Plant Comparison

Bearberry vs Cleavers

A side-by-side comparison of two medicinal plants — every documented constituent, action, use, safety note and cited source, assembled automatically from the Omnia Sana database.

First plant
Second plant
Show:
Plant ABearberryArctostaphylos uva-ursiEricaceaeFull monograph →
Plant BCleaversGalium aparineRubiaceaeFull monograph →

At a glance

Bearberry and Cleavers: they share 6 indicated uses (cancer (anticancer research), infection (general), skin irritation, …); 2 pharmacological actions in common.

BearberryCleavers
Constituents33
Pharmacological actions46
Indicated uses79
Safety notes31
Cited sources2115
Indicated uses
Only Bearberry
Diarrhoea
Shared (6)
Cancer (anticancer research)Infection (general)Skin irritationUrinary supportUrinary tract infection (UTI)Wounds
Only Cleavers
BruisingEczemaSwelling / fluid retention
Pharmacological actions
Only Bearberry
AstringentUrinary antiseptic
Shared (2)
Anticancer (preclinical)Antimicrobial
Only Cleavers
AntioxidantDiureticEmollient / skin-soothingVulnerary (wound healing)

Evidence face-off — shared uses

ConditionBearberryCleaversVerdict
Cancer (anticancer research)2/102/10Comparable evidence
Infection (general)6/101/10Stronger for Bearberry
Skin irritation1/101/10Comparable evidence
Urinary support6/101/10Stronger for Bearberry
Urinary tract infection (UTI)6/101/10Stronger for Bearberry
Wounds6/101/10Stronger for Bearberry

Evidence scores (1–10) are computed from the tier of each cited source. “Comparable” means the two scores are within one point. Follow a score to its detailed sources.

Key Constituents

Arbutin (and methylarbutin)[6, 7, 9, 11, 12, 13]

Hydroquinone glycoside; hydrolysed and excreted as antibacterial hydroquinone in the urine.

Glycosides
Tannins (gallotannins)[11, 14]

Up to ~20%; responsible for the astringency and for gastric irritation at high doses.

Tannins
Flavonoids and phenolic acids[4, 5, 6, 14, 15]

Antioxidant constituents of the leaf.

Phenolic acidsFlavonoids
Iridoid glycosides (asperuloside)[6]

Characteristic Rubiaceae iridoids shared with related bedstraws, contributing to the plant's traditional activity.

Iridoid glycosidesGlycosides
Flavonoids and phenolic acids[6]

Antioxidant constituents supporting the plant's antimicrobial and wound-healing activity.

FlavonoidsPhenolic acids
Tannins

Astringent constituents contributing to the traditional topical use for skin and wounds.

Tannins

Pharmacological Actions

Anticancer (preclinical)[16, 17]

Arbutin, the hydroquinone glucoside characteristic of bearberry (Arctostaphylos uva-ursi), shows antiproliferative and pro-apoptotic activity across multiple cancer types (preclinical).

Antimicrobial[1, 7, 10, 11, 12, 18, 19]

Antibacterial in the urinary tract (arbutin is converted to antibacterial hydroquinone, favoured by alkaline urine); Urinary antiseptic for mild, uncomplicated lower urinary tract infection / cystitis (short-term)

Astringent[11, 14]

Astringent (tannins)

Urinary antiseptic[7, 11, 12, 18, 19]

Antibacterial in the urinary tract (arbutin is converted to antibacterial hydroquinone, favoured by alkaline urine); Urinary antiseptic for mild, uncomplicated lower urinary tract infection / cystitis (short-term)

Anticancer (preclinical)[8, 10]
Antimicrobial[6, 12, 13, 14]
Antioxidant[6, 9, 12, 13, 14]
Diuretic[12, 13, 14]
Emollient / skin-soothing[12, 13, 14]
Vulnerary (wound healing)[6, 11, 12, 13, 14]

Traditional & Indicated Uses

Cancer (anticancer research)[16, 17]Traditional · 2/10

The bearberry constituent arbutin suppresses osteosarcoma proliferation, migration and invasion via miR-338-3p/MTHFD1L and AKT/mTOR inactivation, and has documented anticancer potential against bladder, breast, colon, liver and other cancers (preclinical).

