Magnolia: benefits, dosage, contraindications

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Magnolias are flowering plants in the family Magnoliaceae, composed mainly of trees and shrubs, found in temperate and tropical regions of Asia, North America, and South America. The bark and flowers are used in traditional Chinese medicine to treat "Qi stagnation" which refers to a disruption or blockage of vital energy, leading to various physical and emotional symptoms. Magnanol (up to 16%) and honokiol (up to 9%) are major bioactive constituents of magnolia. Another major constituent is the isoquinoline alkaloid magnocurarine (0.15-0.23%). The bark also contains an essential oil, whose main constituents are cadinol (14%), 1,4-cineole (6%), p-cymene (8%), and B-eudesmol (17%) and geraniol (9%). Traditionally in China, magnolia is used to treat nasal congestion, the common cold, sinusitis, allergic rhinitis, headaches as well as gastrointestinal disorders such as constipation, dyspepsia, gastritis, nausea and vomiting. In clinical practice, magnolia is used to treat anxiety, depressive states, cough and shortness of breath.

Other name(s) 

Chuan houpu

Scientific name(s)

Magnolia officinalis

Family or group: 

Plants

Active ingredients:

Magnolol

Honokiol


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.


Gingivitis
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A clinical study shows that chewing gum containing a magnolia bark extract plus xylitol for 5 minutes three times a day for 30 days reduces gingival bleeding more effectively than gum containing only xylitol. Gingival bleeding was reduced by 33% for patients chewing gum containing magnolia bark extract plus xylitol, compared with only 24% for patients chewing gum containing xylitol and 11% for patients chewing sugar-free gum. Another clinical study shows that using a toothpaste containing 0.3% magnolia extract twice a day reduces the severity of gingivitis by about 20% after three months, compared with only 12% for patients using toothpaste without magnolia extract.

Posologie

posologieOral: bark, flower

duration1 - month

formulationchewing gum


Anxiety
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Clinical research shows that taking a blend containing a magnolia bark extract at a dose of 250 mg three times a day for 6 weeks reduces stress-induced anxiety by almost twice compared with placebo in women suffering from anxiety. However, the effect of magnolia alone has not been evaluated. Another randomized, controlled, multicenter study showed the efficacy of a formulation containing 60 mg of magnolia bark extract and 50 mg of magnesium, taken for 24 weeks, on psycho-affective disorders and sleep disturbances in symptomatic postmenopausal women. Insomnia, asthenia, anxiety, depression, irritability, and loss of libido decreased significantly after the fourth week of treatment.

Posologie

posologieOral administration: bark, flower

posologie60 - 750 mg

duration6 weeks

formulationInfusion, standardized extract, dry extract


Synergies


Stress
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Clinical research shows that taking a blend of magnolia bark and phellodendron extract at 250 mg twice daily for 4 weeks improves overall mood and reduces stress compared to placebo in patients with moderate levels of psychological stress. nn

Posologie

posologieBy mouth: bark, flower

posologie250 - 500 mg

duration1 - month

formulationinfusion, standardized extract, dry extract


Dental plaque
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La recherche clinique montre que l'utilisation d'un dentifrice contenant 0,3 % d'extrait de magnolia deux fois par jour réduit la gravité de la plaque d'environ 14 % après trois mois, contre seulement 10 % pour les patients utilisant le dentifrice sans extrait de magnolia. Bien que statistiquement significative, cette amélioration pourrait ne pas être cliniquement significative. nn

Posologie

posologieBy mouth: bark, flower

duration6 - months

formulationtoothpaste


Depression
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A mixture of honokiol and magnolol with ginger rhizome produces a synergistic antidepressant action in a rodent experiment. These antidepressant effects are observed at doses ranging from 20 to 40 mg/kg body weight in rats, which corresponds to 3.2 to 6.4 mg/kg in humans. A clinical study has confirmed these results in postpartum women. It showed that magnolia tea can improve sleep quality and reduce the symptoms of postpartum or postnatal depression, a mental condition associated with childbirth.

Posologie

posologieOral: bark, flower

posologie160 - 550 mg

formulationinfusion, standardized extract, dry extract


Asthma
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A herbal complex from traditional Chinese medicine (Banxia Houpu Tang) that includes Magnolia officinalis has long been used in bronchial asthma. Indeed, animal trials have shown that certain constituents of magnolia plants appear to have anti-asthmatic properties through mechanisms related to the antiallergic response, as described above.

