Evidence supporting the use of: Petasines
For the health condition: Headache (general)
Synopsis
Source of validity: Scientific
Rating (out of 5): 3
Petasines are active compounds found in the plant Petasites hybridus (commonly known as butterbur). Butterbur extracts, standardized to contain petasines and free of toxic pyrrolizidine alkaloids, have been investigated for their role in headache management, particularly migraine prevention. Several randomized controlled trials have been conducted, with some suggesting that butterbur extracts can reduce the frequency of migraine attacks compared to placebo. For example, a notable study published in Neurology (Lipton et al., 2004) demonstrated that a specific butterbur root extract (Petadolex) significantly reduced migraine attack frequency over a 4-month period.
Systematic reviews and meta-analyses (e.g., from the American Academy of Neurology and the American Headache Society) have concluded that there is moderate evidence supporting the efficacy of butterbur in migraine prevention, warranting a rating of 3 for evidence strength. However, due to concerns about potential liver toxicity from pyrrolizidine alkaloids, only purified, PA-free extracts are recommended, and some regulatory agencies have advised caution or restricted its use. While the mechanism is not fully understood, petasines are believed to exert anti-inflammatory and antispasmodic effects that may underlie their benefit in headache prophylaxis.
Other ingredients used for Headache (general)
alpha-pinenegreen chiretta
apple
ashwagandha
Waterhyssop
bamboo
basil
betel
black cumin
black tea
Indian frankincense
burdock
Cannabis sativa oil
chamomile
cucumber
turmeric
fennel
feverfew
ginger
ginseng
gooseberry
gotu kola
Greek mountain tea
onion
green tea
guayusa
jujube
kudzu
lavender
lemon
licorice root
lovage
magnesium
Mint
Moringa
mustard seed
Peppermint
phellodendron amurense
purple butterbur root
quail egg
riboflavin (vitamin B2)
rose oil
sage
schizonepeta
scrophularia root
spearmint leaf
Triphala
Watermelon
white willow
zhejiang fritillary
cardamom
capsicum
Indian bael
alpinia galangal
Clerodendrum indicum
ferula assafoetida
Hedychium spicatum
anise
punarnava
commiphora
Tinospora cordifolia
blackboard tree
Caesalpinia crista
Fumaria parviflora
Rubia cordifolia
peony
Szechuan lovage
Morus
Myrrh
root tuber
silk tree
chrysanthemum
amber
flowering quince
fern
ganoderma
sweetgums
Morinda
birch
Wintergreen
camphor oil
Menthol oil
aster root
Yerba mate
Wood betony
paw paw
indigo leaves
cayenne pepper
soursop
geranium
1,3,7-Trimethylpurine-2,6-dione
avens
apple cider vinegar
Agastache
alpha-terpineol
ambergris
Ardisia
Angelica
Agrimony
Achyranthes
Abrus
Asarum heterotropoides
Albizia
Aconite
asafoetida
Ajuga
Aerva lanata
Agarwood
American Liverleaf
Anemone
Asam gelugor
Alstonia scholaris
Agrimonia pilosa
Amor seco
Arani
Arisaema
atractylone
betony
black seed
blue flag
Bryonia
blackthorn
Broussonetia
Blepharis
balsam
bayleaf
Butea monosperma
Barleria
bitter grass
bael
Boswellia
Baccharoides anthelmintica
banyan
Black willow
black salt
black nightshade
Bombax
borassus palm
Buddha\'s hand
Borassus aethiopum
black root
Bassia scoparia
Black Hellebore
balloon flower
Bergenia
bottle gourd
borneol
Camellia sinensis
Chinese silkvine
Cinnamomum
Clary sage
Clerodendrum trichotomum
coriander
Clerodendrum phlomidis
cactus
cinquefoil
citron
carry me seed
Cymbopogon martini
coca
Campylandra fimbriata
Centipeda
corktree
Chaenomeles lagenaria
cannabidiol
calamus
chinatree
Corydalis
Cynodon dactylon
costus
Carthamus
colocynth
cola nut
Celosia
Clerodendrum indicum
divi-divi
dragonhead
Dichrostachys glomerata
European Elder
Erythropalum scandens
Erodium cicutarium
Evodia
English horsemint
elephant\'s head
Embelia
eugenol
Flueggea suffruticosa
fang-feng
Ficus religiosa
fernbush
Ficus simplicissima
goldthread
Gelsemium
Gnaphalium
Guava
giant blazingstar
Glechoma hederacea
Guaranine
garden cress
Gardenia jasminoides
Galangal
Golden Willow
Heartsease
Homalomena
Hellebore
henna
Herb Robert
Hempnettle
Horsemint
Indian nightshade
iridoids
Indian coraltree
Indian fagonia
joe-pye
Javanese Long Pepper
Kokilaksha
Kukicha
kola nut
lemon balm
Ledebouriella
Lesser speargrass
Lilium polyphyllum
Litsea
linden
lichen
Lophira lanceolata
ligustilides
luffa
Lindera
Lavandin
lotus
Lycopodium
labrador tea
Large-leaved linden
little ironweed
Loranthus
Lysimachia
linalool
Mentha haplocalyx
Mesua
Mezoneuron benthamianum
Mountain Pepper
Mustard
Marjoram
mallow
mace
Malva sylvestris
Matapalo Tree
Methylxanthine
Mountain pride
Momordica
Meadow sage
Microtea debilis
Milkweed
Meadowsweet
Macaranga indica
Nardostachys
Natsudaidai
Nymphaea nouchali
Oroxylum indicum
Osha
Onosma bracteatum
orchid
Osmanthus
Phellodendron
Premna
Piper chaba
pagoda tree
Pulsatilla
Pluchea
prepared aconite tuber
Patchouli oil
potato
Prunus
Petasines
Piper retrofractum
Portulaca
Piper nigrum
Prickly Pear Cactus
Pimpinella
Patrinia
paeoniflorin
poppy
Polygonum
Plectranthus amboinicus
Palmitoylethanolamide (PEA)
rue
Rubus
Rubiaceae
rose
Rubia yunnanensis
robusta coffee
Sophora
Stephania root
Speedwell
Spanish Needle
Scoparia dulcis
Self-Heal
Spikenard
Salicin
Salvia
Sensitive Plant
Snakeroot
Solanum indicum
Southernwood
Sagebrush
Sida cordifolia
Sandalwood
Scabrous Gentian
Semecarpus anacardium
Stereospermum
Stachytarpheta cayennensis
Sumac
Sweet Bay
Storax
Sassafras
Sword Bean
Sweet Orange alcohol
Terminalia
Tulbaghia
Tamarind
Tetrahydropalmatine
Vetiver
Vervain
Vinegar
Viburnum
Verbena
Violet
Wax Gourd
Water Pepper
Willow
Wulinshen
Winter Begonia
Winter Savory
Willow Bracket
Xanthine
Xanthophyll
Yuzu
Yerba buena
Yellow-Fruit Nightshade
Zucchini
Zingerone
Other health conditions supported by Petasines
AsthmaHeadache (general)
Inflammation
Migraine
Pain (general remedies for)
Rhinitis