Berberine
This article provides general nutrition information only and is not medical advice.

Overview
Berberine is a chemical found in several plants including European barberry, goldenseal, goldthread, Oregon grape, phellodendron, and tree turmeric.
Berberine is most commonly taken by mouth for diabetes, high levels of lipid balance or other fats (lipids) in the blood (hyperlipidemia), and high cardiovascular health. It is also applied to the skin to support burns and canker sores, but there is no good scientific evidence to support these uses.
Classification
Is a Form Of:
Chemical found in plants
Primary Functions:
Diabetes, lipid balance
Also Known As:
Alcaloïde de Berbérine, Berberina, Berbérine, Berberine Alkaloid, Berberine Complex,
How Does It Work?
Berberine might cause stronger heartbeats. This might help people with certain heart conditions. Berberine might also help regulate how the body uses sugar in the blood. This might help people with diabetes. It also might also be able to kill bacteria and reduce swelling.
Uses
- Canker sores. Research shows that applying a gel containing berberine can reduce pain, redness, oozing, and the size of ulcers in people with canker sores.
- Diabetes. Berberine seems to slightly reduce blood sugar levels in people with diabetes. Also, some early research suggests that taking 500 mg of berberine 2-3 times daily for up to 3 months might control blood sugar as effectively as metformin or rosiglitazone.
- High levels of lipid balance or other fats (lipids) in the blood (hyperlipidemia). Berberine might help lower lipid balance levels in people with high lipid balance. Taking berberine for up to 2 years seems to reduce total lipid balance, low-density lipoprotein (LDL or "bad") lipid balance, and triglyceride levels in people with high lipid balance. When compared with standard lipid balance-lowering medications, berberine appears to cause similar changes in total lipid balance, LDL lipid balance, and high-density lipoprotein (HDL or "good") lipid balance, and it might be better at reducing triglyceride levels.
- High cardiovascular health. Taking 0.9 grams of berberine per day along with the cardiovascular health-lowering drug amlodipine reduces systolic cardiovascular health (the top number) and diastolic cardiovascular health (the bottom number) better than taking amlodipine alone in people with high cardiovascular health.
- A hormonal imbalance that causes enlarged ovaries with cysts (polycystic ovary syndrome or PCOS). Research shows that berberine can lower blood sugar, improve lipid balance and triglyceride levels, reduce testosterone levels, and lower waist-to-hip ratio in women with PCOS. Berberine may even lower blood sugar levels similar to metformin and may improve lipid balance levels better than metformin. It is unclear if berberine increases pregnancy rates or live birth rates in women with PCOS.
Recommended Dosing
ADULTS
BY MOUTH:
- For diabetes: 0.9-1.5 grams of berberine has been taken in divided doses daily for 2-4 months.
- For high levels of lipid balance or other fats (lipids) in the blood (hyperlipidemia): 0.6-1.5 grams of berberine has been taken in divided doses daily for 6 to 24 months. Combination products containing 500 mg of berberine, 10 mg of policosanol, and 200 mg of red yeast rice, along with other ingredients, have been taken daily for up to 12 months.
- For high cardiovascular health: 0.9 grams of berberine has been taken daily for 2 months.
- For a hormonal imbalance that causes enlarged ovaries with cysts (polycystic ovary syndrome or PCOS): 1.5 grams of berberine has been taken daily for 3-6 months.
APPLIED TO THE SKIN:
- For canker sores: Gel containing 5 mg of berberine per gram has been applied four times per day for 5 days.
Berberine Supplements Frequently Asked Questions
What does berberine do for the body?
A compound called berberine is one of the most effective natural supplements available. It has very impressive health benefits, and affects your body at the molecular level. Berberine has been shown to lower blood sugar, cause weight loss and improve heart health, to name a few.
What are the side effects of berberine?
Side effects. Most studies have found no serious side effects of berberine. However, it may cause digestive side effects, such as an upset stomach, constipation, or nausea. Berberine can also cause a rash or headache in some people.
Is berberine safe for long term use?
The mechanism for berberine extract is very unclear. For decades it has been a well-researched herbal nutritional support for intestinal immune challenges, like Giardia, but it came with the warning to avoid long-term use due to the potential undesirable and antimicrobial effect in the gut.
What is the best berberine supplement?
Best Berberine Supplements
- Nutrivein Premium Berberine.
- Purely Optimal Premium Berberine Supplement.
- N1 Nutrition Premium Berberine.
Is berberine bad for liver?
It is normally removed by the liver. Berberine may keep the liver from removing bilirubin fast enough. This can cause brain problems, especially in infants with high levels of bilirubin in the blood. Avoid using.
