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Alfalfa (Medicago sativa)Head and Neck

Alfalfa (Medicago sativa)

Overview

Alfalfa is a perennial herb that can grow to about 32 in (80 cm). It produces trifoliate leaves, flowers ranging from yellow to violet-blue, and spiraling seed pods. It has been called the “king of herbs,” with roots that can extend many feet into the ground to draw up minerals.

Traditional uses & properties

It is mineral-rich and nutritive, often regarded as a mild alterative and blood purifier. Alfalfa has traditionally been used for arthritis, poor appetite, general weakness, and mineral deficiencies. Research and traditional use suggest it may help lower cholesterol and bind certain toxins in the colon. Its isoflavones and coumarins can exhibit estrogenic activity, making it potentially helpful for some menstrual and menopausal concerns.

Preparations & dosage

GLYCERITE

Dried leaf (1:6); 2–10 ml (0.4–2 tsp.) 3 times daily

TINCTURE

Alcohol is not a good solvent of minerals, so tinctures are rarely used.

FRESH HERB

Sprouts may be added to a variety of foods and eaten daily.

BULK POWDER, CAPSULES, AND TABLETS

1,000–4,000 mg, 2–3 times daily

SOUTHERN DECOCTION

1 cup 1–2 times daily

Safety & precautions

Alfalfa contains canavanine, which can induce lupus-like symptoms in susceptible individuals or worsen existing autoimmune conditions. Not recommended alongside anticoagulant medications (such as warfarin) because it can interfere with blood-thinning effects. Large amounts of the sprouted seeds, particularly in immunocompromised states or during pregnancy, should be avoided. Excessive daily consumption of seeds may lead to blood clotting problems.

Drug & food interactions

Although it has been suggested that alfalfa may interact with antidiabetic medicines and anticoagulants, evidence for this is largely lacking. Alfalfa may interact with immunosuppressants, and has apparently caused transplant rejection in one patient.

Food

No interactions found.

Theophylline

No data for alfalfa found.

Warfarin and related drugs

Unintentional and unwanted antagonism of warfarin has occurred in patients who ate exceptionally large amounts of some green vegetables, which can contain significant amounts of vitamin K1. It is predicted that alfalfa may contain sufficient vitamin K to provoke a similar reaction. There is no specific clinical or experimental evidence relating to the use of alfalfa with anticoagulants, but alfalfa is predicted to antagonise coumarin anticoagulants based on its vitamin K content. There are some data on the amount of vitamin K in alfalfa, and lots of data on dietary vitamin K and anticoagulant control.

Digoxin

No data for alfalfa found.

Medicine

No interactions found.

Antidiabetics

An isolated case describes a marked reduction in blood-glucose levels in a diabetic patient who took an alfalfa extract. A case report describes a young man with poorly controlled diabetes (reportedly requiring large doses of insulin for even moderately satisfactory control) who had a marked reduction in blood-glucose levels after taking an oral alfalfa aqueous extract. He also had a reduction in his blood-glucose levels in response to oral manganese chloride, but this effect was not seen in 8 other patients with diabetes.

Paclitaxel

No data for alfalfa found.

Tamoxifen

No data for alfalfa found.

Antibacterials

No data for alfalfa found.

Fexofenadine

No data for alfalfa found.

Immunosuppressants

An isolated report describes acute rejection and vasculitis with alfalfa and/or black cohosh in a renal transplant recipient taking ciclosporin. A stable kidney transplant recipient taking azathioprine 50 mg daily and ciclosporin 75 mg twice daily began to take alfalfa and black cohosh supplements (specific products not stated) on medical advice for severe menopausal symptoms. Her serum creatinine rose from between about 97 and 124 micromol/L up to 168 micromol/L after 4 weeks, and to 256 micromol/L after 6 weeks with no associated change in her ciclosporin levels. Biopsy revealed severe acute rejection with vasculitis and she was treated with corticosteroids and anti-T-lymphocyte immunoglobulin with partial improvement in renal function

Habitat

Originally found in Europe, Asia, and North Africa, it now grows worldwide, especially in temperate zones, often as a fodder crop. It thrives in meadows and open cultivated areas, usually harvested in the summer.

Traditionally used for

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