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 German chamomile
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Uses of this Herb
Acne
Common cold
Eczema
Infantile colic
Insomnia
Menstrual pain
Peptic ulcer
Pharyngitis
Psoriasis
Stress
Ulcerative colitis
Wounds

Drugs that Interact
Summary
Sedatives

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Herbal medicine

German chamomile

Also listed as: Chamomile - German; Matricaria recutita


Overview

There are two plants known as chamomile: the more popular German chamomile ( Matricaria recutita ) and Roman, or English, chamomile ( Chamaemelum nobile ). Although they belong to different species, they are used to treat similar conditions. Both have been used traditionally to calm frayed nerves, to treat various digestive disorders, to relieve muscle spasms, and to treat a range of skin conditions and mild infections.

The medicinal use of chamomile dates back thousands of years to the ancient Egyptians, Romans, and Greeks. Chamomile has been used to treat a variety of conditions, including:

While studies in people are few, animal studies have indicated German chamomile's ability to reduce inflammation, speed wound healing, reduce muscle spasms, and to serve as a mild sedative to help with sleep. Test tube studies have also shown that chamomile has antibacterial, antifungal, and antiviral properties.

Anxiety, insomnia

This is the most popular use for chamomile in the United States. Studies in humans are few, but animal studies indicate that low doses of chamomile may relieve anxiety, while higher doses promote sleep.

Digestive complaints

Chamomile has antispasmodic properties, meaning it helps relax muscle contractions, particularly in the smooth muscles that make up the intestines. It is sometimes used to treat stomach cramps, irritable bowel syndrome, indigestion, diarrhea, gas, and colic.

Gingivitis, mouth sores

Chamomile has been suggested as a treatment for these conditions, but studies show conflicting evidence.

Skin irritations, eczema

Chamomile is often used topically in a cream or ointment to soothe irritated skin, especially in Europe. Some preliminary evidence suggests that it may be moderately effective in treating eczema.


Plant Description

The tiny daisy-like flowers of German chamomile have white collars circling raised, cone-shaped, yellow centers and are less than an inch wide, growing on long, thin, light green stems. Sometimes chamomile grows wild and close to the ground, but you can also find it bordering herb gardens. It can reach up to 3 feet high. German chamomile is native to Europe, north Africa, and some parts of Asia. It is closely related to Roman chamomile ( Chamaemelum nobile ), which, although less commonly used, has many of the same medicinal properties.


What's It Made Of?

Chamomile teas, ointments, and extracts all start with the white and yellow flower head. The flower heads may be dried and used in teas or capsules or crushed and steamed to produce a blue oil, which has medicinal benefits. The oil contains ingredients that reduce swelling and may limit the growth of bacteria, viruses, and fungi.


Available Forms

German chamomile is available as dried flower heads, tea, liquid extract, capsules, and topical ointment.


How to Take It

Pediatric

Traditionally, the dose suggested for children under 18 is one-half the adult dose. Children under 5 should not take more than half a cup of tea per day.

To relieve colic: 1 - 2 oz. of tea per day. Your doctor may recommend other preparations.

Adult


Precautions

The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, can trigger side effects and can interact with other herbs, supplements, or medications. For these reasons, herbs should be taken with care, under the supervision of a health care provider.

German chamomile is considered generally safe.

Chamomile may make asthma worse, so people with asthma should not take it.

Pregnant women should avoid chamomile because of the risk of miscarriage.

If you are sensitive to asters, daisies, chrysanthemums, or ragweed, you may also be allergic to chamomile.

Drinking large amounts of highly concentrated chamomile tea may cause vomiting.


Possible Interactions

If you take any of the following drugs, you should not use German chamomile without first talking to your health care provider:

Anticoagulants (blood-thinning medication) -- Chamomile may increase the risk of bleeding when taken with anticoagulant drugs such as warfarin.

Sedatives -- Chamomile can increase the effect of drugs that have a sedating effect, including:

The same is true of herbs with a sedating effect, such as valerian, kava, and catnip.

