Health Library

Andrographis

Introduction

Andrographis is a plant commonly used in South Asian medicine. Its leaves are used to treat symptoms of the common cold. It can be taken as a pill or a powder.

Dosages

400-1200 milligrams once daily

What Research Shows

Likely Effective

  • Common colds—Likely to improve symptoms and quicken recoveryA1
  • Other upper respiratory infection—Likely to improve symptomsF1, F2

May Be Effective

Editorial process and description of evidence categories can be found at EBSCO NAT Editorial Process.

Editorial process and description of evidence categories can be found at EBSCO NAT Editorial Process.

Safety Notes

It is likely safe to take small amounts of andrographis over a short period of time. Not enough studies have been done to say whether it is safe to use for a long period.

Interactions

Talk to your doctor about any supplements or therapy you would like to use. Andrographis can interfere with treatment or make conditions worse, such as:

  • People who have problems with their immune system should talk to their doctors before taking andrographis. It may interact with their medicines.

References

REFA
Common Cold

REFA1
Wagner L, Cramer H, et al. Herbal Medicine for Cough: a Systematic Review and Meta-Analysis. Forsch Komplementmed. 2015;22(6):359-368.

REFB
Hypertriglyceridemia

REFB1
Phunikhom K, Khampitak K, et al. J. Effect of Andrographis paniculata Extract on Triglyceride Levels of the Patients with Hypertriglyceridemia: A Randomized Controlled Trial. J Med Assoc Thai. 2015 Jul;98 Suppl 6:S41-S47.

REFC
Inflammatory Bowel Disease

REFC1
Tang T, Targan SR, et al. Randomized clinical trial: herbal extract HMPL-004 in active ulcerative colitis – a double-blind comparison with sustained release mesalazine. Aliment Pharmacol Ther. 2011;33(2):194-202.

REFC2
Ng SC, Lam YT, et al. Systematic review: the efficacy of herbal therapy in inflammatory bowel disease. Aliment Pharmacol Ther. 2013 Oct;38(8):854-863.

REFC3
Sandborn WJ, Targan SR, et al. Andrographis paniculate extract (HMPL-004) for active ulcerative colitis. Am J Gastroenterol. 2013;108(1):90-98.

REFC4
Langhorst J, Wulfert H, et al. Systematic review of complementary and alternative medicine treatments in inflammatory bowel diseases. J Crohns Colitis. 2015 Jan;9(1):86-106. doi: 10.1093/ecco-jcc/jju007. Epub 2014 Nov 28. Review.

REFD
Multiple Sclerosis

REFD1
Bertoglio JC, Baumgartner M, et al. Andrographis paniculata decreases fatigue in patients with relapsing-remitting multiple sclerosis: a 12-month double-blind placebo-controlled pilot study. BMC Neurol. 2016 May 23;16:77.

REFE
Rheumatoid Arthritis

REFE1
Burgos RA, Hancke JL, et al. Efficacy of an Andrographis paniculata composition for the relief of rheumatoid arthritis symptoms: a prospective randomized placebo-controlled trial. Clin Rheumatol. 2009;28(8):931-946.

REFF
Rheumatoid Arthritis

REFF1
Saxena RC, Singh R, et al. A randomized double blind placebo controlled clinical evaluation of extract of Andrographis paniculata (KalmCold) in patients with uncomplicated upper respiratory tract infection. Phytomedicine. 2010;17(3-4):178-185.

REFF2
Hu XY, Wu RH, et al. Andrographis paniculate (Chuān Xīn Lián) for symptomatic relief of acute respiratory infections in adults and children: A systematic review and meta-analysis. PLoS One. 2017;12(8).

  • EBSCO NAT Review Board Eric Hurwitz, DC
  • 201903
  • 20190302