Kola tree: benefits, dosage, contraindications

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The kola tree or Kola is a tropical tree of the family Sterculiaceae, like the cacao tree, native to the tropical regions of Africa, although it also grows in South America and the Caribbean. It can reach over 20 meters and live for several centuries. Its fruits are pods that contain several seeds called kola nuts.nnThe kola nut holds cultural and symbolic importance in West Africa where it is used in divination and sacred rituals, as it is believed to have spiritual properties and the ability to enhance intuition. The kola nut is still used in African traditional medicine for its tonic and astringent properties, notably against migraines, diarrhea, and fatigue.nnThe seed or kola nut, reddish in color and the size of a chestnut, is the part used therapeutically.nnThese seeds contain active compounds such as alkaloids, particularly xanthines like caffeine (2%), theobromine and theophylline which contribute to its stimulant properties, but also tannins, flavonoids such as catechin and other phenolic compounds.nnIn therapeutics, Kola is used as a stimulant to fight fatigue, increase energy levels, and as an aphrodisiac. Its high caffeine content contributes to its use as a natural energizer and as a mood stimulant. nnKola nuts are also consumed for their appetite-suppressing effect, which may help with weight control.nn

Other name(s) 

Kola tree, Cola, Kola nut

Scientific name(s)

Cola nitida, Cola acuminata

Family or group: 

Plants

Active ingredients:

Caffeine

Flavonoids

Alkaloids

Catechins

Theophylline

Theobromine


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Obesity
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The combination of Kola, Ephedra and white willow extracts allows a weight loss of about 2 kg in overweight or obese patients according to one study. According to another study, a plant extract supplement containing ephedra (90 mg) and kola nut (192 mg) evaluated over 6 months in obese individuals would result in weight loss, an increase in HDL cholesterol (good cholesterol) without notable adverse effects.

Posologie

posologieOral: nuts

posologie192 - 1500 mg

duration6 - months


Synergies


Fatigue
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The kola nut is used as a stimulant, in cases of physical and mental asthenia after illness, or in preparation for physical exertion. The EMA indicates the use of kola to combat fatigue and the sensation of weakness, while ESCOP recommends it for the short-term treatment of physical and/or mental exhaustion. For these indications, efficacy is plausible based on human experience and long-standing use.

Posologie

posologieOral use: nut

posologie3 - 6 g

duration1 - weeks

formulationpowder


Properties


Neurological

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The caffeine contained in the kola nut has been associated with potential cognitive benefits. It can improve attention, concentration, and cognitive performance. In laboratory studies, kola nut extracts inhibit enzymes such as acetylcholinesterase and butyrylcholinesterase, which could slow neuronal degradation. Furthermore, the caffeine present in the kola nut appears to protect dopamine-related neurons, which could be useful in diseases like Parkinson's.

Usages associés

Fatigue

Antioxidant

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The polyphenols (tannins and flavonoids) present in the kola nut give it antioxidant properties. Its components can trap free radicals, chelate transition metals, and strengthen the body's antioxidant defense system.


Cardiovascular

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The antioxidant properties of kola, due to polyphenols, may help reduce oxidative stress and inflammation, which are key factors in the development of cardiovascular diseases. Studies have suggested that kola may have potential cardioprotective effects by improving blood lipid profiles and markers of oxidation. Also, the vasodilatory properties of the alkaloids, including theobromine and theophylline present in the kola nut, may help relax blood vessels and improve circulation, thereby supporting cardiovascular function.


Digestive effect

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Kola may contribute to gastrointestinal health thanks to tannins that are gastroprotective. However, studies have reported stimulant properties of Kola on gastric and salivary secretion. The increase in gastric secretions can cause mucosal lesions in people suffering from ulcers. Kola also inhibits amylase activity, an enzyme responsible for breaking down complex carbohydrates into simple sugars, which could help slow glucose absorption.


