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Quercetin

Table of Contents > Supplements > Quercetin     Print

Overview
Dietary Sources
Available Forms
 
How to Take It
Precautions
Possible Interactions
Supporting Research

Overview

Quercetin belongs to a group of plant pigments called flavonoids that give many fruits, flowers, and vegetables their color.

Flavonoids such as quercetin are antioxidants -- they scavenge damaging particles in the body known as free radicals, which damage cell membranes, tamper with DNA, and even cause cell death. Antioxidants can neutralize free radicals and may reduce or even help prevent some of the damage they cause. They also help keep LDL ("bad") cholesterol from being damaged, which scientists think may contribute to heart disease. In test tubes, quercetin has strong antioxidant properties, but researchers aren't sure whether taking quercetin (and many other antioxidants) has the same effect inside the body.

Quercetin acts like an antihistamine and an anti-inflammatory, and may help protect against heart disease and cancer.

Allergies, Asthma, Hay Fever and Hives

In test tubes, quercetin prevents immune cells from releasing histamines, chemicals that cause allergic reactions. On that basis, researchers think that quercetin may help reduce symptoms of allergies including runny nose, watery eyes, hives, and swelling of the face and lips. However, there is no evidence yet that it works in humans.

Heart Disease

Test tube, animal, and some population-based studies suggest that the flavonoids quercetin, resveratrol, and catechins (all found in high concentration in red wine) may help reduce the risk of atherosclerosis (plaque build up in arteries that can lead to heart attack or stroke). These nutrients appear to protect against the damage caused by LDL ("bad") cholesterol and may help prevent death from heart disease. However, most human studies have looked at flavonoids in the diet, not as a supplements. Animal studies have used extremely large amounts of flavonoids (more than you could get through a supplement). Additional studies in people are needed to see if flavonoid supplements can be effective.

High Cholesterol

Test tubes studies have shown that quercetin prevents damage to LDL cholesterol. Population studies, meanwhile, show that people who eat diets high in flavonoids have lower cholesterol. One study showed that people who took quercetin and an alcohol-free red wine extract (which contains quercetin) had less damage to LDL cholesterol. More studies are needed, however, to show whether taking a quercetin supplement will have the same effect.

Interstitial Cystitis

Two small studies suggested that people with interstitial cystitis might benefit from flavonoids. People with this condition have bladder pain, similar to a bladder infection, and often experience an urgent need to urinate. In both studies, those who took a supplement containing quercetin appeared to have fewer symptoms. However, the studies included other flavonoids, so it isn't known which one might have the most beneficial effect. More and better-designed studies are needed.

Prostatitis

Some preliminary evidence indicates that quercetin might reduce symptoms of prostatitis (inflammation of the prostate). One small study showed that men who took quercetin had a reduction in symptoms compared to men who took placebo. The study was small, however, and the results need to be confirmed by other studies.

Rheumatoid Arthritis

There are reports of people with rheumatoid arthritis who had fewer symptoms when they switched from a typical Western diet to a vegan diet with lots of uncooked berries, fruits, vegetables, nuts, roots, seeds, and sprouts containing antioxidants, including quercetin. But there is no evidence that the positive effects were due directly to antioxidants, and no evidence that quercetin supplements will help treat RA.

Cancer

Quercetin and other flavonoids contained in fruits and vegetables have long been considered important in possibly helping prevent cancer. People who eat more fruits and vegetables tend to have lower risk of some types of cancer. And animal and test-tube studies suggest that flavonoids do indeed have anti-cancer properties. Quercetin and other flavonoids have been shown in these studies to inhibit the growth of cancer cells from breast, colon, prostate, ovarian, endometrial, and lung tumors. However, there haven't been enough good quality studies of flavonoids in humans to know if what works in the lab will also work in people.

Dietary Sources

Fruits and vegetables -- particularly citrus fruits, apples, onions, parsley, tea, and red wine -- are the primary dietary sources of quercetin. Olive oil, grapes, dark cherries, and dark berries -- such as blueberries, blackberries, and bilberries -- are also high in flavonoids, including quercetin.

Available Forms

Quercetin supplements are available as pills or capsules. They are often packaged with bromelain (an enzyme found in pineapple) because both are anti-inflammatories. Other flavonoid-rich extracts include those from grape seed, bilberry, Ginkgo biloba, and green tea.

There are also water-soluble forms of quercetin available, such as hesperidn-methyl-chalcone (HMC) or quercetin-chalcone.

How to Take It

Pediatric

There isn't enough evidence to recommend quercetin for children.

Adult

Recommended adult dosages of quercetin vary depending on the condition being treated. The following are guidelines:

  • General supplementation: 100 - 250 mg three times per day
  • Allergy symptoms: 250 - 600 mg per day divided in several doses
  • Chronic prostatitis: 500 mg two times epr day
  • Interstitial cystitis: 500 mg two times per day

Do not exceed 1 g per day without talking to your doctor first.

Precautions

Quercetin is generally considered safe. Side effects can include headache and upset stomach.

Pregnant and breast-feeding women and people with kidney disease should avoid quercetin.

