Stinging Nettle: Benefits, Dosage, Contraindications

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Nettle is a perennial herbaceous plant found in temperate and tropical regions. It is most commonly found in hedges, around homes, and in gardens. Two species of nettles from the Urticaceae family are used in phytotherapy: Urtica dioica (great nettle) and less commonly (in homeopathy): Urtica urens (burning nettle). The parts of the nettle used in therapy are the aerial parts and the root. Care should be taken with the part of the nettle used, as the root has quite different pharmacological activity from the leaves. The root of the nettle contains polysaccharides and fatty acids. Nettle leaf contains several nutrients and active principles including beta-sitosterol and flavonoids such as quercetin, rutin, kaempferol, and others. The leaf also contains lectins, including agglutinin. Its stinging hairs contain histamine, acetylcholine, and serotonin. The leaf is consumed as food due to its significant amounts of carotene, vitamin C, vitamin K, potassium, calcium, and magnesium. It is a choice food to combat demineralization; nettle pesto recipes are suggested (and are very tasty). Nettle leaves have long been used as a diuretic and laxative since the times of Greek physicians Dioscorides and Galen while the roots are recommended for prostate disorders.

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.

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.


Osteoarthritis
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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

posologieOrally: leaf

posologie160 - 9000 mg

formulationinfusion, dry extract


Synergies


Type 2 Diabetes
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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

posologieOral route: leaf

posologie600 - 1500 mg

formulationdry extract


Synergies


Benign Prostatic Hyperplasia
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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

posologieOral route: root

posologie360 - 1200 mg

formulationpowder, dry extract


Synergies


Acne
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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

posologieOral route: leaf

posologie275 - 1100 mg

formulationpowder


Hair Loss
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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

posologieOral route: leaf

posologie275 - 1100 mg

formulationpowder


Urinary Disorders
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EMA indicates leaves to increase urine output and as an adjuvant in minor urinary complaints.

Posologie

posologieOral route: leaf

posologie1140 - 2280 mg

formulationpowder


Eczema
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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

posologieOral: leaf

posologie275 - 1100 mg

formulationpowder


Prostatitis
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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

posologieOral: root

posologie360 - 1200 mg

formulationpowder


Synergies


Properties


Anticancer

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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

Benign Prostatic Hyperplasia

Antiandrogenic

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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

Acne, Benign Prostatic Hyperplasia

Immunomodulatory

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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

Prostatitis

Anti-inflammatory

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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

Osteoarthritis, Arthritis, Joint Pain, Prostatitis

Hypoglycemic

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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

Type 2 Diabetes

Hypotensive

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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

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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

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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

Urinary Disorders

Remineralizing

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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

Arthritis, Hair Loss, Joint Pain


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.