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Oregon Grape

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Specifically for Psoriasis

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Why it works for Psoriasis:

Anti-inflammatory + antiproliferative effects. Oregon grape contains isoquinoline alkaloids (notably berberine, plus berbamine and oxyacanthine) that inhibit pathways involved in psoriatic inflammation and keratinocyte overgrowth. In vitro and animal work shows inhibition of keratinocyte proliferation and modulation of inflammatory signaling (e.g., MAPK/NF-κB), mechanistically consistent with psoriasis relief. MDedge

Clinical relevance to skin. A dermatology review notes that Mahonia aquifolium has anti-inflammatory properties useful in cutaneous disorders and summarizes how these constituents plausibly support psoriasis care. JCAD

How to use for Psoriasis:

Formulation & strength: Most trials used 10% Mahonia aquifolium extract creams/ointments applied to plaques. The National Psoriasis Foundation’s integrative overview also references 10% mahonia creams for mild–moderate psoriasis. Lippincott Journals

Frequency & duration: In randomized trials, application was typically twice daily for 12 weeks; open-label studies used once–twice daily over similar periods. If improvement occurs, many clinicians continue as maintenance on recurrent plaques. Lippincott Journals

How to apply:

  1. Gently remove loose scale (e.g., after bathing), pat dry.
  2. Apply a thin layer of 10% Oregon grape cream to plaques BID (morning/evening).
  3. Wash hands after use; avoid eyes/mucosa and open/fissured skin.
  4. Reassess at 4–12 weeks; discontinue if irritation persists or no benefit. (Derived from trial protocols and dermatology guidance.) Lippincott Journals

Where it fits: Consider for mild plaque psoriasis or as an adjunct to standard topicals (emollients, keratolytics). Mainstream guidelines (AAD/NPF) focus on conventional topicals/phototherapy/biologics, but allow for patient interest in complementary options. Discuss with a dermatologist if you’re on other psoriasis meds. AAD

Scientific Evidence for Psoriasis:

Randomized, double-blind, placebo-controlled trial (n=200). Reliéva® (topical mahonia extract) BID for 12 weeks improved PASI and quality-of-life vs vehicle in mild–moderate plaque psoriasis. (Am J Therapeutics, 2006). Lippincott Journals

Randomized, double-blind, split-body trial. A Mahonia aquifolium emulsion outperformed placebo on contralateral plaques in psoriasis vulgaris (JAAD report). JAAD

Earlier randomized/controlled trial. Mahonia bark extract showed benefit across severity grades (1990–1992, 82 patients). ScienceDirect

Systematic reviews. Multiple reviews of plant-based topicals conclude limited but positive evidence for Mahonia aquifolium in plaque psoriasis, with no serious adverse events reported in included studies; newer herbal-therapy reviews again cite M. aquifolium as one of the more promising botanicals. Academic Oxford

Clinical overviews. A 2018 peer-reviewed clinical review summarizes three trials with 10% Mahonia creams and broader worldwide experience in plaque psoriasis. JCAD

Specific Warnings for Psoriasis:

Topical tolerability: Generally well tolerated for up to 12 weeks in trials; possible itching, burning, irritation, or contact dermatitis. WebMD

Use topically only (unless medically supervised). Oregon grape contains berberine, which has systemic effects and drug interactions; the National Psoriasis Foundation advises restricting it to topical use unless a clinician directs otherwise. Psoriasis Foundation

Pregnancy & breastfeeding: Avoid oral berberine/Oregon grape in pregnancy and lactation (risk to fetus/newborn). Topical use has not been well studied in these groups—avoid or use only with clinician guidance. WebMD

Infants/children: Do not use orally in infants (berberine risk, esp. jaundiced newborns). Limit topical use in children to clinician-directed cases. WebMD

Drug interactions (primarily with oral forms): Berberine can inhibit CYP3A4/2D6/2C9 and potentially raise levels of medicines like cyclosporine and others; it may also lower blood glucose and blood pressure. While this is most relevant to oral use, caution is still advised if large skin areas are treated or skin is broken. WebMD

