Garden cress (Lepidium sativum) is a leafy green and seed-producing plant known for its peppery flavor and rich nutrient profile, including iron, folate, and vitamins A, C, and K. However, excessive consumption, especially of the seeds, can lead to several adverse effects. Understanding these risks is key to incorporating this herb into your diet safely.
Thyroid-Related Complications
Garden cress contains goitrogenic compounds that can disrupt the thyroid gland's function by interfering with iodine absorption. This is a significant concern for individuals with pre-existing thyroid conditions, especially those with hypothyroidism. While moderate consumption is unlikely to cause issues in healthy individuals, excessive intake can lead to a reduction in thyroid hormone levels, potentially exacerbating existing thyroid problems.
Gastrointestinal and Digestive Discomfort
Consuming large quantities of garden cress seeds can lead to various digestive problems. The high fiber content, while beneficial in moderation, can cause discomfort, especially if not consumed with adequate water. Symptoms can include bloating, gas, stomach upset, and diarrhea. To mitigate this, consuming the seeds in moderation and ensuring sufficient hydration is recommended.
Blood-Thinning Properties and Bleeding Risk
Garden cress exhibits natural blood-thinning effects, which can increase the risk of bruising and bleeding. This property is particularly dangerous for people with bleeding disorders or those taking anticoagulant medications (blood thinners) such as clopidogrel (Plavix). It is crucial to consult a healthcare provider before using garden cress if you are on such medication, and to stop taking it at least two weeks before any scheduled surgery.
Concerns During Pregnancy and Breastfeeding
The abortifacient properties of garden cress mean that consuming it in large doses can induce uterine contractions and lead to spontaneous abortion. For this reason, pregnant women are strongly advised to avoid medicinal amounts of garden cress. During breastfeeding, while some traditional uses suggest it may promote lactation, there is a lack of reliable safety information for medicinal use, so sticking to small, food-level amounts is the safest approach.
Adverse Drug Interactions
Garden cress can interact with several types of medication, altering their effectiveness and potentially causing severe side effects.
Potential Drug Interactions
- Lithium: Garden cress can act as a diuretic, potentially decreasing the body's ability to excrete lithium and leading to a toxic buildup.
- Diabetes Medications (Antidiabetic Drugs): Since garden cress can lower blood sugar, taking it with diabetes medication could cause blood sugar levels to drop too low.
- Blood Pressure Medications (Antihypertensive Drugs): Garden cress may also lower blood pressure, which could cause an unsafe drop in blood pressure when combined with antihypertensive drugs.
- Water Pills (Diuretic Drugs): Taking garden cress with other diuretics could dangerously lower potassium levels in the body.
Comparative Risk and Benefit Analysis: Garden Cress Seeds vs. Sprouts
| Feature | Garden Cress Seeds (Dried) | Garden Cress Sprouts (Fresh) | 
|---|---|---|
| Potency | Higher concentration of certain compounds and nutrients. | Generally lower concentration of potentially problematic compounds. | 
| Digestion | Can cause digestive issues like bloating and gas if overconsumed. | Less likely to cause digestive upset; high water content. | 
| Preparation | Often soaked or cooked; expands significantly when hydrated. | Typically consumed raw in salads and sandwiches. | 
| Primary Risk | Thyroid interference, blood-thinning effects, uterine stimulation (in high doses). | Lower risk profile; mainly a concern with allergies or existing conditions. | 
| Nutrients | Rich source of fiber, protein, and minerals. | Excellent source of vitamins A, C, and K. | 
Allergic Reactions
As with any food, an allergic reaction to garden cress is possible, especially for individuals with sensitivities to other seeds or plants in the Brassicaceae family (e.g., mustard). Symptoms can range from mild (hives, tingling mouth) to severe (anaphylaxis).
Conclusion: Safe Consumption Practices
While garden cress offers numerous nutritional benefits, its consumption must be approached with awareness of its potential side effects and health interactions. For most healthy adults, consuming it in moderation as part of a balanced diet is generally considered safe. However, individuals with existing medical conditions—particularly thyroid issues, diabetes, bleeding disorders, or pregnant women—should exercise caution and consult a healthcare professional. Always consider potential drug interactions and start with small quantities to assess your body’s reaction. As with many natural remedies, moderation and professional advice are key to ensuring safety and maximizing benefits. IntechOpen offers a review of garden cress seeds detailing their nutritional and anti-nutritional compounds for those seeking further scientific information.