Coleus: Benefits, Dosage, Contraindications

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Coleus is a tropical plant related to the mint family, originating from Nepal, India, and Thailand. It bears green leaves surrounding a bright purple center. It produces pale purple or blue flowers. The roots are harvested in the fall when forskolin concentration - its active component - is highest. Its roots are used for their medicinal properties. Forskolin is a chemical compound (diterpene) responsible for most of its benefits. It was named after the Finnish botanist Forskal. Traditionally in Ayurveda, preparations of Coleus species have been used for medical treatments of heart diseases, abdominal colic, respiratory disorders, urinary pain, insomnia, and other disorders. More recently, coleus is used to treat heart and respiratory disorders, such as asthma. Clinically, forskolin's effects on the heart, blood pressure, bronchi, and eyes are very promising.

Other name(s) 

Colforsine

Scientific name(s)

Plectranthus barbatus, Coleus forskohlii, Coleus barbatus, Plectranthus forskohlii

Family or group: 

Plants

Active ingredients:

Forskolin


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.


Hypertension
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The consumption of coleus root or tuber may decrease blood pressure in hypertensive patients.

Posologie

posologieOral: root

posologie1 - 1.4 g

duration2 - months

populationSeniors

formulationstandardized extract


Obesity
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A preliminary study suggests that the 10% forskolin standardized extract from coleus could reduce body fat rate by 4.1%. Another small clinical trial shows that taking one capsule of coleus extract 250 mg twice a day before meals for 12 weeks does not further reduce weight compared to taking a placebo in overweight and obese patients on a calorie-restrictive diet

Posologie

posologieOral: root

posologie500 mg

duration12 - weeks

populationMen

formulationstandardized extract


Eye Health
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Taking oral forskolin or in drop form improves eye comfort. A 1% forskolin eye drop solution was able to reduce intraocular pressure in healthy individuals. Preliminary clinical research shows that taking a supplement containing 150 mg of Coleus forskohlii extract (10% forskolin), 200 mg rutin, 0.7 mg thiamine, and 0.8 mg riboflavin, at a rate of 2 capsules per day for 30 days, moderately reduces symptoms of dry eye compared to placebo.

Posologie

posologieOcular, oral: root

posologie300 mg

formulationeye drops, standardized extract


Synergies


Glaucoma
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Preliminary studies show that taking two tablets of a supplement (Kronek) containing 15 mg of forskolin, 200 mg of rutin, 1.5 mg of vitamin B1, and 1.5 mg of vitamin B2 for 7 or 30 days prevents increases of intraocular pressure and reduces intraocular pressure by 10% in patients with glaucoma. Another preliminary clinical study on a supplement containing coleus, taken for a year in addition to standard topical treatment, leads to a decrease in intraocular pressure compared to the standard treatment alone in patients with primary open-angle glaucoma. One tablet of this supplement contains 150 mg of coleus extract (standardized to 10% forskolin), 100 mg homotaurine, 50 mg L-carnosine, 1.1 mg vitamin B1, 1.4 mg vitamin B2, 1.4 mg vitamin B6, 0.2 mg folic acid, and 150 mg magnesium.

Posologie

posologieOral: root

posologie300 mg

formulationstandardized extract


Properties


Antihistamine

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Forskolin inhibits the production of histamine. In vitro, forskolin appears to inhibit antigen-induced release of histamine and leukotrienes.

Usages associés

Asthma

Cardiovascular

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Forskolin stimulates the production of cAMP, which causes the opening of calcium channels and the increase in intracellular calcium concentrations, thereby enhancing the contractility of heart muscles and blood vessels. It thus strengthens cardiovascular functions.

Usages associés

Hypertension

Platelet Aggregation Inhibitors/Anticoagulant

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Forskolin from coleus inhibits platelet aggregation directly or indirectly via the activation of adenylate cyclase.


Anticancer

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Forskolin and 13-epi-sclareol from coleus may block cancer cell growth. Forskolin acts by activating a key enzyme (adenylate cyclase) that increases the levels of cAMP (cyclic adenosine monophosphate) inside cells. This increase in cAMP can have several effects that help combate cancer, such as modifying cancer cell growth and division.


Vision

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Forskolin reduces intraocular pressure in patients with or without glaucoma by stimulating the activity of adenylate cyclase, an enzyme that produces cAMP in response to external signals, with cAMP being the messenger responsible, among other things, for metabolism regulation and cellular communication.

Usages associés

Eye health, Glaucoma

Hormonal Metabolism

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Researchers assume that coleus could activate adenylate cyclase in other body cells, such as in platelets and cells of the thyroid, pancreas, adrenal glands, or pituitary gland.


Metabolic

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Coleus has been studied for weight loss. Preliminary evidence in animals suggests that consumption of a Coleus extract for 8 weeks reduces fat accumulation, body weight, and food intake

Usages associés

Obesity


Safety dosage

Adult from 18 year(s): 300 mg - 500 mg (standardized extract)

Oral consumption is often standardized to an extract containing 10% forskolin. Coleus extract at doses up to 1.4 grams per day has been well tolerated in studies lasting up to 3 months.


Interactions

Médicaments

Antiplatelet Agents/Anticoagulant: moderate interaction

Forskolin in coleus is an antiplatelet agent. Concurrent use with antiplatelet agents/anticoagulants could increase the risk of bleeding.

Antihypertensive: moderate interaction

Concurrent use of antihypertensives with coleus could compound hypotensive effects.

Calcium Channel Blocker: strong interaction

Using forskolin at the same time as calcium channel blockers could cause significant coronary vasodilator effect.

Nitrates: strong interaction

Using forskolin at the same time as nitrates could cause significant coronary vasodilator effect.

Cytochrome P450 Substrate: moderate interaction

Theoretically, coleus could induce cytochromes 2C9 and 3A4 and reduce their ability to metabolize other substrates.


Precautions

Pregnant women: avoid

Animal clinical studies suggest that high doses of coleus can inhibit the implantation of embryos and/or delay fetal development.

Breastfeeding women: avoid

Due to lack of information, avoid use during breastfeeding.

Blood disorder: avoid

There is evidence that coleus might increase the risk of bleeding in some people.


Contraindications

Surgery: prohibited

Coleus may increase bleeding during and after surgery. Stop using coleus at least 2 weeks before a scheduled surgery.