Artichoke: Benefits, Dosage, Contraindications
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.
Hypercholesterolemia ✪✪✪✪✪
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
Synergies
A Nutraceutical Containing Chlorogenic Acid and Luteolin Improves Cardiometabolic Parameters in Subjects with Pre-Obesity: A 6-Month Randomized, Double-Blind, Placebo-Controlled Study
Beneficial effects of artichoke leaf extract supplementation on increasing HDL-cholesterol in subjects with primary mild hypercholesterolemia: a double-blind, randomized, placebo-controlled trial.
Artichoke and bergamot extracts: a new opportunity for the management of dyslipidemia and related risk factors
Artichoke leaf extract for treating hypercholesterolemia.
The role of artichoke leaf tincture (Cynara scolymus) in the suppression of DNA damage and atherosclerosis in rats fed an atherogenic diet
Artichoke leaf extract for treating hypercholesterolemia.
Therapeutic Potential of Artichoke in the Treatment of Fatty Liver: A Systematic Review and Meta-Analysis
[Nonalcoholic steatohepatitis and biliary sludge in people with metabolic syndrome]
Hypolipemic and hypoglycemic activity of bergamot polyphenols: from animal models to human studies
Efficacy of Artichoke dry extract in patients with hyperlipoproteinemia.
Artichoke and Bergamot Phytosome Alliance: A Randomized Double Blind Clinical Trial in Mild Hypercholesterolemia
Digestive disorders ✪✪✪✪✪
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
Synergies
The Effect of Ginger (Zingiber officinalis) and Artichoke (Cynara cardunculus) Extract Supplementation on Functional Dyspepsia: A Randomised, Double-Blind, and Placebo-Controlled Clinical Trial.
Efficacy of artichoke leaf extract in the treatment of patients with functional dyspepsia: a six-week placebo-controlled, double-blind, multicentre trial.
Artichoke leaf extract - Recent findings reflecting effects on lipid metabolism, liver and gastrointestinal tracts.
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Artichoke leaf extract reduces mild dyspepsia in an open study.
Flatulence ✪✪✪✪✪
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
Synergies
The Effect of Ginger (Zingiber officinalis) and Artichoke (Cynara cardunculus) Extract Supplementation on Functional Dyspepsia: A Randomised, Double-Blind, and Placebo-Controlled Clinical Trial.
Efficacy of artichoke leaf extract in the treatment of patients with functional dyspepsia: a six-week placebo-controlled, double-blind, multicentre trial.
Artichoke leaf extract - Recent findings reflecting effects on lipid metabolism, liver and gastrointestinal tracts.
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Artichoke leaf extract reduces mild dyspepsia in an open study.
Hepatic steatosis ✪✪✪✪✪
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
Synergies
The effects of co-administration of artichoke leaf extract supplementation with metformin and vitamin E in patients with nonalcoholic fatty liver disease: A randomized clinical trial
Therapeutic Potential of Artichoke in the Treatment of Fatty Liver: A Systematic Review and Meta-Analysis
[Nonalcoholic steatohepatitis and biliary sludge in people with metabolic syndrome]
Effects of Artichoke Supplementation on Liver Enzymes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Irritable Bowel Syndrome ✪✪✪✪✪
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
Biliary Disorders ✪✪✪✪✪
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
Metabolic Syndrome ✪✪✪✪✪
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
TCF7L2-rs7903146 polymorphism modulates the effect of artichoke leaf extract supplementation on insulin resistance in metabolic syndrome: a randomized, double-blind, placebo-controlled trial
[Nonalcoholic steatohepatitis and biliary sludge in people with metabolic syndrome]
Hypolipemic and hypoglycaemic activity of bergamot polyphenols: from animal models to human studies
Detoxification ✪✪✪✪✪
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
The antioxidant activity of artichoke (Cynara scolymus): A systematic review and meta-analysis of animal studies
Antioxidative and protective properties of extracts from leaves of the artichoke (Cynara scolymus L.) against hydroperoxide-induced oxidative stress in cultured rat hepatocytes
Properties
Hepato-protective
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
Water extract from artichoke ameliorates high-fat diet-induced non-alcoholic fatty liver disease in rats
Hepatoprotective activity of polyphenolic compounds from Cynara scolymus against CCl4 toxicity in isolated rat hepatocytes
Cholagogue
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
Choleretic
The choleretic activity of artichoke is due to cynarin. This activity increases the secretion and elimination of bile by the liver.
Usages associés
Digestive effect
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
Hypolipidemic
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
Diuretic
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
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.