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Echinacea for upper respiratory infection.

B Barrett1, M Vohmann, C Calabrese

  • 1Department of Family Medicine, University of Wisconsin-Madison, 53715, USA. bbarrett@fammed.wisc.edu

The Journal of Family Practice
|September 25, 1999
PubMed
Summary
This summary is machine-generated.

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Echinacea may help treat acute upper respiratory infections (URIs) when taken early. However, evidence for preventing URIs with Echinacea is limited, and product variability makes dosing difficult.

Area of Science:

  • Herbal medicine
  • Immunology
  • Pharmacology

Background:

  • Acute upper respiratory infections (URIs) are common illnesses.
  • Echinacea is a popular herbal remedy often used for URIs.

Purpose of the Study:

  • To evaluate the effectiveness of oral Echinacea extracts for URIs.
  • To assess Echinacea's impact on URI incidence, severity, and duration.

Main Methods:

  • Systematic review of blinded, placebo-controlled randomized trials.
  • Searched databases and literature from January 1997 to February 1999.
  • Included 9 treatment and 4 prevention trials.

Main Results:

  • Eight of nine treatment trials showed positive results for Echinacea.

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  • Three of four prevention trials indicated marginal benefit.
  • Methodological quality of most trials was modest.
  • Conclusions:

    • Published evidence suggests Echinacea may benefit early URI treatment.
    • Publication bias effects are unknown.
    • Limited evidence supports long-term Echinacea use for URI prevention.