DRUGS AND SUPPLEMENTS

Sea buckthorn (Hippophae rhamnoides)

March 22, 2017

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Sea buckthorn (Hippophae rhamnoides)

Natural Standard Bottom Line Monograph, Copyright © 2013 (www.naturalstandard.com). Commercial distribution prohibited. This monograph is intended for informational purposes only, and should not be interpreted as specific medical advice. You should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

While some complementary and alternative techniques have been studied scientifically, high-quality data regarding safety, effectiveness, and mechanism of action are limited or controversial for most therapies. Whenever possible, it is recommended that practitioners be licensed by a recognized professional organization that adheres to clearly published standards. In addition, before starting a new technique or engaging a practitioner, it is recommended that patients speak with their primary healthcare provider(s). Potential benefits, risks (including financial costs), and alternatives should be carefully considered. The below monograph is designed to provide historical background and an overview of clinically-oriented research, and neither advocates for or against the use of a particular therapy.

Related Terms

  • 5-Formyltetrahydrofolate, 5-hydroxytryptamine, 5-methyltetrahydrofolate, acetic acid, aekol, alkaloids, almindelig havtorn (Danish), alpha-linolenic acid, amino acid, Amritscherl (German), anthocyanin, arabinose, argasse (French), argouse (French), argousier (French), artificial sea-buckthorn oil, ascorbic acid, ash, Audorn (German), baie d'argousier (French), baie d'hippophaé (French), beta-carotene, beta-sitosterol, buckthorn, caffeic acid, campherol, carbohydrates, carotene, carotenoids, casuarinin, catechin, Chharma, cinnamic acid, citric acid, common sea-buckthorn, dehydroascorbic acid, dhar-bu (Lao), dhurchuk (Hindi), duindoorn (Dutch), Dünendorn (German), Elaeagnaceae (family), Elaeagnus rhamnoides (L.) A.Nelson, epigallocatechin, espinheiro-marítimo (Portuguese - Brazil), espino armarillo (Spanish), espino falso (Spanish), European buckthorn, Fasanbeere (German), fat, ferulic acid, fiber, finbar (Swedish), finnbär (Swedish), flavo-glycoside, flavones, flavonoid, flavonol aglycones, flavonol glycosides, flavonols, folate vitamers, fruit acid, galactose, gallic acid, gallocatechin, gemeiner Sanddorn (German), gewöhnlicher Sanddorn (German), glucose, glucuronides, grisset, Haffdorn (German), hafþyrnir (Icelandic), harmalol, harmol, havtidse (Danish), havtorn (Swedish, Danish), Hippophae angustifolia Lodd., Hippophae littoralis Salisb., Hippophae rhamnoides, Hippophae rhamnoides cv. Indian Summer, Hippophae rhamnoides oil, Hippophae rhamnoides ssp. sinensis, Hippophae rhamnoideum Saint-Lager, Hippophae sibirica Lodd., Hippophae stourdziana Szabó, homoktövis (Hungarian), isolinoleic acid, isorhamnetin, kaempherol, kárpáti homoktövis (Hungarian), klintepil (Danish), klittorn (Danish), Korallenbeere (German), L-ascorbic acid, leucocyanidin, leucodelphinidin, linoleic acid, linolenic acid, lycopene, malic acid, mannitol, meerdorn, mineral salt, minerals, myricetin, oblepikha, oil, oleic acid, oleum Hippophae, olivella spinosa (Italian), Osyris rhamnoides Scop., paeonin, palmitic acid, palmitoleic acid, p-coumaric acid, pectin, pentamethylquercetin, phenolic acids, phosphatides, p-hydroxybenzoic acid, phylloquinone, physalien, Prielbrusie, proteins, protocatechuic acid, pulp oil, purging thorn, quercetin, quinic acid, rakytník řešetlákovitý (Czech), RH-3, Rhamnoides hippophae Moench, rhamnose, rokitnik, rokitnik zwyczajny (Polish), rote Schlehen (German), saccharose, salicylic acid, sallow thorn, Sandbeere (German), Sanddorn (German), sandthorn, sandtidse (Danish), sandtidsel (Danish), sandtorn (Danish), SBL-1, sceitbezien, seabuckthorn, sea-buckthorn, seabuckthorn oil, sea-buckthorn oil, seabuckthorn powder, seed oil, seed residues of Hippophae rhamnoides L., Seedorn (German), serotonin, sha ji (Chinese), shaji (Chinese), silverbuske (Swedish), star-bu (Lao), stearic acid, sterols, støggved (Norwegian), Stranddorn (German), succinic acid, sugar, syringetin, tænnved (Norwegian), tannic acid, tanning agents, tannins, terpenoids, tetrahydrofolate, tindved (Danish, Norwegian), tinnan (Norwegian), tinne (Norwegian), tinnved (Norwegian), tocopherols, tocotrienols, tørn (Norwegian), tornan (Norwegian), tørri (Norwegian), total flavones of Hippophae rhamnoides L. (TFH), trans-resveratrol, tyrni (Finnish), unsaturated fatty acids, vanillic acid, vitamin B, vitamin B12, vitamin C, vitamin E, water, Weidendorn (German), Weisseldorn (German), xanthophylls, yellow spine, zeaxanthin.

