Plant Comparison

Fireweed vs Milk Thistle

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 AFireweedChamerion angustifoliumOnagraceaeFull monograph →
Plant BMilk ThistleSilybum marianumAsteraceaeFull monograph →

At a glance

Fireweed and Milk Thistle: they share 5 indicated uses (arthritis / joint pain, bloating, indigestion, …); 3 pharmacological actions in common.

FireweedMilk Thistle
Constituents32
Pharmacological actions56
Indicated uses810
Safety notes22
Cited sources1917
Indicated uses
Only Fireweed
BruisingInfection (general)Wounds
Shared (5)
Arthritis / joint painBloatingIndigestionInflammation (general)Skin irritation
Only Milk Thistle
Blood sugar / diabetes supportCancer (anticancer research)Detox / cleansingLiver supportMetabolic support
Pharmacological actions
Only Fireweed
AntimicrobialVulnerary (wound healing)
Shared (3)
Anti-inflammatoryAntioxidantDigestive aid
Only Milk Thistle
Anticancer (preclinical)Antidiabetic (blood-sugar lowering)Hepatoprotective (liver support)

Evidence face-off — shared uses

ConditionFireweedMilk ThistleVerdict
Arthritis / joint pain2/105/10Stronger for Milk Thistle
Bloating2/105/10Stronger for Milk Thistle
Indigestion2/105/10Stronger for Milk Thistle
Inflammation (general)2/105/10Stronger for Milk Thistle
Skin irritation2/105/10Stronger for Milk Thistle

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

Tannins (oenothein B and related ellagitannins)[1]

Astringent ellagitannins, notably oenothein B, are associated with the plant's traditional anti-inflammatory and prostate-supportive reputation in the related Epilobium species.

Tannins
Flavonoids and phenolic acids[4]

Antioxidant polyphenols retained even after simulated digestion of the infusion.

FlavonoidsPhenolic acids
Triterpenoids[1]

Minor triterpenoid constituents contributing to the plant's bioactivity.

Terpenes / terpenoids
Silymarin (a flavonolignan complex)[12, 13]

The active complex; silybin (silibinin) is the most active component, with silydianin and silychristin.

Silymarin (silybin)
Flavonoids[13]

Additional antioxidant constituents of the seed.

Flavonoids

Pharmacological Actions

Anti-inflammatory[1, 5, 9, 10, 12, 13, 14, 15, 16]
Antimicrobial[5, 6, 8, 12, 13, 14, 15, 16]
Antioxidant[4, 6, 7, 9, 10, 12, 13, 14, 15, 16]
Digestive aid[12, 13, 14, 15, 16]
Vulnerary (wound healing)[1, 12, 13, 14, 15, 16]
Anti-inflammatory[11, 12, 13]

Anti-inflammatory and antioxidant

Anticancer (preclinical)[5, 13]
Antidiabetic (blood-sugar lowering)[10, 14]

Improves glycemic control in type 2 diabetes - lowers fasting blood glucose and HbA1c

Antioxidant[2, 6, 12, 13]

Anti-inflammatory and antioxidant; Hepatoprotective / liver support (protects liver cells, antioxidant and antifibrotic)

Digestive aid[12]

Digestive support / mild dyspepsia (traditional)

Hepatoprotective (liver support)[1, 2, 3, 4, 6, 7, 9, 12, 13, 15]

Hepatoprotective / liver support (protects liver cells, antioxidant and antifibrotic); May improve liver enzymes and hepatic fat in non-alcoholic fatty liver disease (NAFLD); Supports liver recovery and 'detox' (traditional framing of the hepatoprotective action)

Traditional & Indicated Uses

Arthritis / joint pain[12, 13, 14, 15, 16]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Arthritis / joint pain
Bloating[12, 13, 14, 15, 16]Traditional · 2/10

inferred from digestive action

Evidence: 2
Label: Bloating
Bruising[12, 13, 14, 15, 16]Traditional · 2/10

inferred from vulnerary action

Evidence: 2
Label: Bruising
Indigestion[12, 13, 14, 15, 16]Traditional · 2/10

inferred from digestive action

Evidence: 2
Label: Indigestion
Infection (general)[12, 13, 14, 15, 16]Traditional · 2/10

inferred from antimicrobial action

Evidence: 2
Label: Infection (general)
Inflammation (general)[12, 13, 14, 15, 16]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Inflammation (general)
Skin irritation[12, 13, 14, 15, 16]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Skin irritation
Wounds[12, 13, 14, 15, 16]Traditional · 2/10

inferred from antimicrobial action

Evidence: 2
Label: Wounds
Arthritis / joint pain[12, 13]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Arthritis / joint pain
Bloating[12]Moderate · 5/10

inferred from digestive action

Evidence: 5
Label: Bloating
Blood sugar / diabetes support[14]Good · 7/10

Improves glycemic control in type 2 diabetes - lowers fasting blood glucose and HbA1c

