Stinging nettle: benefits, dosage, contraindications

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The nettle is a perennial herbaceous plant of temperate and tropical regions. It is most often found in hedgerows, around homes, and in gardens. Two species of nettle from the Urticaceae family are used in herbal medicine: Urtica dioica (great nettle) and, more occasionally (in homeopathy), Urtica urens (burning nettle). The parts of the nettle used therapeutically are the aerial parts and the root. Care must be taken regarding the part of the nettle used, because the root has pharmacological activity quite different from that of the leaves. The nettle root contains polysaccharides and fatty acids. The nettle leaf contains several nutrients and active constituents including beta-sitosterol and flavonoids such as quercetin, rutin, kaempferol, and others. The leaf also contains lectins, including agglutinin. Its stinging hairs contain histamine, acetylcholine, and serotonin. The leaf is eaten as a food because of the significant amounts of carotene, vitamin C, vitamin K, potassium, calcium, and magnesium it contains. It is a good choice to help prevent demineralization; for example, nettle pesto recipes are suggested (and they're very tasty). Nettle leaves have long been used as a diuretic and laxative since the time of the Greek physicians Dioscorides and Galen, while the roots are recommended for prostate disorders.

Other name(s) 

Great nettle

Scientific name(s)

Urtica dioica, Urtica urens

Family or group: 

Plants

Active ingredients:

Flavonoids

Lectins

Polysaccharides

Potassium

Calcium

Magnesium


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.


Osteoarthritis
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Oral or topical use of nettle leaf extract may improve pain symptoms in patients with osteoarthritis. Some clinicians use nettle leaf extract in combination with conventional non-steroidal anti-inflammatory drugs (NSAIDs) or other analgesics. It appears that adding nettle may allow lower doses of analgesics to be used in some patients. nnOther clinical research shows that a combination containing nettle, rosehip, devil's claw and vitamin D taken orally daily for 12 weeks improves overall symptoms by 28% and pain scores by an additional 33% compared with placebo in adults with knee osteoarthritis.nn

Posologie

posologieOral: leaf

posologie160 - 9000 mg

formulationinfusion, dry extract


Synergies


Type 2 diabetes
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Studies suggest that stinging nettle may be beneficial for people with type 2 diabetes. A meta-analysis of small clinical trials found that a daily intake of 1.5 to 10 g of nettle for 8 to 12 weeks reduces fasting blood glucose, but without significantly improving glycated hemoglobin (HbA1c). Another review suggested a reduction in HbA1c and postprandial blood glucose, but these results are based on a limited number of studies. Its combination with milk thistle, boswellia (200 mg each) three times a day for three months slightly reduces fasting blood glucose compared to placebo in adults with type 2 diabetes who are taking antidiabetic medications.

Posologie

posologieOral: leaf

posologie600 - 1500 mg

formulationdry extract


Synergies


Benign prostatic hyperplasia
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Numerous clinical observations show a decrease in urinary frequency, post-void residual, prostate volume, and hormone levels with extract doses of 600 to 1200 mg per day, and over durations of 3 to 6 months.nnOther studies show the use of the stinging nettle root at a dose of 120 mg three times a day improves the symptoms of benign prostatic hyperplasia in 81% of subjects in the group that received the treatment, compared with 14% for placebo.nnHowever, some studies conclude that testosterone levels were not affected and no change in prostate size was observed.nn

Posologie

posologieOral: root

posologie360 - 1200 mg

formulationpowder, dry extract


Synergies


Acne
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The EMA recognizes nettle leaves as a traditional herbal medicinal product used for seborrheic skin conditions. This suggests a benefit for acne-prone skin in particular. Traditionally, nettle is reputed to be "depurative", against mild acne and skin eruptions.

Posologie

posologieOral use: leaf

posologie275 - 1100 mg

formulationpowder


Hair loss
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The nettle leaf shows an ability to structure, to build (recalcify). It plays a role in bone consolidation, therefore in remineralization. For external use, a decoction of dry or fresh leaves is used as a tonic in scalp seborrhea and against hair loss.

Posologie

posologieBy mouth: leaf

posologie275 - 1100 mg

formulationpowder


Urinary disorders
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The EMA indicates the leaves to increase urine output and as an adjunct in minor urinary complaints.

