Ingredients A-Z

Saw Palmetto

Overview

Saw palmetto (Serenoa repens) is a shrub-like palm native to the southeast coast of the United States. It grows to a height of 6 to 10 feet and is characterised by thorn-shaped leaves that are arranged like a fan. Historically, it was used to ease urinary and reproductive problems. Today, saw palmetto is extremely popular in Europe where herbal preparations represent approximately one-third of total sales of all therapeutic agents sold for the treatment of benign prostatic hyperplasia.

 

The purified extract of saw palmetto contains around 85-90% fatty acids and phytosterols, with an abundance of carotenoids, lipases, tannin, sugars and fatty acids such as caprylic acid, palmitic acid, oleic acid and beta-sitosterol². Saw palmetto has been scientifically proven to relieve urinary symptoms, inflammation and prostate disease. The saw palmetto berries can either be eaten whole directly, dried to make tea, or consumed in capsule or tablet form.

Key indications

Urinary Health

Saw palmetto is rich in fatty acids. It possesses anti-androgenic, anti-inflammatory and anti-proliferative properties that bring benefit to overall urinary health in men and women. The individual fatty acids such as lauric, linoleic, myristic and oleic acids have an inhibitory effect on 5-alpha-reductase, the enzyme responsible for converting testosterone to dihydrotestosterone (DHT)³˒⁶. It inhibits prostate enlargement caused by DHT androgen as well as relieves irritation and obstructive symptoms of dysuria caused by benign prostatic hyperplasia. Besides, acid lipophilic compounds of saw palmetto extract also exhibit an anti-inflammatory effect by inhibiting the biosynthesis of cyclooxygenase and 5-lipoxygenase metabolites. It is demonstrated that saw palmetto helps to slow down prostate cell proliferation by stimulating apoptosis and inhibiting fibroblast growth factor⁴.

 

Double-blind placebo-controlled research showed improvement in benign prostatic hyperplasia (BPH) symptoms after a daily intake of 320mg saw palmetto extract over 12 weeks⁵. Moreover, a clinical trial in patients with moderate to severe chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) indicates that consuming saw palmetto 160mg orally twice daily for 12 weeks improves NIH Chronic Prostatitis Index (NIH-CPSI) score⁷.

Adverse effects

In general, saw palmetto is well tolerated and adverse effects are mild and infrequent. The most common adverse effects include abdominal pain, constipation, decreased libido, diarrhea, dizziness, fatigue, headache, nausea, rhinitis and vomiting.

Dosage range

There is currently no established effective dosage for saw palmetto. The common dose that has been used is 320–960mg daily.

Contraindications/cautions

  • Avoid use during pregnancy and lactation because saw palmetto has potential hormonal activity.
  • Potential drug interactions include:

    • – Anticoagulant drugs
      May increase the risk of potential adverse effects
    • – Contraceptive drugs
      May reduce the effectiveness of contraceptive drugs
    • – Estrogens
      May reduce the effectiveness of estrogens

Adverse effects

In general, saw palmetto is well tolerated and adverse effects are mild and infrequent. The most common adverse effects include abdominal pain, constipation, decreased libido, diarrhea, dizziness, fatigue, headache, nausea, rhinitis and vomiting.

Dosage range

There is currently no established effective dosage for saw palmetto. The common dose that has been used is 320–960mg daily.

