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Goldenseal

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Specifically for Common Cold

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Why it works for Common Cold:

The main biologically active alkaloid in goldenseal is berberine (plus other alkaloids such as hydrastine and canadine). Berberine has demonstrated antimicrobial, antiviral and anti-inflammatory effects in laboratory and animal studies (it can inhibit bacterial growth, reduce inflammatory mediators, and suppress replication of some viruses in cell cultures and mice). EurekaSelect ScienceDirect Read by QxMD

HOWEVER: commercial goldenseal products often contain relatively small amounts of berberine, and preparation/standardization varies. That makes it difficult to extrapolate berberine trial results directly to over-the-counter goldenseal products. Several authoritative reviews note this gap. PlantShoe Clinician

How to use for Common Cold:

Common forms and typical (reported) dosing:

  • Capsules / tablets: common supplement labels range around ~250–500 mg of goldenseal root extract taken 1–3 times daily (some practitioners mention 150 mg twice daily as a commonly used regimen). Follow the specific product label. Herb Dictionary Integrative Therapeutics®
  • Tincture / liquid extract: typical herbal dosing reported is 2–4 mL (≈30–60 drops) up to 3 times daily (product concentration varies). Herb Dictionary
  • Combination products: goldenseal is frequently combined with echinacea in OTC “cold” formulas; proponents use this combo for symptomatic support during early cold stages. Evidence for benefit of the combination is inconsistent. Healthline Herbal Academy

How people commonly use it for colds:

  • Start at symptom onset (first 24–48 hours) and use a short course (days to up to ~1–2 weeks) rather than chronic use. Because of potential toxicity and drug interactions, many guidelines recommend short, intermittent use rather than continuous long-term use. PlantShoe MedicineNet

Where to get dosing instructions:

  • Follow the product label and consult a healthcare professional, especially if you’re taking other medications. Trusted summary resources with dosing notes: Drugs.com (goldenseal monograph) and herbal monographs. Drugs.com PlantShoe

Scientific Evidence for Common Cold:

No high-quality clinical trials show goldenseal cures or reliably shortens the common cold in humans. Major reviews and government-level herbal pages conclude there is insufficient clinical evidence to support goldenseal for colds. NCCIH Clinician

Berberine (the isolated alkaloid) has stronger evidence in laboratory, animal and some human clinical contexts (for example: many randomized trials and meta-analyses show berberine can help certain infectious diarrheas and has significant in vitro and animal antiviral effects including influenza models). But those berberine trials typically use purified berberine at doses much higher (and more standardized) than the berberine content of routine goldenseal capsules — so evidence for berberine does not automatically mean usual goldenseal preparations will be effective for colds. SAGE Journals ScienceDirect Read by QxMD

Representative studies/reviews:

  • Systematic review & RCT data for berberine in diarrhoea and other conditions (human randomized trials): berberine shows benefit in several infectious-diarrhea RCTs and other clinical contexts. (This supports pharmacologic activity of berberine but is not a cold RCT.) SAGE Journals JAMA Network
  • In vitro / animal antiviral studies: berberine inhibited H1N1 influenza replication in cell models and reduced disease severity in mouse influenza models. These are promising mechanistic / preclinical data but not clinical proof for the human common cold (which is caused mostly by rhinoviruses and many other viruses). ScienceDirect SpringerLink
  • Herb/plant reviews and monographs emphasize the lack of direct clinical trials for goldenseal vs. upper-respiratory infections and note low berberine content in typical extracts. PlantShoe

Bottom line on evidence: plausibility exists (berberine is active in lab/animal work), but goldenseal itself lacks good clinical-trial evidence for treating the common cold. If you want a product backed by clinical trials, the data support purified berberine in specific indications (not necessarily the common cold) — and product standardization matters.

Specific Warnings for Common Cold:

Pregnancy & breastfeeding: Avoid goldenseal. It can stimulate uterine contractions and has been associated with neonatal jaundice/kernicterus risk; authoritative pregnancy/lactation sources contraindicate it. DoctorLib University of Rochester Medical Center

Liver & seizure risk / high doses: High or prolonged doses have been linked (rarely) to serious adverse events including hepatotoxicity, seizures and, in extreme cases, respiratory failure. People with liver disease or seizure disorders should avoid it. Merck Manuals RxList