  • Note: Sea buckthorn (Hippophae rhamnoides) should not be confused with alder buckthorn (Rhamnus frangula), common buckthorn (Rhamnus cathartica), or cascara or California buckthorn (Rhamnus purshiana), although these plants have similar common names.

Background

  • Sea buckthorn (Hippophae rhamnoides) is found in Europe and Asia, mainly in eastern Europe and central Asia. The plant's orange fruit and the oil from its pulp and seeds have been used in the past to treat many conditions, such as skin and digestive problems and coughs.

  • According to the Chinese Pharmacopeia, sea buckthorn can be taken by mouth as a pain reliever, cough suppressant, expectorant, digestive tonic, and blood flow promoter. In traditional Chinese medicine (TCM), sea buckthorn is mainly used as an expectorant and demulcent (soothing agent).

  • Antioxidant effects of sea buckthorn are well known. Promising evidence has been found for sea buckthorn's use for dry eyes, atopic dermatitis, and burns. More research is needed before a conclusion can be made.

Scientific Evidence

Uses

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Grade*

Antioxidant

Sea buckthorn may have antioxidant properties, although research results are mixed. More research is needed in this area before a strong conclusion can be made.

B

Atopic dermatitis

Sea buckthorn seed oil and pulp oil may improve symptoms of the skin disorder atopic dermatitis. However, research results are mixed, so more research is needed before a strong conclusion can be made.

B

Dry eyes

Sea buckthorn oil may improve dry eyes, although more research is needed in this area before a strong conclusion can be made.

B

Burns

Early results suggest that sea buckthorn oil may reduce pain, swelling, and oozing caused by burns and may improve healing. However, more high-quality studies are needed to confirm these results.

C

Cirrhosis

Early results suggest that sea buckthorn extract may improve liver health in people with liver disease, but more research is needed in this area.

C

Common cold

Although sea buckthorn has been used in the past to prevent and treat colds, there is not enough information from human studies to make a firm conclusion about using this herb to treat common colds.

C

Diabetes

Limited studies suggest that sea buckthorn may lower blood sugar levels, but more high-quality research is needed in this area.

C

Heart disease

Sea buckthorn may help to improve heart conditions, but more high-quality research is needed in this area.

C

High blood pressure

Sea buckthorn may reduce blood pressure, but additional high-quality clinical research is needed in this area.

C

High cholesterol

Limited studies suggest that sea buckthorn may help lower the amount of cholesterol and other lipids in the blood of some people, but more research is needed in this area.

C

Obesity

Sea buckthorn may help reduce weight and waist circumference in overweight or obese individuals, but more high-quality research is needed in this area.

C

Peptic ulcer

Sea buckthorn may help prevent ulcer formation when added to other therapies, but more high-quality research is needed in this area.

C

Pneumonia

Limited studies suggest that sea buckthorn may improve symptoms of pneumonia in children, but more research is needed in this area.

