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Pine Bark Extract (Pycnogenol)

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Specifically for Poor Circulation

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Why it works for Poor Circulation:

Improves endothelial function (nitric-oxide–mediated vasodilation). In a randomized, double-blind, placebo-controlled crossover trial in coronary artery disease patients (n=23), 200 mg/day Pycnogenol for 8 weeks significantly improved endothelial function versus placebo, consistent with better microvascular reactivity. OUP Academic

Reduces capillary leakage and tissue edema. Trials in CVI show reduced leg volume/swelling and improved microcirculation, indicating less interstitial fluid and “leaky” capillaries—key contributors to heavy, aching legs. ScienceDirect

Antioxidant & anti-inflammatory actions that can stabilize the vascular wall/extracellular matrix and support microcirculatory flow. Recent scholarly reviews summarize these effects and their relevance to venous disease and microcirculation. Frontiers

Antiplatelet effects (platelet aggregation inhibition). Human studies show Pycnogenol can inhibit platelet aggregation, which may support microcirculation and edema control (note: this also informs bleeding-risk cautions; see Warnings). Thrombosis Research

How to use for Poor Circulation:

Standardized extract: Use a standardized Pycnogenol® product (the clinical data below are almost exclusively with this brand/standard). Frontiers

Common dosing seen in studies & monographs

CVI / leg edema:

  • 100–150 mg/day (often split 2–3 doses) for 4–8 weeks; some studies used up to 300 mg/day short-term in severe cases. SAGE Journals
  • A consumer/clinical info sheet (American Botanical Council/HerbalGram) suggests 50 mg/day for mild edema, and 100–150 mg/day for more advanced CVI for up to 4 weeks, with longer use guided by symptoms. herbalgram.org

Travel-related swelling/venous events (high-risk flyers): One double-blind trial protocol used 200 mg 2–3 h pre-flight, 200 mg mid-flight, 100 mg the day after; participants had fewer thrombotic events and less swelling versus placebo. (This is situational, short-term use.) SAGE Journals

Alongside standard care:

  • Compression therapy and walking remain foundational for CVI; Pycnogenol has been studied in addition to or compared with compression/venotonic drugs, with additive or superior anti-edema effects in some trials. ScienceDirect

Practical tips: Take with food if you experience GI upset. If you’re on blood thinners or antiplatelets, or have bleeding risks/procedures upcoming, read the Warnings section and speak with your clinician first.

Scientific Evidence for Poor Circulation:

Chronic venous insufficiency (CVI) & edema

  • Randomized, double-blind study vs placebo (n≈40): 100 mg 3×/day for 2 months reduced subcutaneous edema, heaviness, and pain versus placebo. ScienceDirect
  • Head-to-head vs Daflon® (micronized diosmin/hesperidin) (n=86): 150–300 mg/day Pycnogenol for 8 weeks improved CVI signs/symptoms; study reports favorable outcomes versus a well-known venotonic. SAGE Journals
  • Prospective evaluations/registries in CVI (with or without compression): Multiple reports show 150 mg/day Pycnogenol reduced edema and improved microcirculation and symptoms versus compression alone. (Note: registry designs are less rigorous than RCTs but align with RCT signals.) ScienceDirect
  • Mechanistic/clinical review: Summarizes randomized, double-blind, placebo-controlled human trials where Pycnogenol improved microcirculation, endothelial function, and CVI outcomes. Frontiers

Travel-related edema/venous events

  • Double-blind, placebo-controlled airline study (n=198): The 200 mg pre-flight / 200 mg mid-flight / 100 mg next day regimen reduced thrombotic events and swelling versus placebo in moderate-/high-risk travelers. SAGE Journals

Mechanism & microvascular function

  • Endothelial function RCT (CAD patients): 200 mg/day for 8 weeks improved endothelial function (flow-mediated dilation surrogate) vs placebo. OUP Academic
  • Platelet aggregation (human study): Single doses (e.g., 100 mg) inhibited smoking-induced platelet hyper-reactivity. (Mechanistic relevance to microcirculation/edema and to bleeding-risk cautions.) Thrombosis Research
Specific Warnings for Poor Circulation:

Anticoagulants/antiplatelets (bleeding risk): Pycnogenol can inhibit platelet aggregation; concurrent use with warfarin, DOACs, aspirin, clopidogrel, etc., may raise bleeding risk. Discuss with your clinician and monitor. Thrombosis Research

Surgery / procedures: Because of potential antiplatelet effects, many peri-operative guides ask patients to stop non-essential herbs/supplements ~2 weeks pre-op; coordinate with your surgeon, especially if you’re also on blood thinners. bsds.org.uk

Pregnancy & breastfeeding: Insufficient robust safety data—avoid unless your clinician advises otherwise. WebMD

Autoimmune conditions / immunologic effects: WebMD notes Pycnogenol may stimulate the immune system—use caution in conditions like lupus, MS, or RA. WebMD

Common side effects: Generally well tolerated; GI upset, dizziness, headache are reported; stop if you develop rash or allergic symptoms. Summaries available in major drug/herb monographs. Drugs.com

Product quality: Choose standardized products from reputable brands; “Pycnogenol®” is the most-studied brand/standard in trials. Frontiers

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

Pine Bark Extract, most commonly known under the trademark Pycnogenol, is a natural plant extract derived from the bark of the French maritime pine tree (Pinus pinaster). It contains a concentrated blend of bioflavonoids, procyanidins, and phenolic acids, which are compounds with strong antioxidant properties. Pycnogenol has been studied extensively for its potential health benefits, particularly in relation to cardiovascular health, inflammation control, and skin protection.

