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Butterbur-Free Extract

herb Verified

Specifically for Allergies (Hay Fever)

0% effective
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Why it works for Allergies (Hay Fever):

Leukotriene inhibition (petasins): Standardized leaf CO₂ extracts of Petasites hybridus (e.g., Ze 339) inhibit leukotriene biosynthesis—key inflammatory mediators in allergic rhinitis—via the sesquiterpene esters petasin, isopetasin and neopetasin. This mechanism is supported by preclinical work in human blood cells and eosinophils. ScienceDirect

Possible antihistamine-like activity (debated): Some data suggest Ze 339 may reduce histamine transport, but other studies found no direct antihistamine effect; overall benefit is thought to be driven primarily by anti-leukotriene action rather than H1 blockade. Drugs.com

How to use for Allergies (Hay Fever):

Typical regimens studied:

Ze 339 (standardized leaf CO₂ extract):

  • 8 mg petasins per tablet, 1 tab 3×/day (total petasins 24 mg/day) for 2 weeks in RCTs vs. fexofenadine/placebo. Read by QxMD
  • 1 tab 4×/day for 2 weeks in an RCT vs. cetirizine. (Tablet strength not stated in the abstract; Ze 339 was the product used.) BMJ

General dose ranges cited by drug references: Up to 6 Ze 339 tablets/day in divided doses for 1–2 weeks; alternatively 50 mg root extract twice daily has also been studied (brand/formulations vary; ensure PA-free). RxList

Practical tips (based on study protocols and safety guidance):

  • Start at the beginning of the pollen season or at symptom onset; assess response after 1–2 weeks. Most trials were short (2 weeks). BMJ
  • Limit duration unless supervised: reputable safety summaries recommend PA-free products for ≤12–16 weeks total. NCCIH
  • Use only PA-free, standardized extracts (look for “PA-free” or certifications). NCCIH

Scientific Evidence for Allergies (Hay Fever):

Butterbur vs. cetirizine (2002, BMJ RCT): Ze 339 (1 tab QID for 2 weeks) was comparable to cetirizine for symptom relief, with less drowsiness reported in the butterbur group. (Industry involvement noted.) BMJ

Butterbur vs. fexofenadine vs. placebo (2005, multicenter RCT): Ze 339 1 tab TID (8 mg petasins each) improved daytime symptoms vs. placebo and was similar to fexofenadine. Read by QxMD

Dose-finding RCT (2004): Demonstrated dose-dependent efficacy of Ze 339 in intermittent allergic rhinitis. JAMA Network

Post-marketing surveillance (580 patients): Two weeks of Ze 339 (avg. 2 tabs/day) improved rhinorrhea, sneezing, congestion, and ocular symptoms in ~90% of patients; observational design (no placebo). SpringerLink

Mechanistic and narrative reviews: Summaries support leukotriene-focused anti-inflammatory action of petasins and overall clinical utility of Ze 339, while noting heterogeneity and sponsorship in some trials. ScienceDirect

Specific Warnings for Allergies (Hay Fever):

Only use PA-free products. Raw/PA-containing butterbur can cause serious liver injury, lung damage, and may be carcinogenic. Even PA-free products have rare reports of liver injury; quality matters. NCCIH

Duration: PA-free products are considered possibly safe up to 12–16 weeks; safety beyond this is unclear. NCCIH

Do NOT use if you are pregnant or breastfeeding (insufficient safety; PA-containing products are unsafe). NCCIH

Allergy cross-reactivity: Avoid if allergic to ragweed or other Asteraceae/Compositae (e.g., daisies, marigolds, chrysanthemums). RxList

Liver disease or hepatotoxic drug use: Avoid; consider alternatives. Regulatory and safety bodies have issued cautions and, in some countries, warnings about unlicensed butterbur products. European Medicines Agency (EMA)

Common adverse effects (PA-free products): belching, headache, itchy/watery eyes, GI upset, drowsiness (usually mild and transient). WebMD

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

Butterbur-Free Extract refers to a purified herbal extract derived from the Petasites hybridus plant, commonly known as butterbur. Traditionally used in European herbal medicine, butterbur has been valued for its potential benefits in managing migraines, allergies, and respiratory issues.

