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Boswellia

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Specifically for Asthma

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Why it works for Asthma:

Targets leukotrienes (inflammation pathway central to asthma). A key boswellia constituent—AKBA (3-acetyl-11-keto-β-boswellic acid)—directly inhibits the 5-lipoxygenase (5-LOX) enzyme that drives leukotriene production. Leukotrienes contribute to bronchoconstriction, mucus, and airway inflammation in asthma. Mechanistic work shows AKBA is a direct, non-redox 5-LOX inhibitor with a distinct binding site on the enzyme. ScienceDirect

Additional anti-inflammatory actions (e.g., effects on leukocyte elastase and other inflammatory mediators) have been described, which could also reduce airway inflammation. jpet.aspetjournals.org

The mechanism (leukotriene reduction) is directly relevant to asthma biology, similar in pathway to prescription leukotriene-modifier drugs—even though Boswellia itself is not a medicine and products aren’t standardized like drugs.

How to use for Asthma:

Form & standardization: Use an oral extract of Boswellia serrata (capsules/tablets). Many commercial extracts are standardized to boswellic acids (commonly ~30–40%); some specialty extracts are enriched for AKBA (e.g., 5-Loxin/Aflapin) but these haven’t been tested for asthma outcomes. Examine

Dose used in the asthma RCT: 300 mg, three times daily of Boswellia gum resin for 6 weeks (total 900 mg/day). This is the clearest, asthma-specific regimen in the literature. Europe PMC

General supplement references (non-asthma-specific): Many list ~300–500 mg of standardized extract 2–3×/day, taken with food to reduce GI upset. These are general ranges, not asthma-validated dosing. RxList

How to integrate with asthma care (important):

  • Do not stop inhaled corticosteroid (ICS)–containing therapy or reliever inhalers without your prescriber’s advice. Current asthma guidelines prioritize ICS-containing inhalers for everyone with asthma. Global Initiative for Asthma - GINA
  • If you and your clinician decide to try Boswellia, consider a time-limited trial (e.g., 6 weeks) alongside guideline-based therapy, tracking symptoms/peak flows and side effects.

Scientific Evidence for Asthma:

Double-blind, placebo-controlled RCT (40 adults with chronic bronchial asthma, 6 weeks): Boswellia gum resin 300 mg TID vs placebo. Reported improvements in symptoms (dyspnea, wheeze, attack frequency) and spirometry in the Boswellia group (about 70% responders vs 27% on placebo). (European Journal of Medical Research, 1998; PMID 9810030). Note: small, short, older study; product standardization details are limited. Europe PMC

Mechanism papers: Multiple in-vitro/biophysical studies show AKBA inhibits 5-LOX (the leukotriene-producing enzyme), supporting biological plausibility. ScienceDirect

Reviews of frankincense/boswellia trials across conditions: A BMJ systematic review (2008) judged overall RCT evidence across indications as limited and heterogeneous (most trials small/short), underscoring the need for better studies; it does not establish asthma efficacy. BMJ

Authoritative consumer-health summary: NCCIH (NIH) concludes only a few small studies suggest Boswellia may reduce asthma symptoms and that evidence is not rigorous enough to determine usefulness. NCCIH

Specific Warnings for Asthma:

Do not substitute for prescription therapy. If you have asthma, follow your clinician’s plan; discuss any supplement before starting (risk of interactions; uncontrolled asthma can be dangerous). NCCIH

Side effects: Generally mild—GI upset (nausea, diarrhea), heartburn, and skin rash are most often reported. RxList

Pregnancy & breastfeeding: Human safety data are insufficient; authoritative sources advise avoiding medicinal doses in pregnancy/breastfeeding unless specifically recommended by a clinician. NCCIH

Drug interactions (theoretical/possible):

  • Anticoagulants/antiplatelets (e.g., warfarin): Some references flag possible interaction risk; consult your prescriber and monitor if on such drugs. Evidence is limited and inconsistent, but caution is warranted. RxList
  • General CYP interactions: In-vitro data suggest potential effects on drug-metabolizing enzymes; clinical relevance unclear—again, flag to your clinician/pharmacist. Hello Pharmacist

Quality & standardization: Supplements are not regulated like medicines; pick brands with third-party testing (USP/NSF/ISO) and consistent boswellic-acid content. NCCIH

Allergies: Avoid if you’ve had reactions to frankincense/Boswellia resins. (General safety caveat.) RxList

General Information (All Ailments)

Note: You are viewing ailment-specific information above. This section shows the general remedy information for all conditions.