Is berberine toxic to the liver?
The toxicity of pure compound is greater than the toxicity of plant extract or plant extract fractions. The sub-acute concentrations of berberine lead to altered liver function, gastric troubles, hepato and hematotoxicity, hemorrhagic inflammatory consequences, damage to immune cells and induced apoptosis.
Does berberine kill viruses?
Berberine also kills herpes simplex virus, which is often treated with the prescription drug acyclovir. Berberine protects neurons in your brain and reduces physical strain, so it helps with a traumatic brain injury.
Can berberine cause weight gain?
Berberine may also be effective as a weight loss supplement. So far, two studies have examined the effects on body weight. In a 12-week study in obese individuals, 500 mg taken three times per day caused about 5 pounds of weight loss, on average.
Is berberine bad for kidneys?
Berberine (BBR) has been shown to have antifibrotic effects in liver, kidney and lung. We found that BBR nutritional support attenuated renal fibrosis by activating the nuclear factor-erythroid 2-related factor 2 (Nrf2) signaling pathway in the diabetic kidneys.
Is turmeric a berberine?
Share on Pinterest Berberine, which is a compound in tree turmeric, is an effective antimicrobial agent. Berberine could be an effective antimicrobial agent. A laboratory study found that berberine helped inhibit the growth of Staphylococcus aureus.
Which is better metformin or berberine?
Berberine, an isoquinoline alkaloid derived from medicinal herbs including Coptis chinensis and Hydrastis canadensis (Goldenseal), has been found in previous studies of type 2 diabetic patients to have hypoglycemic effects comparable to those of metformin at the same dosage (500 mg 3 times/day).
Can berberine be toxic?
The toxicity of pure compound is greater than the toxicity of plant extract or plant extract fractions. The sub-acute concentrations of berberine lead to altered liver function, gastric troubles, hepato and hematotoxicity, hemorrhagic inflammatory consequences, damage to immune cells and induced apoptosis.
What foods contain berberine?
Berberine is a chemical found in several plants including European barberry, goldenseal, goldthread, Oregon grape, phellodendron, and tree turmeric. Berberine is most commonly taken by mouth for diabetes, high levels of lipid balance or other fats (lipids) in the blood (hyperlipidemia), and high cardiovascular health.
What is the best way to take berberine?
It is common to take 500 mg, 3 times per day, before meals (a total of 1500 mg per day). Berberine has a half-life of several hours, so it is necessary to spread your dosage to several times per day to achieve stable blood levels.
What is the best time of day to take berberine?
Bottom Line: A common dosage recommendation is 500 mg, 3 times per day, half an hour before meals. Berberine may cause digestive side effects in some people.
Will berberine keep me awake?
Berberine might cause sleepiness and drowsiness. Medications that cause sleepiness are called sedatives. Taking berberine along with sedative medications might cause too much sleepiness.
s berberine good for fatty liver?
Berberine is a plant compound that has been shown to significantly reduce blood sugar, insulin and lipid balance levels, along with other health markers. Several studies also suggest that it may benefit people with fatty liver.
What bacteria does berberine kill?
Besides repressing or killing harmful gut bacteria, berberine has some positive effect on beneficial gut microbiota, such as Bifidobacterium adolescentis and Lactobacillus acidophilus.
What drugs interact with berberine?
Taking berberine along with medications that also slow clotting might increase the chances of bruising and bleeding. Some medications that slow blood clotting include aspirin, cilostazol (Pletal), clopidogrel (Plavix), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid), and others.
Can berberine cause low mood?
7 Wang et al reported that berberine could easily cross the blood‐brain barrier on systemic administration14 and recent studies show that berberine has a protective effect on central nervous system imbalances, such as Alzheimer's, cerebral ischaemia, mental low mood, schizophrenia, and stress.
Is berberine an plant compounds?
Berberine, a natural isoquinoline alkaloid isolated from the berberis species, has a wide array of biological properties such as anti‐inflammatory, botanical compounds, antifungal, and antihelminthic effects. We evaluated the plant compounds effect of berberine against influenza A/FM1/1/47 (H1N1) in vivo and in vitro.
How long does it take berberine to start working?
How long before I can expect to see results with Berberine? Dr. Whitaker has noted that some people might see an improvement in fasting glucose after about 2 weeks of taking Berberine, however everyone is different.
Is berberine joint comfort?
Some research suggests that berberine has joint comfort properties, which means that it could help support diabetes and other physical strain-related health conditions.
How long can you safely take berberine?