Other drugs -- Because chamomile is broken down by certain liver enzymes, it may interact with other drugs that are broken down by the same enzymes. Those drugs may include:


Supporting Research

Al-Hindawi MK, Al-Deen IH, Nabi MH, et al. Anti-inflammatory activity of some Iraqi plants using intact rats. J Ethnopharmacol. 1989;26(2):163-168.

Ali-Shtayeh MS, Yaniv Z, Mahajna J. Ethnobotanical survey in the Palestinian area: a classification of the healing potential of medicinal plants. J Ethnopharmacol 2000;73(1-2):221-232.

Avallone R, Zanoli P, Puia G, et al. Pharmacological profile of apigenin, a flavonoid isolated from Matricaria chamomilla. Biochem Pharmacol . 2000;59(11):1387-1394.

Blumenthal M, Goldberg A, Brinckmann J. Herbal Medicine: Expanded Commission E Monographs . Newton, MA: Integrative Medicine Communications; 2000:57-61.

Cauffield JS, Forbes HJM. Dietary supplements used in the treatment of depression, anxiety, and sleep disorders. Lippincott's Primary Care Practice . 1999;3(3):290-304.

de Jong NW, Vermeulen AM, Gerth van Wijk R, et al. Occupational allergy caused by flowers. Allergy . 1998;53(2):204-209.

de la Torre Morin F, Sanchez Machin I, Garcia Robaina JC, et al. Clinical cross-reactivity between Artemisia vulgaris and Matricaria chamomilla (chamomile). J Investig Allergol Clin Immunol . 2001;11(2):118-122.

Ernst E, ed. The Desktop Guide to Complementary and Alternative Medicine: An Evidence-Based Approach . New York, NY: Mosby;2001:110-112.

Foster S, Tyler VE. Tyler's Honest Herbal . New York, NY: The Haworth Herbal Press; 1999:105-108, 399.

Foti C, Nettis E, Panebianco R, et al. Contact urticaria from Matricaria chamomilla. Contact Dermatitis. 2000;42(6):360-361.

Gyllenhaal C. Efficacy and safety of herbal stimulants and sedatives in sleep disorders. Sleep Med Rev. 2000;4(2).

Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm. 2000;57(13):1221-1227.

Khayyal MT, el-Ghazaly MA, Kenawy SA, et al. Antiulcerogenic effect of some gastrointestinally acting plant extracts and their combination. Arzneimittelforschung 2001;51(7):545-553.

Mazokopakis EE, Vrentzos GE, Papadakis JA, et al. Wild chamomile ( Matricaria recutita L .) mouthwashes in methotrexate-induced oral mucositis. Phytomedicine . 2005 Jan;12(1-2):25-7.

McKay DL, Blumberg JB. A review of the bioactivity and potential health benefits of chamomile tea ( Matricaria recutita L .). Phytother Res . [Review]. 2006 Jul;20(7):519-30.

Miller L. Herbal medicinals: selected clinical considerations focusing on known or potential drug-herb interactions. Arch Intern Med . 1998;158(20):2200-2211.

Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health Care Professionals . London, England: The Pharmaceutical Press; 1996.

O'Hara M, Kiefer D, Farrell K, et al. A review of 12 commonly used medicinal herbs. Arch Fam Med . 1998:7(6):523-536.

Robbers JE, Tyler VE. Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals . New York, NY: The Haworth Herbal Press;1999:69-71.

Rotblatt M, Ziment I. Evidence-Based Herbal Medicine . Philadelphia, Penn:Hanley & Belfus, Inc. 2002:119-123.

Subiza J, Subiza JL, Alonso M, et al. Allergic conjunctivitis to chamomile tea. Ann Allergy . 1990;65(2):127-132.

Subiza J, Subiza JL, Hinojosa M, et al. Anaphylactic reaction after the ingestion of chamomile tea: a study of cross-reactivity with other composite pollens. J Allergy Clin Immunol 1989;84(3):353-358.

Viola H, Wasowski C, Levi de Stein M, et al. Apigenin, a component of Matricaria recutita flowers, is a central benzodiazepine receptors-ligand with anxiolytic effects. Planta Med . 1995;61(3):213-216.


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