At high doses (greater than 1 g per day), there are some reports of damage to the kidneys.

Possible Interactions

If you are being treated with any of the following medications, you should not use quercetin supplements without first talking to your health care provider.

Anticoagulants (blood thinners) -- Quercetin may enhance the effect of these drugs, increasing your risk for bleeding:

  • Warfarin (Coumadin)
  • Clopidogrel (Plavix)
  • Aspirin

Chemotherapy -- Test tube and animal studies suggest that quercetin may enhance the effects of doxorubicin and cisplatin, two chemotherapy medications used to treat cancer. In addition, some doctors believe taking antioxidants at the same time as chemotherapy can be harmful, while others believe it can be helpful. Talk to your oncologist before taking any supplements if you are undergoing chemotherapy.

Corticosteroids -- Quercetin may cause these drugs to stay in the body longer.

Cyclosporine -- Quercetin may interfere with the body's absorption of this drug, which is used to suppress the immune system.

Supporting Research

Cai J, Nelson KC, Wu M, Sternberg P Jr, Jones DP. Oxidative damage and protection of the RPE. Prog Retin Eye Res. 2000;19(2):205-221.

Chan MM, Mattiacci JA, Hwang HS, Shah A, Fong D. Synergy between ethanol and grape polyphenols, quercetin, and resveratrol, in the inhibition of the inducible nitric oxide synthase pathway. Bio Pharm. 2000;60(10):1539-1548.

Constant J. Alcohol, ischemic heart disease, and the French paradox. Clin Card. 1997;20(5):420-424.

Duthie SJ, Collins AR, Duthie GG, Dobson VL. Quercetin and myricetin protect against hydrogen peroxide-induced DNA damage (strand breaks and oxidised pyrimidines) in human lymphocytes. Mutat Res. 1997;393(3):223-231.

Ferry DR, Smith A, Malkhandi J, et al. Phase I clinical trial of the flavonoid quercetin pharmacokinetics and evidence for in vivo tyrosine kinase inhibition. Clin Cancer Res. 1996;2(4):659-668.

Gates MA, Tworoger SS, Hecht JL, De Vivo I, Rosner B, Hankinson SE. A prospective study of dietary flavonoid intake and incidence of epithelial ovarian cancer. Int J Cancer. 2007 Apr 30; [Epub ahead of print]

Gross M, Pfeiffer M, Martini M, Campbell D, Slavin J, Potter J. The quantitation of metabolites of quercetin flavonols in human urine. Cancer Epidemiol BiomarkersPrevent. 1996;5(9):711-720.

Guardia T, Rotelli AE, Juarez AO, Pelzer LE. Anti-inflammatory properties of plant flavonoids. Effects of rutin, quercetin, and hesperidin on adjuvant arthritis in rat. Farmaco. 2001;56(9):683-687.

Hanninen, Kaartinen K, Rauma AL, Nenonen M, Torronen R, Hakkinen AS, Adlercreutz H, Laakso J. Antioxidants in vegan diet and rheumatic disorders. Toxicology. 2000;155(1-3):45-53.

Harwood M, Danielewska-Nikiel B, Borzelleca JF, Flamm GW, Williams GM, Lines TC. A critical review of the data related to the safety of quercetin and lack of evidence of in vivo toxicity, including lack of genotoxic/carcinogenic properties. Food Chem Toxicol. 2007 Jun 7; [Epub ahead of print]

Hayek T, Fuhrman B, Vaya J, Rosenblat M, Belinky P, Coleman R et al. Reduced progression of atherosclerosis in apolipoprotein E-deficient mice following consumption of red wine, or its polyphenols quercetin or catechin, is associated with reduced susceptibility of LDL to oxidation and aggregation. Arterioscler Thromb Vasc Biol. 1997;17(11):2744-2752.

Head KA. Natural therapies for ocular disorders. Part 1: diseases of the retina. Alt Med Rev. Oct. 1999;(4):5:342-359.

Hofmann J, Fiebig HH, Winterhalter BR, Berger DP, Grunicke H. Enhancement of the antiproliferative activity of cis-diamminedichloroplatinum (II) by quercetin. Int J Cancer. 1990;45(3):536-539.

Hollman PC, Van Trijp JM, Mengelers MJ, De Vries JH, Katan, MB. Bioavailability of the dietary antioxidant flavonol quercetin in man. Cancer Lett. 1997;114(1-2):139-140.

Knekt P, Isotupa S, Rissanen H, Heliovaara M, Jarvinen R, Hakkinen S et al. Quercetin intake and the incidence of cerebrovascular disease. Eur J Clin Nut. 2000;54(5):415-417.

Knekt P, Jarvinen R, Reunanen A, Maatela J. Flavonoid intake and coronary mortality in Finland: a cohort study. BMJ (Clinical Research Ed.). 1996;312(7029):478-481.

Kurowska EM, Spence JD, Jordan J, Wetmore S, Freeman DJ, Piche LA, Serratore P. HDL-cholesterol-raising effect of orange juice in subjects with hypercholesterolemia. Am J Clin Nutr. 2000;72(5):1095-1100.

