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What Does Goldenseal Do for the Human Body? Benefits & Risks Explained

4 min read

Native Americans traditionally used goldenseal for a range of health issues, including skin diseases, ulcers, and digestive complaints. But what does goldenseal do for the human body in modern herbalism, and what does the science say about its purported benefits?

Quick Summary

An exploration of goldenseal, focusing on its active compound berberine, historical uses, and the scientific evidence for its effects on the body. It discusses potential benefits for digestive and skin health, cautions regarding its use, and common misconceptions.

Key Points

  • Active Compounds: Goldenseal contains isoquinoline alkaloids, primarily berberine and hydrastine, which are responsible for its therapeutic effects.

  • Digestive Support: Berberine in goldenseal may combat infectious diarrhea, assist with SIBO symptoms, and inhibit the ulcer-causing bacterium $H. pylori$.

  • Topical Applications: Traditionally used for skin issues like wounds, acne, eczema, and mucosal inflammation in the eyes and mouth.

  • Not a Systemic Oral Antibiotic: The poor oral absorption of its active compounds means goldenseal is not an effective systemic antibiotic when taken by mouth.

  • Debunked Myths: Scientific evidence refutes the long-standing myths that goldenseal is a potent immune booster for colds or can mask drugs on a drug test.

  • Significant Risks: Caution is necessary due to potential drug interactions, and it is unsafe for pregnant women, breastfeeding mothers, and infants.

  • Ethical Sourcing: Due to historical overharvesting that endangered the plant, purchasing sustainably farmed goldenseal is important.

In This Article

The Active Compounds in Goldenseal

Goldenseal ($Hydrastis canadensis$) is a perennial herb whose medicinal properties are primarily attributed to its high concentration of isoquinoline alkaloids. The most significant of these compounds are berberine, hydrastine, and canadine.

  • Berberine: This compound is responsible for goldenseal's characteristic yellow color and has been extensively studied for its potential antimicrobial and anti-inflammatory properties. It is often credited with many of the herb's therapeutic effects.
  • Hydrastine: Another major alkaloid, hydrastine, has also been studied for its potential effects on the body, though less is known about its specific mechanisms compared to berberine.

Potential Benefits for Digestive Health

Goldenseal is frequently used in herbal medicine to support digestive function. The bitter nature of the root can help stimulate appetite and aid in digestion by encouraging the secretion of digestive juices.

List of potential digestive benefits:

  • Infectious Diarrhea: Berberine has been shown in some studies to help reduce infectious diarrhea caused by certain bacteria, like $E. coli$ and $V. cholerae$. It is thought to work by inhibiting harmful bacteria and soothing inflammation.
  • Small Intestinal Bacterial Overgrowth (SIBO): Research suggests that berberine, a key component of goldenseal, may be as effective as some antibiotic treatments for managing SIBO symptoms.
  • Gastritis and Ulcers: In in vitro studies, goldenseal extract has demonstrated an ability to inhibit the growth of $H. pylori$, a bacterium associated with gastritis and ulcers.

Impact on Skin and Mucous Membranes

Historically, goldenseal was used topically for skin disorders, wounds, and ulcers. Its antimicrobial and astringent properties made it a popular choice for treating minor infections and inflammation.

Common topical uses include:

  • Eye and Mouth Infections: Goldenseal-based eyewashes and mouth rinses have been used to address eye inflammation, sore gums, and mouth sores.
  • Acne and Eczema: The anti-inflammatory and antibacterial properties of berberine may help with inflammatory skin conditions such as acne and eczema.
  • Wounds and Rashes: When applied as a cream, ointment, or wash, goldenseal is intended to help cleanse wounds and reduce irritation from rashes.

Goldenseal vs. Standard Treatments: A Comparison

It's important to understand how goldenseal compares to conventional medicine for certain conditions, as the scientific evidence for its efficacy is not as robust.

Feature Goldenseal-based Treatment Conventional Treatment (Antibiotics)
Application Often topical (creams, washes, rinses) or used as a supplement for internal issues. Typically oral pills, intravenous, or topical applications specifically formulated for a given pathogen.
Scientific Evidence Mostly based on traditional use, in vitro, and animal studies. Clinical human trials are limited, and oral absorption of alkaloids is poor. High level of clinical evidence and established efficacy for specific bacterial infections.
Antimicrobial Range Active compound berberine shows broad-spectrum activity in lab settings against bacteria, fungi, and protozoa. Engineered to target specific pathogens with high precision, minimizing impact on beneficial microbes.
Regulatory Status Sold as an herbal supplement, with less stringent regulation than pharmaceuticals. FDA-regulated for safety, purity, and efficacy before being prescribed.
Absorption (Oral) Oral absorption of berberine from goldenseal is poor, meaning systemic effects are minimal. Formulated for optimal absorption to achieve therapeutic blood levels.

