TempoLife › Funktsioonid › Herb and spice reference: evidence, dose and interactions › saw-palmetto
Saw palmetto
Saw palmetto — mida Euroopa monograafia tegelikult toetab, milleks see ei ole, vorm ja kui kaua on mõeldud kasutada, kõrvaltoimed ja 2 ravimikoostoimes, mis on dokumenteeritud.
See on teabeleht, mitte diagnoos ega retsept. Taimsed tooted on päris farmakoloogia: neil on toime, kõrvaltoimed ja koostoimed ravimitega. Öelge arstile ja apteekrile kõik, mida võtate, sh teed ja toidulisandid, ja ärge kunagi lõpetage ega muutke määratud ravimit millegi siin loetu pärast.
Mis see on
Serenoa repens (W.Bartram) Small — fruit (Sabalis serrulatae fructus)
Grupeeritud siin Joints, urinary tract and hormones. Regulatiivne seisund:EU herbal monograph covers lipophilic fruit extracts for urinary symptoms of benign prostate enlargement.
Mida tõendus toetab
Registreeritud näidustus:Relief of lower urinary tract symptoms related to benign prostatic hyperplasia, after a doctor has excluded serious conditions.
The best-known prostate supplement, and one of the clearest cases on this page of large trials disagreeing with popular use. Two large NIH-funded randomised trials — one reported in 2006, and a second in 2011 that escalated the amount up to triple the usual — found saw palmetto no better than placebo for the urinary symptoms of an enlarged prostate. European regulators still recognise particular lipophilic fruit extracts for the indication, and the extraction method matters a great deal to what is in the capsule, but the trials that carry the most weight do not support the effect. There is something more important than that argument, though. The symptoms it is bought for — weak stream, getting up at night, incomplete emptying — overlap with prostate cancer, bladder outlet problems, neurological disease and diabetes. Quietly self-treating them for a year is the real risk here, not the capsule.
D — Popular claim unsupported, or safety dominates The better trials are negative, or the substance appears in the literature mainly for the harm it has caused.
Milleks see ei ole
Urinary symptoms that have never been assessed, blood in the urine, inability to pass urine (a medical emergency), or prostate cancer.
Vorm, tugevus ja kui kaua
Lipophilic extracts of the dried fruit — hexane, ethanol or supercritical CO2 — in soft capsules. Powdered berry preparations are a different product and are not what the monograph describes.
Kestus.Long-term use is the norm, which makes the requirement for an initial diagnosis more important, not less.
Sellel lehel ei ole gramme meelega. Taimeosa, ekstraktsioonilahusti ja ravimi-ekstrakti suhe koos määratlevad valmistise, ja ühest võetud number ei kirjelda teist. Põhjendus on sõlmpunktis; teile kehtiv kogus on trükitud pakendil, mida hoiate, ja apteeker loeb selle teiega.
Kõrvaltoimed
Generally mild: stomach upset, headache, dizziness. Occasional reports of raised liver enzymes.
Kes peaks seda vältima
A men's product; not for women or children. Anyone due a PSA test or a urology appointment should say they take it.
Koostoimed ravimitega
| Ravim või aine | Mida kirjeldatakse |
|---|---|
| Anticoagulants and antiplatelets (warfarin, DOACs, aspirin, clopidogrel) | Case reports of prolonged bleeding time and of bleeding events during surgery exist. With warfarin, a DOAC or antiplatelets, tell the prescriber. |
| Prescription medicines generally | Tell the doctor investigating your prostate that you take it, so results and symptom scores are read in context rather than in the dark. |
Vastupidine vaade — alustage ravimist, mitte taimest — on ravimite, toidu ja alkoholi koostoimete teatmikus ning kokkuvõttena iga ürdi kohta sellel saidil.
Allikad:European Medicines Agency — Committee on Herbal Medicinal Products (HMPC), European Union herbal monographs · NIH National Center for Complementary and Integrative Health — herb fact sheets· kontrollitud2026-09-06
Korduma kippuvad küsimused
Milleks saw palmetto kasutatakse?
Relief of lower urinary tract symptoms related to benign prostatic hyperplasia, after a doctor has excluded serious conditions. The best-known prostate supplement, and one of the clearest cases on this page of large trials disagreeing with popular use. Two large NIH-funded randomised trials — one reported in 2006, and a second in 2011 that escalated the amount up to triple the usual — found saw palmetto no better than placebo for the urinary symptoms of an enlarged prostate. European regulators still recognise particular lipophilic fruit extracts for the indication, and the extraction method matters a great deal to what is in the capsule, but the trials that carry the most weight do not support the effect. There is something more important than that argument, though. The symptoms it is bought for — weak stream, getting up at night, incomplete emptying — overlap with prostate cancer, bladder outlet problems, neurological disease and diabetes. Quietly self-treating them for a year is the real risk here, not the capsule.
Kas saw palmetto toimib?
Hinnatud siin D: The better trials are negative, or the substance appears in the literature mainly for the harm it has caused. Urinary symptoms that have never been assessed, blood in the urine, inability to pass urine (a medical emergency), or prostate cancer.
Kui palju saw palmetto peaksin võtma?
See teatmik ei trüki grammides, sest need ei kandu eri ekstrakti tugevusega valmististe vahel. Ausalt saab öelda vormi ja kestuse:Lipophilic extracts of the dried fruit — hexane, ethanol or supercritical CO2 — in soft capsules. Powdered berry preparations are a different product and are not what the monograph describes. Long-term use is the norm, which makes the requirement for an initial diagnosis more important, not less.
Millised on saw palmetto kõrvaltoimed?
Generally mild: stomach upset, headache, dizziness. Occasional reports of raised liver enzymes.
Kas saw palmetto on koostoimes ravimitega?
Jah — dokumenteeritudAnticoagulants, warfarin, Prescriptions. Igaüks on kirjeldatud sellel lehel, lingiga ravimipoolsele teatmikule, kui see on olemas.
Teised jaotisesjoints, urinary tract and hormones
Nettle
Leaf: to increase the amount of urine and so flush the urinary tract in minor complaints, and for minor joint pain. Root: lower urinary tract symptoms related to benign enlargement of the prostate.
Cranberry
Reducing the chance of repeat urinary tract infections in some groups — not treating an infection that is already present.
Black cohosh
Relief of menopausal complaints such as hot flushes and profuse sweating.
Devil's claw
Relief of minor joint pain, and of mild digestive complaints such as bloating and loss of appetite.
Feverfew
Prophylaxis of migraine headaches, after serious conditions have been excluded by a doctor.
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