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These studies suggest that various herbs and herbal supplements, such as resveratrol, cherry juice, beetroot juice, bergamot extracts, barberry, pycnogenol, grape seed, garlic, saffron, green and white mulberry, quince, and licorice, can effectively reduce blood pressure, but proper dosage and potential interactions with prescription drugs are crucial.
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Hypertension, or high blood pressure, is a significant global health issue affecting millions of people worldwide. Traditional medicine has long utilized various herbs to manage and treat hypertension, and recent studies have provided scientific backing for these practices. This article synthesizes the latest research on the effectiveness of herbal supplements in reducing blood pressure.
Herbal supplements rich in phenolic compounds have shown promising results in reducing blood pressure. A meta-analysis of 31 studies highlighted the effectiveness of supplements such as resveratrol, cherry juice, beetroot juice, bergamot extracts, barberry, and pycnogenol in lowering both systolic and diastolic blood pressure. These supplements are suggested for inclusion in diets for individuals with hypertension due to their cardiovascular protective effects.
Several herbs have been identified for their anti-hypertensive properties. Garlic, grape seed, saffron, green and white mulberry, and quince are among the herbs with substantial scientific evidence supporting their blood pressure-lowering effects. These herbs work through various mechanisms, including antioxidant activity, angiotensin-converting enzyme (ACE) inhibition, and calcium influx regulation in vascular smooth muscle.
A study on the long-term intake of mixed herbs and spices found that a high-spice diet significantly lowered 24-hour ambulatory blood pressure in adults at risk of cardiometabolic diseases. This suggests that incorporating a variety of herbs and spices into the diet can have a cumulative beneficial effect on blood pressure.
Herbs exert their anti-hypertensive effects through multiple mechanisms. Key among these is the modulation of nitric oxide (NO) levels, which helps in vasodilation and reducing vascular resistance. Additionally, herbs can inhibit vascular smooth muscle cell (VSMC) proliferation, which is crucial in maintaining healthy blood pressure levels .
Herbs also combat oxidative stress, a significant contributor to hypertension. By reducing oxidative stress, these herbs help in maintaining the integrity of blood vessels. Furthermore, some herbs influence epigenetic factors, which can have long-term benefits in managing blood pressure .
While herbs can be beneficial, they may interact with conventional anti-hypertensive medications. For instance, garden cress, fenugreek, and black seed have been shown to enhance the effects of metoprolol, a common blood pressure medication, in hypertensive rats. However, caution is advised as these interactions can also lead to adverse effects, particularly with drugs metabolized by the CYP450 enzyme system.
A study found that herb use was associated with poor medication adherence, which in turn was linked to poor blood pressure control. This highlights the importance of monitoring herb use in patients on conventional anti-hypertensive therapy to ensure optimal treatment outcomes.
Herbal supplements offer a promising complementary approach to managing hypertension. Supplements rich in phenolic compounds, commonly used anti-hypertensive herbs, and mixed herbs and spices have all shown efficacy in reducing blood pressure. However, the potential for herb-drug interactions and the impact on medication adherence must be carefully managed. Further rigorous clinical trials are needed to establish standardized dosages and to fully understand the mechanisms through which these herbs exert their effects.
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