Posologie

posologieOral: bark, flower

posologie160 - 550 mg

formulationstandardized extract, dry extract


Alzheimer's disease
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Magnolol and honokiol may improve cholinergic function, which could be useful in Alzheimer's disease. At high doses, these components increase acetylcholine release in the hippocampus and have a neurotrophic effect, theoretically improving neuronal function.

Posologie

posologieOral: bark, flower

posologie160 - 550 mg

formulationstandardized extract, dry extract


Properties


Anxiolytic

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The bark of Magnolia officinalis has been used in traditional Chinese medicine to treat various mental disorders, including anxiety. Researchers have focused their efforts on demonstrating the antidepressant, anxiolytic, and sedative effects of decoctions containing Magnolia. The GABA system plays a crucial role in our brain by regulating our response to stress and anxiety. Honokiol and dihydrohonokiol, two natural compounds from Magnolia, exert anxiolytic effects in animals by interacting with gamma-aminobutyric acid A (GABA-A) receptors and muscarinic receptors. One study also explored the effects of dihydrohonokiol-B, a cousin of honokiol, which, when combined with anxiolytic drugs like diazepam, shows increased efficacy. This synergy suggests that Magnolia could potentially enhance the effects of conventional anxiety treatments. Magnolia extracts have also shown an affinity for adenosine A(1) receptors, a type of receptor in the brain that plays a role in the regulation of sleep and anxiety, which is consistent with traditional anxiolytic activities.

Usages associés

Stress, Anxiety

Antibacterial

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Honokiol and magnolol have a marked antimicrobial effect against: - Actinobacillus actinomycetemcomitans, a rod belonging to the human oral flora involved in periodontal diseases. - Porphyromonas gingivalis, a bacterial species present in the oral cavity, responsible for gingivitis and that may promote Alzheimer's disease by releasing toxic proteins. - Prevotella intermedia, a pathogenic bacterium involved in periodontal infections, including gingivitis and periodontitis. - Micrococcus luteus, a bacterium found in soil, dust, water and air; it is part of the natural skin flora and can also colonize the mouth and mucous membranes, notably the oropharynx and the human upper respiratory tract. They were NOT active against Shigella flexneii, Staphylococcus epidermidis, Enterobacter aerogenes, Proteus vulgaris, Escherichia coli and Pseudomonas aeruginosa. A bark extract and magnolol inhibited the growth of Helicobacter pylori, the bacterium responsible for gastric ulcer, in an in vitro study.

Usages associés

Gingivitis, oral infections, dental plaque

Neurological

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Research suggests that magnolol and honokiol may play a key role in improving cholinergic function, essential for memory and learning. They promote the increase in acetylcholine, a vital neurotransmitter, particularly in the hippocampus, the region of the brain associated with the formation of memories. This action could be beneficial in the context of Alzheimer's disease, where neuronal communication is often impaired. In addition to increasing acetylcholine, these components also nourish neurons (neurotrophic effect), promoting healthy neuronal function. Their antioxidant effect reduces reactive oxygen species and further strengthens their neuroprotective properties. Research has shown that Magnolia may also help reduce levels of beta-amyloid peptide, a component associated with the progression of Alzheimer's disease, and protect against the cell death it induces.

Usages associés

Alzheimer's disease

Antiallergic

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The magnolia contains a compound called magnone. This compound is particularly interesting for allergic symptoms such as nasal congestion and rhinitis. Its action is based on its ability to counter the activity of platelet-activating factor, a key element in the body's allergic and inflammatory reactions. Regarding asthma treatment, magnolia appears promising by intervening in cortisol metabolism. It inhibits the enzyme responsible for converting cortisol into cortisone, which increases the availability of corticosterone, a glucocorticoid similar to cortisol and useful in asthma management. The compounds magnolol and honokiol, also present in magnolia, offer a dual action: they relax the airways by acting as calcium antagonists and reduce type IV allergic reactions mediated by T lymphocytes. In addition, magnolia alkaloids act against acetylcholine-induced contractions, thus providing an additional pathway by which magnolia may help in the treatment of asthma.

Usages associés

Asthma

Anticancer

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Laboratory studies show that magnolol, a compound from magnolia, may have beneficial effects against leukemia. This action is due to its ability to intervene in various cellular signaling pathways, which are crucial in the development and progression of cancer. Magnolol and honokiol act by regulating the expression of certain genes and by promoting apoptosis, the programmed process of cell death. This mechanism is particularly important because it allows cancer cells to be eliminated in a controlled manner. Furthermore, obovotol, as well as certain alkaloids present in magnolia, also contribute to these anticancer effects. These substances could enhance magnolia's antitumor activity by targeting different stages and mechanisms involved in the growth and survival of cancer cells.


