Echinacea purpurea, Echinacea angustifoli and Echinacea pallida are frequently used as medicinal plants. Besides asking for evidence on their efficacy, there is an increasing interest for safety data. This review systematically presents the available literature on drug interactions, contraindications, adverse events, duration of use, and safety of use in pregnant and nursing women, and assesses...

Extrapolations from pharmacological research have led some authors to suggest restrictions or contraindications for the use of Echinacea. This article examines the known chemistry and pharmacology of the various Echinacea species and products, and challenges some of these popular concepts. In particular, the hypotheses that Echinacea is a T cell activator and that it will accelerate pathology i...

We reviewed the current body of evidence supporting the use of Echinacea to reduce URI symptoms and improve QoL. Different Echinacea species have been administered either alone or in combination with other herbals and in various doses and dosage forms. Studies depicting Echinacea's effect on URI symptoms and QoL are contradictory. Despite some positive effects on symptom severity and QoL, given...

The genus Echinacea is used as an herbal medicine to treat a variety of ailments. To better understand its potential chemical variation, 40 Echinacea accessions encompassing broad geographical and morphological diversity were evaluated under controlled conditions. Metabolites of roots from these accessions were analyzed by HPLC-photo diode array (HPLC-PDA), GC-MS, and multivariate statistical m...

Echinacea preparations are widely used herbal medicines for the prevention and treatment of colds and minor infections. There is little evidence for the individual components in Echinacea that contribute to immune regulatory activity. Activity of an ethanolic Echinacea extract and several constituents, including cichoric acid, have been examined using three in vitro measures of macrophage immun...

Common symptoms of upper respiratory infections, such as sore throat, cough, and inflammation, are often caused by bacteria, sometimes as a complication of virus infection. Extracts of Echinacea purpurea (Asteraceae) have been advocated traditionally for use by individuals suffering from these symptoms, although the underlying basis for the beneficial effects of Echinacea is not known. We hypot...

BACKGROUND Echinacea is widely used to treat the common cold. OBJECTIVE To assess the potential benefits of echinacea as a treatment of common cold. DESIGN Randomized, controlled trial. (ClinicalTrials.gov registration number: NCT00065715) SETTING Dane County, Wisconsin. PATIENTS 719 patients, aged 12 to 80 years, with new-onset common cold. INTERVENTION Patients were assigned to 1 of...

The purpose of this study was to assess the effectiveness of echinacea for the prevention of experimental rhinovirus colds. Infection occurred in 44 and 57% and illness occurred in 36 and 43% of the echinacea- and placebo-treated subjects, respectively. This preparation of echinacea had no significant effect on either the occurrence of infection or the severity of illness.

BACKGROUND Recurrent otitis media is a common problem in young children. Echinacea and osteopathic manipulative treatment have been proposed as preventive measures, but have been inadequately studied. This study was designed to assess the efficacy of Echinacea purpurea and/or osteopathic manipulative treatment (OMT) for prevention of acute otitis media in otitis-prone children. METHODS A rand...

BACKGROUND Echinacea products are among the most popular phytomedicines on the North American market. Since at least half of all pregnancies are unplanned, many women inadvertently use echinacea in their first trimester. Presently, there is a paucity of information regarding the gestational safety of this herb. The primary objective of this study was to evaluate the safety of echinacea in pregn...