Eleuthero: benefits, dosage, contraindications
Other name(s)
Siberian Ginseng, Ciwujia
Scientific name(s)
Eleutherococcus Senticosus, Acanthopanax senticosus, Acanthopanacis senticosi
Family or group:
Plants
Active ingredients:
Coumarins
Saponins
Lignans
Eleutherosides
Indications
Rating methodology
EFSA approval.
Herpes ✪✪✪✪✪
A clinical study in men suffering from recurrent genital herpes infections shows that taking a specific eleutherococcus extract (Elagen), standardized to contain 0.3% eleutherosides, reduces the frequency, severity, and duration of outbreaks. More recently, the Elagen formulation contains at least 2g of dried root equivalent in each capsule of concentrated Eleutherococcus Senticosus extract standardized around 0.4% eleutheroside B and 0.5% eleutheroside E.
Posologie
Fatigue ✪✪✪✪✪
Eleutherococcus is indicated for decreased mental and physical capacity such as weakness, exhaustion, fatigue, and loss of concentration, as well as during convalescence, according to ESCOP (European Scientific Cooperative on Phytotherapy) and EMA (European Medicines Agency). Several clinical studies confirm these indications. A randomized, double-blind, placebo-controlled trial of 300 mg / day (dry extract) for 8 weeks assessed health-related quality of life scores in 20 elderly people. Improvements were observed in social functioning after 4 weeks of treatment but did not persist up to 8 weeks. It seems that improvements decrease with continued use, which may help explain the practice of administering eleutherococcus for 6 weeks with a break of 2 weeks before starting again. In another randomized, placebo-controlled clinical study in 76 people with chronic fatigue, no statistically significant reduction in fatigue was demonstrated, however, interesting results were noted in some subgroups. For example, in subjects with moderate fatigue, significant improvement was observed after 2 months in those taking eleutherococcus compared to those on placebo. The product used provided 2.24 mg of eleutherosides from 2 g of extract consumed in total per day. Siberian ginseng's ability to increase levels of norepinephrine, serotonin, adrenaline, and cortisol provides a theoretical basis for its use in situations of fatigue. However, controlled studies remain limited.
Posologie
Burnout: evaluation of the efficacy and tolerability of TARGET 1® for professional fatigue syndrome (burnout).
Antifatigue activity of the liposoluble fraction from Acanthopanax senticosus.
Effects of Siberian Ginseng (Eleutherococcus Senticosus Maxim.) on Elderly Quality of Life: A Randomized Clinical Trial
Anti-fatigue activity of extracts of stem bark from Acanthopanax senticosus.
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Randomized Controlled Trial of Siberian Ginseng for Chronic Fatigue
Community herbal monograph on Eleutherococcus senticosus (Rupr. et Maxim.) Maxim., radix
Cold ✪✪✪✪✪
Some clinical research shows that taking a combination containing eleutherococcus and andrographis (Kan Jang) orally improves cold symptoms when started within 72 hours of symptom onset. Some symptoms may improve after 2 days of treatment; however, it generally requires 4 to 5 days of treatment to achieve maximum symptom relief. The combination of eleutherococcus and andrographis relieves cold symptoms better than echinacea or placebo in children, according to studies.
Posologie
Synergies
A double blind, placebo-controlled study of Andrographis paniculata fixed combination Kan Jang in the treatment of acute upper respiratory tract infections including sinusitis
Double-blind, placebo-controlled pilot and phase III study of activity of standardized Andrographis paniculata Herba Nees extract fixed combination (Kan jang) in the treatment of uncomplicated upper-respiratory tract infection
Comparative controlled study of Andrographis paniculata fixed combination, Kan Jang and an Echinacea preparation as adjuvant, in the treatment of uncomplicated respiratory disease in children
Type 2 Diabetes ✪✪✪✪✪
A clinical study conducted in adults with type 2 diabetes shows that taking a specific eleutherococcus extract, standardized to contain eleutherosides E and B at 1.12%, at a dose of 480 mg per day for 3 months, lowers fasting and postprandial blood glucose levels, reduces glycated hemoglobin (HbA1c), and decreases triglycerides and total cholesterol levels compared to placebo.
Posologie
Respiratory Infections ✪✪✪✪✪
Due to its ability to directly and indirectly modulate immune responses, Eleutherococcus is used to increase resistance to infections. In practice, Eleutherococcus is generally used for prevention. Some studies on this topic exist (pneumonia, flu, upper respiratory tract infections), but the results are mixed and Eleutherococcus was used in combination with other plants.
