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Who Should Avoid Rose Hips?: Navigating Potential Risks and Contraindications

4 min read

While celebrated for its high vitamin C content and antioxidant properties, the fruit of the rose plant, known as the rose hip, is not suitable for everyone. So, who should avoid rose hips and why? For some individuals, potential health risks and medication interactions far outweigh the purported benefits.

Quick Summary

Certain individuals, including those with iron disorders, bleeding conditions, or a history of kidney stones, should avoid rose hips. Interactions with medications like blood thinners and specific health conditions also warrant caution.

Key Points

  • Avoid with Iron Overload: Individuals with hemochromatosis, thalassemia, or sickle cell disease should avoid rose hips, as their high vitamin C content can dangerously increase iron absorption.

  • Risk for Kidney Stones: High doses of rose hip supplements increase the risk of kidney stone formation, particularly for those with a history of them, due to the conversion of vitamin C to oxalate.

  • Monitor with Bleeding Disorders: A chemical in rose hips may slow blood clotting, increasing the risk of bleeding for people with bleeding disorders or those facing surgery.

  • Watch for Medication Interactions: Rose hips can interact with several medications, including blood thinners (like warfarin), lithium, and estrogens, altering their effectiveness.

  • Caution for Pregnant/Breastfeeding Women: Due to a lack of sufficient safety data, pregnant and breastfeeding individuals should consume rose hips only in food amounts, not medicinal doses.

  • Heed Allergies: Those with known allergies to roses or related plants should avoid rose hips, as they may cause allergic reactions such as rashes or swelling.

In This Article

Understanding the Health Risks of Rose Hips

Rose hips are derived from the edible fruit of the rose bush and are often used in teas, supplements, and jams due to their high nutritional value. They contain significant amounts of vitamin C, along with antioxidants like lycopene and beta-carotene. While beneficial for many, the high vitamin C and other compounds in rose hips can pose serious risks for individuals with specific medical conditions. Consultation with a healthcare provider is essential before introducing rose hip supplements into your diet, especially if you have pre-existing health issues or take medication.

Iron-Related Disorders

One of the most critical warnings regarding rose hip consumption is for individuals with iron-related disorders. Conditions like hemochromatosis, thalassemia, and sickle cell disease are characterized by problems with iron metabolism or elevated iron levels. The vitamin C in rose hips significantly enhances the body's absorption of iron, which could dangerously worsen these conditions. For this reason, those with such disorders should strictly avoid high-dose rose hip supplements.

Kidney Stones and Kidney Disease

High-dose intake of vitamin C can increase the risk of kidney stone formation. The body converts excess vitamin C into oxalate, and high levels of oxalate can lead to the formation of calcium oxalate stones. Individuals with a history of recurring kidney stones or pre-existing severe kidney disease should be cautious with high doses of rose hip supplements, as the extra strain on the kidneys could lead to a worsening of their condition.

Bleeding Disorders and Surgery

Rose hips contain a chemical called Rugosin E, which may slow blood clotting. This can increase the risk of bruising and bleeding, making it dangerous for individuals with existing bleeding disorders. The same caution applies to those who are scheduled for surgery. It is recommended that people stop taking rose hip supplements at least two weeks before any surgical procedure to minimize bleeding risks.

Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency

G6PD deficiency is a genetic disorder that affects red blood cells. Large amounts of vitamin C from rose hips can acidify the blood, potentially triggering a sickle cell crisis in those with the condition. Individuals with G6PD deficiency should therefore avoid rose hip supplements.

Medication Interactions

Rose hip supplements can interact with several types of medications, altering their effectiveness or increasing side effects. These interactions are particularly notable with:

  • Blood Thinners (e.g., Warfarin): High doses of vitamin C can decrease the effectiveness of warfarin, increasing the risk of clotting. Regular blood tests are necessary to adjust dosages if used concurrently.
  • Lithium: Rose hips might interfere with how the body processes lithium, potentially leading to increased lithium levels and dangerous side effects.
  • Estrogens: The vitamin C in rose hips can increase estrogen absorption from medications like birth control pills or hormone replacement therapy, enhancing their effects and side effects.
  • Aluminum-containing Antacids: Vitamin C can increase the body's absorption of aluminum from antacids, so it's advised to space out intake by several hours.
  • Tetracycline Antibiotics: Rose hips can decrease the absorption of tetracycline-class antibiotics. It's important to separate the administration of these medications by at least 4 hours.

