Periwinkle: Benefits, Dosage, Contraindications

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Periwinkle is a perennial plant belonging to the Apocynaceae family. Native to the woods, hedges, and rocks of Central and Southern Europe up to the Caucasus, it is characterized by its creeping branched stems and solitary blue or blue-violet flowers that bloom at the axil of its dark green persistent leaves. The parts used in medicine are mainly the dried leaves, the flowering aerial parts, and sometimes the entire fresh plant during its flowering period. Periwinkle is rich in indole alkaloids, including vincamine, which makes up 25 to 65% of these alkaloids and is known for its superior bioavailability compared to synthetic vincamine. Other notable components include flavonoids such as kaempferol and quercetin, and pentacyclic triterpenes like ursolic acid. Traditionally, periwinkle has been used for its hemostatic and astringent properties, especially in the treatment of diarrhea, nosebleeds, and as an aid in menstrual and uterine disorders. Today, it is also recognized for its therapeutic applications in managing cerebrovascular disorders, memory, and alertness, as well as in cases of dizziness, balance disorders, and tinnitus. It is also used as an adjunct in the treatment of high blood pressure.

Other name(s) 

Sorcerer's Violet, Shepherd's Violet, Capucine Herb

Scientific name(s)

Vinca minor

Family or group: 

Plants

Active ingredients:

Indole Alkaloids

Ursolic Acid

Vincamine


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.


Peripheral Artery Disease
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Periwinkle, rich in vinpocetine, is used to improve blood circulation in the lower limbs. Vinpocetine promotes vasodilation and enhances microcirculation, which can be beneficial in the treatment of peripheral artery disease.

Posologie

posologieOral: aerial parts

posologie200 mg

formulationpowder, dry extract


High Blood Pressure
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Vinpocetine present in periwinkle can contribute to the management of hypertension associated with risks of atherosclerosis.

Posologie

posologieOral: aerial parts

posologie200 mg

formulationpowder, dry extract


Memory
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The alkaloids of periwinkle, notably vinpocetine, are recognized for their neuroprotective effects. They improve cerebral blood flow and increase the consumption of oxygen and glucose by the brain, which can help improve memory and cognitive functions, especially in individuals suffering from deficits related to cerebral vascular disorders.

Posologie

posologieOral: aerial parts

posologie200 mg

formulationpowder, dry extract


Tinnitus, Dizziness
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Periwinkle is traditionally used to treat symptoms related to vestibular disorders such as dizziness and tinnitus. Vinpocetine improves circulation in peripheral and cerebral regions, which can help stabilize auditory and balance functions.

Posologie

posologieOral: aerial parts

posologie200 mg

formulationpowder, dry extract


Stroke
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Thanks to its vasodilating and anti-inflammatory properties, periwinkle may play a role in the prevention and recovery after a stroke. Vinpocetine helps improve cerebral circulation and protect neurons against ischemic damage by modulating inflammatory responses and stabilizing cell membranes, which can promote better neurological recovery.

Posologie

posologieOral: aerial parts

posologie200 mg

formulationpowder, dry extract


Properties


Hypotensive

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Vinpocetine improves blood circulation by relaxing blood vessels, which helps lower blood pressure. It works by blocking a specific enzyme, called PDE1, which is normally involved in the constriction of vessels. This helps maintain a higher level of a natural substance (cGMP) that aids in vessel relaxation. Through this action, vinpocetine can be beneficial in improving the vascular response during treatments for disorders linked to arterial perfusion insufficiency and contribute to the management of hypertension.

Usages associés

High blood pressure

Vascular Effect

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Vinpocetine, derived from periwinkle, is recognized for its effective vasodilating action, particularly beneficial for improving peripheral and cerebral blood circulation. It primarily functions by inhibiting type 1 phosphodiesterase (PDE1), an enzyme that degrades cGMP, a key mediator of vasodilation. By stabilizing cGMP levels, vinpocetine promotes vascular relaxation and improves microcirculation. Moreover, studies have shown that vinpocetine also reduces the vasoconstrictive response to nitroglycerin in patients who have developed a tolerance to this medication.a Apart from its vasodilating effects, vinpocetine also possesses noteworthy anti-atherogenic properties. It has been demonstrated to reduce vascular wall thickening and neointimal formation in animal models by inhibiting the growth of vascular smooth muscle cells through its antioxidant action, which reduces the production of reactive oxygen species. This action can help reduce the risk of chronic vascular diseases, such as atherosclerosis.

Usages associés

Peripheral Artery Disease, Stroke, Tinnitus

Neurological

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Vincamine and its derivatives, such as vinpocetine, extracted from periwinkle, play a notable role in the treatment of neurological disorders associated with cerebrovascular diseases such as strokes and dementia. These compounds improve cerebral blood circulation through their vasodilating properties and increase cerebral metabolism by stimulating the consumption of oxygen and glucose as well as neuronal ATP production. In addition to these effects, vinpocetine acts as a potent antioxidant, protecting neuronal cells against oxidative stress and preventing neurotoxic elevation of calcium and sodium levels. Together, these mechanisms contribute to enhancing cerebral recovery after trauma, offering overall protection against various neurodegenerative conditions.

Usages associés

Memory


Safety dosage


Interactions

Médicaments

Antihypertensive: moderate interaction

Periwinkle may increase the effects of antihypertensive drugs.


Precautions

Adult: use with caution

- Infusion: pour 200 mL of boiling water over a teaspoon of dried plant, let steep for 10 minutes, then filter.a - Decoction: boil 60 g of dried plant in a liter of water for 2 minutes, let steep for 10 minutes, then filter. - Mother tincture (TM): take 30 to 50 drops, three times a day. - Powder: consume 200 mg two to three times a day. Periwinkle contains toxic alkaloids that can cause nerve, liver, and kidney damage. It is advisable to consult a healthcare professional before taking any periwinkle-based product, especially due to the risks of serious side effects associated with its active components.


Contraindications

Pregnant women: prohibited

Breastfeeding women: prohibited

Children: prohibited