Anti-inflammatory

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The lignans of magnolia, particularly magnolol and honokiol, play a key role in modulating inflammatory responses. They are able to downregulate the activation of nuclear factor kappa B (NF-κB), a central element in the control of gene transcription for inflammatory responses. By blocking NF-κB activation, magnolol and honokiol help reduce the expression of genes involved in pro-inflammatory processes. In addition, these lignans interfere with the formation of eicosanoids, important signaling molecules in inflammatory and immune processes. They inhibit the production of prostaglandin E2 and thromboxane B2, two notable eicosanoids. This is likely due to the inhibitory effect of magnolol and honokiol on key enzymes such as phospholipase A2 and cyclooxygenase, which are involved in eicosanoid synthesis.

Usages associés

Gingivitis

Digestive effect

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Magnolia is an antispasmodic that works by relaxing the smooth muscles of the digestive tract. Magnolol and honokiol are both noncompetitive muscarinic antagonists and inhibit contractions induced by acetylcholine, serotonin, or calcium-dependent contractions induced by acetylcholine. Furthermore, magnolia extracts have anti-gastric-ulcer activity. Indeed, intragastric administration of an aqueous and methanolic magnolia extract (400 mg/kg) reduced gastric juice secretion and increased the pH of gastric secretions in mice pretreated with indomethacin.


Antioxidant

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When absorbed by the body, honokiol exhibits significant antioxidant properties, particularly effective against hydroxyl radicals. These radicals are reactive oxygen species known for their potential to cause cellular damage. Honokiol's antioxidant effectiveness is attributed to the presence of allyl groups in its chemical structure. These allyl groups enable more effective interactions with free radicals, neutralizing their harmful activity. By comparison, honokiol shows greater antioxidant capacity than magnolol, another compound from magnolia. This difference is mainly explained by higher activity of the allylic groups in honokiol, which strengthen its ability to neutralize free radicals.


Antidepressant

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In animals, a mixture of honokiol and magnolol with ginger rhizome produces a synergistic antidepressant effect by regulating serotonergic functions and gastrointestinal system functions. Indeed, the mixture of honokiol and magnolol increased serotonin levels in various regions of the brain, and the ginger rhizome reduced cholecystokinin levels in the gastric mucosa and serum gastrin in rats.

Usages associés

Depression

Cardiovascular

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Magnolia's positive effects on atherosclerosis are attributed to the antioxidant activities of magnolol and honokiol. Laboratory research suggests that honokiol reduces the expression of inducible nitric oxide synthase, the generation of reactive oxygen species, intracellular calcium accumulation, and mitigates the effects of low-density oxidized lipoprotein. Magnolol also interferes with the generation of reactive oxygen species.


Safe dosage

Adults 18 years and older: 160 mg - 550 mg (dry extract)

There is no typical dosage, but commercially available magnolia products are standardized for the constituents magnolol and honokiol, which make up 40% to 90% of the total polyphenols.


Interactions

Médicaments

Barbiturates: moderate interaction

Theoretically, the concomitant use of high doses of magnolia bark and barbiturates could increase the risk of drowsiness and depression of motor reflexes.

Benzodiazepines: moderate interaction

Theoretically, the concomitant use of high doses of magnolia bark and benzodiazepines could increase the risk of drowsiness and depression of motor reflexes.

Central nervous system depressants: moderate interaction

Theoretically, the concomitant use of high doses of magnolia bark and CNS depressants may increase the risk of drowsiness and depression of motor reflexes.

Antiplatelet agents/Anticoagulants: moderate interaction

Some data suggest that magnolia may inhibit platelet aggregation. However, this effect has not been demonstrated in humans. Theoretically, magnolia could have additive effects and increase the risk of bleeding when used with antiplatelet agents.


Precautions

Breastfeeding women: use with caution

There is not enough reliable information on the safety of using magnolia bark during breastfeeding; studies show it has been used safely in women with postpartum depression as a tea.

Surgery: avoid

Magnolia may have depressant effects on the central nervous system (CNS) and antiplatelet effects. Theoretically, magnolia could cause additive CNS depression when combined with anesthesia and other medications during and after surgery. It may also cause excessive bleeding if used perioperatively. It is recommended to stop use at least two weeks before surgery.


Contraindications

Pregnancy: contraindicated

Stimulation of uterine contractions has been reported when magnolia is used orally. There is not enough reliable information available on the safety of using magnolia bark during pregnancy.