Important Safety Considerations and Side Effects

While often promoted as a natural remedy, goldenseal is not without risks and should be used with caution.

List of safety concerns:

  • Drug Interactions: Goldenseal can interfere with how the liver processes certain medications, including blood pressure medications, blood thinners, and some antidepressants. This can increase the risk of side effects or reduce the medication's effectiveness.
  • Pregnancy and Breastfeeding: Goldenseal should be avoided by pregnant and breastfeeding women. Berberine can potentially cause uterine contractions and harm newborns by worsening jaundice.
  • Short-Term Use: Safety information is most available for short-term use. The long-term effects of goldenseal are not well-studied, and it is not recommended for continuous, extended periods.
  • High Doses: In high doses, goldenseal can be toxic and may cause severe side effects, including seizures and respiratory failure.

What Goldenseal Does Not Do

Several persistent myths surround goldenseal's use that have been widely debunked by science.

  • It is not a system-wide oral antibiotic. While berberine has antimicrobial effects, the compound is poorly absorbed orally, and blood levels are too low to have a systemic antibiotic effect.
  • It does not mask positive drug tests. This is a common misconception originating from a work of fiction. While older testing methods could be affected, modern drug tests can detect goldenseal's presence and are not tricked by its use.
  • It is not a proven immune booster for colds. Goldenseal is often combined with echinacea as a cold remedy, but there is no strong scientific evidence that it boosts the immune system or prevents viral infections like the common cold.

The Sustainable Sourcing Issue

Due to historical overharvesting, wild goldenseal populations became endangered. In response, much of the goldenseal used today is commercially cultivated. However, sourcing sustainable and ethically produced goldenseal products remains an important consideration for conscientious consumers. Supporting suppliers who use farmed goldenseal helps protect the integrity of wild populations.

Conclusion: A Traditional Herb Requiring Caution

Goldenseal has a rich history in traditional medicine, where it was valued for its antimicrobial, anti-inflammatory, and digestive-supporting properties. Modern science has shown that its key compound, berberine, possesses many of these potential benefits in a laboratory setting. However, due to its poor oral absorption and limited human clinical trials, the internal effectiveness of goldenseal supplements is still under scrutiny.

For external uses like mouth rinses or topical applications, goldenseal may offer benefits for mucosal membranes and skin conditions. Anyone considering goldenseal should be aware of the significant safety risks, particularly potential drug interactions and its danger during pregnancy and infancy. Always consult a healthcare provider before use, especially if you have pre-existing conditions or take other medications. Furthermore, seek out products from sustainable, commercially grown sources to support the preservation of wild goldenseal populations. For more detailed clinical information on goldenseal and its constituents, refer to reliable sources like the National Institutes of Health (NIH) or the Merck Manuals.

Frequently Asked Questions

Goldenseal is considered possibly safe for short-term, recommended use in most adults, but information on long-term safety is limited. It carries risks of serious side effects and drug interactions, and is particularly unsafe for pregnant or breastfeeding women.

No, there is no credible scientific evidence that goldenseal boosts the immune system or effectively treats viral infections like the common cold. The myth often stems from its combination with echinacea in herbal remedies.

This is a myth. The widespread belief that goldenseal can mask drugs in urine tests is false and originated from a work of fiction. Modern drug testing methods are not affected by goldenseal.

Berberine is one of the main active compounds found in goldenseal, responsible for its antimicrobial and anti-inflammatory properties. However, oral absorption of berberine from goldenseal supplements is poor.

Goldenseal can be used topically in creams, ointments, washes, and mouth rinses to address minor wounds, skin irritations, and mucosal inflammation, such as canker sores.

Due to overharvesting, goldenseal became an endangered plant. Much of the goldenseal used today is commercially cultivated, making it important to choose products from sustainable sources.

Pregnant or breastfeeding women, infants and young children, and individuals with bleeding disorders or heart conditions should not use goldenseal. Those on blood thinners, blood pressure medication, or other pharmaceuticals should also consult a doctor first.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.