Calendula: benefits, dosage, contraindications

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Calendula, also known as garden marigold, is a medicinal plant of the Asteraceae family, native to Eastern Europe and the Mediterranean. This annual plant can reach up to 50 cm in height and is characterized by green, oval to elliptic leaves, and yellow or orange flowers arranged in flower heads. Calendula blooms almost year-round, which earned it its name, derived from the Latin kalendae, which means first day of the month, referring to its continuous flowering. The composition of Calendula is rich and varied, including triterpenes, flavonoids such as hyperoside, carotenoids, as well as coumarins and essential oils. These components give it anti-inflammatory and wound-healing properties. To ensure optimal efficacy, Calendula preparations are standardized to contain at least 0.4% flavonoids expressed as hyperoside. Traditionally used to treat various skin and mucous membrane problems, Calendula is now incorporated into many dermatological and cosmetic products. It is known for its help in wound healing and its effectiveness in treating minor skin inflammations.

Other name(s) 

Garden marigold

Scientific name(s)

Calendula officinalis

Family or group: 

Plants

Active ingredients:

triterpenic saponins


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.


Burns, UV exposure
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A large study conducted in France on patients with second- and third-degree burns found that Calendula was not only effective but also better tolerated than other topical treatments. A smaller, more recent clinical trial conducted in hospitalized patients with second-degree burns showed that taking 2 g of calendula per day for 2 weeks had a significant beneficial effect on wound healing compared to placebo. Calendula has demonstrated effectiveness in managing the side effects of radiotherapy. A randomized controlled trial (RCT) of 254 patients showed that topical treatment with Calendula significantly reduced acute dermatitis compared with trolamine, decreasing treatment interruptions and radiation-induced pain.

Posologie

posologieTopical, oral

posologie2 g


Wound, Skin healing
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Calendula is frequently used in herbal medicine to accelerate wound healing. Clinical trials show that applying a calendula-based ointment can effectively reduce pain and promote the healing of episiotomies in postpartum patients, more quickly improving inflammatory symptoms such as redness, swelling, and bruising compared with standard care.nnIn other studies, the use of calendula on surgical wounds or burns has demonstrated a significant improvement in healing compared with conventional treatments, such as petroleum jelly or saline solutions.nnCalendula is often used in combination with other plants to enhance its effects. One study showed that the combination of calendula oil and St. John's wort (Hypericum perforatum) improved the healing of surgical wounds after a cesarean section.nnThe Commission E approves the external use of calendula for poorly healing wounds and leg ulcers.

Posologie

posologieTopical application

formulationcream


Synergies


Stomatitis
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Calendula has traditionally been used for the symptomatic treatment of minor mucosal inflammations, including stomatitis. Preliminary clinical research suggests its effectiveness in reducing plaque, gingivitis and bleeding. One study found that a mouthwash based on 25% Calendula tincture reduced these symptoms by 10 to 18% compared with rinsing with water. Another trial using a mouthwash combining Calendula, rosemary and ginger showed effects similar to those of chlorhexidine mouthwash, suggesting comparable effectiveness in reducing gingival inflammation.

Posologie

posologieBy mouth

formulationmouthwash


Acne
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Calendula, combined with licorice root, has shown a modest reduction in inflammatory acne lesions in patients with mild to moderate acne related to mask wearing. However, there was no significant difference compared with placebo.

Posologie

posologieTopical use


Synergies


Dysmenorrhea
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The traditional use of Calendula to treat amenorrhea and menstrual disorders is based on its emmenagogue properties, which stimulate blood circulation in the pelvic area and promote menstruation. The active compounds in Calendula, such as flavonoids and saponins, may also help regulate hormone levels and reduce inflammation, contributing to relief of menstrual symptoms.

Posologie

posologieOral use

posologie1 - 4 g

formulationinfusion


Properties


Wound-healing

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Calendula is recognized for its remarkable wound-healing properties, widely used in topical preparations such as ointments and gels. These effects are attributed to stimulation of the metabolism of glycoproteins, nucleoproteins and collagen proteins, which are essential to the regeneration of damaged tissues. Calendula extracts also promote collagen production and increase angiogenic activity, which improves blood supply to injured areas, thereby accelerating healing. Studies have shown that applications of 5% or 10% Calendula gel accelerated the healing of oral mucositis induced by 5-fluorouracil. Triterpene esters such as faradiol myristate and palmitate are partly responsible for these effects, while water-soluble flavonoids also contribute to Calendula's healing efficacy.

Usages associés

Wound, Burns

Antioxidant

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Calendula has antioxidant properties. Aqueous extracts have greater activity than methanolic extracts. The compounds responsible for this activity are phenolics and flavonoids. Studies in animal models have also shown various antioxidant effects, such as protection against oxidative damage to lymphocyte DNA and prevention of lipid peroxidation. These effects are comparable to supplementation with vitamin E.


Antimicrobial

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Hydroalcoholic extracts of calendula have antibacterial, antiparasitic, antiviral and antifungal properties. In vitro studies have shown that the calendula flower extract is effective against Campylobacter jejuni, Heligmosomoides bakeri and Trichomonas, as well as against many species of fungi. Oxygenated terpenes are considered the main active compounds. Calendula extract has also shown virucidal activity against herpes simplex virus, as well as anti-Epstein-Barr virus properties in vitro.

Usages associés

Acne

Anti-inflammatory

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Calendula has demonstrated anti-inflammatory properties in several animal models. Hydroalcoholic extracts reduced carrageenan-induced edema in rats and inhibited experimentally induced inflammation and edema. Triterpenoids such as faradiol, amidiol and calenduladiol are active compounds. A lyophilized extract of calendula suppressed the inflammatory effect and leukocyte infiltration in an inflammatory model. Ten triterpenoid glycosides showed anti-inflammatory activity against inflammation induced by 12-O-tetradecanoylphorbol-13-acetate in mice. Calendula also reduces edema according to mouse studies.

Usages associés

Stomatitis


Safe dosage

Adult: 1 g - 4 g (powder, infusion)

- Infusion: 1 to 2 g per 150 mL. - Powder: 4 g per day. - For external use: 2 to 5 g per 100 g of cream; gel with 20-30% hydroalcoholic extract; gel or cream with 5 to 10% fluid extract.


Precautions

Breastfeeding woman: use with caution

Topical use only.


Contraindications

Pregnant woman: prohibited

Oral use of calendula is strongly discouraged during pregnancy because of its abortifacient effects, while its topical use lacks reliable data.