Artichoke: Benefits, Dosage, Contraindications

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The artichoke is an edible perennial plant belonging to the Asteraceae family, with a rigid stem that can reach 1.50 m in height. The artichoke originates mainly from the Mediterranean region of southern Europe, particularly Italy, and North Africa. It is believed that the artichoke is a cultivated and improved form of the wild thistle, which grows spontaneously in uncultivated areas. The parts used in phytotherapy are primarily the leaves, which contain at least 0.8% chlorogenic acid. The leaves that start at the base of the stem should not be confused with the bracts that we eat in cooked dishes. The main constituents include phenolic acids (particularly cynarin and chlorogenic acid), sesquiterpene lactones, flavonoids, and minerals (potassium and magnesium). Artichoke leaf extracts have been the subject of several clinical studies, and their properties on the hepato-biliary sphere are well documented. The consumption of extracts allows for stimulating bile secretion, potentially improving fat digestion and lowering cholesterol levels. The artichoke also protects the liver through its antioxidant flavonoids and its detoxifying action. Traditionally, artichoke leaves are used for the symptomatic relief of digestive disorders such as dyspepsia with bloating and flatulence, due to biliary-pancreatic insufficiency.

Other name(s) 

Artichoke Leaf

Scientific name(s)

Cynara scolymus, Cynara cardunculus

Family or group: 

Plants

Active ingredients:

Terpenic lactones

Inulin

Cynarin

Chlorogenic acid


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.


Hypercholesterolemia
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Meta-analyses and double-blind clinical studies have demonstrated the ability of artichoke extract to increase HDL levels (the good cholesterol) and inhibit the oxidation of LDL (low-density cholesterol). Studies focused on healthy patients or those suffering from hyperlipidemia, non-alcoholic hepatic steatosis, or metabolic syndrome, and all show that daily intake of artichoke leaf extracts for 4 to 24 weeks reduces total cholesterol and low-density lipoprotein cholesterol (LDL). It seems that artichoke only has pronounced effects in people with high cholesterol levels. The doses used range from 200 mg (in combination with other actives like bergamot) to 500 mg or more, divided into 2 to 3 doses per day.

Posologie

posologieOral route: leaf

posologie200 - 1920 mg

duration8 - weeks

formulationliquid extract, dry extract


Synergies


Digestive disorders
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Artichoke leaf extract seems to reduce digestive symptoms such as nausea, vomiting, flatulence, and abdominal pain in patients with functional and hepatic origin dyspepsia. A randomized, double-blind study with a placebo followed 244 patients with functional dyspepsia. For 6 weeks, 129 consumed 1920 mg of artichoke leaf extract per day, divided into three doses, and 111 were treated with a placebo. Improvement in dyspeptic symptoms, such as flatulence and bloating, was significantly higher with artichoke leaf than with the placebo. Combining with ginger may enhance these results, according to other research.

Posologie

posologieOral route: leaf

posologie320 - 2100 mg

formulationliquid extract, dry extract


Synergies


Flatulence
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Artichoke leaf extract seems to significantly reduce digestive symptoms such as flatulence and abdominal pain in patients with functional dyspepsia associated with biliary disease. Some clinical research evaluated artichoke extract in combination with ginger extract. The results show that daily intake of artichoke and ginger extracts improves symptoms considerably. Artichoke is rich in inulin (a set of dietary fibers), cynarin, and flavonoids. It can facilitate digestion and intestinal transit by promoting the development of bifidobacteria in the colon.

Posologie

posologieOral route: leaf

posologie320 - 1920 mg

formulationliquid extract, dry extract


Synergies


Hepatic steatosis
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A randomized clinical study showed that the use of artichoke leaf extracts with metformin and vitamin E can have beneficial effects on improving complications in patients with hepatic steatosis. The artichoke leaf extract used was standardized to provide 20 mg of chlorogenic acid. Another small clinical trial in patients with non-alcoholic hepatic steatosis shows that taking a standardized artichoke leaf extract containing 2% cynarin improves disease severity, reduces liver size, and increases hepatic vein flow compared to placebo.

Posologie

posologieOral route: leaf

posologie600 - 800 mg

formulationliquid extract, dry extract


Synergies


Irritable Bowel Syndrome
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Clinical studies have shown that taking a specific artichoke leaf extract reduces abdominal pain, cramps, bloating, flatulence, and constipation associated with irritable bowel syndrome after 6 weeks of treatment, compared to baseline. In other clinical research, another artichoke leaf extract reduced the incidence of irritable bowel syndrome symptoms compared to baseline in patients suffering from concomitant dyspepsia. Patients taking this extract also experienced an improved quality of life after 2 months of treatment. However, the validity of these results is limited by the lack of a control group.

Posologie

posologieOral route: leaf

posologie320 - 640 mg

formulationliquid extract, dry extract


Biliary Disorders
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Artichoke extracts have a stimulating effect on hepatobiliary functions. They promote the elimination of bile, giving them an anti-lithiasic (anti-gallstone) effect. Artichoke is therefore recommended in cases of functional biliary and hepatic insufficiency; biliary insufficiency on bile stones (without obstruction) and in prevention of biliary lithiasis. One should be cautious not to consume it in case of obstruction or inflammation of the bile ducts (see contraindications).

