Evidence supporting the use of: Goldenseal
For the health condition: Antibiotics (alternatives to)

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Goldenseal (Hydrastis canadensis) has a long history in traditional herbal medicine, particularly among Native American groups and later in Western herbalism, where it has been used to support the immune system and as a remedy for infections. Historically, goldenseal was commonly used for its purported antimicrobial properties, especially for infections of the mucous membranes such as those of the respiratory, digestive, and urinary tracts. The root contains compounds like berberine, which has demonstrated antimicrobial activity in vitro (in laboratory settings). Because of these traditional uses, goldenseal has often been promoted as a natural alternative to antibiotics, particularly before the advent of modern antibiotics.

However, while berberine does show some antimicrobial effects in laboratory settings, robust human clinical trials demonstrating goldenseal’s efficacy as a true alternative to antibiotics are lacking. Most scientific studies have not confirmed its effectiveness for treating systemic infections in humans, and there is insufficient evidence to support its use as a replacement for prescription antibiotics. Thus, while its use as an "antibiotic alternative" is primarily traditional, there is some mechanistic rationale and low-level evidence, but not enough to reach scientific validation. Importantly, relying on goldenseal in place of prescribed antibiotics for serious infections may delay effective treatment and worsen outcomes. Always consult a healthcare professional before using goldenseal for infection.

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