Diabetes. Berberine seems to slightly reduce blood sugar levels in people with diabetes. Also, some early research suggests that taking 500 mg of berberine 2-3 times daily for up to 3 months might control blood sugar as effectively as metformin or rosiglitazone.
Clinical Studies
- ^ a b c d e f g Effects of a nutraceutical combination on left ventricular remodeling and vasoreactivity in subjects with the metabolic syndrome.
- ^ a b c d Cicero AF, Rovati LC, Setnikar I. Eulipidemic effects of berberine administered alone or in combination with other natural lipid balance-lowering agents. A single-blind clinical investigation. Arzneimittelforschung. (2007)
- ^ a b Marazzi G, et al. Long-term effects of nutraceuticals (berberine, red yeast rice, policosanol) in elderly hyperlipid balanceemic patients. Adv Ther. (2011)
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- ^ Cernáková M, Kostálová D. Antimicrobial activity of berberine--a constituent of Mahonia aquifolium. Folia Microbiol (Praha). (2002)
- ^ Sheng WD, et al. Nutritional support of chloroquine-resistant malaria using pyrimethamine in combination with berberine, tetracycline or cotrimoxazole. East Afr Med J. (1997)
- ^ Kaneda Y, et al. In vitro effects of berberine sulphate on the growth and structure of Entamoeba histolytica, Giardia lamblia and Trichomonas vaginalis. Ann Trop Med Parasitol. (1991)
- ^ Ghosh AK, Bhattacharyya FK, Ghosh DK. Leishmania donovani: amastigote inhibition and mode of action of berberine. Exp Parasitol. (1985)
- ^ Kaneda Y, Tanaka T, Saw T. Effects of berberine, a plant alkaloid, on the growth of anaerobic protozoa in axenic culture. Tokai J Exp Clin Med. (1990)
- ^ Grycová L, Dostál J, Marek R. Quaternary protoberberine alkaloids. Phytochemistry. (2007)
- ^ a b c Singh IP, Mahajan S. Berberine and its derivatives: a patent review (2009 - 2012). Expert Opin Ther Pat. (2012)
- ^ Krivogorsky B, et al. Structure-activity studies of some berberine analogs as inhibitors of Toxoplasma gondii. Bioorg Med Chem Lett. (2012)
- ^ Avula B, Wang YH, Khan IA. Quantitative determination of alkaloids from roots of Hydrastis canadensis L. and dietary supplements using ultra-performance liquid chromatography with UV detection. J AOAC Int. (2012)
- ^ a b Chen J, et al. Analysis of major alkaloids in Rhizoma coptidis by capillary electrophoresis-electrospray-time of flight mass spectrometry with different background electrolytes. Electrophoresis. (2008)
- ^ a b c d Tillhon M, et al. Berberine: new perspectives for old remedies. Biochem Pharmacol. (2012)
- ^ a b Wang JR, et al. Formation and conformation of baicalin-berberine and wogonoside-berberine complexes. Chem Pharm Bull (Tokyo). (2012)
- ^ a b c d e f g Turner N, et al. Berberine and its more biologically available derivative, dihydroberberine, inhibit mitochondrial respiratory complex I: a mechanism for the action of berberine to activate AMP-activated protein kinase and improve insulin action. Diabetes. (2008)
- ^ a b Cheng Z, et al. 8,8-Dimethyldihydroberberine with improved bioavailability and oral efficacy on obese and diabetic mouse models. Bioorg Med Chem. (2010)
- ^ Subeki, et al. Antibabesial activity of protoberberine alkaloids and 20-hydroxyecdysone from Arcangelisia flava against Babesia gibsoni in culture. J Vet Med Sci. (2005)
- ^ Schramm A, et al. HERG channel inhibitors in extracts of Coptidis rhizoma. Planta Med. (2011)
- ^ Zhang TT, et al. CPU 86017, p-chlorobenzyltetrahydroberberine chloride, attenuates monocrotaline-induced pulmonary hypertension by suppressing endothelin pathway. Acta Pharmacol Sin. (2005)
- ^ Gao J, et al. Raisanberine protected pulmonary arterial rings and cardiac myocytes of rats against hypoxia injury by suppressing NADPH oxidase and calcium influx. Acta Pharmacol Sin. (2012)
- ^ a b c d Pan GY, et al. Inhibitory action of berberine on glucose absorption. Yao Xue Xue Bao. (2003)
- ^ Maeng HJ, et al. P-glycoprotein-mediated transport of berberine across Caco-2 cell monolayers. J Pharm Sci. (2002)
