300 mg - 600 mg (dry extract)
Root: 4 to 6 g in infusion or 300 to 600 mg of dry extract (7-14 to 1, 20% methanol).
Interactions
Médicaments
Antidiabetic: minor interaction
Animal research suggests that this nettle may lower blood glucose levels. Furthermore, a human case report suggests that nettle may cause hypoglycemia in some diabetes patients. Dose adjustments may be necessary.
Warfarin: minor interaction
Nettle contains a significant amount of vitamin K. It is therefore considered that nettle may reduce the effects of anticoagulant medications like warfarin; use with caution. A dose adjustment of warfarin may be required.
Precautions
Breastfeeding women: avoid
Avoid due to lack of data.
Hypotension: use with caution
Nettle may have effects on blood pressure.
Kidney insufficiency: avoid
The aerial parts of nettle appear to have a diuretic effect; use with caution in individuals with renal disorders.
Children under 12 years: avoid
Use is not recommended in children under 12 years.
Contraindications
Pregnant women: prohibited
Orally, nettle is contraindicated due to potential abortifacient and uterine stimulating effects.