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tions, bee stings, snake and mosquito bites, and hemorrhoids. Echinacea is also used as an injection


to treat vaginal yeast infections and urinary tract infections (UTIs). Commercially available echinacea products come in many forms including tablets, juice, and tea. There are concerns about the quality


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of some echinacea products on the market. Echinacea products are frequently misla- beled, and some may not even contain echinacea, despite label claims. Don't be fooled by the term "standardized." It doesn't necessarily indicate accurate la- beling. Also, some echinacea products have been contaminated with selenium, arsenic, and lead.


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How does it work? Echinacea seems to activate chemicals


in the body that decrease inflammation, which might reduce cold and flu symp- toms. Laboratory research suggests that echinacea can stimulate the body's im- mune system, but there is no clinical evi- dence that this occurs in people. Common cold. Many scientific studies


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show that taking some echinacea products when cold symptoms are first noticed can modestly reduce symptoms of the com- mon cold in adults. But other scientific studies show no benefit. The problem is that scientific studies have used different types of echinacea plants and different methods of preparation. Since the studies have not been consistent, it is not surpris- ing that different studies show different results. If it helps for TREATING a cold, the benefit will likely be modest at best. Re- search on the effects of echinacea for PREVENTING the common cold is also mixed. Some research shows that taking echinacea can reduce the risk of catching a cold by 45% to 58%. But other research shows that taking echinacea does not prevent the common cold when you are exposed to cold viruses.


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Safety Echinacea is LIKELY SAFE for most


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people when taken by mouth in the short- term. Various liquid and solid forms of Echinacea have been used safely for up to 10 days. There are also some products, such as Echinaforce (A. Vogel Bioforce AG, Switzerland) that have been used safely for up to 6 months. There is not enough information to know if echinacea is safe to use as an injection. Some side


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effects have been reported such as fever, nausea, vomiting, unpleasant taste, stom- ach pain, diarrhea, sore throat, dry mouth, headache, numbness of the tongue, dizziness, insomnia, disorienta- tion, and joint and muscle aches. Applying echinacea to the skin can cause redness, itchiness, or a rash. Echinacea is most likely to cause al- lergic reactions in children and adults who are allergic to ragweed, mums, marigolds, or daisies. If you have aller- gies, be sure to check with your health- care provider before taking echinacea. Caffeine interacts with echinacea.


The body breaks down caffeine to get rid of it. Echinacea might decrease how quickly the body breaks down caffeine. Taking echinacea along with caffeine might cause too much caffeine in the bloodstream and increase the risk of side effects. Common side effects include jit- teriness, headache, and fast heartbeat.


Dosing For common cold treatment, an ex-


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tract of Echinacea purpurea (Echinacin, Madaus AG, Cologne, Germany) 5 mL twice daily for 10 days has been used. An extract of Echinacea purpurea (Echina- Guard, Madaus AG, Cologne, Germany), 20 drops in water every 2 hours on the first day of cold symptoms, followed by three times daily for up to 10 days has also been used. An extract of the whole Echinacea purpurea plant (Echinilin, Ino- vobiologic Inc., Calgary, Alberta, Cana- da), 4 mL ten times on the first day of a cold, then four times daily for 6 days, or 5 mL eight times on the first day of cold symptoms, then three times daily for 6 days has been used. A tea usingdifferent species of echinacea (Echinacea Plus, Traditional Medicinals, Sebastopol, CA) five or six times on the first day of cold symptoms, then reducing by 1 cup per day over the following 5 days has been used. For common cold PREVENTION, a


specific echinacea extract (Echinaforce, A. Vogel Bioforce AG, Switzerland) 0.9 mL three times daily (total dose: 2400 mg daily) for 4 months, with an increase to 0.9 mL five times daily (total dose: 4000 mg daily) at the first sign of a cold, has been used.


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