Posologie
Synergies
Randomized trial of a fixed combination (KanJang) of herbal extracts containing Adhatoda vasica, Echinacea purpurea and Eleutherococcus senticosus in patients with upper respiratory tract infections
Antitussive effect of a fixed combination of Justicia adhatoda, Echinacea purpurea and Eleutherococcus senticosus extracts in patients with acute upper respiratory tract infection: A comparative, randomized, double-blind, placebo-controlled study
A randomized, controlled study of Kan Jang versus amantadine in the treatment of influenza in Volgograd
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Stress ✪✪✪✪✪
In a randomized controlled study on 144 participants suffering from asthenia and reduced work capacity related to chronic stress, Eleutherococcus improved parameters over time, and a significant difference was found in mental fatigue and agitation, favoring Eleutherococcus supplementation compared to a 2-day professional stress management training. A placebo-controlled study conducted over 6 weeks examined the effects of an ethanolic extract of Eleutherococcus (8 ml/day, equivalent to 4 g/day of dried root) in athletes. In the study, the treatment led to an increase in cortisol levels, which may be consistent with animal research, suggesting a stress threshold below which Eleutherococcus increases the stress response and above which it decreases the stress response. Finally, a small clinical study conducted in healthy women aged 20 to 68 who were stressed over an extended period shows that a single dose of 270 mg of a formulation (ADAPT-232) containing Eleutherococcus, Rhodiola, and Schisandra improves attention as well as cognitive speed and accuracy compared to a placebo.
Posologie
Synergies
Double-blind, placebo-controlled, randomised study of single dose effects of ADAPT-232 on cognitive functions
The Effects of Eleutherococcus Senticosus and Panax Ginseng on Steroidal Hormone Indices of Stress and Lymphocyte Subset Numbers in Endurance Athletes
Improve adaptation capability ✪✪✪✪✪
Eleutherococcus is classified as an adaptogen known for its ability to enhance stress response. Studies have shown that Eleutherococcus primarily acts on the hypothalamic-pituitary-adrenal (HPA) axis, modulating the production of neurotransmitters and hormones like cortisol and catecholamines. This helps prevent exhaustion related to chronic stress and maintain an effective adaptive response. Eleutherococcus seems to adjust the stress response according to the individual's level, increasing resistance in moderately stressful situations while attenuating excessive stress reactions. It has also been demonstrated to possess anxiolytic and antioxidant properties, making it an effective supplement for enhancing mental and physical endurance.
Posologie
Properties
Adaptogen
Siberian ginseng seems to modify the levels of various neurotransmitters and hormones involved in the stress response, mainly at the HPA axis (hypothalamic-pituitary-adrenal axis). Various mechanisms have been proposed, including the inhibition of catechol-O-methyltransferase, which inactivates catecholamines. Consequently, catecholamine levels do not deplete, and the release of new catecholamines by nerve synapses decreases. Theoretically, this effect reduces the risk of exhausting the body's adaptive responses to stress. Moreover, it has been shown that eleutherosides enhance carbohydrate metabolism and energy supply and increase the synthesis of proteins and nucleic acids, although the direct molecular targets responsible for this adaptive response remain unknown. It has also been reported in vitro that eleutherosides bind to sites of progestogenic, estrogenic, mineralocorticoid, and glucocorticoid receptors and could therefore theoretically exert numerous important pharmacological actions in the body's response to stress. Thus, the herb's overall action has been described as "adaptogenic." Although the responsible mechanism of action remains unclear, several theories have been proposed to explain the effect of Siberian ginseng on allostatic systems. Indeed, research has shown that Siberian ginseng can act in various ways according to the stage of the stress response to support the "stress system." Research suggests there is a threshold of stress below which the herb increases the stress response and above which it decreases the stress response.
Usages associés
The effects of Eleutherococcus senticosus and Panax ginseng on steroidal hormone indices of stress and lymphocyte subset numbers in endurance athletes
Plant adaptogens. III. Earlier and more recent aspects and concepts on their mode of action
Panax ginseng and Eleutherococcus senticosus may exaggerate an already existing biphasic response to stress via inhibition of enzymes which limit the binding of stress hormones to their receptors
Neurological
Eleuthero protects neurons and inhibits apoptosis of brain cells. In animal research, an aqueous extract of eleuthero inhibited inflammation and microglial activation in cerebral ischemia. In cultured rat cortical neurons, eleuthero extracts have been shown to have protective effects on neurite regeneration and synapse reconstruction in cultured rat cortical neurons damaged by beta-amyloid. This effect is thought to be due, at least in part, to eleutheroside B. In mice, eleutheroside E prevented sleep deprivation-induced behavioral disorders, including reduced latency to enter a dark chamber and locomotion, as well as increased monoamines (serotonin and dopamine) in the hippocampus, suggesting that this component of eleuthero could be valuable for stress experienced due to chronic insomnia.