Posologie

posologieBy mouth: leaf

posologie1140 - 2280 mg

formulationpowder


Eczema
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The EMA recognizes nettle leaves as a traditional herbal medicinal product used for seborrheic skin conditions. This suggests a benefit for eczema in particular. It is reputed to be 'depurative', against skin eruptions. In Ayurvedic medicine, nettle is used in combination with other plants to treat skin eruptions and eczema.

Posologie

posologieBy mouth: leaf

posologie275 - 1100 mg

formulationpowder


Prostatitis
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The root of nettle may be of interest in the treatment of prostatitis thanks to its components, such as polysaccharides and lectins. These substances act by playing an immunomodulatory role. This activity could be useful in nonspecific chronic prostatitis, often associated with autoimmune disorders.

Posologie

posologieBy mouth: root

posologie360 - 1200 mg

formulationpowder


Synergies


Properties


Anticancer

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There is interest in using nettle for prostate diseases, notably benign prostatic hyperplasia (BPH) and prostate cancer. Preliminary research shows that an aqueous extract of nettle leaves may decrease adenosine deaminase activity (or adenosine aminohydrolase, a hydrolase that catalyzes the reaction in tissues) in the prostate of men with localized prostate cancer. Animal and cell culture studies show that extract of stinging nettle root can reduce the proliferation of prostate cancer cells. In vitro studies show that lignans from stinging nettle root interfere with the binding of dihydrotestosterone (DHT) to sex hormone-binding globulin (SHBG). The binding of DHT to SHBG stimulates prostate cancer growth. By interfering with this binding, stinging nettle is thought to reduce prostate cancer growth. Preliminary research shows that nettle root extract inhibits the sodium-potassium pump in human hyperplastic prostate tissue. Inhibition of the sodium-potassium pump may reduce the metabolism and growth of prostate cells.

Usages associés

Benign prostatic hyperplasia

Antiandrogenic

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SHBG (Sex Hormone Binding Globulin) transport proteins carry androgens and estrogens in the plasma. Thus, in men, those hormones bound to SHBG are generally transported to receptor sites on the prostate. With age, testosterone production decreases and the estrogen/testosterone ratio then increases. This phenomenon leads to an increased synthesis of SHBG transport proteins which can stimulate prostate tissue cells to divide and grow rapidly, resulting in benign prostatic hyperplasia. Studies have shown that lignans (including secoisolariciresinols) derived from nettle root extract inhibit the binding of androgens to SHBG and also prevent these transport proteins from binding to prostate membrane receptors, thereby limiting proliferative activity on prostate tissues. Other hypotheses have been proposed indicating an action of nettle root extract on testosterone 5-alpha-reductase, on other enzymes such as HLE (human leukocyte elastase), a marker of prostatic inflammation by lipophilic steroids from the root. Finally, aromatase is responsible for the conversion of testosterone to 17-beta-estradiol. This enzyme plays an important role in the pathophysiology of prostate hypertrophy since it notably induces increased synthesis of androgen receptors and a change in prostate structure. The octadecanoic fatty acids contained in these roots are strong inhibitors of aromatase, according to laboratory experiments.

Usages associés

Acne, Benign prostatic hyperplasia

Immunomodulator

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Polysaccharides may interact in vitro with T lymphocytes (immunomodulatory activity). Lectins also have immunomodulatory activity by stimulating the production of interferon-γ by lymphocytes, and by inhibiting autoimmune disorders frequently found in non-specific chronic prostatitis.

Usages associés

Prostatitis

Anti-inflammatory

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The aerial parts of nettle as well as the root have anti-inflammatory effects. Laboratory studies on nettle extract have shown anti-inflammatory activity, notably by inhibiting the activation of NF-kappaB and reactions derived from cyclooxygenase and 5-lipoxygenase. A phenolic acid isolated from nettle also reduces the synthesis of leukotriene B4. In humans, one study found that an oral intake of 1.34 g of nettle leaf extract for three weeks significantly decreased levels of lipopolysaccharide-stimulated TNF-alpha and IL-1-beta. Moreover, nettle leaf extract reduces the induction of primary T-cell responses and TNF-alpha, suggesting potential in the treatment of diseases such as rheumatoid arthritis and Crohn's disease.