Evidence: 7
Label: Blood sugar / diabetes support
Cancer (anticancer research)[5, 13]Good · 7/10

inferred from anticancer action

Evidence: 7
Label: Cancer (anticancer research)
Detox / cleansing[12]Moderate · 5/10

Supports liver recovery and 'detox' (traditional framing of the hepatoprotective action)

Evidence: 5
Label: Detox / cleansing
Indigestion[12]Moderate · 5/10

Digestive support / mild dyspepsia (traditional)

Evidence: 5
Label: Indigestion
Inflammation (general)[12, 13]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Inflammation (general)
Liver support[12, 13, 15]Good · 8/10

Hepatoprotective / liver support (protects liver cells, antioxidant and antifibrotic); May improve liver enzymes and hepatic fat in non-alcoholic fatty liver disease (NAFLD)

Evidence: 8
Label: Liver support
Metabolic support[14]Good · 7/10

inferred from antidiabetic action

Evidence: 7
Label: Metabolic support
Skin irritation[12, 13]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Skin irritation

Safety, Cautions & Contraindications

Safety note[12, 13, 14, 15, 16]Caution

Generally considered safe at culinary and traditional tea-preparation doses. No major contraindications established for healthy adults in normal use. The young shoots and leaves are widely eaten as a spring vegetable in many cultures without adverse effects. At higher supplemental doses, limited human safety data are available; caution is advised during pregnancy and breastfeeding due to lack of robust safety studies. Tannin content may cause digestive upset or constrain iron absorption at very high doses. Rarely, contact dermatitis has been reported with topical preparations in sensitive individuals (Kozhevnikov and Kozhevnikova, 2021).

Safety note[12, 13, 14, 15, 16, 17]Info

Duke (2002) includes fireweed (Epilobium angustifolium) as ++ with primarily experimental (score 1) evidence. It is used in European phytomedicine as an anti-inflammatory and astringent for gastrointestinal complaints. The related species Epilobium parviflorum has clinical support for benign prostatic hyperplasia (BPH), though data for E. angustifolium specifically is limited. Duke does not note major safety concerns at customary herbal doses (Duke, 2002).

Safety note[12]Info

Very well tolerated, even at high doses; the main effects are mild gastrointestinal upset (nausea, loose stools). As a member of the daisy family (Asteraceae), it can cause allergic reactions in sensitive people.

Safety note[12]Caution

Has a low potential for drug interactions (little effect on liver CYP enzymes), but use caution with medicines that have a narrow therapeutic window. Human pregnancy data are limited, so use cautiously.

External Ids

Gbif: 3188783
Powo: urn:lsid:ipni.org:names:55479-2
Gbif: 3145214
Wikidata: Q193798

Botanical Description

Tall, upright perennial herb spreading by rhizomes, forming large colonies especially on disturbed or burned ground (hence 'fireweed'). The leaves are narrow, lance-shaped, and willow-like, arranged spirally up the stem. Bright pink-purple, four-petalled flowers are borne in a tall, tapering terminal spike (raceme), opening progressively from the base upward as the plant flowers through summer.[1]

Height: 60-200 cm
Habit: Tall, upright, rhizomatous perennial herb, often forming large colonies
Leaves: Narrow, lance-shaped, willow-like, spirally arranged
Flowers: Bright pink-purple, four-petalled, in a tall tapering terminal raceme
Stem: Erect, usually unbranched, reddish toward the base
Root: Spreading rhizome
Fruit: Long, narrow seed pod splitting to release cottony-tufted seeds
Flowering Period: July-September

Robust biennial (occasionally annual) thistle (Asteraceae), 30-150 cm tall. Leaves are glossy dark green with distinctive white marbled veining (the 'milk' of legend), spiny-margined and deeply lobed. Large, solitary, purple-pink thistle-type flower heads are surrounded by spiny bracts, followed by shiny, mottled brown-black seeds - the part used.[12]

Height: 30-150 cm
Habit: Robust biennial (occasionally annual) thistle
Leaves: Glossy dark green with white marbled veining, spiny-margined, deeply lobed
Flowers: Large, solitary, purple-pink thistle heads with spiny bracts
Stem: Erect, ridged
Root: Deep taproot
Fruit: Shiny, mottled brown-black seed (achene)
Flowering Period: June-August

Habitat

A classic pioneer plant of disturbed, burned or cleared ground, forest clearings, roadsides and riverbanks; native across the temperate and boreal Northern Hemisphere (Europe, Asia, North America).[1]