C

*Key to grades:A: Strong scientific evidence for this use; B: Good scientific evidence for this use; C: Unclear scientific evidence for this use; D: Fair scientific evidence against this use (it may not work); F: Strong scientific evidence against this use (it likely does not work).

Tradition/Theory

The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious and should be evaluated by a qualified health care professional.

  • Abscesses, ACE-inhibitor activity, aging, antibacterial, antihelminthic (expels worms), antiplatelet (decreases platelet clumping), antitussive (cough suppressant), antiviral, arthritis, asthma, astringent (shrinks body tissues), bedsores, blood flow enhancement, cancer, chemotherapy adjuvant (chemotherapy-modifying agent), colitis (inflammation of the colon), cosmetic, demulcent (soothing agent), dengue, diarrhea, digestive disorders (infection), digestive tonic, dry skin, ear infections, enteritis (inflammation of the small intestine), expectorant, eye problems, fatigue, fever, food uses, frostbite, gastroesophageal reflux disease (GERD, acid reflux disease), gastrointestinal disorders (stomach and intestine problems), gout, gynecological disorders, Helicobacter pylori infection, hyperpigmentation (postpartum, darkening of the skin after giving birth), immune system regulation, inflammation, laxative, leukemia, liver protection, lupus, metabolic disorders, nasopharyngitis (common cold), night vision enhancement, nutrition, pain relief, performance enhancement, periodontitis / gingivitis, psoriasis (long-term skin disease), pulmonary conditions (lung problems), radioprotection (reducing the side effects of radiation therapy), scurvy (vitamin C deficiency), senility (memory loss), skin irritation, skin ulcers, stomach ache, stress (due to cold conditions), stroke prevention, sunscreen, swollen mucous membranes, tonic, toxicity, urinary tract infection, vision improvement, wound healing.

Dosing

The below doses are based on scientific research, publications, traditional use, or expert opinion. Many herbs and supplements have not been thoroughly tested, and safety and effectiveness may not be proven. Brands may be made differently, with variable ingredients, even within the same brand. The below doses may not apply to all products. You should read product labels, and discuss doses with a qualified healthcare provider before starting therapy.

Adults (over 18 years old)

  • The following forms and doses of sea buckthorn have been taken by mouth: 1-2 cups of sea buckthorn leaf tea, daily; 1-3 seed oil capsules (500 milligrams per capsule), three times daily; 3-5 milliliters of sea buckthorn seed oil, three times daily; up to two "dropperfuls" of sea buckthorn berry oil, three times daily.

  • For antioxidant effects, sea buckthorn juice has been taken by mouth for eight weeks, although the amount taken was unclear.

  • For atopic dermatitis, ten capsules containing 500 milligrams of sea buckthorn pulp oil has been taken by mouth daily for four months. Also, creams containing 10-20% sea buckthorn have been applied to the skin.

  • For burns, sea buckthorn oil dressings have been applied to the skin.

  • For cirrhosis (liver disease), 15 grams of sea buckthorn extract has been taken by mouth three times daily for six months.

  • For dry eyes, two grams of sea buckthorn oil has been taken by mouth for three months.

  • For high blood pressure, 10 milligrams of sea buckthorn has been taken by mouth three times daily for eight weeks.

  • For ischemic heart disease, 10 milligrams of sea buckthorn has been taken by mouth three times daily for three months.

  • For obesity, 100 grams of fresh sea buckthorn berries were taken by mouth daily for 33-35 days.

Children (under 18 years old)

  • For type 1 diabetes, a concentrate of blueberry and sea buckthorn has been taken by mouth for two months.

Safety

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Allergies

  • Avoid in people with a known allergy or hypersensitivity to sea buckthorn, parts of this plant, or other bushes and shrubs from the Elaeagnaceae family.

Side Effects and Warnings

  • Sea buckthorn may increase the risk of bleeding. Caution is advised in people with bleeding disorders or those taking drugs that may increase the risk of bleeding. Dosing adjustments may be needed.

