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    Brent A. Bauer, M.D.

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Question

Echinacea: Can it prevent common colds?

Will dietary supplements containing echinacea help me avoid a cold when I'm run down?

Answer

from Brent A. Bauer, M.D.

Maybe. The latest meta-analysis of studies comparing echinacea with placebo for preventing or shortening the duration of the common cold suggests that echinacea may, in fact, be effective. Researchers performing the analysis also discovered that echinacea may reduce the severity of cold symptoms.

But many other studies show no benefit of echinacea against the common cold. More research is needed before doctors can definitively recommend echinacea to prevent the common cold.

One problem is that echinacea, unlike some other herbal medicines such as gingko or saw palmetto, comes in no standardized form. Echinacea products can contain different concentrations of the herb, and the echinacea extracts used in these products can come from the flowers, stems or roots of three different echinacea plant species. Because of this variation, researchers are hard-pressed to recommend any one dose or preparation of echinacea at this point.

Another drawback: The latest meta-analysis evaluated the effectiveness of echinacea but couldn't address its safety. Echinacea generally doesn't cause problems for most people, but some people taking the herb have reported side effects such as stomach upset or diarrhea. Echinacea also has the potential to interact with other medications you might be taking, so talk with your doctor before using echinacea supplements.

Next question
Flu germs: How long can they live outside the body?
References
  1. Shah SA, et al. Evaluation of echinacea for the prevention and treatment of the common cold: A meta-analysis. The Lancet Infectious Diseases. 2007;7:473.
  2. Linde K, et al. Echinacea for preventing and treating the common cold. Cochrane Database of Systematic Reviews. 2006:CD000530.
  3. Saper RB. Clinical use of echinacea. http://www.uptodate.com/home/index.html. Accessed March 4, 2009.

AN01982

May 2, 2009

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