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Feverfew
(Tanacetum parthenium)
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| Introduction |
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| Feverfew has gained immense popularity because of its effectiveness in relieving migraine headaches. For proper efficacy in the treatment of migraines, doctors recommend continuous use for at least a month, as feverfew is often slow to work. A standardized extract of this herb is derived from the leaf of the plant. |
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| Reported Uses |
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Studies suggest that feverfew inhibits a number of chemical interactions that lead to the development of migraine headaches.(1, 2, 3, 4, 5) Feverfew may also help prevent the contraction of smooth muscle tissues that cause migraine pain.(6) A review of the medical literature supporting the use of feverfew in migraine prevention has been performed.(7) The authors report that the effectiveness of feverfew in the prevention of migraine has not been established beyond a reasonable doubt and more research needs to be performed.
Other studies have looked at feverfew's potential ability to inhibit the natural responses that trigger pain and inflammation.(8, 9) This could make feverfew a possible alternative to anti-inflammatory medications.
Traditional applications for feverfew that have not been scientifically studied include use as a treatment for rheumatoid arthritis, a muscle relaxant, an anti-blood clotting agent, and a fever reducer. A preparation made from the flowers of the plant have also been used to rid the body of parasites.
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| Dosage Info |
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| Dosage Range |
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Most Common Dosage |
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Dosage Forms |
| 100-250mg (standardized extract), 1-3 times a day.
Fresh Leaf: 1 to 3 leaves (25 to 75 mg), 1-2 times daily has been recommended.(10, 11) |
250mg (standardized extract) daily.
Fresh Leaf: 1 leaf (25 mg), 1-2 times daily has been recommended. |
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| Toxicities & Precautions |
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| Be sure to tell your pharmacist, doctor, or other health care providers about any dietary supplements you are taking. There may be a potential for interactions or side effects. |
General This dietary supplement is considered safe when used in accordance with proper dosing guidelines.(12)
Chewing the leaves of the whole plant may cause canker sores.
If used to treat migraines, abrupt discontinuation of this dietary supplement may trigger a migraine headache.(13)
If you are planning to have any type of surgery or dental work, stop using this dietary supplement for at least 14 days prior to the procedure.(14) If you are a migraine headache sufferer, do not abruptly discontinue use of this dietary supplement.
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Allergy Some individuals experience an allergic reaction when taking this dietary supplement. Do not use this dietary supplement if you are allergic to pyrethrums. Use with caution if you have a severe ragweed allergy or allergy to members of the daisy and chrysanthemum family.(15) Call your doctor or seek medical attention if you have fast or irregular breathing, skin rash, hives or itching. |
Health Conditions If you have a bleeding disorder talk to your doctor before taking this dietary supplement.(16)
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Pregnancy/Breast-Feeding This dietary supplement should not be used in pregnant women.(17)
This dietary supplement should not be used if you are breast-feeding an infant without first consulting a physician.
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Age Limitations To date, the medical literature has not reported any adverse effects specifically related to the use of this dietary supplement in children. Since young children may have undiagnosed allergies or medical conditions, this dietary supplement should not be used in children under 10 years of age unless recommended by a physician. |
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| Footnotes |
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1 Hayes NA, et al. The Activity of Compounds Extracted from Feverfew on Histamine Release from Rat Mast Cells. J Pharm Pharmacol. Jun1987;39(6):466-70.
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2 Groenewegen WA, et al. A Comparison of the Effects of an Extract of Feverfew and Parthenolide, a Component of Feverfew, on Human Platelet Activity In-vitro. J Pharm Pharmacol. 1990;42(8):553-57.
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3 Capasso F. The Effect of An Aqueous Extract of Tanacetum parthenium L. on Arachidonic Acid Metabolism by Rat Peritoneal Leucocytes. J Pharm Pharmacol. Jan1986;38(1):71-72.
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4 Bejar E. Parthenolide Inhibits the Contractile Responses of Rat Stomach Fundus to Fenfluramine and Dextroamphetamine but not Serotonin. J Ethnopharmacol. Jan1996;50(1):1-12.
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5 Prusinski A, Durko A, Niczyporuk-Turek A. [Feverfew as a Prophylactic Treatment of Migraine]. Neurol Neurochir Pol. 1999;33(Suppl 5):89-95.
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6 Barsby RW, et al. Feverfew Extracts and Parthenolide Irreversibly Inhibit Vascular Responses of the Rabbit Aorta. J Pharm Pharmacol. Sep1992;44(9):737-40.
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7 Pittler MH, Vogler BK, Ernst E. Feverfew for Preventing Migraine (Cochrane Review). Cochrane Database Syst Rev. 2000;(3):CD002286.
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8 Pattrick M, et al. Feverfew in Rheumatoid Arthritis: A Double-blind, Placebo Controlled Study. Ann Rheum Dis. 1989;48:547-49.
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9 Makheja AM, et al. A Platelet Phospholipase Inhibitor from the Medicinal Herb Feverfew (Tanacetum parthenium). Prostaglandin Leukotri Med. 1982;8:653-60.
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10 Johnson ES, et al. Efficacy of Feverfew as Prophylactic Treatment of Migraine. British Medical Journal. 1985;291:569-73.
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11 O'Hara M, Kiefer D, Farrell K, Kemper K. A review of 12 commonly used medicinal herbs. Arch Fam Med. Sep1998;7(6):523-536.
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12 Newall CA, et al. Herbal Medicines: A Guide for Health Care Professionals. London: The Pharmaceutical Press; 1996:119-21.
13 PDR for Herbal Medicines, 2nd ed. Montvale, NJ: Medical Economics Company; 2000:307.
14 Pribitkin ED. Herbal therapy: what every facial plastic surgeon must know. Arch Facial Plast Surg. Apr2001;3(2):127-32.
15 Schmidt RJ. Plant dermatitis. Compasitae. Clin Dermatol. Apr1986;4(2):46-61.
16 Heck AM, et al. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm. Jul2000;57(13): 1221-7.
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17 Newall CA, et al. Herbal Medicines: A Guide for Health Care Professionals. London: The Pharmaceutical Press; 1996:119-21.
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