Usages associés

Osteoarthritis, Arthritis, Joint pain, Prostatitis

Hypoglycemic

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Some cell culture and animal studies show that nettle leaf may increase insulin secretion from the pancreas. Other cell culture research shows that nettle leaf extract may inhibit the activity of peroxisome proliferator-activated receptor gamma (PPAR-gamma). Other cell culture studies show that the aerial parts of nettle may inhibit alpha-glucosidase activity.

Usages associés

Type 2 diabetes

Antihypertensive

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Animal studies show that extract from the aerial parts of stinging nettle can induce an acute hypotensive action, as well as diuretic and natriuretic effects (promoting urinary sodium excretion).nnLeaf juice can increase urine output and slightly reduce systolic blood pressure and body weight in people with venous insufficiency.nn


Anti-allergic

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The nettle leaf, rich in quercetin, may help relieve allergic rhinitis. Quercetin is known for its anti-inflammatory properties and its ability to stabilize mast cells, thereby reducing histamine release. A clinical study showed that daily nettle intake for one month lowered interferon-gamma levels, an indicator of inflammation. However, nettle did not significantly improve the clinical symptoms of allergic rhinitis nor alter certain biological markers associated with this condition.nn


Diuretic

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The leaf, like all the aerial parts, is mildly diuretic and increases the excretion of chlorides and urea, which is beneficial for rheumatism and gout. nn

Usages associés

Urinary disorders

Remineralizing

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The leaves contain flavonoids, sterols (sitosterol), numerous organic acids, chlorophyll and carotenoids, vitamins (C, B complex, K) and minerals (silica, potassium, nitrates, calcium, magnesium). As a result, the leaves are considered alkalizing.nn

Usages associés

Arthritis, Hair loss, Joint pain


Safe dosage

Adults 18 years and older: 380 mg - 2280 mg (powder)

- Dried, cut, fragmented, or crushed plant substance: 2-4 g as a single dose up to 3 times per day as an infusion. - Powdered plant substance: 380-570 mg as a single dose up to 4 times per day. - Fresh herb juice: 10-15 ml in a single dose up to 3 times per day. - Tincture (1:5), extraction solvent, ethanol 45%: 2-6 ml as a single dose up to 3 times per day. - Dry extract (5-10:1), extraction solvent: water corresponding to 2-4 g of herbs in a single dose up to 3 times daily.

Children aged 12 to 18 years: 275 mg

- Dried, cut, comminuted or crushed plant material: 2-4 g as a single dose up to 3 times a day as an infusion. - Plant material powder: 380-570 mg as a single dose up to 3 times a day. - Expressed juice (1:0.5-1.1) of fresh herb: 10-15 ml as a single dose up to 3 times a day. - Tincture (1:5), extraction solvent: ethanol 45% (V/V): 2-6 ml as a single dose up to 3 times a day. - Dry extract (5-10:1), extraction solvent: water corresponding to 2-4 g of herbs as a single dose up to 3 times daily.

Adults aged 18 years and older: 300 mg - 600 mg (dry extract)

Root: 4 to 6 g as an infusion or 300 to 600 mg of dry extract (7-14:1, 20% methanol).


Interactions

Médicaments

Antidiabetic: low interaction

Animal research suggests that this nettle may lower blood glucose levels. In addition, a human case report suggests that nettle may cause hypoglycemia in some patients with diabetes. Dose adjustments may be necessary.

Warfarin: low interaction

Nettle contains a significant amount of vitamin K. Therefore, nettle may reduce the effects of anticoagulant drugs such as warfarin; use with caution. A warfarin dose adjustment may be necessary.


Precautions

Breastfeeding women: avoid

Avoid due to lack of data.

Hypotension: use with caution

Nettles may affect blood pressure.

Renal insufficiency: avoid

The aerial parts of the nettle appear to have a diuretic effect; use with caution in people with renal impairment.

Children up to 12 years: avoid

Use is not recommended in children under 12 years of age.


Contraindications

Pregnancy: contraindicated

Oral use of nettle is contraindicated because of possible abortifacient and uterine stimulant effects.