Evidence: 2
Label: Cancer (anticancer research)
Diarrhoea[11, 14]Traditional · 1/10

inferred from astringent action

Evidence: 1
Label: Diarrhoea
Infection (general)[7, 11, 18, 19]Moderate · 6/10

Urinary antiseptic for mild, uncomplicated lower urinary tract infection / cystitis (short-term)

Evidence: 6
Label: Infection (general)
Skin irritation[11, 14]Traditional · 1/10

inferred from astringent action

Evidence: 1
Label: Skin irritation
Urinary support[7, 8, 11, 12, 18, 19]Moderate · 6/10

inferred from urinary-antiseptic action

Evidence: 6
Label: Urinary support
Urinary tract infection (UTI)[7, 11, 12, 18, 19]Moderate · 6/10

Antibacterial in the urinary tract (arbutin is converted to antibacterial hydroquinone, favoured by alkaline urine); Urinary antiseptic for mild, uncomplicated lower urinary tract infection / cystitis (short-term)

Evidence: 6
Label: Urinary tract infection (UTI)
Wounds[7, 11, 12, 18, 19]Moderate · 6/10

inferred from antimicrobial action

Evidence: 6
Label: Wounds
Bruising[12, 13, 14]Traditional · 1/10

inferred from vulnerary action

Evidence: 1
Label: Bruising
Cancer (anticancer research)[8, 10]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Eczema[12, 13, 14]Traditional · 1/10

inferred from emollient action

Evidence: 1
Label: Eczema
Infection (general)[12, 13, 14]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Infection (general)
Skin irritation[12, 13, 14]Traditional · 1/10

inferred from emollient action

Evidence: 1
Label: Skin irritation
Swelling / fluid retention[12, 13, 14]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Swelling / fluid retention
Urinary support[12, 13, 14]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Urinary support
Urinary tract infection (UTI)[12, 13, 14]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Urinary tract infection (UTI)
Wounds[12, 13, 14]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Wounds

Safety, Cautions & Contraindications

Safety note[11]Info

Short-term use only: not for more than 1 week at a time and not more than about 5 times per year. If symptoms persist beyond ~4 days, worsen, or are accompanied by fever, blood in the urine or pain, seek medical care.

Safety note[11]Caution

Contraindicated in pregnancy and breastfeeding and not for use in children or adolescents under 18 years.

Safety note[7, 11, 12]Serious

Works best when the urine is alkaline; avoid taking with substances that acidify the urine. The hydroquinone released can be irritant/potentially hepatotoxic, so prolonged or repeated use must be avoided.

Safety note[12, 13, 14, 15]Caution

Duke (2002) describes cleavers as a diuretic, lymph tonic, and depurative with experimental support (score 1). The plant has been used in traditional medicine for swollen lymph nodes, urinary complaints, and skin conditions. Diuretic and anti-inflammatory activities are supported experimentally. No Commission E approval. Safety rating is ++ (relatively safe), with no known significant contraindications at usual herbal doses (Duke, 2002).

External Ids

Gbif: 2882580
Wikidata: Q208032
Gbif: 2913548
Wikidata: Q161581

Botanical Description

Low, mat-forming evergreen shrub with trailing, woody stems that root as they spread. The leaves are small, leathery, spatula-shaped (spoon-shaped), glossy dark green above and paler beneath, with a smooth, untoothed margin and a rounded tip. Small, urn-shaped, pink-and-white flowers hang in short clusters in spring, followed by bright red, mealy berries.[11]

Height: 5-30 cm (trailing/prostrate)
Habit: Low, mat-forming, trailing evergreen shrub
Leaves: Small, leathery, spatula-shaped, glossy dark green above, entire (untoothed) margin, rounded tip
Flowers: Small, urn-shaped, pink-and-white, in short drooping clusters
Stem: Trailing, woody, rooting as it spreads
Root: Woody, fibrous roots along trailing stems
Fruit: Bright red, mealy berry
Flowering Period: April-June

Scrambling, sprawling annual herb covered in tiny hooked bristles on its square stems, leaves and seed capsules, allowing it to cling to clothing, fur and neighbouring plants as it climbs ('stickyweed'). The leaves are narrow and lance-shaped, borne in whorls of six to eight. Tiny white, four-petalled flowers give way to small, round, bristly-hooked twin seed capsules ('goosegrass burrs').[6]

Height: Scrambling stems to 1-2 m, supported by other vegetation
Habit: Scrambling, sprawling annual herb, climbing by hooked bristles
Leaves: Narrow, lance-shaped, in whorls of 6-8, with hooked bristles on the margins
Flowers: Tiny, white, four-petalled
Stem: Square-sectioned, weak, covered in tiny hooked bristles
Root: Shallow, fibrous root system
Fruit: Small, round, bristly-hooked twin nutlet, clinging to fur and clothing
Flowering Period: May-September

Habitat

Grows on dry, acidic, sandy or rocky ground in open woodland, heath, moorland and mountain slopes across the northern hemisphere (Europe, Asia and North America), often in exposed, cold, upland or subarctic sites.[11]

A common scrambling weed of hedgerows, waste ground, gardens and field margins, climbing over other vegetation for support; native to Europe, Asia and North Africa and widely naturalised elsewhere.[6]

Harvesting

The leaves are gathered in autumn to early spring (outside the flowering and fruiting season), when arbutin content is at its highest, and dried carefully to preserve the glycoside.[11]

Parts: Leaf
Season: Autumn to early spring

The whole aerial plant (leaf, stem and seed) is cut in spring to early summer, before the fruit fully hardens, and used fresh (as juice) or dried.