Usages associés
Extract from Acanthopanax senticosus harms (Siberian ginseng) activates NTS and SON/PVN in the rat brain
Adaptogens stimulate neuropeptide y and hsp72 expression and release in neuroglia cells
Panax ginseng and Eleutherococcus senticosus may exaggerate an already existing biphasic response to stress via inhibition of enzymes which limit the binding of stress hormones to their receptors
Siberian ginseng reduces infarct volume in transient focal cerebral ischaemia in Sprague-Dawley rats
Anti-depressant effects of aqueous extract from Acanthopanax senticosus in mice
The effect of Eleutheroside E on behavioral alterations in murine sleep deprivation stress model
Inhibitory effects of Eleutherococcus senticosus extracts on amyloid beta(25-35)-induced neuritic atrophy and synaptic loss
Effect of Acanthopanax senticosus Harms on biogenic monoamine levels in the rat brain
Cardiovascular
Eleuthero, when administered orally to rats (at 1 ml/kg for 8 days), showed protective effects on the heart. These benefits, which include protection against cardiac rhythm disorders (antiarrhythmics), appear to be due to an increase in levels of natural opioid peptides in the body. In the laboratory, eleuthero also shows a blood vessel relaxation effect. This effect could be caused by several mechanisms, such as increased nitric oxide production (a gas that relaxes blood vessels), activation of muscarinic receptors (receptors involved in nervous system control), or by influencing certain channels in cells that regulate the passage of potassium ions. In a study conducted on cultured neonatal rat heart cells, a specific component of eleuthero, acanthopanax senticoside B (part of the plant's saponins), protected these cells against damage caused by oxidative stress. It accomplished this by reducing lipid peroxidation (a type of cellular damage) and increasing the activity of the body's antioxidant defense mechanisms.
[Cardioprotective and antiarrhythmic properties of preparations from Leuzea carthamoides, Aralia mandshurica, and Eleutherococcus senticosus]
[Effect of eleutherosides on ventricular late potential with coronary heart disease and myocarditis]
Acanthopanax senticosides B ameliorates oxidative damage induced by hydrogen peroxide in cultured neonatal rat cardiomyocytes
Hypoglycemic
Eleuthero possesses hypoglycemic properties observed in studies conducted in the laboratory (in vitro) and on animals (in vivo). - It reduces glucose absorption by inhibiting an enzyme called alpha-glucosidase, thus limiting the amount of glucose entering the bloodstream. - Eleutherosides, components of eleuthero, particularly eleutherosides E and B, allow glucose to enter cells without depending on insulin, the hormone usually required for this process. - Eleuthero may counter obstacles to glucose transfer caused by certain proteins (β-lipoproteins) in cell membranes. - Syringin, a component, improves glucose utilization and can lower blood glucose levels. This may be due to increased acetylcholine release, which stimulates insulin release, or to the promotion of β-endorphin secretion, leading to a decrease in blood glucose.
Usages associés
Hypoglycemic effect of syringin from Eleutherococcus senticosus in streptozotocin-induced diabetic rats
Isolation and hypoglycemic activity of eleutherans A, B, C, D, E, F, and G: glycans of Eleutherococcus senticosus roots
Release of acetylcholine by syringin, an active principle of Eleutherococcus senticosus, to raise insulin secretion in Wistar rats
Role of sympathetic tone in the loss of syringin-induced plasma glucose lowering action in conscious Wistar rats
Fundamental studies on the inhibitory action of Acanthopanax senticosus Harms on glucose absorption
Immunomodulator
Eleutherococcus extract has shown immunomodulatory effects, including increased cellular and humoral activity, activation and proliferation of immunocompetent cells, and stimulation and inhibition of cytokine synthesis, in human, animal, and in vitro research. According to a review, immunomodulatory polysaccharides or saponins isolated from eleutherococcus stimulated macrophages, promoted antibody formation, activated the complement, and increased T lymphocyte proliferation. In rabbits, eleutherococcus extract had a sustained immunostimulant effect and increased phagocytic activity. In vitro, syringin, a constituent of eleutherococcus root, stimulated the phagocytosis of rat blood macrophages (immune system cells that help fight infections). Also, eleutherococcus reduced the occurrence of allergic reactions. Histamine release from rat peritoneal mast cells, as well as TNF-alpha and IL-6 secretion, was also inhibited. Similar results have been observed in other animal studies, suggesting an anti-allergic effect of eleutherococcus.
Usages associés
Anti-metastatic activity of Acanthopanax senticosus extract and its possible immunological mechanism of action
[Immunotropic effect of a tincture of the tissue culture biomass of ginseng cells and of an Eleutherococcus extract in mice]
[Dynamic study of the interferon-stimulating effect of a polysaccharide of Acanthopanax senticosus on leukemic cell culture]
The synthesis of Rantes, G-CSF, IL-4, IL-5, IL-6, IL-12 and IL-13 in human whole-blood cultures is modulated by an extract from Eleutherococcus senticosus L. roots
Flow-cytometric studies with eleutherococcus senticosus extract as an immunomodulatory agent
[Effect of Eleutherococcus on respiratory viral infectious morbidity in children in organized collectives]
Asian and Siberian ginseng as a potential modulator of immune function: an in vitro cytokine study using mouse macrophages
Immunopharmacological effects of polysaccharides from Acanthopanax senticosus on experimental animals
Antiviral
In vitro, a liquid extract of eleutherococcus inhibited the productive replication of RNA viruses, human rhinovirus, respiratory syncytial virus, and influenza A virus. However, it does not seem to affect DNA viruses such as adenovirus or herpes simplex type 1 virus.