It is available as a dietary supplement and often marketed for antioxidant support, improved circulation, cognitive enhancement, and joint health. Because of its complex mixture of polyphenols, Pycnogenol acts similarly to other plant-based antioxidants such as green tea extract, grape seed extract, and resveratrol.

How It Works

Pycnogenol’s mechanisms of action are largely attributed to its antioxidant, anti-inflammatory, and vasodilatory effects:

  1. Antioxidant Activity – Pycnogenol neutralizes free radicals and reactive oxygen species (ROS), which helps prevent oxidative damage to cells, lipids, and DNA. It also helps regenerate vitamin C and vitamin E, extending their antioxidant effects in the body.
  2. Improved Circulation and Endothelial Function – The extract stimulates the production of nitric oxide (NO), a molecule that relaxes blood vessels and improves blood flow. This mechanism supports cardiovascular health and can help reduce blood pressure and venous insufficiency.
  3. Anti-inflammatory Effects – Pycnogenol modulates the activity of inflammatory enzymes such as COX-2 and reduces the release of pro-inflammatory cytokines. This contributes to decreased swelling, pain, and tissue inflammation.
  4. Collagen and Elastin Protection – By inhibiting enzymes that break down collagen and elastin, Pycnogenol supports skin elasticity and joint health, potentially slowing visible aging and improving skin hydration.
  5. Blood Sugar Regulation – It can help enhance endothelial function and improve insulin sensitivity, supporting glucose metabolism in people with metabolic syndrome or diabetes.

Why It’s Important

Pycnogenol is important in the health context because it targets multiple physiological systems through its broad antioxidant and anti-inflammatory actions. Some of the most studied benefits include:

  • Cardiovascular Health: It helps lower blood pressure, improve lipid profiles, and enhance circulation, especially in individuals with chronic venous insufficiency, varicose veins, or peripheral artery disease.
  • Cognitive Support: Its ability to improve blood flow to the brain may enhance memory, focus, and mental performance, especially in aging populations.
  • Skin Health: Pycnogenol supports skin hydration, elasticity, and UV protection, helping to prevent signs of photoaging.
  • Joint and Muscle Function: Through reducing oxidative stress and inflammation, it may alleviate joint stiffness and support post-exercise recovery.
  • Blood Sugar Control: Studies suggest improvements in glycemic control and endothelial health in diabetic individuals.

Because oxidative stress and inflammation underlie many chronic conditions, Pycnogenol’s comprehensive mechanism makes it a valuable adjunct to general health maintenance and disease prevention strategies.

Considerations

Before using Pycnogenol, several important factors should be considered:

  1. Dosage and Standardization: Common clinical doses range from 50–200 mg per day, depending on the condition being treated. Always choose standardized products (containing at least 65–75% procyanidins) for consistent potency.
  2. Safety Profile: Pycnogenol is generally well-tolerated. Mild side effects may include nausea, dizziness, headache, or gastrointestinal discomfort. It is considered safe for long-term use in moderate doses.
  3. Drug Interactions: Due to its effects on blood clotting and circulation, Pycnogenol may enhance the effects of anticoagulants or antiplatelet drugs (e.g., warfarin, aspirin) and lower blood pressure when combined with antihypertensive medications.
  4. Pregnancy and Medical Conditions: While some studies suggest Pycnogenol may help with pregnancy-related leg swelling or gestational diabetes, it’s best to consult a healthcare provider before use during pregnancy, breastfeeding, or chronic medical conditions.
  5. Quality Variability: As a dietary supplement, quality control can vary among brands. Always purchase from reputable manufacturers that provide third-party testing or certifications for purity and potency.

Helps with these conditions

Pine Bark Extract (Pycnogenol) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.

High Blood Pressure 0% effective
Poor Circulation 0% effective
Varicose Veins 0% effective
Attention-deficit Hyperactivity Disorder (ADHD) 0% effective
4
Conditions
0
Total Votes
25
Studies
0%
Avg. Effectiveness

Detailed Information by Condition

Improves endothelial function & nitric oxide (NO) signaling. Pycnogenol’s procyanidins and related polyphenols appear to boost endothelial NO bioa...

0 votes Updated 2 months ago 8 studies cited

Poor Circulation

0% effective

Improves endothelial function (nitric-oxide–mediated vasodilation). In a randomized, double-blind, placebo-controlled crossover trial in coronary arte...

0 votes Updated 1 month ago 7 studies cited

Varicose Veins

0% effective

Venotonic + microcirculatory effects. Pycnogenol’s oligomeric procyanidins (OPCs) have antioxidant and anti-inflammatory actions that can improve endo...

0 votes Updated 1 month ago 5 studies cited

Several biological actions of Pycnogenol are proposed to explain why it might improve ADHD symptoms:Powerful antioxidant activity / lowers oxidative s...

0 votes Updated 2 months ago 5 studies cited

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