When to stop/seek care: Stop if you develop persistent irritation, rash worsening, or allergy; get urgent care for signs of infection or widespread erythroderma; consult dermatology if plaques are moderate–severe, involve face/genitals, or if you have psoriatic arthritis symptoms. (General psoriasis guidance.) AAD

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

Oregon grape is an evergreen shrub native to western North America, known for its holly-like leaves and clusters of yellow flowers followed by deep purple-blue berries. The plant’s root and root bark are the primary parts used medicinally. Its most active compound is berberine, a potent alkaloid also found in herbs like goldenseal and barberry. Oregon grape has been a valued herb in traditional Native American and Western herbal medicine for centuries, primarily for its cleansing, antimicrobial, and liver-supportive properties.

How It Works

Oregon grape works through a combination of antimicrobial, anti-inflammatory, and detoxifying actions largely attributed to berberine.

  • Antimicrobial action: Berberine disrupts bacterial cell walls and inhibits their ability to reproduce, making Oregon grape effective against a wide range of microbes, including Staphylococcus aureus, E. coli, and certain fungi and parasites.
  • Digestive and liver support: Oregon grape stimulates bile production in the liver, improving digestion and the breakdown of fats. This cholagogue effect supports the body’s natural detoxification pathways and can aid in skin conditions linked to sluggish liver function.
  • Anti-inflammatory effects: It reduces inflammation both internally and externally. When applied topically, extracts may soothe skin irritation, redness, and itching.
  • Blood sugar and lipid balance: Emerging research suggests berberine may help regulate glucose metabolism and improve insulin sensitivity, which could benefit those with metabolic concerns.

Overall, Oregon grape acts as a bitter tonic—enhancing digestion, cleansing the blood, and supporting overall metabolic health.

Why It’s Important

Oregon grape holds a significant place in natural and integrative medicine for several reasons:

  • Skin health: It is one of the most studied herbal remedies for psoriasis and eczema. Topical creams containing Oregon grape extract have been shown to reduce scaling, itching, and inflammation.
  • Antimicrobial resilience: In an era of increasing antibiotic resistance, herbs like Oregon grape offer valuable plant-based alternatives or complements to conventional antimicrobial therapy.
  • Digestive wellness: Its bitter compounds help stimulate digestive juices, aiding nutrient absorption and alleviating symptoms such as bloating, gas, or indigestion.
  • Liver and immune support: By promoting bile flow and liver detoxification, Oregon grape supports immune function and the body’s natural elimination of toxins.

In short, Oregon grape is important because it addresses both internal and external health challenges—from microbial infections to chronic inflammatory skin conditions—using a holistic, plant-based approach.

Considerations

While Oregon grape offers many benefits, several considerations are important for safe use:

  • Safety and dosage: It should be used in moderation and generally for short-term courses unless under professional supervision. Standard doses often range from 250–500 mg of extract two to three times daily, but this can vary by preparation.
  • Pregnancy and children: It is not recommended during pregnancy or breastfeeding, as berberine can cross the placenta and may affect uterine contractions or bilirubin metabolism in infants.
  • Medication interactions: Berberine may interfere with certain prescription drugs, including antibiotics, anticoagulants, antihypertensives, and medications for diabetes. It can also inhibit cytochrome P450 enzymes, altering how some drugs are metabolized.
  • Possible side effects: High doses can cause nausea, diarrhea, or lowered blood pressure. Prolonged use may disrupt the gut microbiome if not balanced with probiotics or dietary fiber.
  • Topical use: Generally safe, but sensitive individuals may experience mild irritation. Always patch-test first.

Helps with these conditions

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

Psoriasis 0% effective
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Detailed Information by Condition

Psoriasis

0% effective

Anti-inflammatory + antiproliferative effects. Oregon grape contains isoquinoline alkaloids (notably berberine, plus berbamine and oxyacanthine) that...

0 votes Updated 1 month ago 5 studies cited

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