Stinging nettle: benefits, dosage, contraindications
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.
Osteoarthritis ✪✪✪✪✪
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
Synergies
Five Herbs Plus Thiamine Reduce Pain and Improve Functional Mobility in Patients With Pain: A Pilot Study.
Nettle sting of Urtica dioica for joint pain--an exploratory study of this complementary therapy.
Nettle sting for chronic knee pain: a randomized controlled pilot study.
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Randomized controlled trial of nettle sting for treatment of base-of-thumb pain.
Stinging nettle cream for osteoarthritis.
COMMUNITY HERBAL MONOGRAPH ON URTICA DIOICA L. ANDnnURTICA URENS L., HERBA
Evidence for antirheumatic effectiveness of Herba Urticae dioicae in acute arthritis: A pilot study.
Type 2 diabetes ✪✪✪✪✪
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
Synergies
The effect of nettle (Urtica dioica) supplementation on the glycemic control of patients with type 2 diabetes mellitus: A systematic review and meta-analysis
Effects of Urtica dioica on Metabolic Profiles in Type 2 Diabetes: A Systematic Review and Meta-analysis of Clinical Trials
Effectiveness and Safety of Ayurvedic Medicines in Type 2 Diabetes Mellitus Management: A Systematic Review and Meta-Analysis
Improved glycemic control in patients with advanced type 2 diabetes mellitus taking Urtica dioica leaf extract: a randomized double-blind placebo-controlled clinical trial.
Benign prostatic hyperplasia ✪✪✪✪✪
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
Synergies
Extracts From Fruits of Saw Palmetto (Sabal Serrulata) and Roots of Stinging Nettle (Urtica Dioica): Viable Alternatives in the Medical Treatment of Benign Prostatic Hyperplasia and Associated Lower Urinary Tracts Symptoms
[Stinging Nettle Root Extract (Bazoton-uno) in Long Term Treatment of Benign Prostatic Syndrome (BPS). Results of a Randomized, Double-Blind, Placebo Controlled Multicenter Study After 12 Months]
[Phytotherapy of benign prostate syndrome and prostate cancer: better than placebo].
The efficacy and safety of Urtica dioica in treating benign prostatic hyperplasia: A systematic review and meta-analysis
Long-term Efficacy and Safety of a Combination of Sabal and Urtica Extract for Lower Urinary Tract Symptoms--A Placebo-Controlled, Double-Blind, Multicenter Trial
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Urtica dioica for treatment of benign prostatic hyperplasia: a prospective, randomized, double-blind, placebo-controlled, crossover study.
Combined Sabal and Urtica Extract Compared With Finasteride in Men With Benign Prostatic Hyperplasia: Analysis of Prostate Volume and Therapeutic Outcome
The efficacy and safety of Urtica dioica in treating benign prostatic hyperplasia: a systematic review and meta-analysis
COMMUNITY HERBAL MONOGRAPH ON URTICA DIOICA L. AND URTICA URENS L., HERBA
Arthritis ✪✪✪✪✪
ESCOP recommends nettle leaves as an adjunct in the symptomatic treatment of arthritis and rheumatic disorders. Native Americans used it to relieve rheumatic pain. The application of fresh leaves for 30 seconds to the painful area can relieve arthritic pain. The combination of these effects (purifying, remineralization) with its anti-inflammatory effects makes it an option for the treatment of arthritis.
Posologie
Five Herbs Plus Thiamine Reduce Pain and Improve Functional Mobility in Patients With Pain: A Pilot Study.
Nettle sting of Urtica dioica for joint pain--an exploratory study of this complementary therapy.
[Cytokine secretion in whole blood of healthy subjects following oral administration of Urtica dioica L. plant extract].
E/S/C/O/P: 2nd Edition of the ESCOP Monographs
Randomized controlled trial of nettle sting for treatment of base-of-thumb pain.
Plant Extracts From Stinging Nettle (Urtica Dioica), an Antirheumatic Remedy, Inhibit the Proinflammatory Transcription Factor NF-kappaB
Evidence for antirheumatic effectiveness of Herba Urticae dioicae in acute arthritis: A pilot study.
Joint pain ✪✪✪✪✪
Nettle is reputed to be "depurative" against joint pain. The nettle leaf shows an ability to structure, to build (recalcify). It plays an important role in the consolidation of bones, therefore in remineralization. The EMA indicates that nettle leaves are a traditional herbal medicinal product for the relief of minor joint pain. Several studies tend to show these effects, particularly in cases of osteoarthritis.
Posologie
Five Herbs Plus Thiamine Reduce Pain and Improve Functional Mobility in Patients With Pain: A Pilot Study.
Nettle sting of Urtica dioica for joint pain--an exploratory study of this complementary therapy.
Nettle sting for chronic knee pain: a randomised controlled pilot study.
[Cytokine secretion in whole blood of healthy subjects following oral administration of Urtica dioica L. plant extract].
Randomized controlled trial of nettle sting for treatment of base-of-thumb pain.
Stinging nettle cream for osteoarthritis.
COMMUNITY HERBAL MONOGRAPH ON URTICA DIOICA L. AND URTICA URENS L., HERBA
Evidence for antirheumatic effectiveness of Herba Urticae dioicae in acute arthritis: A pilot study.
Acne ✪✪✪✪✪
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
Hair loss ✪✪✪✪✪
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
Urinary disorders ✪✪✪✪✪
The EMA indicates the leaves to increase urine output and as an adjunct in minor urinary complaints.
Posologie
Eczema ✪✪✪✪✪
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
Prostatitis ✪✪✪✪✪
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
Synergies
Search for the antiprostatic principle of stinging nettle (Urtica dioica) roots.
Serenoa Repens Associated With Urtica Dioica (ProstaMEV) and Curcumin and Quercetin (FlogMEV) Extracts Are Able to Improve the Efficacy of Prulifloxacin in Bacterial Prostatitis Patients: Results From a Prospective Randomized Study
Properties
Anticancer




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
Antiandrogenic




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
Immunomodulator




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
Anti-inflammatory




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
Hypoglycemic




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
Antihypertensive




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




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




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
Remineralizing




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
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.
Oral: leaf
160 - 9000 mg
infusion, dry extract
