Synopsis

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

Areca, specifically Areca catechu (commonly known as betel nut), has a long history of use in traditional medicine, particularly in Asia, as a remedy for parasitic infections such as tapeworms. The seeds contain alkaloids like arecoline, which are known for their anthelmintic (anti-parasitic) properties. In traditional Chinese medicine and Ayurvedic practices, powdered areca nut or its extracts have been administered to expel tapeworms and other intestinal worms. The mechanism is believed to involve the paralysis of the worm’s musculature, facilitating its expulsion from the gastrointestinal tract. Scientific studies, primarily animal-based and a few clinical reports, have provided some support for these traditional uses. For example, arecoline has been shown to have a paralyzing effect on tapeworms in laboratory and animal settings. However, robust, high-quality clinical trials in humans are lacking, and the safety profile of areca is a significant concern due to its known carcinogenic and toxic effects. Consequently, while the traditional use is well-documented and there is some scientific rationale based on arecoline’s pharmacology, modern medicine generally does not recommend areca for deworming due to risks outweighing potential benefits. Safer, more effective anthelmintic medications are available today.

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