Kudzu: Benefits, Dosage, Contraindications

Updated on

Kudzu (Pueraria lobata) is a climbing, semi-woody, perennial vine with rust-brown hairy stems. The flowers resemble peas, pink to violet with yellow at the center. They are very fragrant with a sweet grape-like smell. The fruits are brown, flattened, and hairy pods containing 3 to 10 reddish-brown seeds, oval to ellipsoidal, slightly flattened. Kudzu is native to Asia, specifically Thailand, China, and India. Puerariae Lobatae Radix, the root of Pueraria lobata, is one of the earliest medicinal herbs used in ancient China. In 600 AD, it was used as an anti-intoxication agent for treating alcohol-related issues.</span> According to the Pharmacopoeia of the People's Republic of China, dried Puerariae Radix is indicated for the treatment of fever, acute dysentery, diarrhea, thirst, diabetes, and hypertension. The applicable parts of kudzu are the root, flower, and leaf. Kudzu contains constituents like isoflavones, spinasterol, and triterpenoids.

Other name(s) 

a:0:{}

Scientific name(s)

Pueraria montana, Pueraria lobata

Family or group: 

Plants

Active ingredients:

Isoflavones

Triterpenoids


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.


Coronary Heart Disease
✪✪✪✪✪

In a randomized, double-blind, placebo-controlled trial, the effect of Pueraria lobata and salvia miltiorrhiza extract on vascular function and structure was studied. The group of patients with documented coronary disease received 6 capsules daily, each containing 500 mg of S. miltiorrhiza and P. lobata extract, for 24 weeks. At the end of the period, there was a slight decrease in plasma LDL and improvement in carotid intima-media thickness. Clinical research also shows that the administration of puerarin, 500 mg intravenously once a day for 3 weeks, in addition to conventional treatment, lowers fasting plasma insulin and LDL cholesterol levels and increases HDL cholesterol levels compared to conventional treatment alone in patients with coronary heart disease with elevated baseline LDL cholesterol and fasting plasma insulin levels.

Posologie

posologieIntravenous route: root

posologie500 mg

duration3 - weeks

populationAdults

formulationStandardized extract


Alcoholism
✪✪✪✪✪

Preclinical research suggests that kudzu decreases blood alcohol levels due to delayed gastric emptying, exposing alcohol to a longer metabolism time on its first pass through the stomach. Other research suggests that kudzu might have antioxidant effects and accelerate the metabolism of toxic alcohol metabolites. Some research shows that heavy drinkers who take kudzu extract for 1 to 4 weeks consume less beer when able to drink and may have more abstinent days. Other research shows that heavy drinkers who take kudzu extract about 2 hours before a drinking episode consume 37% fewer beers than those taking a placebo. A specific kudzu root extract at 1.5 to 3 grams taken in three divided doses per day for 1 to 4 weeks has been used. Additionally, a dose of 2 grams of kudzu root extract was used as a single dose, 2.5 hours before a 90-minute binge drinking episode.

Posologie

posologieOral route: root

posologie1.5 - 3 g

duration4 - weeks

populationAdults

formulationStandardized extract


Menopause
✪✪✪✪✪

Preliminary clinical research in perimenopausal women shows that taking kudzu 25 mg, 50 mg, or 100 mg per day for 6 months improves climacteric (menopausal) symptoms. Other clinical research in perimenopausal women shows that taking kudzu 50 mg per day for 6 months reduces vasomotor symptoms similarly to taking estrogen.

Posologie

posologieOral route: root

posologie25 - 100 mg

duration6 - months

populationWomen

formulationStandardized extract


Type 2 Diabetes
✪✪✪✪✪

Clinical research in adults with type 2 diabetes shows that taking oral puerarin, a constituent of kudzu, 750 mg per day in addition to rosiglitazone 4 mg per day for 12 weeks significantly reduces blood glucose and glycosylated hemoglobin (HbA1c) compared to baseline.

Posologie

posologieOral: root

posologie750 mg

duration12 - weeks

populationAdults

formulationpuerarin


Diabetic Nephropathy
✪✪✪✪✪

Preliminary clinical research in patients with diabetic nephropathy shows that taking puerarin, a constituent of kudzu, at 750 mg per day in addition to rosiglitazone 4 mg per day for 12 weeks improves renal function, including serum creatinine, blood and urinary urea nitrogen and albumin, compared to baseline values.

Posologie

posologieOral: root

posologie750 mg

duration12 - weeks

populationAdults

formulationpuerarin


Obesity
✪✪✪✪✪

Preliminary clinical research shows that taking kudzu extract at 300 mg per day for 12 weeks reduces visceral fat and body mass index compared to placebo in obese patients.

Posologie

posologieOral: root

posologie300 mg

duration12 - weeks

populationAdults

formulationstandardized extract


High Blood Pressure
✪✪✪✪✪

Preliminary clinical research shows that taking kudzu powder 3 grams in two doses per day for 12 weeks decreases systolic blood pressure by 16% and diastolic blood pressure by 12% compared to baseline in hypertensive patients

Posologie

posologieOral: root

posologie3 g

duration12 - weeks

populationAdults

formulationstandardized extract


Properties


Anti-inflammatory

full-leaffull-leafempty-leafempty-leaf

Preliminary in vitro and human research suggests that kudzu and its constituents, including puerarin, may inhibit inflammatory processes, possibly by inhibiting the synthesis of prostaglandins and the production of inflammatory cytokines.