  • Sea buckthorn may lower blood sugar levels. Caution is advised in people with diabetes or hypoglycemia (low blood sugar levels), as well as in those taking drugs, herbs, or supplements that affect blood sugar. Blood glucose levels may need to be monitored by a qualified healthcare professional, including a pharmacist. Medication adjustments may be needed.

  • Sea buckthorn may cause low blood pressure. Caution is advised in people taking drugs, herbs, or supplements that lower blood pressure, as the risk of experiencing abnormally low blood pressure may be increased for these people.

  • Use sea buckthorn cautiously in people with autoimmune diseases, heart rhythm disorders, in those who exercise rigorously, or in those taking heart rate-regulating agents, anticancer agents, agents processed by the liver, or agents that affect the immune system.

  • Use topical sea buckthorn oil cautiously, since rashes may occur.

  • Avoid amounts higher than those normally found in food in those who are pregnant or breastfeeding.

  • Avoid in people with known allergy or hypersensitivity to sea buckthorn, its constituents, or members of the Elaeagnaceae family.

Pregnancy and Breastfeeding

  • Avoid doses higher than those normally found in food, due to a lack of clinical data.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

Interactions with Drugs

  • Sea buckthorn may increase the risk of bleeding when taken with drugs that increase the risk of bleeding. Some examples include aspirin, anticoagulants (blood thinners) such as warfarin (Coumadin®) or heparin, antiplatelet drugs such as clopidogrel (Plavix®), and nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen (Motrin®, Advil®) or naproxen (Naprosyn®, Aleve®).

  • Sea buckthorn may lower blood sugar levels. Caution is advised when using other medications that may also lower blood sugar. Patients taking insulin or drugs for diabetes by mouth should be monitored closely by a qualified healthcare professional, including a pharmacist. Medication adjustments may be needed.

  • Sea buckthorn may lower blood pressure. Caution is advised in people taking drugs that lower blood pressure, especially ACE inhibitors, angiotensin II receptor blockers (A2R blockers), or calcium channel blockers.

  • Sea buckthorn may interfere with the way the body processes certain drugs using the liver's cytochrome P450 enzyme system. As a result, the levels of these drugs may be decreased in the blood, reducing the intended effects. People taking any medications should check the package insert and speak with a qualified healthcare professional, including a pharmacist, about possible interactions.

  • Sea buckthorn may also interact with agents that affect the immune system, agents that affect the liver, antibiotics, anticancer drugs (especially cisplatin, cyclophosphamide, or epirubicin (farmorubicin)), antigout agents, anti-inflammatories, antiulcer agents, antivirals, cholesterol-lowering agents, gastrointestinal agents, heart rate-regulating agents, weight loss agents, or wound-healing agents.

Interactions with Herbs and Dietary Supplements

  • Sea buckthorn may increase the risk of bleeding when taken with herbs and supplements that are believed to increase the risk of bleeding. Many cases of bleeding have been reported with the use of Ginkgo biloba, and fewer cases with garlic and saw palmetto. Many other herbs and supplements may theoretically increase the risk of bleeding, although this has not been proven in most cases.

  • Sea buckthorn may lower blood sugar levels. Caution is advised when using other herbs or supplements that may also lower blood sugar. Blood glucose levels may require monitoring, and doses may need adjustment.

  • Sea buckthorn may lower blood pressure. Caution is advised in people taking herbs or supplements that lower blood pressure.

  • Sea buckthorn may interfere with the way the body processes certain herbs or supplements using the liver's cytochrome P450 enzyme system. As a result, the levels of these herbs or supplements may become too low in the blood, reducing the intended effects. Sea buckthorn may also change the effects of other herbs or supplements on the P450 system.

  • Sea buckthorn may also interact with antibacterials, anticancer herbs and supplements, antigout herbs and supplements, anti-inflammatories, antioxidants, antivirals, cholesterol- and fatty acid-lowering herbs and supplements, gastrointestinal herbs and supplements, heart rate-regulating herbs and supplements, herbs and supplements that affect the immune system, herbs and supplements that affect the liver, fatty acids, ulcer-healing herbs and supplements, weight loss herbs and supplements, or wound-healing herbs and supplements.