Drug interactions (important): berberine and other goldenseal alkaloids inhibit several CYP enzymes (including CYP3A4 and CYP2D6) and can alter drug metabolism. Many clinically important drugs are listed as potential interactions (examples: statins like atorvastatin, certain antidepressants, tramadol and others). Check interactions before combining with prescription drugs. Drugs.com Integrative Therapeutics®

Infants & neonates: avoid (risk of high bilirubin and brain injury in newborns). MedicineNet

Product quality / contamination: supplement content varies; ConsumerLab and analyses have found some berberine/goldenseal supplements with low active content or contamination (lead, variable berberine levels). Choose reputable brands and third-party tested products if you decide to use them. ConsumerLab.com

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

Goldenseal is a perennial herb native to North America, particularly found in the rich, shady soils of the eastern United States and southeastern Canada. It belongs to the buttercup family (Ranunculaceae) and has a distinctive yellowish root, which is the primary part used for medicinal purposes. Traditionally, Native American tribes used goldenseal for a variety of health issues, such as skin diseases, ulcers, and respiratory infections. Today, it is commonly available as capsules, tinctures, teas, and powders.

The key active compounds in goldenseal include berberine, hydrastine, and canadine. These alkaloids are thought to contribute to its antimicrobial, anti-inflammatory, and immune-supportive effects.

How It Works

The primary pharmacological activity of goldenseal is attributed to its berberine content. Berberine exhibits broad-spectrum antimicrobial properties—it can inhibit the growth of bacteria, fungi, and certain parasites. This makes goldenseal a popular natural remedy for infections affecting the respiratory, digestive, and urinary systems.

  1. Antimicrobial Action: Berberine disrupts the function of bacterial cell walls and interferes with the microbes’ ability to adhere to human cells. This helps prevent or reduce infections such as sore throats, sinusitis, and urinary tract infections.
  2. Anti-inflammatory and Astringent Effects: The herb’s compounds help reduce inflammation and may soothe irritated mucous membranes in the mouth, throat, and digestive tract.
  3. Digestive Support: Goldenseal stimulates bile secretion, which aids digestion and liver function. It has been traditionally used to treat indigestion, loss of appetite, and gastritis.
  4. Immune Modulation: Some studies suggest that goldenseal can enhance the immune system’s ability to detect and respond to pathogens, though evidence in humans is mixed.

Why It’s Important

Goldenseal holds significance in herbal and integrative medicine for its natural antimicrobial and immune-supportive properties. It is often used as a companion herb to echinacea in cold and flu remedies, with the idea that goldenseal helps fight infection while echinacea boosts immune response.

It also serves as a natural alternative to antibiotics for mild infections, particularly in cases where individuals wish to avoid or reduce antibiotic use. Its traditional use in digestive health and mucosal protection underscores its broader role in maintaining gastrointestinal and immune balance.

However, due to overharvesting in the wild, goldenseal has become a vulnerable plant species, emphasizing the importance of sustainable cultivation and responsible sourcing.

Considerations

While goldenseal can be beneficial, it is not suitable for everyone and should be used with caution:

  1. Potential Side Effects: High doses or prolonged use may lead to nausea, vomiting, diarrhea, or irritation of mucous membranes. In rare cases, it can cause jaundice or liver strain due to its berberine content.
  2. Pregnancy and Breastfeeding: Goldenseal is not recommended during pregnancy or lactation, as berberine may stimulate uterine contractions and affect newborn bilirubin metabolism.
  3. Drug Interactions: Goldenseal can interfere with the metabolism of certain drugs by affecting liver enzymes (particularly CYP450 pathways). This means it may alter the effectiveness of medications such as cyclosporine, anticoagulants, and some sedatives.
  4. Chronic Use Concerns: Long-term use is discouraged because it may disturb gut microbiota balance or place stress on the liver. It is best used short-term and under the supervision of a qualified healthcare provider.
  5. Quality and Adulteration: Many commercial products are adulterated with cheaper herbs like barberry or Oregon grape, which also contain berberine. Always select certified and standardized products from reputable suppliers.

Helps with these conditions

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

Common Cold 0% effective
UTI 0% effective
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Detailed Information by Condition

Common Cold

0% effective

The main biologically active alkaloid in goldenseal is berberine (plus other alkaloids such as hydrastine and canadine). Berberine has demonstrated an...

0 votes Updated 2 months ago 10 studies cited

UTI

0% effective

What’s in it: Goldenseal contains isoquinoline alkaloids—most notably berberine and hydrastine—with antibacterial activity in lab studies. However, wh...

0 votes Updated 1 month ago 3 studies cited

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