Antioxidant

full-leaffull-leafempty-leafempty-leaf

Kudzu or its constituents might have antioxidant activity.

Usages associés

Alcoholism

Antiplatelet/Anticoagulant

full-leaffull-leafempty-leafempty-leaf

It has been shown that puerarin inhibits platelet aggregation in several animal and cell models. Indeed, it markedly suppressed platelet aggregation induced by 5-hydroxytryptamine (5-HT) and adenosine diphosphate (ADP) in a dose-dependent manner. It is also suggested that puerarin exerted its antiplatelet action by decreasing the release of 5-HT from platelets.


Cardiovascular

full-leaffull-leafempty-leafempty-leaf

Preliminary research suggests that kudzu has a protective effect against myocardial ischemia. Puerarin appears to reduce both systolic and diastolic blood pressure and decrease myocardial oxygen consumption. It may also have vasorelaxant properties, possibly by blocking beta-adrenergic receptors. There is also evidence that puerarin might decrease plasma renin activity and angiotensin II, as well as platelet aggregation.

Usages associés

Coronary Heart Disease

Antihypertensive

full-leaffull-leafempty-leafempty-leaf

The antihypertensive effect of puerarin was first observed in the 1980s, and it was strongly linked to the traditional use of the kudzu root. It is suggested that puerarin exerts its antihypertensive effect by inhibiting adrenergic receptors.

Usages associés

Hypertension

Hypolipidemic

full-leafempty-leafempty-leafempty-leaf

The administration of puerarin in animals reduced liver concentrations of total cholesterol and triglycerides, suppressed the serum leptin level (leptin is a hormone secreted by adipocytes that plays a significant role in energy balance and appetite suppression), and the expression of leptin receptor mRNA.

Usages associés

Obesity

Estrogenic Action

full-leafempty-leafempty-leafempty-leaf

Isoflavone constituents have both estrogenic and anti-estrogenic activity, similar to selective estrogen receptor modulators. These phytoestrogens may have additive or synergistic effects with each other. In animals, kudzu increases vaginal proliferation and decreases vaginal dryness. In clinical research in menopausal women, the application of kudzu gel vaginally improves dryness, pain, irritation, and abnormal discharge.

Usages associés

Menopause

Hypoglycemic

full-leafempty-leafempty-leafempty-leaf

Kudzu or its constituents seem to have hypoglycemic activity. In vitro research suggests that puerarin increases glucose utilization and activates alpha1-adrenergic receptors on the adrenal gland to increase beta-endorphin secretion, leading to decreased blood glucose levels.

Usages associés

Type 2 Diabetes, Diabetic Nephropathy

Neurological

full-leafempty-leafempty-leafempty-leaf

In vitro and animal studies show that kudzu may have neuroprotective effects. Puerarin may increase cerebral blood flow by dilating intracranial arteries. In ischemic stroke, puerarin could reduce ischemic reperfusion injury by dilating cerebral vessels to improve circulation, reducing platelet aggregation, inhibiting free radical production, and increasing superoxide dismutase activity.


Bone Density

full-leafempty-leafempty-leafempty-leaf

Kudzu may have beneficial effects on bone density. In human research, kudzu improves bone remodeling markers in postmenopausal women. In animal research, kudzu has been shown to increase bone mineral density. Puerarin seems to play a role in decreasing bone resorption and promoting bone formation.


Safety dosage

Adult from 18 years onward: 25 mg - 3000 mg

Kudzu has been used safely for up to 4 months. Puerarin, a constituent of kudzu, has been used safely for up to 20 days.


Interactions

Médicaments

Antiplatelet/Anticoagulant: moderate interaction

Kudzu has an antiplatelet effect. Theoretically, it may increase the risk of bleeding when used together with other medications with antiplatelet or anticoagulant effects.

Antidiabetic: low interaction

Kudzu may lower blood sugar and have additive effects in patients on antidiabetic treatment.

Oral contraceptives: moderate interaction

Theoretically, kudzu may competitively inhibit the effects of oral contraceptives.

Estrogens: moderate interaction

Theoretically, kudzu may competitively inhibit the effects of estrogens.

Tamoxifen: moderate interaction

Theoretically, kudzu may interfere with tamoxifen due to its potential estrogenic effects.


Precautions

Pregnant woman: avoid

Avoid use due to lack of reliable and sufficient information.

Breastfeeding woman: avoid

Avoid use due to lack of reliable and sufficient information.

Blood clotting disorder: avoid

Kudzu has antiplatelet activity.

Liver disorders: avoid

Theoretically, kudzu may exacerbate liver diseases such as hepatitis.

Type 2 Diabetes: use with caution

Theoretically, kudzu could interfere with glycemic control, requiring dosage adjustment of antidiabetic treatment.

Hormone-sensitive disease: avoid

Kudzu may have estrogenic effects. Women with hormone-sensitive disorders should avoid kudzu. These conditions include breast cancer, uterine cancer, ovarian cancer, endometriosis, and uterine fibroids.