Coleus: benefits, dosage, contraindications

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Coleus is a tropical plant related to the mint family, native to Nepal, India and Thailand. It has green leaves surrounding a bright purple center. It produces pale purple or blue flowers. The roots are harvested in autumn, when the concentration of forskolin — its active component — is highest. Its roots are used for their medicinal properties. The 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 treatment of heart diseases, abdominal colic, respiratory disorders, urinary pain, insomnia and other ailments. Coleus has more recently been used to treat heart conditions and respiratory disorders such as asthma. From a clinical point of view, the effects of forskolin on the heart, the blood pressure, the bronchi and the 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

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.


High blood pressure
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Consumption of coleus root or tuber would lower 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 a coleus extract standardized to 10% forskolin would reduce body fat percentage by 4.1%. Another small clinical trial shows that taking one 250 mg capsule of coleus extract twice daily before meals for 12 weeks does not reduce weight more than placebo in overweight and obese patients following a calorie-restricted diet

Posologie

posologieOral: root

posologie500 mg

duration12 - weeks

populationMen

formulationstandardized extract


Eye health
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Taking forskolin orally or as drops can improve ocular comfort. A 1% forskolin eye drop solution has been shown to reduce intraocular pressure in healthy individuals. A preliminary clinical study shows that taking a supplement containing a Coleus forskolii extract 150 mg (10% forskolin), rutin 200 mg, thiamine 0.7 mg and riboflavin 0.8 mg, at a dose of 2 capsules per day for 30 days, moderately reduces symptoms of dry eye compared with placebo.

Posologie

posologieOcular, oral: root

posologie300 mg

formulationeye drops, standardized extract


Synergies


Glaucoma
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A preliminary study shows 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 in intraocular pressure and reduces intraocular pressure by 10% in patients with glaucoma. Another preliminary clinical study of a supplement containing coleus, taken for one year in addition to standard topical treatment, resulted in a decrease in intraocular pressure compared with 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 of homotaurine, 50 mg of L-carnosine, 1.1 mg of vitamin B1, 1.4 mg of vitamin B2, 1.4 mg of vitamin B6, 0.2 mg of folic acid, and 150 mg of magnesium.

Posologie

posologieBy mouth: 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, which strengthens the contractility of cardiac and vascular muscles. It thus enhances cardiovascular functions.

Usages associés

High blood pressure

Antiplatelet agents/Anticoagulant

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


Anticancer

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Forskolin and 13-epi-sclareol from Coleus could block the growth of cancer cells. Forskolin acts by activating a key enzyme (adenylate cyclase) that increases intracellular cAMP (cyclic adenosine monophosphate) levels. This increase in cAMP can have several effects that help fight cancer, such as altering the growth and division of cancer cells.


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; cAMP is the messenger responsible, among other things, for regulating metabolism and cell communication.

Usages associés

Eye health, Glaucoma

Hormone metabolism

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


Metabolic

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Coleus has been studied for weight loss. Preliminary animal evidence suggests that consuming a coleus extract for 8 weeks decreases fat accumulation, body weight, and food intake

Usages associés

Obesity


Safe dosage

Adults 18 years and older: 300 mg - 500 mg (standardized extract)

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


Interactions

Médicaments

Antiplatelet agents/Anticoagulants: moderate interaction

The 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 add to hypotensive effects.

Calcium channel blocker: strong interaction

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

Nitrates: strong interaction

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

Cytochrome P450 substrate: moderate interaction

Theoretically, coleus could induce CYP2C9 and CYP3A4 and reduce their ability to metabolize other substrates.


Precautions

Pregnant women: avoid

Animal clinical studies suggest that high doses of coleus may inhibit embryo implantation and/or delay fetal development.

Breastfeeding women: avoid

Due to lack of information, avoid use during breastfeeding.

Clotting disorder: avoid

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


Contraindications

Surgical procedure: contraindicated

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