- ^ a b Chen W, et al. Bioavailability study of berberine and the enhancing effects of TPGS on intestinal absorption in rats. AAPS PharmSciTech. (2011)
- ^ Pan GY, et al. The involvement of P-glycoprotein in berberine absorption. Pharmacol Toxicol. (2002)
- ^ a b c Chae HW, et al. Effect of ion-pair formation with bile salts on the in vitro cellular transport of berberine. Arch Pharm Res. (2008)
- ^ Tsai P, Tsai TH. Simultaneous determination of berberine in rat blood, liver and bile using microdialysis coupled to high-performance liquid chromatography. J Chromatogr A. (2002)
- ^ a b Qiu W, et al. Effect of berberine on the pharmacokinetics of substrates of CYP3A and P-gp. Phytother Res. (2009)
- ^ Zhang X, et al. Intestinal absorption mechanisms of berberine, palmatine, jateorhizine, and coptisine: involvement of P-glycoprotein. Xenobiotica. (2011)
- ^ Hwang YH, et al. Effects of berberine and hwangryunhaedok-tang on oral bioavailability and pharmacokinetics of ciprofloxacin in rats. Evid Based Complement Alternat Med. (2012)
- ^ Shan YQ, et al. Berberine analogue IMB-Y53 improves glucose-lowering efficacy by averting cellular efflux especially P-glycoprotein efflux. Metabolism. (2012)
- ^ a b c d Di Pierro F, et al. Pilot study on the additive effects of berberine and oral type 2 diabetes agents for patients with suboptimal glycemic control. Diabetes Metab Syndr Obes. (2012)
- ^ Zhou Y, et al. Drug-drug interactions between ketoconazole and berberine in rats: pharmacokinetic effects benefit pharmacodynamic synergism. Phytother Res. (2012)
- ^ Reversible Increase in Tight Junction Permeability to Macromolecules in Rat Ileal Mucosa In Vitro by Sodium Caprate, a Constituent of Milk Fat.
- ^ a b c d e Zhang M, et al. Sodium caprate augments the hypoglycemic effect of berberine via AMPK in inhibiting hepatic gluconeogenesis. Mol Cell Endocrinol. (2012)
- ^ a b c d Enhancement of Sodium Caprate on Intestine Absorption and Antidiabetic Action of Berberine.
- ^ Fan D, et al. Enhancement by sodium caprate and sodium deoxycholate of the gastrointestinal absorption of berberine chloride in rats. Drug Dev Ind Pharm. (2012)
- ^ a b Zhang Y, et al. Nutritional support of type 2 diabetes and dyslipidemia with the natural plant alkaloid berberine. J Clin Endocrinol Metab. (2008)
- ^ Khin-Maung-U, et al. Clinical trial of berberine in acute watery diarrhoea. Br Med J (Clin Res Ed). (1985)
- ^ Khan AY, Hossain M, Kumar GS. Binding of plant alkaloids berberine and palmatine to serum albumins: a thermodynamic investigation. Mol Biol Rep. (2013)
- ^ Hazra S, Hossain M, Suresh Kumar G. Binding of isoquinoline alkaloids berberine, palmatine and coralyne to hemoglobin: structural and thermodynamic characterization studies. Mol Biosyst. (2013)
- ^ a b Wang YX, et al. Synthesis and structure-activity relationship of berberine analogues in LDLR up-regulation and AMPK activation. Bioorg Med Chem. (2012)
- ^ a b c d e f Li Y, et al. Bioactivities of berberine metabolites after transformation through CYP450 isoenzymes. J Transl Med. (2011)
- ^ a b Zuo F, et al. Pharmacokinetics of berberine and its main metabolites in conventional and pseudo germ-free rats determined by liquid chromatography/ion trap mass spectrometry. Drug Metab Dispos. (2006)
- ^ a b c Qiu F, et al. Isolation and identification of urinary metabolites of berberine in rats and humans. Drug Metab Dispos. (2008)
- ^ Pan JF, et al. Identification of three sulfate-conjugated metabolites of berberine chloride in healthy volunteers' urine after oral administration. Acta Pharmacol Sin. (2002)
- ^ Virtanen P, et al. Natural protoberberine alkaloids from Enantia chlorantha, palmatine, columbamine and jatrorrhizine for thioacetamide-traumatized rat liver. Acta Anat (Basel). (1988)
- ^ a b c Zhao Y, et al. The in vitro inhibition of human CYP1A2, CYP2D6 and CYP3A4 by tetrahydropalmatine, neferine and berberine. Phytother Res. (2012)
- ^ a b