What It Is

Boswellia, also known as Indian frankincense, is a resin extracted from the bark of trees in the Boswellia genus — particularly Boswellia serrata. The resin has been used for centuries in traditional Ayurvedic and Chinese medicine to treat various inflammatory conditions.

The active compounds in Boswellia are boswellic acids, including acetyl-11-keto-β-boswellic acid (AKBA), which is believed to be primarily responsible for its therapeutic effects.

Boswellia is commonly available in:

  • Resin form (for burning or topical use)
  • Capsules or tablets (standardized extracts)
  • Creams and ointments (for joint pain)
  • Essential oils (for aromatherapy or topical applications)

How It Works

Boswellia works mainly by modulating the body’s inflammatory response through several biochemical pathways:

  1. Inhibition of 5-Lipoxygenase (5-LOX):
  2. Boswellic acids block the enzyme 5-LOX, which is involved in the production of leukotrienes — inflammatory molecules that play a role in asthma, arthritis, and inflammatory bowel diseases.
  3. Reduction of Pro-inflammatory Cytokines:
  4. It helps reduce levels of inflammatory mediators like tumor necrosis factor-alpha (TNF-α) and interleukins (IL-1β, IL-6).
  5. Prevention of Cartilage Breakdown:
  6. Boswellia may help protect joint cartilage by inhibiting enzymes (such as MMPs) that degrade connective tissue, making it useful for osteoarthritis.
  7. Antioxidant and Immunomodulatory Effects:
  8. Boswellia also exerts antioxidant actions that help reduce oxidative stress and may improve overall immune function.

Why It’s Important

Boswellia has attracted modern scientific interest because it provides natural anti-inflammatory effects comparable to some nonsteroidal anti-inflammatory drugs (NSAIDs), but with fewer gastrointestinal side effects.

Key potential benefits include:

  • Joint Health: May improve flexibility and reduce pain and swelling in osteoarthritis and rheumatoid arthritis.
  • Respiratory Support: Helps manage asthma and bronchial inflammation.
  • Digestive Health: May reduce symptoms of inflammatory bowel diseases (Crohn’s disease, ulcerative colitis).
  • Brain and Cognitive Function: Early research suggests potential neuroprotective effects, possibly beneficial in neuroinflammatory conditions.
  • Overall Well-being: Because chronic inflammation is linked to many diseases, Boswellia’s modulation of inflammatory pathways supports systemic health.

Considerations

While Boswellia is generally well tolerated, there are important factors to consider:

1. Safety and Side Effects

  • Common side effects are mild and may include nausea, diarrhea, acid reflux, or skin rashes.
  • Rarely, allergic reactions may occur.
  • Long-term high-dose use has not been extensively studied.

2. Interactions

  • May interact with anti-inflammatory or anticoagulant medications (e.g., NSAIDs, warfarin).
  • Should be used cautiously with other herbs or supplements affecting inflammation or the immune system.

3. Dosage and Standardization

  • Typical doses of Boswellia serrata extract range from 300–500 mg, taken 2–3 times daily, standardized to contain 30–65% boswellic acids.
  • Consistency in formulation is crucial, as potency can vary widely among products.

4. Pregnancy and Medical Conditions

  • Not enough research exists to confirm safety during pregnancy or breastfeeding.
  • People with gastrointestinal conditions or taking medications should consult a healthcare professional before use.