Author Information

  • This information is based on a systematic review of scientific literature edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).

References

Natural Standard developed the above evidence-based information based on a thorough systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to www.naturalstandard.com. Selected references are listed below.

  1. Boivin D, Blanchette M, Barrette S, et al. Inhibition of cancer cell proliferation and suppression of TNF-induced activation of NFkappaB by edible berry juice. Anticancer Res 2007;27(2):937-948. View Abstract

  2. Eccleston, C, Baoru, Y, Tahvonen, R, et al. Effects of an antioxidant-rich juice (sea buckthorn) on risk factors for coronary heart disease in humans. J Nutr.Biochem. 2002;13(6):346-354. View Abstract

  3. Hibasami H, Mitani A, Katsuzaki H, et al. Isolation of five types of flavonol from seabuckthorn (Hippophae rhamnoides) and induction of apoptosis by some of the flavonols in human promyelotic leukemia HL-60 cells. Int J Mol.Med 2005;15(5):805-809. View Abstract

  4. Jarvinen, R L, Larmo, P S, Setala, N L, et al. Effects of oral sea buckthorn oil on tear film fatty acids in individuals with dry eye. Cornea 2011;30(9):1013-1019. View Abstract

  5. Larmo, P, Alin, J, Salminen, E, et al. Effects of sea buckthorn berries on infections and inflammation: a double-blind, randomized, placebo-controlled trial. Eur.J.Clin.Nutr. 2008;62(9):1123-1130. View Abstract

  6. Larmo, P S, Yang, B, Hurme, S A, et al. Effect of a low dose of sea buckthorn berries on circulating concentrations of cholesterol, triacylglycerols, and flavonols in healthy adults. Eur.J.Nutr. 2009;48(5):277-282. View Abstract

  7. Mdinaradze N. Comprehensive treatment of generalized parodontitis. Georgian.Med News 2006;(135):60-63. View Abstract

  8. Padmavathi B, Upreti M, Singh V, et al. Chemoprevention by Hippophae rhamnoides: effects on tumorigenesis, phase II and antioxidant enzymes, and IRF-1 transcription factor. Nutr.Cancer 2005;51(1):59-67. View Abstract

  9. Raghavan AK, Raghavan SK, Khanum F, Shivanna N, and Singh BA. Effect of sea buckthorn leaves based herbal formulation on hexachlorocyclohexane--induced oxidative stress in rats. Journal of Dietary Supplements 2008;5(1):33-46.

  10. Suomela JP, Ahotupa M, Yang B, et al. Absorption of flavonols derived from sea buckthorn (Hippophae rhamnoides L.) and their effect on emerging risk factors for cardiovascular disease in humans. J Agric Food Chem 9-20-2006;54(19):7364-7369. View Abstract

  11. Teng BS, Lu YH, Wang ZT, et al. In vitro anti-tumor activity of isorhamnetin isolated from Hippophae rhamnoides L. against BEL-7402 cells. Pharmacol Res 2006;54(3):186-194. View Abstract

  12. Tiitinen KM, Hakala MA, Kallio HP. Quality components of sea buckthorn (Hippophae rhamnoides) varieties. J Agric.Food Chem. 3-9-2005;53(5):1692-1699. View Abstract

  13. Wang ZY, Luo XL, He CP. [Management of burn wounds with Hippophae rhamnoides oil]. Nan.Fang Yi.Ke.Da Xue.Xue.Bao. 2006;26(1):124-125. View Abstract

  14. Yang, B, Kalimo, K O, Mattila, L M, et al. P. Effects of dietary supplementation with sea buckthorn (Hippophae rhamnoides) seed and pulp oils on atopic dermatitis. J Nutr.Biochem. 1999;10(11):622-630. View Abstract

  15. Zeb, A. Anticarcinogenic potential of lipids from Hippophae--evidence from the recent literature. Asian Pac.J Cancer Prev. 2006;7(1):32-35. View Abstract

Copyright © 2013 Natural Standard (www.naturalstandard.com)

The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

Updated:  

March 22, 2017