Usages associés
Anticancer
In animal research, eleutherococcus or its components have shown antitumor effects. The cytotoxic and antiproliferative effects of eleutherococcus have been demonstrated in various in vitro studies. Eleutherococcus extract has demonstrated antineoplastic activity against leukemia, hepatoma, and prostate cancer cells.
[The inhibiting effect of phytoadaptogenic preparations from bioginseng, Eleutherococcus senticosus and Rhaponticum carthamoides on the development of nervous system tumors in rats induced by N-nitrosoethylurea]
Suppression of growth and invasive behavior of human prostate cancer cells by ProstaCaid™: mechanism of activity
Immunopharmacological effects of polysaccharides from Acanthopanax senticosus on experimental animals
[Immunoregulatory effect of polysaccharide of Acanthopanax senticosus (PAS). I. Immunological mechanism of PAS against cancer]
[Influence of the liquid extract from the roots of Eleutherococcus senticosus on the toxicity and antitumor activity of cyclophosphan]
Safety dosage
Adult from 17 year(s): 200 mg - 1000 mg (dry extract)
- Root decoction: 0.5 to 4 g of dried roots in 150 ml of boiling water, 1 to 2 cups per day. - Mother tincture: up to 4 ml per day in 2 or 3 doses - Capsules or tablets: up to 1 g of root powder per day in 2 or 3 doses, which corresponds to 200 mg of dry extract per capsule. Extracts are generally standardized to provide 0.1% Eleutheroside E (syringareresinol diglucoside) and 0.5% Eleutheroside B (syringin). It is advised not to exceed 6 weeks.
Interactions
Médicaments
Antiplatelet/Anticoagulant: moderate interaction
Eleutherococcus has anticoagulant effects; theoretically, supplementation of Eleutherococcus alongside anticoagulant therapy increases bleeding risks.
Antidiabetic: moderate interaction
In healthy individuals, Eleutherococcus supplementation increases postprandial blood glucose but has a hypoglycemic action in diabetic patients. In combination with antidiabetic drugs, Eleutherococcus supplementation might interfere with the treatment.
Central nervous system depressants: low interaction
Some studies present the sedative properties of Eleutherococcus; therefore, its concurrent use with sedatives could have additive effects and side effects.
Cytochrome P450 substrate: low interaction
Eleutherococcus supplementation appears to interact with cytochrome P450 substrate medication. Inhibiting cytochromes P450 1A2, 2C9, 2D6, and 3A4, Eleutherococcus intake interferes with the metabolism of substances degraded by cytochrome P450 enzymes. Examples: Clozapine, Theophylline, Diclofenac, Tamoxifen, Metoprolol, Statins, Cyclosporine, and others.
Immunosuppressant: low interaction
Due to its immuno-stimulating properties, Eleutherococcus interferes with immunosuppressive treatments.
Plantes ou autres actifs
Antiplatelet/Anticoagulant: moderate interaction
Eleutherococcus has anticoagulant effects; theoretically, supplementation of Eleutherococcus alongside anticoagulant treatment increases bleeding risks.
Sedative: low interaction
Some studies present the sedative properties of Eleutherococcus, thus its concurrent use with sedatives could have additive effects and side effects. Example: Ashwagandha, Lemon balm, Hawthorn, Chamomile, and others.
Precautions
Child from 12 to 17 year(s): use with caution
Supplementation with Eleutherococcus is possible in adolescents aged 12 to 16 years, but dosages are not available.
Pregnant woman: avoid
Use is not recommended due to a lack of reliable and sufficient information.
Breastfeeding woman: avoid
Use is not recommended due to a lack of reliable and sufficient information.
Child up to 12 year(s): avoid
Use in children under 12 years has not been established due to the lack of adequate data.
Contraindications
High blood pressure: prohibited
Eleutherococcus is contraindicated in individuals whose blood pressure exceeds 180/90. Eleutherococcus may potentially exacerbate hypertension.
Cardiovascular diseases: prohibited
Eleutherococcus may cause palpitations, tachycardia, and hypertension and should be used with caution in patients with cardiovascular disorders (e.g., atherosclerotic or rheumatic heart disease). It may also cause headaches and pericardial pain in patients with rheumatic heart disease.