Native to the Mediterranean region, now naturalised worldwide on disturbed, sunny ground - roadsides, waste places and dry pastures - and widely cultivated commercially for its seed.[12]

Harvesting

Young shoots are gathered in spring while still tender (traditionally eaten like asparagus); leaves and flowers are picked through summer at flowering, with the leaf sometimes fermented for 'Ivan-chai' tea. Careful identification against the deadly false hellebore (Veratrum), which can share early-spring habitat, is essential when gathering young shoots.[1]

Parts: Flower, Leaf, Young sprouts
Season: Young sprouts in spring; leaf and flower through summer

Seed heads are harvested once fully dry (late summer), and the seeds (fruit) are threshed out.[12]

Parts: Seed (fruit)
Season: Late summer

Traditional Uses

Fireweed has a long circumpolar tradition as a food plant (young shoots as a spring vegetable, fermented leaf as 'Ivan-chai' tea) and as a folk remedy for digestive complaints and topically as a poultice for wounds and skin inflammation, reflecting its astringent, anti-inflammatory character.[1]

Milk thistle has a very long European folk-medicine tradition, documented since antiquity, as a liver tonic, and its seed extract, standardised to the flavonolignan complex silymarin, is one of the most extensively studied herbal hepatoprotectants. Modern research supports antioxidant, anti-inflammatory and liver-protective activity, with growing interest in metabolic/blood-sugar effects.[12, 13]

Preparations

Infusion (leaf, 'Ivan-chai')[1]

Fresh or fermented, dried leaf infused in hot water as a traditional tea, valued both as a beverage and a mild digestive/anti-inflammatory remedy.

Standardised extract (capsule/tablet)[12, 13]

Standardised to silymarin content (typically 70-80%), the clinically studied commercial form.

Dosage

Infusion[11]

The EU herbal monograph on Epilobium angustifolium L. and/or Epilobium parviflorum Schreb., herba - which covers this species under its Epilobium name - gives 1.5-2.0 g of the comminuted herb in 250 mL of boiling water as an infusion, twice daily, in adults and elderly; long-term use is possible. A doctor should be consulted if fever, spasms, blood in the urine, painful urination or urinary retention occur. Educational reference only, not a prescription.

Standardised extract[12, 13]

Clinical trials have most often used standardised extract providing 200-450 mg/day of silymarin, divided into 2-3 doses. Educational reference only, not a prescription.

References

REF-1658, REF-1659, REF-1660, REF-1661, REF-1662, REF-1663, REF-1664, REF-1665, REF-1666, REF-1667
REF-1896, REF-1897, REF-1898, REF-1899, REF-1900, REF-1901, REF-1902, REF-1903, REF-1904, REF-1905, REF-1906

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[18, 19]Fatal
Dangerous Plant: veratrum-album
Confused Part: Young spring shoots gathered as an asparagus-like vegetable; the emerging shoots of highly toxic false hellebore can look similar.
Confusion Context: Fireweed / rosebay willowherb (Chamerion angustifolium) young shoots are foraged in spring like asparagus. As foraging guidance (and the US Forest Service) warns, emerging fireweed shoots can resemble highly toxic members of the lily family, notably false hellebore (Veratrum), which shares moist ground and an upright early-spring habit. False hellebore is deadly, containing steroidal alkaloids that cause vomiting, collapse of blood pressure and heart-rhythm disturbances. Fortunately fireweed has an unmistakable leaf feature that separates it at every stage.
Distinguishing Features: Leaf veins (decisive): fireweed's lateral leaf veins loop back and join together INSIDE the leaf margin, rather than running out to the edge - a unique 'looping vein' pattern. False hellebore veins run straight out to the leaf edge., Leaf texture/arrangement: fireweed has narrow, smooth, lance-shaped leaves; false hellebore has large, broad, heavily PLEATED (accordion-ribbed) alternate leaves clasping the stem., Habit: a stout shoot with broad pleated leaves is false hellebore, not the slender fireweed shoot.
Key Test: Look at the leaf veins. Fireweed's side veins curve and join together just inside the leaf edge (looping), on narrow smooth leaves. Broad, deeply pleated (accordion-ribbed) leaves with veins running straight to the edge = false hellebore (Veratrum) - deadly, do not eat. If the leaves are pleated, discard it.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

Not documented

Drug Class Interactions

Not documented

Safety note[16]Likely-safe
Drug Class: cyp3a4-substrates
Mechanism: Milk thistle (silymarin) was once thought to inhibit the CYP3A4 enzyme, but a controlled human study found no meaningful effect on a CYP3A4 test drug, so clinically important interactions with CYP3A4-metabolised medicines are unlikely at usual doses.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03
Safety note[14, 17]Caution
Drug Class: antidiabetics
Mechanism: Milk thistle (silymarin) reduced fasting blood glucose and HbA1c across randomized trials in type 2 diabetes; combined with diabetes medicines it may add to blood-sugar lowering, so monitor blood sugar.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03