Lamson DW, Brignall MS. Antioxidants and cancer III: quercetin. Alt Med Rev. 2000;5(3):196-208.

Lee E, Choi EJ, Cheong H, Kim YR, Ryu SY, Kim KM. Anti-allergic actions of the leaves of Castanea crenata and isolation of an active component responsible for the inhibition of mas cell degranulation. Arch Pharm Res. 1999;22(3):320-323.

Longanga OA, Vercruysse A, Foriers A. Contribution to the ethnobotanical, phytochemical and pharmacological studies of traditionally used medicinal plants in the treatment of dysentery and diarrhoea in Lomela area, Democratic Republic of Congo (DRC). J Ethnopharmacol. 2000;71(3):411-423.

Otshudi AL, Foriers A, Vercruysse A, Van Zeebroeck A, Lauwers S. In vitro antimicorbial activity of six medicinal plants traditionally used for the treatment of dysentery and diarrhoea in Democratic Republic of Congo (DRC). Phytomedicine. 2000;7(2):167-172.

Otsuka H, Inaba M, Fuikikura T, Kunitomo M. Histochemical and functional characteristics of metachromatic cells in the nasal epithelium in allergic rhinitis: studies of nasal scrapings and their dispersed cells. J Allergy Clin Immunol. 1995;96(4):528-536.

Owen RW, Giacosa A, Hull WE, Haubner R, Spiegelhalder B, Bartsch H. The antioxidant/anticancer potential of phenolic compounds isolated from olive oil. Eur J Cancer. 2000a;36(10):1235-1247.

Owen RW, Mier W, Giacosa A, Hull WE, Spiegelhalder B, Bartsch H. Identification of lignans as major components in the phenolic fraction of olive oil. Clin Chem. 2000b;46(7):976-988.

Piantelli M, Maggiano N, Ricci R, et al. Tamoxifen and quercetin interact with type II estrogen binding sites and inhibit the growth of human melanoma cells. J Invest Dermatol. 1995;105(2):248-53.

Ramos S. Effects of dietary flavonoids on apoptotic pathways related to cancer chemoprevention. J Nutr Biochem. 2007 Jul;18(7):427-42. Epub 2007 Feb 23.

Rodgers EH, Grant MH. The effect of the flavonoids, quercetin, myricetin, and epicatechin on the growth and enzyme activities of MCF7 human breast cancer cells. Chem Bio Interactions. 1998;116(3):213-228.

Ruiz PA, Braune A, Holzlwimmer G, Quintanilla-Fend L, Haller D. Quercetin inhibits TNF-induced NF-kappaB transcription factor recruitment to proinflammatory gene promoters in murine intestinal epithelial cells. J Nutr. 2007 May;137(5):1208-15.

Sanderson J, McLauchlan WR, Williamson G. Querctein inhibits hydrogen peroxide-induced oxidation of the rat lens. Free Radic Biol Med. 1999;26(5-6):639-645.

Scambia G, Ranelletti FO, Benedetti Panici P, et al. Quercetin potentiates the effect of adriamycin in a multi-drug-resistant MCF-7 human breast-cancer cell line: P-glycoprotein as a possible target. Cancer Chemother Pharmacol. 1994;34:459-464.

Shils ME, Olson JA, Shike M, Ross AC. Modern Nutrition in Health and Disease. 9th ed. Baltimore, Md: Williams & Wilkins; 1999:1274-1277.

Shoskes DA, Zeitlin SI, Shahed A, Rajfer J. Quercetin in men with category III chronic prostatitis: a preliminary prospective, double-blind, placebo-controlled trial. Urology. 1999;54(6):960-963.

Thornhill SM, Kelly AM. Natural treatment of perennial allergic rhinitis. Alt Med Rev. 2000;5(5):448-454.

Trcihopoulou A, Katsouyanni K, Stuver S, Tzala L, Cnardellis C, Rimm E, Trichopoulos D. Consumption of olive oil and specific food groups in relation to breast cancer risk in Greece. J National Cancer Inst. 1995;87(2):110-116.

Van Golde PH, Sloots LM, Vermeulen WP, et al. The role of alcohol in the anti low density lipoprotein oxidation activity of red wine. Atherosclerosis. 1999;147(2):365-370.

Werbach MR. Nutritional Influences on Illness. 2nd ed. Tarzana, Calif: Third Line Press; 1993:179, 259, 267, 389.

Xing N, Chen Y, Mitchell SH, Young CY. Quercetin inhibits the expression and function of the androgen receptor in LNCaP prostate cancer cells. Carcinogenesis. 2001;22(3):409-414.

Young JF, Nielsen SE, Haraldsdottir J, et al. Effect of fruit juice intake on urinary quercetin excretion and biomarkers of antioxidative status. Am J Clin Nutr. 1999; 69(1):87-94.

Review Date: 9/23/2007
Reviewed By: Steven D. Ehrlich, NMD, private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Asthma
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Breast cancer
Cataracts
Colorectal cancer
Diarrhea
Fibromyalgia
Hypercholesterolemia
Lung cancer
Macular degeneration
Prostate cancer
Prostatitis
Rheumatoid arthritis
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