However, raw butterbur contains compounds called pyrrolizidine alkaloids (PAs), which can be toxic to the liver and harmful to the body. Therefore, “butterbur-free” or “PA-free” extracts have undergone a special purification process to remove these harmful alkaloids, making them safer for human use.

Commercially, the purified extract is standardized to its active components—mainly petasin and isopetasin—which are believed to contribute to its therapeutic effects.

How It Works

Butterbur-Free Extract works primarily through its anti-inflammatory, antispasmodic, and leukotriene-inhibiting properties:

  • Inflammation Reduction: The active compounds petasin and isopetasin inhibit the production of inflammatory mediators, such as leukotrienes, which are involved in allergic and migraine responses. By doing so, the extract may reduce inflammation in nasal passages, airways, and blood vessels.
  • Smooth Muscle Relaxation: Butterbur acts as an antispasmodic, helping relax smooth muscles in the vascular system and respiratory tract. This can lessen vascular constriction involved in migraines and help ease airway irritation during allergic reactions.
  • Histamine and Leukotriene Pathway Modulation: Butterbur appears to block the effects of substances that trigger allergic responses—similar in function to antihistamines, but without causing drowsiness in most people.

Together, these actions may help prevent or lessen the frequency of migraine attacks, reduce nasal allergy symptoms (hay fever), and support respiratory comfort in sensitive individuals.

Why It’s Important

Butterbur-Free Extract is significant because it offers a natural therapeutic alternative for people who experience migraines or seasonal allergies and prefer non-pharmaceutical options. Clinical studies have shown that:

  • Standardized, PA-free butterbur extracts can reduce migraine frequency comparably to certain prescription migraine preventatives (like topiramate or propranolol).
  • In allergy management, it has been shown to improve symptoms of rhinitis similarly to antihistamines—without the common side effect of drowsiness.
  • It supports respiratory and sinus health by calming allergic inflammation and improving breathing comfort during allergy seasons.

The removal of toxic alkaloids (PAs) makes the “butterbur-free” version an important safety advancement, ensuring people can benefit from the herb without risking liver toxicity.

Considerations

While Butterbur-Free Extract can be beneficial, there are several important considerations:

  • Product Quality: Only use certified PA-free extracts. Unpurified butterbur products may contain hepatotoxic compounds that can damage the liver. Trusted brands will indicate “PA-free” or “butterbur-free” on the label.
  • Dosage and Standardization: Follow manufacturer or healthcare provider guidance. Clinical doses for migraine prevention often range around 50–75 mg twice daily of standardized extract (containing 15% petasin and isopetasin).
  • Potential Side Effects: Though rare, some people may experience mild gastrointestinal upset, fatigue, or allergic skin reactions.
  • Pregnancy and Children: Not enough research supports its safety for pregnant or breastfeeding women, or for young children, so use should be avoided unless under medical supervision.
  • Drug Interactions and Liver Health: Individuals with liver disease, or those taking hepatotoxic or enzyme-modifying drugs, should consult a doctor before using butterbur extract—even PA-free versions.

Helps with these conditions

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

Migraine 0% effective
Allergies (Hay Fever) 0% effective
Chronic Sinusitis 0% effective
3
Conditions
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Total Votes
17
Studies
0%
Avg. Effectiveness

Detailed Information by Condition

Migraine

0% effective

Active compounds in butterbur extracts are petasins (petasin, isopetasin) which have anti-inflammatory and neuromodulatory activity. They appear to re...

0 votes Updated 2 months ago 5 studies cited

Leukotriene inhibition (petasins): Standardized leaf CO₂ extracts of Petasites hybridus (e.g., Ze 339) inhibit leukotriene biosynthesis—key inflammato...

0 votes Updated 1 month ago 5 studies cited

Chronic Sinusitis

0% effective

Butterbur (Petasites hybridus) extracts — specifically PA-free, standardized leaf extracts such as Ze339 or clinical products like Petadolex — have ra...

0 votes Updated 2 months ago 7 studies cited

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