Contraindications/cautions

  • Avoid use during pregnancy and lactation because saw palmetto has potential hormonal activity.
  • Potential drug interactions include:

    • – Anticoagulant drugs
      May increase the risk of potential adverse effects
    • – Contraceptive drugs
      May reduce the effectiveness of contraceptive drugs
    • – Estrogens
      May reduce the effectiveness of estrogens

References :

  1. Braun L, Cohen M. (2015). Herbs and Natural Supplements. Ebook 4th edition. Chatswood: Elsevier, pp. 875–878.
  2. There is currently no established effective dosage for saw palmetto. The common dose that has been used is 320–960 mg daily.
  3. Murugusundram S. (2009). Serenoa repens: Does it have any role in the management of androgenetic alopecia? Journal of Cutaneous and Aesthetic Surgery, 2(1), 31–32. https://doi.org/10.4103/0974-2077.53097
  4. Al-Achi A, Locklear AF, Fetterman L. (2012). Commercially available saw palmetto products: Quality control testing. International Journal of Drugs Discovery and Herbal Research, 2(1), 267–271.
  5. Levin RM, Das AK. (2000). A scientific basis for the therapeutic effects of Pygeum africanum and Serenoa repens. Urological Research, 28(3), 201–209. https://doi.org/10.1007/s002409900098
  6. Willetts KE, Clements MS, Champion S, et al. (2003). Serenoa repens extract for benign prostate hyperplasia: a randomized controlled trial. BJU International, 92, 267–270. https://doi.org/10.1046/j.1464-410X.2003.04316.x
  7. Suzuki M, Ito Y, Fujino T, Abe M, Umegaki K, Onoue S, Noguchi H, Yamada S. (2009). Pharmacological effects of saw palmetto extract in the lower urinary tract. Acta Pharmacologica Sinica, 30(3), 227–281. https://doi.org/10.1038/aps.2009.1
  8. Zhang K, Guo RQ, Chen SW, et al. (2021). The efficacy and safety of Serenoa repens extract for the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome: a multicenter, randomized, double-blind, placebo-controlled trial. World Journal of Urology, 39, 3489–3495. https://doi.org/10.1007/s00345-020-03577-2

References :

  1. Braun L, Cohen M. (2015). Herbs and Natural Supplements. Ebook 4th edition. Chatswood: Elsevier, pp. 875–878.
  2. There is currently no established effective dosage for saw palmetto. The common dose that has been used is 320–960 mg daily.
  3. Murugusundram S. (2009). Serenoa repens: Does it have any role in the management of androgenetic alopecia? Journal of Cutaneous and Aesthetic Surgery, 2(1), 31–32. https://doi.org/10.4103/0974-2077.53097
  4. Al-Achi A, Locklear AF, Fetterman L. (2012). Commercially available saw palmetto products: Quality control testing. International Journal of Drugs Discovery and Herbal Research, 2(1), 267–271.
  5. Levin RM, Das AK. (2000). A scientific basis for the therapeutic effects of Pygeum africanum and Serenoa repens. Urological Research, 28(3), 201–209. https://doi.org/10.1007/s002409900098
  6. Willetts KE, Clements MS, Champion S, et al. (2003). Serenoa repens extract for benign prostate hyperplasia: a randomized controlled trial. BJU International, 92, 267–270. https://doi.org/10.1046/j.1464-410X.2003.04316.x
  7. Suzuki M, Ito Y, Fujino T, Abe M, Umegaki K, Onoue S, Noguchi H, Yamada S. (2009). Pharmacological effects of saw palmetto extract in the lower urinary tract. Acta Pharmacologica Sinica, 30(3), 227–281. https://doi.org/10.1038/aps.2009.1
  8. Zhang K, Guo RQ, Chen SW, et al. (2021). The efficacy and safety of Serenoa repens extract for the treatment of patients with chronic prostatitis/chronic pelvic pain syndrome: a multicenter, randomized, double-blind, placebo-controlled trial. World Journal of Urology, 39, 3489–3495. https://doi.org/10.1007/s00345-020-03577-2

The material is prepared for informational purposes only and should not be construed as a piece of personal medical advice. Owing to each person’s varying health needs, a physician should be consulted before acting on any information provided in this material. Although every effort is made to ensure that this material is accurate, it is compiled for internal use only and should not be considered definitive. Neither VitaHealth nor its employees, or information providers shall be responsible or liable for any errors, inaccuracies, or other defects in the information contained in this publication.

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