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Echinacea Purpurea
Browse Sections:
 Summary
 Other Names
 Traditional Internal Uses
 Pharmacological Summary
 Research
 Precautions / Contraindications
 Interaction with Medications
 Possible Side Effects
 Dosage
 References

Common Name
Echinacea Purpurea
 
Other Names
Echinacea, Brauneria purpurea, Rudbeckia purpurea, Narrow-leaved purple coneflower, Sampson root, Black Sampson, Red sunflower

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Traditional Internal Uses
Echinacea purpurea is used for immune system stimulation, in the prevention and treatment of colds and the flu.(1,2)

It is also used for supportive treatment of recurrent infections of the ears, respiratory tract, urinary tract and vaginal yeast infections.(1,2)

Less well known uses include chronic prostatitis and chronic bronchitis.(2)

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Pharmacological Summary
Scientific research of Echinacea helped us to find out that it is a very good stimulant of immune system function, increaseing the levels of white blood cells, interferon, interleukins, tumor necrosis factor, the engulfing or destruction of bacteria and viruses, antibody activity, natural killer cell activity and the restraint of infection spread.(1) Colds and the flu have responded well to Echinacea's immune enhancement. Also, respiratory and urinary track infections, vaginal infections, chronic vaginitis and other infectious conditions have been treated positively with Echinacea.(6) The stimulation of Echinacea purpurea on the immune system has been shown to stem from the synergistic actions of several different chemical compounds including polysaccharides, and cichoric acid.(1)

E. purpurea should be considered a stimulant to a stressed and tired but otherwise healthy immune system. It is not a substitute for basic underlying immune competence. Just as you can push a work-horse for only so long before you must feed it, so the immune system needs to be provided with health maintaining nutrition to facilitate optimal stimulation and performance.

Key nutrients for immune strength include protein, beta-carotene, vitamin C, vitamin E, all of the B vitamins, and the mineral zinc. Zinc is very important to immune system performance because it is involved in numerous immune mechanisms, including those regulating the thymus gland, the very heart of the immune system. Diets lacking in fresh fruits and vegetables and whole grains should be supplemented with these key immune nutrients.

Two other important immune nutrients that may be lacking, especially in those with chronic or unusually resistant infections, is gamma-linolenic acid (GLA) from Evening Primrose oil for enhanced PGE2 facilitated chemotaxis, and coenzyme Q10 for enhanced ATP generation in immune cells. These two items are often overlooked, especially in the elderly. Be sure it is recommended with meals with fat or oil, since its coenzyme Q10 absorption is via fat absorption only.

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Research
"Herbs For Winter Woes?"

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Precautions / Contraindications
Precautions

Echinacea cannot be expected to indefinitely boost immune function that is not otherwise supported by good lifestyle choices, including the acquisition of adequate rest, water, and nutritional support.(5) If you are allergic to flowers of the daisy family, caution is advised.(2)

Contraindications

There are no contraindications handed down from traditional use. The German Commission E monograph indicates that E. purpurea is contraindicated in progressive systemic diseases such as tuberculosis, leukosis, collagen disorders, or multiple sclerosis.(3) This would theoretically include autoimmune disorders like systemic lupus and rheumatoid arthritis.(5)

It should be noted that these contraindications do not extend from case histories where E. purpurea has been shown to exacerbate the stated disorders, but rather represent logical exclusions from German practice based on the perception of possible exacerbation.(5)

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Interaction with Medications
Echinacea may frustrate the goals of immuno-suppressive therapy.(4)

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Possible Side Effects
The following observations are drawn from adult experience. However, children are expected to respond to Echinacea purpurea similar to adults. Traditional herbalists use Echinacea in children as young as two years old. Some authorities state that there are no adverse effects with Echinacea.(2,3) However, Echinacea can produce minor adverse effects in the recommended dosage range, and more serious complaints with excessive doses and/or prolonged use.(5)

Echinacea deserves its good reputation as well tolerated herbal medication, as is evidenced in a 1996 published meta-analysis of clinical trials, in which more than 2000 users over a period of more than 40 years were found to have had no more serious side effects than unpleasant taste and mild GI disturbances.5 However, Bergner cites a trial of eight weeks for colds and flu, using E. purpurea, in which 11 of 54 patients detailed more specific side effects including gas, nausea, constipation, tiredness, drowsiness, and headaches.(5)

Long-term use of Echinacea has had a shadowy association with joint pain in its protracted clinical use in the Homeopathic and Eclectic physician accounts. Since the action of Echinacea can account for greater levels of hyaluronic acid(1,4) a thickening of the synovial fluid or anatomical parts influenced by hyaluronic acid could result in internalized pressure with joint discomfort.(5) Discontinuation would resolve the pain. How this concept relates to children is hard to evaluate since they are in a growing stage and they also experience a much more dynamic ability to accommodate joint disruptions to normal pressures if short term. It is unlikely that a child would need Echinacea long term.

Chronic oral administration of freshly pressed Echinacea purpurea juice to rats at doses many times the human therapeutic dose demonstrated no evidence of toxic effect.(1) Tests with E. purpurea reveal no mutagenic effects.(1) The LD50 of intravenously administered fresh pressed E. purpurea juice has been determined to be 50 milliliters per kilogram in mice and rats.(1)

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Dosage
Use 1 softgel daily, preferably with meals. At first signs of a cold take 3-5 softgels daily until symptoms resolve. If symptoms persist contact your physician.

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References
1. Murray, Michael T., The Healing Power of Herbs, Prima Publishing, Rocklin, CA, 1995
2. Brown, Donald J., Herbal Prescriptions for Better Health, Prima Publishing, Rocklin, CA, 1996
3. Blumenthal, Mark, The Complete German Commission E Monographs, American Botanical Council, Austin, TX, 1998
4. Newall, Carol, Herbal Medicines A Guide for Health-Care Professionals, The Pharmaceutical Press, London, 1998
5. Bergner, Paul, The Healing Power of Echinacea & Goldenseal, Prima Publishing, Rocklin, CA, 1997
6. Hobbs, Christopher, "Echinacea: Help for the Immune System", Let's Live, January, 1990

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These statements have not been evaluated by the Food and Drug Administration (FDA). Products are intended to support general well being and are not intended to treat, diagnose, mitigate, prevent, or cure any condition or disease. If conditions persist, please seek advice from your medical doctor.



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