Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?

This review evaluates the safety of echinacea and elderberry in pregnancy. Both herbs are commonly used to prevent or treat upper respiratory tract infections and surveys have shown that they are also used by pregnant women. The electronic databases PubMed, ISI Web of Science, AMED, EMBASE, Natural...

Full description

Bibliographic Details
Main Authors: Lone eHolst, Gro Cecilie eHavnen, Hedvig eNordeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-03-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fphar.2014.00031/full
_version_ 1811342361984237568
author Lone eHolst
Gro Cecilie eHavnen
Hedvig eNordeng
author_facet Lone eHolst
Gro Cecilie eHavnen
Hedvig eNordeng
author_sort Lone eHolst
collection DOAJ
description This review evaluates the safety of echinacea and elderberry in pregnancy. Both herbs are commonly used to prevent or treat upper respiratory tract infections and surveys have shown that they are also used by pregnant women. The electronic databases PubMed, ISI Web of Science, AMED, EMBASE, Natural Medicines Comprehensive Database and Cochrane Library were searched from inception to November 2013. Relevant references from the acquired articles were included. <br/>No clinical trials concerning safety of either herb in pregnancy were identified. One prospective human study and two small animal studies of safety of echinacea in pregnancy were identified. No animal- or human studies of safety of elderberry in pregnancy were identified. <br/>Twenty clinical trials concerning efficacy of various echinacea preparations in various groups of the population were identified between 1995 and 2013. Three clinical trials concerning efficacy of two different elderberry preparations were identified between 1995 and 2013. <br/>The results from the human and animal studies of Echinacea sp. are not sufficient to conclude on the safety in pregnancy. The prospective, controlled study in humans found no increase in risk of major malformations. <br/>The efficacy of Echinacea sp. is dubious based on the identified studies. Over 2000 persons were given the treatment, but equal amounts of studies of good quality found positive and negative results. All three clinical trials of Elderberry concluded that it is effective against influenza, but only 77 persons were given the treatment. <br/>Due to lack of evidence of efficacy and safety, health care personnel should not advice pregnant women to use echinacea or elderberry against upper respiratory tract infection.
first_indexed 2024-04-13T19:10:11Z
format Article
id doaj.art-5576d8326cfd4ff381050418aa755412
institution Directory Open Access Journal
issn 1663-9812
language English
last_indexed 2024-04-13T19:10:11Z
publishDate 2014-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj.art-5576d8326cfd4ff381050418aa7554122022-12-22T02:33:51ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122014-03-01510.3389/fphar.2014.0003179483Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?Lone eHolst0Gro Cecilie eHavnen1Hedvig eNordeng2University of BergenRELIS South EastUniversity of OsloThis review evaluates the safety of echinacea and elderberry in pregnancy. Both herbs are commonly used to prevent or treat upper respiratory tract infections and surveys have shown that they are also used by pregnant women. The electronic databases PubMed, ISI Web of Science, AMED, EMBASE, Natural Medicines Comprehensive Database and Cochrane Library were searched from inception to November 2013. Relevant references from the acquired articles were included. <br/>No clinical trials concerning safety of either herb in pregnancy were identified. One prospective human study and two small animal studies of safety of echinacea in pregnancy were identified. No animal- or human studies of safety of elderberry in pregnancy were identified. <br/>Twenty clinical trials concerning efficacy of various echinacea preparations in various groups of the population were identified between 1995 and 2013. Three clinical trials concerning efficacy of two different elderberry preparations were identified between 1995 and 2013. <br/>The results from the human and animal studies of Echinacea sp. are not sufficient to conclude on the safety in pregnancy. The prospective, controlled study in humans found no increase in risk of major malformations. <br/>The efficacy of Echinacea sp. is dubious based on the identified studies. Over 2000 persons were given the treatment, but equal amounts of studies of good quality found positive and negative results. All three clinical trials of Elderberry concluded that it is effective against influenza, but only 77 persons were given the treatment. <br/>Due to lack of evidence of efficacy and safety, health care personnel should not advice pregnant women to use echinacea or elderberry against upper respiratory tract infection.http://journal.frontiersin.org/Journal/10.3389/fphar.2014.00031/fullEchinaceaPregnancySafetyCAMefficacyrespiratory infection
spellingShingle Lone eHolst
Gro Cecilie eHavnen
Hedvig eNordeng
Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?
Frontiers in Pharmacology
Echinacea
Pregnancy
Safety
CAM
efficacy
respiratory infection
title Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?
title_full Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?
title_fullStr Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?
title_full_unstemmed Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?
title_short Echinacea and elderberry - should they be used against upper respiratory tract infection during pregnancy?
title_sort echinacea and elderberry should they be used against upper respiratory tract infection during pregnancy
topic Echinacea
Pregnancy
Safety
CAM
efficacy
respiratory infection
url http://journal.frontiersin.org/Journal/10.3389/fphar.2014.00031/full
work_keys_str_mv AT loneeholst echinaceaandelderberryshouldtheybeusedagainstupperrespiratorytractinfectionduringpregnancy
AT grocecilieehavnen echinaceaandelderberryshouldtheybeusedagainstupperrespiratorytractinfectionduringpregnancy
AT hedvigenordeng echinaceaandelderberryshouldtheybeusedagainstupperrespiratorytractinfectionduringpregnancy