Ingredient guide

Goldenseal (Hydrastis Canadensis): Berberine and Evidence

Goldenseal is a North American plant whose roots contain berberine and hydrastine. It has been used as a traditional antibacterial and anti-inflammatory herb. Modern human evidence is sparse, and many products are adulterated or contain little real goldenseal.

Limited evidence

Benefits

  • Roots contain berberine, with antibacterial activity in laboratory studies.
  • Long traditional use as a mucous membrane tonic and antimicrobial herb.

Evidence summary

What goldenseal is

Goldenseal is a small forest plant native to eastern North America. Its yellow rhizome contains berberine and hydrastine, two alkaloids with antimicrobial activity in laboratory studies. Wild populations have been over-harvested, so most products today should come from cultivated sources.

What the human research shows

Despite long traditional use as an antibacterial and anti-inflammatory tonic, high-quality human studies of goldenseal itself are sparse. A bigger practical problem is product quality. Independent analyses have found that many goldenseal supplements contain little to no real goldenseal, with cheap substitutes used instead. We grade the human evidence as limited.

Dosage & safety

Dosage

Traditional use and supplement labels vary widely. Capsules of standardised extract typically supply 250 mg to 500 mg per dose. There is no established standard. Ask your healthcare provider before regular use, since interactions are well documented.

Side effects

  • Most common are stomach upset and nausea.
  • Skin reactions can occur with topical use.
  • Berberine can cross the placenta and affect newborns.

Interactions

  • Goldenseal can affect liver enzymes that process many medicines.
  • It may add to the effect of blood pressure medicine.

Warnings

  • Speak with a doctor or pharmacist before goldenseal if you take medicine, since berberine can interact with many drugs by affecting liver enzymes.
  • Avoid goldenseal in pregnancy and while breastfeeding.
  • Choose products with verified content, since many goldenseal supplements have been adulterated.

Products with this ingredient

Related ingredient guides

Citations

  1. Goldenseal: benefits, dosage, side effects healthline.com
  2. Adulteration in Hydrastis canadensis (goldenseal) dietary supplements pmc.ncbi.nlm.nih.gov

Frequently asked questions

Does goldenseal really work?

Traditional use is strong, but rigorous human trials are sparse. Most of its activity comes from berberine, which is now sold as a separate supplement.

Is goldenseal safe in pregnancy?

No. Berberine can cross the placenta and may displace bilirubin in newborns. Avoid goldenseal in pregnancy and while breastfeeding.