5. Quality and Purity

  • Look for standardized extracts (e.g., 65% boswellic acids or specific AKBA content).
  • Choose products tested for contaminants (heavy metals, adulteration).

Helps with these conditions

Boswellia is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.

Crohn's Disease 0% effective
Arthritis 0% effective
Back Pain 0% effective
Asthma 0% effective
Diverticulitis 0% effective
Sciatica 0% effective
14
Conditions
0
Total Votes
68
Studies
0%
Avg. Effectiveness

Detailed Information by Condition

Crohn's Disease

0% effective

Boswellia's therapeutic potential in Crohn’s disease is primarily attributed to its active compounds, particularly boswellic acids, which are believed...

0 votes Updated 2 months ago 0 studies cited

Arthritis

0% effective

The active molecules in Boswellia (boswellic acids — especially 3-O-acetyl-11-keto-β-boswellic acid, AKA AKBA) inhibit 5-lipoxygenase (5-LOX), an enzy...

0 votes Updated 2 months ago 6 studies cited

Back Pain

0% effective

Boswellia’s main actives (boswellic acids—especially AKBA) inhibit 5-lipoxygenase (5-LOX) and reduce leukotriene production, key mediators of inflamma...

0 votes Updated 2 months ago 5 studies cited

Asthma

0% effective

Targets leukotrienes (inflammation pathway central to asthma). A key boswellia constituent—AKBA (3-acetyl-11-keto-β-boswellic acid)—directly inhibits...

0 votes Updated 1 month ago 4 studies cited

Diverticulitis

0% effective

Anti-inflammatory mechanism: The most active Boswellia constituents (boswellic acids — especially 3-O-acetyl-11-keto-β-boswellic acid, AKBA) inhibit 5...

0 votes Updated 2 months ago 6 studies cited

Sciatica

0% effective

Sciatica pain is most often driven by inflammation around a compressed or irritated lumbar nerve root. Boswellia’s major acids—especially AKBA (acetyl...

0 votes Updated 2 months ago 5 studies cited

Psoriasis

0% effective

Lowers leukotrienes (5-LOX inhibition): Boswellic acids—especially AKBA—directly inhibit 5-lipoxygenase, reducing leukotriene-driven inflammation impl...

0 votes Updated 1 month ago 5 studies cited

Anti-inflammatory pathways: Boswellic acids—especially AKBA (3-O-acetyl-11-keto-β-boswellic acid)—inhibit 5-lipoxygenase (5-LOX), lowering leukotriene...

0 votes Updated 1 month ago 4 studies cited

Tendonitis

0% effective

Boswellia has plausible anti-inflammatory mechanisms and decent human data for joint pain (especially osteoarthritis). Direct, high-quality trials for...

0 votes Updated 2 months ago 7 studies cited

Anti-inflammatory mechanism: Boswellic acids—especially AKBA (acetyl-11-keto-β-boswellic acid)—are direct, non-redox inhibitors of 5-lipoxygenase (5-L...

0 votes Updated 2 months ago 2 studies cited

Leukotriene pathway / 5-lipoxygenase (5-LOX) inhibition. The main boswellic acid, AKBA, is an allosteric inhibitor of 5-LOX, a key enzyme in leukotrie...

0 votes Updated 1 month ago 5 studies cited

It targets the leukotriene pathway (5-LOX). The most active boswellic acid (AKBA) directly inhibits 5-lipoxygenase, lowering leukotrienes that drive i...

0 votes Updated 2 months ago 7 studies cited

Leukotriene pathway inhibition (5-LOX): AKBA (3-acetyl-11-keto-β-boswellic acid), a key boswellic acid, directly inhibits 5-lipoxygenase, lowering pro...

0 votes Updated 1 month ago 6 studies cited

Pleurisy

0% effective

Boswellia (Indian frankincense, Boswellia serrata) has well-documented anti-inflammatory actions (notably via boswellic acids such as AKBA inhibiting...

0 votes Updated 2 months ago 6 studies cited

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