Goldenseal (Hydrastis canadensis)
Overview
Goldenseal (Hydrastis canadensis) is a low-growing North American perennial, recognized by its thick yellow root and a short erect stem up to about 1 ft (30 cm). Renowned in the 19th century as a panacea, it is now valued for its potent antibacterial action, particularly on mucous membranes in the respiratory, digestive, and urinary tracts.
Traditional uses & properties
Antibacterial & Astringent: Acts on mucous membranes of eyes, gums, nasal passages, intestines, and vagina. Digestive Tonic & Bitter: Increases digestive secretions, helps counter diarrhea (especially giardia), but should not be taken long-term. Post-Infection Remedy: Supports convalescence from respiratory or urinary infections, especially where lingering mucus is present. Topical Applications: Useful as a wash for sore eyes, canker sores, and as a lotion for wound healing.
Preparations & dosage
Make a tincture and take 20 drops with water 3 times a day.
Make a decoction and gargle 2 tbsp 3–4 times a day
Safety & precautions
Short-Term Use: Typically limited to no more than 2 weeks as a single herb due to its drying effect and potential interference with B-vitamin absorption. Pregnancy: Stimulates the uterus—should only be used under professional supervision. High Blood Pressure: Not recommended if you already have elevated blood pressure. Children: Avoid giving it to young children.
Drug & food interactions
No interactions found.
Goldenseal did not affect chlorzoxazone metabolism in one study. In a study in 12 healthy subjects, a goldenseal supplement 900 mg three times daily taken for 28 days had no significant effects on the metabolism of a single oral dose of chlorzoxazone 250 mg.1 The supplement used had no standardisation information.
The interaction between goldenseal and paclitaxel is based on experimental evidence only.
The interaction between goldenseal and diclofenac is based on experimental evidence only.
Goldenseal does not appear to affect the pharmacokinetics of indinavir. In a study in 10 healthy subjects, goldenseal root (Nature’s Way) 1.14 g twice daily for 2 weeks did not alter the mean peak plasma level, half-life or oral clearance of a single 800-mg dose of indinavir. Eight of the subjects had less than a 20% increase or decrease in oral clearance, but one subject had a 46% increase and one a 46% decrease.
Goldenseal has only very small effects on the pharmacokinetics of digoxin. A study in 20 healthy subjects given a single 500-microgram dose of digoxin before and on the last day of treatment with standardised goldenseal root extract 1070 mg three times daily for 14 days, found a 14% increase in the maximum digoxin plasma levels, but no other changes in the pharmacokinetics of digoxin. The product gave an estimated daily dose of berberine of about 77 mg and of hydrastine of about 132 mg
The interaction between goldenseal and tolbutamide is based on experimental evidence only.
Goldenseal did not affect caffeine metabolism in one study. A study in 12 healthy subjects found that a goldenseal supplement 900 mg three times daily taken for 28 days had no significant effects on the metabolism of a single 100-mg oral dose of caffeine.1 The supplement used had no standardisation information.
No interactions found.
Goldenseal appears to modestly decrease the metabolism of midazolam. A study in 12 healthy subjects investigated the effects of goldenseal 900 mg three times daily taken for 28 days on a single 8-mg dose of oral midazolam. Goldenseal reduced the metabolism of midazolam to hydroxymidazolam by about 40%. The supplement used had no standardisation information.1 Similarly, in a study in 16 healthy subjects given a single 8-mg dose of midazolam after goldenseal 1323 mg three times daily for 14 days, there was a significant increase in the maximum concentration and AUC of midazolam of 41% and 62%, respectively, and a reduction in the clearance of about 36%. These increases were considered moderate when compared with the effects of clarithromycin and rifampicin in the study, which produced a 448% increase and 93% decrease in the AUC of midazolam, respectively. The goldenseal product used gave an estimated daily dose of berberine of about 77 mg and of hydrastine of 132 mg.
Goldenseal appears to modestly decrease the metabolism of midazolam, but has no significant effects on the pharmacokinetics of indinavir or digoxin. Goldenseal does not appear to affect the metabolism of caffeine or chlorzoxazone. The interaction between goldenseal and diclofenac, paclitaxel or tolbutamide is based on experimental evidence only.
Habitat
Native to moist, mountainous woodlands of eastern North America, goldenseal has become rare due to overharvesting. Listed as endangered since 1997, it should only be sourced from cultivated stock. It’s propagated by root division; the 3-year-old rhizomes are dug up in autumn and dried.
Traditionally used for
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