Echinacea, also known as American coneflower, is a wild herb that grows in the plains of North America. It has been used as a traditional herbal remedy since the 18th century for a range of conditions from pain relief to snake bites, and even anthrax infections.^1,2 Nowadays, echinacea is commonly used to relieve the symptoms of the common cold and flu, and may also help with healing small skin wounds.³

The three types of echinacea used in herbal medicines are:

echinacea purpurea
echinacea pallida
echinacea angustifolia

The echinacea used most widely is echinacea purpurea. It’s available as a tea, tablets, liquid or ointment.⁴

Benefits of echinacea

What does echinacea do in the body?

Historically, Native Americans used echinacea as a treatment for coughs and colds, snake bites and toothache.⁵

Today, it’s classified as a traditional herbal remedy by the EU’s Committee on Herbal Medicines for short-term use for the following:

Relieves symptoms of coughs, common cold and flu
Soothing minor cuts, grazes and bruises^6,7

Echinacea works by stimulating the immune system, thanks to natural plant compounds called polysaccharides and alkamides. At the same time, it has an anti-inflammatory effect inside the body.⁸

Traditionally, it’s also used to give the immune system an extra boost, but the evidence here is divided. For example, while a 2007 review found that echinacea can decrease the frequency and length of the common cold,⁹ a 2013 Cochrane review found no statistically significant reduction in the number of colds but did agree there was a small preventative effect.¹⁰

If you’re interested in taking echinacea, talk to your GP or a medical herbalist before you do.

Dosage

How much echinacea is safe to take?

The dosage varies depending on which plant species and part of the plant has been used – make sure you read the label carefully.

Experts think it’s most effective when taken at the first signs of a cold, but it may also have an impact when your cold is in full swing.

The following groups should not take echinacea:

children under 12 years old – there is a risk of serious side effects¹¹
pregnant and breastfeeding women – scientists are not sure this is safe^12,13
people with diabetes or an immune system disorder, for example auto-immune disease – they should avoid a herb that could further stimulate the immune system¹⁴

Side-effects

What are the side-effects of taking echinacea?

Echinacea is considered safe to take although some of the liquids may contain alcohol – if you are dependent on alcohol, or liver disease or epilepsy, look out for the herb in a different form.

Serious side effects to echinacea are rare, but some more common ones include stomach upsets, nausea and dizziness.¹⁵

For children under 12, the side-effects of taking echinacea are more serious. These include:¹⁶

allergic reactions, like skin swelling and hives
facial swelling
shrinking of the airways
asthma and anaphylactic shock

Sources

ScienceDirect. Echinacea
Medical News Today. Benefits, uses, and side effects of echinacea
European Medicines Agency. Echinacea purpurea herba
As Source 2
USDA NRCS. Eastern purple coneflower
Medicines & Healthcare Products Regulatory Agency. Herbal medicines granted a traditional herbal registration
As Source 3
Manayi A, Vazirian M, Saeidnia S. Echinacea purpurea: Pharmacology, phytochemistry and analysis methods
Shah SA, et al. Evaluation of echinacea for the prevention and treatment of the common cold: a meta-analysis
Karsch-Volk M, et al. Echinacea for preventing and treating the common cold
NHS. Echinacea allergy warning for children under 12
Specialist Pharmacy Service. Is it safe to take herbal medicines during pregnancy?
Drugs and Lactation Database. Echinacea
As Source 1
Kigler B. Echinacea
As Source

Disclaimer

The information in this article should not replace medical care. Please check with your GP or healthcare professional before trying any supplements, treatments or remedies.