Pregnancy and Breastfeeding

There is limited scientific information regarding the safety of rose hip supplements during pregnancy and breastfeeding. Due to the lack of evidence, it is best to err on the side of caution and stick to amounts found in food rather than consuming large doses from supplements.

Allergies and Other Issues

Individuals with hypersensitivity or a known allergy to roses or plants from the Rosaceae family should avoid rose hips. Allergic reactions can include skin rashes, itching, or swelling. Inhaling rose hip dust can also cause allergic reactions. Furthermore, high intake of rose hips can cause gastrointestinal upset, including nausea, vomiting, constipation, and diarrhea, especially for those with sensitive digestive systems.

Comparison of Rose Hip Risk Factors

Condition / Factor Key Concern Associated Component Severity of Risk Reference(s)
Hemochromatosis/Thalassemia Increased iron absorption leading to iron overload. Vitamin C High
Kidney Stones (History of) High oxalate production from excess Vitamin C. Vitamin C High
Bleeding Disorders Slowed blood clotting. Rugosin E Moderate to High
G6PD Deficiency Possible sickle cell crisis trigger. Vitamin C High
Warfarin (Blood Thinner) Use Decreased effectiveness of medication. Vitamin C High
Lithium Use Altered drug elimination and potential for serious side effects. Unknown High
Pregnancy/Breastfeeding Insufficient safety data. Not specified Precautionary
Aluminum Antacid Use Increased aluminum absorption. Vitamin C Moderate
Allergies Potential for allergic reaction. Biologically active substances Moderate
Gastrointestinal Issues Nausea, constipation, diarrhea. High doses Low to Moderate

Conclusion

While rose hips offer a range of nutrients, especially vitamin C, their consumption is not without risk for certain populations. The potent effects of its components, particularly high doses of vitamin C, can interfere with vital bodily processes and crucial medications. Individuals with iron-related disorders, a history of kidney stones, bleeding disorders, or G6PD deficiency should exercise extreme caution or avoid rose hips entirely. Those taking blood thinners, lithium, or certain other medications must consult their doctor before use. Ultimately, understanding your personal health profile and seeking professional medical advice is the most responsible approach to dietary and supplemental choices, including the use of rose hips. For further information on interactions, see the WebMD database.(https://www.webmd.com/vitamins/ai/ingredientmono-839/rose-hip)

Frequently Asked Questions

No, individuals with hemochromatosis or other iron overload disorders should avoid rose hips. The high vitamin C content in rose hips significantly increases the body's iron absorption, which can be dangerous for this condition.

Individuals with a history of kidney stones should exercise caution. High doses of vitamin C from rose hips can increase the risk of forming new calcium oxalate kidney stones.

There is a risk of interaction with blood-thinning medications like warfarin. The vitamin C in rose hips can potentially decrease the effects of these medications, increasing the risk of clotting.

Yes, people with Glucose-6-phosphate dehydrogenase (G6PD) deficiency should avoid rose hips. The large amount of vitamin C can acidify the blood and trigger complications.

There is insufficient research to confirm the safety of medicinal doses of rose hips during pregnancy and breastfeeding. It is best to stick to amounts found in food and consult a doctor.

Yes, rose hips can interact with lithium. Taking rose hips may decrease how well the body gets rid of lithium, which could lead to dangerously high levels and severe side effects.

Common gastrointestinal side effects of high-dose rose hip consumption include nausea, vomiting, constipation, diarrhea, and stomach cramps.

Yes, individuals with allergies to roses or related plants may experience allergic reactions to rose hips, which can include skin rashes, itching, or swelling.

References

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Medical Disclaimer

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