Parts: Leaf, Seed, Stem
Season: Spring to early summer

Traditional Uses

Bearberry leaf is a long-established European folk and official (EU herbal monograph) remedy for mild, uncomplicated lower urinary tract infections and cystitis, used short-term as a urinary antiseptic; it has also been used traditionally as an astringent for mild diarrhoea.[11]

Cleavers has a long European folk history as a lymphatic and diuretic 'spring tonic' herb, traditionally used to support the urinary system and lymphatic drainage, and topically as a soothing, emollient wash or poultice for skin irritation, wounds and minor swellings.[6]

Preparations

Cold infusion (maceration)[11]

Dried leaf macerated in cold water for several hours, which extracts less tannin (reducing gastric irritation) than a hot infusion; the preferred traditional preparation.

Infusion/decoction[11]

Dried leaf infused or lightly decocted in hot water; alkalinising the urine (e.g. with dietary measures) is traditionally recommended alongside use, since arbutin's antibacterial action requires alkaline urine.

Fresh juice[6]

Fresh aerial parts crushed or juiced, traditionally taken as a spring tonic or applied topically to skin irritation and wounds.

Poultice/wash[6]

Crushed fresh herb or a strained infusion applied topically as a wash or poultice for skin irritation and minor wounds.

Dosage

Infusion[11]

The EU herbal monograph describes traditional use of about 3 g dried leaf per cup, up to four times daily, for no more than one week at a time and no more than about five times a year. Educational reference only, not a prescription.

Not documented

References

REF-2370, REF-2371, REF-2372, REF-2373, REF-2374, REF-2375, REF-0406, REF-2376, REF-2377, REF-2378
REF-0818, REF-0819, REF-0820, REF-1718, REF-1719, REF-1720, REF-1721, REF-1722, REF-1723, REF-1724, REF-1725

Lookalikes Review

Outcome: has-lookalikes
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07
Outcome: none-known
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

Dangerous Lookalikes

Safety note[20, 21]Dangerous
Dangerous Plant: buxus-sempervirens
Confused Part: Small leathery evergreen leaves gathered as the medicinal 'uva-ursi'; the poisonous leaves of box look similar and have been used to adulterate bearberry.
Confusion Context: Bearberry (Arctostaphylos uva-ursi) leaves are collected as a urinary herb. As documented in pharmacognosy, during collection bearberry is commonly confused with cowberry (edible) and with box (Buxus sempervirens), and poisonous box - which lacks bearberry's active arbutin - has occasionally been used to adulterate the drug. Box leaves are poisonous, containing steroidal alkaloids that cause vomiting, diarrhoea, dizziness and, in quantity, convulsions and respiratory failure. Because the small leathery evergreen leaves are similar, box is a genuine toxic adulterant/look-alike of bearberry.
Distinguishing Features: Leaf apex (decisive): bearberry leaves are spatulate with an entire (untoothed) margin and a rounded apex. Box leaves have a small notch cut out at the tip (emarginate)., Leaf underside: box leaves have a loose, separable epidermis on the underside and lack the astringency of bearberry; bearberry leaves are firm and astringent with a net of sunken veins., Source: buy uva-ursi only from suppliers who authenticate the leaf, since adulteration with box cannot be judged casually.
Key Test: Check the leaf tip. Bearberry leaves are spoon-shaped with a smooth margin and a ROUNDED tip. A leaf with a notch cut out of the tip (and a loose skin on the underside) is box - poisonous, not bearberry. Use only authenticated uva-ursi.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