Safe dosage

Adults 18 years and older: 3 g - 9 g (powder)

- Plant substance in powder: 1-3 g, 3 times a day. - Herbal tea: 1-3 g of plant powder in 150 ml of water as a decoction, 3 times a day. - Tincture: 1-4 ml, 3 times a day.


Interactions

Médicaments

Adenosine: moderate interaction

Caffeine is a competitive inhibitor of adenosine and may reduce its vasodilatory effect in humans.

Amphetamines: strong interaction

Kola and amphetamines may have additive effects on the central nervous system.

Antiplatelet agents/Anticoagulants: weak interaction

Caffeine appears to have antiplatelet properties. Its concurrent use with medications of this type could increase the risk of bleeding.

Antidiabetic: weak interaction

Caffeine may have blood glucose-modulating properties and interfere with the effects of antidiabetic medications.

Selective beta-blocker: moderate interaction

Theoretically, caffeine could increase the inotropic effects of beta-blockers. This combination should be monitored.

Cimetidine: moderate interaction

Cimetidine reduces the elimination of caffeine and may promote its accumulation in the blood.

Cytochrome P450 substrate: weak interaction

Caffeine is metabolized by cytochrome P450 enzymes. Concurrent use with substrates of these enzymes could increase concentrations and adverse effects.

Oral contraceptives: moderate interaction

Oral contraceptives slow the elimination of caffeine and increase its adverse effects.

Dipyridamole: moderate interaction

Caffeine in kola nuts inhibits the effects of dipyridamole.

Ephedrine: moderate interaction

The combination of kola nut and ephedrine poses serious risks of hypertension, seizures, and cardiac arrest.

Antibiotics: moderate interaction

Quinolones (antibiotics) reduce the elimination of caffeine and may thus promote its accumulation in the blood and cause side effects.

Monoamine oxidase inhibitor (MAOI): weak interaction

Patients taking monoamine oxidase inhibitors (MAOIs) should use kola nut with caution. Theoretically, concurrent consumption of large amounts of kola nut with MAOIs could precipitate a hypertensive crisis due to the caffeine contained in the kola nut. Some MAOIs include phenelzine, tranylcypromine and others.

Theophylline: weak interaction

Large amounts of caffeine may inhibit the metabolism of theophylline. Kola nut contains caffeine. Theoretically, concomitant use could increase serum theophylline concentrations and the risk of adverse effects.

Plantes ou autres actifs

Kola tree: low interaction

Alcohol slows the elimination of caffeine and can increase its serum concentration.

Kola tree: low interaction

Kola enhances the effects of salicylic acid.


Precautions

Gastric ulcer: avoid

Caffeine is generally not recommended for people who have heart disease, insomnia, anxiety disorders, gastric or duodenal ulcers, or high blood pressure.

High blood pressure: avoid

Caffeine is generally not recommended for people who have heart disease, insomnia, anxiety disorders, gastric or duodenal ulcers, or high blood pressure.

Breastfeeding woman: avoid

Safety during pregnancy and breastfeeding has not been established. In the absence of sufficient data, use during pregnancy and breastfeeding is not recommended.

Heart disorders: avoid

Caffeine is generally not recommended for people who suffer from heart disease, insomnia, anxiety disorders, gastric or duodenal ulcers, or high blood pressure.

Anxiety: avoid

Caffeine is generally not recommended for people who suffer from heart disease, insomnia, anxiety disorders, gastric or duodenal ulcers, or high blood pressure.

Sleep disorders: avoid

Caffeine is generally not recommended for people who suffer from heart disease, insomnia, anxiety disorders, gastric or duodenal ulcers, or high blood pressure.

Hyperthyroidism: avoid


Contraindications

Pregnant women: prohibited

WHO recommends that pregnant women do not drink more than 300 mg of caffeine per day. However, according to some studies, the ideal for a pregnant woman would be to avoid caffeine entirely or consume as little as possible during pregnancy.

Children up to 18 years: prohibited

Use in children and adolescents under 18 years is not recommended