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Saw palmetto

Saw palmetto — ce que la monographie européenne soutient réellement, ce à quoi ce n’est pas destiné, la forme et la durée prévue, les effets indésirables, et le 2 interaction médicamenteuses documentée.

Dnote de preuve —popular claim unsupported, or safety dominates
Usage traditionnelEU regulatory status
2medicine interactions listed

Ceci est une page de référence, pas un diagnostic ni une ordonnance. Les produits à base de plantes sont de la vraie pharmacologie : effets, effets indésirables et interactions. Dites à votre médecin et à votre pharmacien tout ce que vous prenez, thés et compléments compris, et n’arrêtez ni ne changez jamais un médicament prescrit à cause de ce que vous lisez ici.

Ce que c’est

Serenoa repens (W.Bartram) Small — fruit (Sabalis serrulatae fructus)

Groupé ici sous Joints, urinary tract and hormones. Position réglementaire :EU herbal monograph covers lipophilic fruit extracts for urinary symptoms of benign prostate enlargement.

Ce que les preuves soutiennent

L’indication enregistrée :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.

Ce à quoi ce n’est pas destiné

Urinary symptoms that have never been assessed, blood in the urine, inability to pass urine (a medical emergency), or prostate cancer.

Forme, force et durée

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.

Durée.Long-term use is the norm, which makes the requirement for an initial diagnosis more important, not less.

Aucun chiffre en grammes n’apparaît sur cette page exprès. La partie de plante, le solvant d’extraction et le rapport drogue-extrait définissent ensemble une préparation, et un nombre pris à l’une ne décrit pas l’autre. Le raisonnement est exposé sur le hub ; la quantité qui s’applique à vous est celle imprimée sur le paquet que vous tenez, et un pharmacien la lira avec vous.

Effets indésirables

Generally mild: stomach upset, headache, dizziness. Occasional reports of raised liver enzymes.

Qui devrait l’éviter

A men's product; not for women or children. Anyone due a PSA test or a urology appointment should say they take it.

Interactions avec les médicaments

Interactions nommées dans les monographies UE, les informations produit et les fiches NIH. Les liens mènent à la page côté médicament de ce groupe.
Médicament ou substanceCe qui est décrit
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 generallyTell the doctor investigating your prostate that you take it, so results and symptom scores are read in context rather than in the dark.

La vue inverse — partir du médicament plutôt que de la plante — est dans la référence des interactions médicaments, aliments et alcool, et résumé pour chaque plante de ce site.

Sources :European Medicines Agency — Committee on Herbal Medicinal Products (HMPC), European Union herbal monographs · NIH National Center for Complementary and Integrative Health — herb fact sheets· vérifié2026-09-06

Questions fréquentes

À quoi sert saw palmetto ?

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.

Est-ce que saw palmetto marche ?

Noté ici 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.

Combien de saw palmetto dois-je prendre ?

Cette référence n’imprime pas de chiffres en grammes, car ils ne se transférent pas entre préparations de force d’extrait différente. Ce qu’on peut dire honnêtement, c’est la forme et la durée :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.

Quels sont les effets indésirables de saw palmetto ?

Generally mild: stomach upset, headache, dizziness. Occasional reports of raised liver enzymes.

Est-ce que saw palmetto interagit avec des médicaments ?

Oui — documenté pourAnticoagulants, warfarin, Prescriptions. Chacune est décrite sur cette page, avec un lien vers la référence côté médicament s’il en existe une.

Autres dansjoints, 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.

NoteC · Anticoagulants, warfarin, Blood pressure, Diabetes medicines

Cranberry

Reducing the chance of repeat urinary tract infections in some groups — not treating an infection that is already present.

NoteB · Anticoagulants, warfarin, Diabetes medicines

Black cohosh

Relief of menopausal complaints such as hot flushes and profuse sweating.

NoteC · Liver load, Cancer treatment

Devil's claw

Relief of minor joint pain, and of mild digestive complaints such as bloating and loss of appetite.

NoteC · NSAIDs, Anticoagulants, warfarin, Diabetes medicines

Feverfew

Prophylaxis of migraine headaches, after serious conditions have been excluded by a doctor.

NoteC · Anticoagulants, warfarin, NSAIDs

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