Posologie

posologieOral route: leaf

posologie400 - 2100 mg

formulationliquid extract, dry extract


Metabolic Syndrome
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A clinical study demonstrated that an aqueous extract of artichoke, chophytol® (a medication), normalizes lipid levels and biochemical indicators in patients with metabolic syndrome. Another small study conducted on patients with metabolic syndrome highlighted the action of artichoke leaf extracts on triglyceride levels but did not significantly affect other metabolic syndrome indicators such as blood glucose or blood pressure.

Posologie

posologieOral route: leaf

posologie1800 mg

formulationliquid extract, dry extract


Detoxification
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Artichoke leaf extracts are traditionally used for liver detoxification when taking multiple medications. Animal study results have shown that artichoke extracts have antioxidant activity, which results in the reduction of peroxides and free radicals in cells.

Posologie

posologieOral route: leaf

posologie320 - 640 mg

formulationliquid extract, dry extract


Properties


Hepato-protective

full-leaffull-leaffull-leafempty-leaf

Artichoke leaf extract may protect liver cells due to its cynarin content. Indeed, cynarin is part of the compounds that stimulate bile, thus facilitating the elimination of toxins in the digestive tract. Additionally, it shows liver protective activity against carbon tetrachloride in vivo. In a non-alcoholic hepatic steatosis model in rats, aqueous artichoke extract was able to improve lipid profiles by enhancing hepatic antioxidant activity, reducing liver inflammation, and increasing the expression of genes essential for lipogenesis and fatty acid oxidation.

Usages associés

Detoxification, Hepatic Steatosis

Cholagogue

full-leaffull-leaffull-leafempty-leaf

The activity of artichoke is based on the stimulation of secretion and elimination of bile acids. It has been demonstrated, in primary cultures of rat hepatocytes, that administration of an artichoke leaf extract regulates bile excretion from the liver into the biliary tracts and intestine. This action is mainly exerted by its flavonoids (luteolin flavonol).

Usages associés

Digestive disorders, Flatulence, Biliary disorders

Choleretic

full-leaffull-leaffull-leafempty-leaf

The choleretic activity of artichoke is due to cynarin. This activity increases the secretion and elimination of bile by the liver.

Usages associés

Biliary disorders, Digestive disorders, Flatulence

Digestive effect

full-leaffull-leafempty-leafempty-leaf

Artichoke is rich in inulin (a set of dietary fibers), cynarin, and flavonoids. Artichoke can facilitate digestion and intestinal transit by promoting the development of bifidobacteria in the colon.

Usages associés

Irritable bowel syndrome, Digestive disorders, Flatulence

Hypolipidemic

full-leaffull-leafempty-leafempty-leaf

The hypolipidemic activity is partly due to an inhibition of hepatic cholesterol synthesis by inhibiting the activity of HMG CoA reductase (an enzyme involved in cholesterol synthesis). This action is due to the artichoke component, cynaroside, and its derivative, luteolin. Artichoke also decreases LDL-cholesterol concentration in patients with hyperlipoproteinemia.

Usages associés

Hypercholesterolemia, Metabolic syndrome

Diuretic

full-leafempty-leafempty-leafempty-leaf

Artichoke components, including potassium and inulin, possessing diuretic effects, may lead to an improvement in diuresis and urine concentration, without altering potassium and sodium blood levels. The resulting forced urea clearance leads to normalization of blood urea levels.

Usages associés

Prostate health


Safety dosage

Adult from 12 years: 600 mg - 1800 mg (powder)

The recommended daily dose (ESCOP/EMA) is equivalent to 5 to 10 g of dried leaves. - Dried leaf in infusion or decoction: 20 g per 1 liter of water, 10 minutes; - 1:5 tincture: 20 to 25 drops before the three meals; - Mother tincture: 3 times 50 drops; - Concentrated dry extract: 600 mg to 1800 mg


Interactions

Médicaments

Cytochrome P450 substrates: weak interaction

Research indicates that artichoke leaf extract inhibits the activity of cytochrome P450 (CYP) 2B6 and cytochrome P450 (CYP) 2C19 in vitro. This could theoretically increase the levels of medications metabolized by CYP2C19 and CYP2B6, including bupropion (Wellbutrin), cyclophosphamide (Cytoxan), efavirenz (Sustiva), methadone (Dolophine), sertraline (Zoloft), nevirapine (Viramune), tamoxifen (Nolvadex), valproic acid (Depakote), omeprazole (Prilosec), lansoprazole (Prevacid), pantoprazole (Protonix), diazepam (Valium), carisoprodol (Soma), nelfinavir (Viracept)...


Precautions

Pregnant woman: avoid

In the absence of sufficient data, the use of artichoke during pregnancy, in doses higher than those found in food, is not recommended.

Breastfeeding woman: avoid

In the absence of sufficient data, the use of artichoke during breastfeeding, in doses higher than those found in food, is not recommended.

Child up to 12 years: avoid

In the absence of sufficient data, the use of artichoke, in doses higher than those found in food, is not recommended for children under 12 years.


Contraindications

Bile duct obstruction: prohibited

Theoretically, artichoke may worsen bile duct obstruction by increasing the flow of bile.

Intestinal obstruction: prohibited

Theoretically, artichoke may worsen obstruction.