Not documented

References & Sources

  1. Dell'Annunziata, F. and Cometa, S. and Della Marca, R. and Busto, F. and Folliero, V. and Franci, G. and Galdiero, M. and De Giglio, E. and De Filippis, A (2022) 'In Vitro Antibacterial and Anti-Inflammatory Activity of Arctostaphylos uva-ursi Leaf Extract against Cutibacterium acnes', Pharmaceutics, 14(9), pp. 1952. doi:10.3390/pharmaceutics14091952 Preclinical
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  2. de Arriba, S.G. and Naser, B. and Nolte, K.U (2013) 'Risk assessment of free hydroquinone derived from Arctostaphylos uva-ursi folium herbal preparations', International Journal of Toxicology, 32(6), pp. 442-453. doi:10.1177/1091581813507721 Preclinical
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  3. Kravchenko, G. and Krasilnikova, O. and Raal, A. and Mazen, M. and Chaika, N. and Kireyev, I. and Grytsyk, A. and Koshovyi, O (2022) 'Arctostaphylos uva-ursi L. leaves extract and its modified cysteine preparation for the management of insulin resistance: chemical analysis and bioactivity', Natural Products and Bioprospecting, 12(1), pp. 30. doi:10.1007/s13659-022-00352-1 Preclinical
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  4. Sugier, P. and Seczyk, L. and Sugier, D. and Krawczyk, R. and Wojcik, M. and Czarnecka, J. and Okon, S. and Plak, A (2021) 'Chemical Characteristics and Antioxidant Activity of Arctostaphylos uva-ursi L. Spreng. at the Southern Border of the Geographical Range of the Species in Europe', Molecules, 26(24), pp. 7692. doi:10.3390/molecules26247692 Preclinical
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  5. Sugier, P. and Seczyk, L. and Sugier, D (2022) 'Variation in Population and Solvents as Factors Determining the Chemical Composition and Antioxidant Potential of Arctostaphylos uva-ursi (L.) Spreng. Leaf Extracts', Molecules, 27(7), pp. 2247. doi:10.3390/molecules27072247 Preclinical
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  11. European Medicines Agency (HMPC) (2018) 'European Union herbal monograph on Arctostaphylos uva-ursi (L.) Spreng., folium (Uvae ursi folium)'. Available at: https://www.ema.europa.eu/en/medicines/herbal/uvae-ursi-folium Traditional / reference
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  12. Braga, V.C.C., Pianetti, G.A. and Cesar, I.C (2020) 'Comparative stability of arbutin in Arctostaphylos uva-ursi by a new comprehensive stability-indicating HPLC method', Phytochemical Analysis, 31(6), pp. 884--891. doi:10.1002/pca.2953 Preclinical
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  13. Qin, D., Liu, J., Guo, W., Ju, T., Fu, S., Liu, D. and Hu, G (2024) 'Arbutin alleviates intestinal colitis by regulating neutrophil extracellular traps formation and microbiota composition', Phytomedicine. doi:10.1016/j.phymed.2024.155741 Preclinical
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  14. ESCOP (European Scientific Cooperative on Phytotherapy) (n.d.) 'Uvae ursi folium (Bearberry Leaf) monograph', pp. com. Available at: https://www.escop.com/downloads/bearberry-leaf/ Traditional / reference
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  15. Zhang, B., Zeng, M., Li, B., Kan, Y., Wang, S., Cao, B. and others (2021) 'Arbutin attenuates LPS-induced acute kidney injury by inhibiting inflammation and apoptosis via the PI3K/Akt/Nrf2 pathway', Phytomedicine. doi:10.1016/j.phymed.2021.153466 Preclinical
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  16. Nahar, L. and Al-Groshi, A. and Kumar, A. and Sarker, S.D (2022) 'Arbutin: Occurrence in Plants, and Its Potential as an Anticancer Agent', Molecules, 27(24), pp. 8786. doi:10.3390/molecules27248786 Preclinical
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  17. Wang, C.-Q. and Wang, X.-M. and Li, B.-L. and Zhang, Y.-M. and Wang, L (2020) 'Arbutin suppresses osteosarcoma progression via miR-338-3p/MTHFD1L and inactivation of the AKT/mTOR pathway', FEBS Open Bio, 11(1), pp. 289-299. doi:10.1002/2211-5463.13024 Preclinical
    https://doi.org/10.1002/2211-5463.13024
  18. Gagyor, I., Hummers, E., Schmiemann, G., Friede, T., Pfeiffer, S., Afshar, K. and Bleidorn, J (2021) 'Herbal treatment with uva ursi extract versus fosfomycin in women with uncomplicated urinary tract infection in primary care: a randomized controlled trial', Clinical Microbiology and Infection, 27(10), pp. 1441--1447. doi:10.1016/j.cmi.2021.05.032 Randomized trial
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  19. Moore, M., Trill, J., Simpson, C., Webley, F., Radford, M., Stanton, L. and others (2019) 'Uva-ursi extract and ibuprofen as alternative treatments for uncomplicated urinary tract infection in women (ATAFUTI): a factorial randomized trial', Clinical Microbiology and Infection, 25(8), pp. 973--980. doi:10.1016/j.cmi.2019.01.011 Randomized trial
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  20. ScienceDirect Topics (pharmacognosy) 'Arctostaphylos Uva-Ursi - an overview'. Available at: https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/arctostaphylos-uva-ursi Traditional / reference
    https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/arctostaphylos-uva-ursi
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    https://plants.ces.ncsu.edu/plants/buxus-sempervirens/
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Generated automatically from the Omnia Sana plant database and its cited sources. For educational purposes only — not medical advice. Always consult a qualified practitioner before using medicinal plants.