References & Sources

  1. Karakaya, S., Suntar, I., Yakinci, O.F., Sytar, O., Ceribasi, S. and Dursunoglu, B (2020) 'In vivo bioactivity assessment on Epilobium species: A particular focus on Epilobium angustifolium and its components on enzymes connected with the healing process', Journal of Ethnopharmacology, 262, pp. 113207. doi:10.1016/j.jep.2020.113207 Preclinical
    https://doi.org/10.1016/j.jep.2020.113207
  2. Esposito, C., Santarcangelo, C., Masselli, R., Buonomo, G., Nicotra, G. and Insolia, V (2021) 'Epilobium angustifolium L. extract with high content in oenothein B on benign prostatic hyperplasia: A monocentric, randomized, double-blind, placebo-controlled clinical trial', Biomedicine & Pharmacotherapy, 138, pp. 111414. doi:10.1016/j.biopha.2021.111414 Randomized trial
    https://doi.org/10.1016/j.biopha.2021.111414
  3. Kaskoniene, V., Stankevicius, M., Drevinskas, T., Akuneca, I., Kaskonas, P. and Bimbiraite-Surviliene, K (2015) 'Evaluation of phytochemical composition of fresh and dried raw material of introduced Chamerion angustifolium L. using chromatographic, spectrophotometric and chemometric techniques', Phytochemistry, 115, pp. 184-193. doi:10.1016/j.phytochem.2015.02.005 Preclinical
    https://doi.org/10.1016/j.phytochem.2015.02.005
  4. Kowalik, K., Polak-Berecka, M., Prendecka-Wrobel, M., Pigon-Zajac, D., Niedzwiedz, I. and Szwajgier, D (2022) 'Biological Activity of an Epilobium angustifolium L. (Fireweed) Infusion after In Vitro Digestion', Molecules, 27(3), pp. 1006. doi:10.3390/molecules27031006 Preclinical
    https://doi.org/10.3390/molecules27031006
  5. Nowak, A., Zagorska-Dziok, M., Peruzynska, M., Cybulska, K., Kucharska, E. and Ossowicz-Rupniewska, P (2022) 'Assessment of the Anti-Inflammatory, Antibacterial and Anti-Aging Properties and Possible Use on the Skin of Hydrogels Containing Epilobium angustifolium L. Extracts', Frontiers in Pharmacology, 13, pp. 896706. doi:10.3389/fphar.2022.896706 Preclinical
    https://doi.org/10.3389/fphar.2022.896706
  6. Nowak, A., Duchnik, W., Makuch, E., Kucharski, L., Ossowicz-Rupniewska, P. and Cybulska, K (2021) 'Epilobium angustifolium L. Essential Oil-Biological Activity and Enhancement of the Skin Penetration of Drugs-In Vitro Study', Molecules, 26(23), pp. 7188. doi:10.3390/molecules26237188 Preclinical
    https://doi.org/10.3390/molecules26237188
  7. Olennikov, D.N., Kirillina, C.S. and Chirikova, N.K (2021) 'Water-Soluble Melanoidin Pigment as a New Antioxidant Component of Fermented Willowherb Leaves (Epilobium angustifolium)', Antioxidants, 10(8), pp. 1300. doi:10.3390/antiox10081300 Preclinical
    https://doi.org/10.3390/antiox10081300
  8. Dreger, M., Adamczak, A. and Foksowicz-Flaczyk, J (2023) 'Antibacterial and Antimycotic Activity of Epilobium L. Extracts: A Review', Pharmaceuticals, 16(10), pp. 1419. doi:10.3390/ph16101419 Meta-analysis / review
    https://doi.org/10.3390/ph16101419
  9. Nowak, A., Zagorska-Dziok, M., Ossowicz-Rupniewska, P., Makuch, E., Duchnik, W. and Kucharski, L (2021) 'Epilobium angustifolium L. Extracts as Valuable Ingredients in Cosmetic and Dermatological Products', Molecules, 26(11), pp. 3456. doi:10.3390/molecules26113456 Preclinical
    https://doi.org/10.3390/molecules26113456
  10. Nowak, A., Zielonka-Brzezicka, J., Peruzynska, M. and Klimowicz, A (2022) 'Epilobium angustifolium L. as a Potential Herbal Component of Topical Products for Skin Care and Treatment - A Review', Molecules, 27(11), pp. 3536. doi:10.3390/molecules27113536 Meta-analysis / review
    https://doi.org/10.3390/molecules27113536
  11. European Medicines Agency (HMPC) (2015) 'European Union herbal monograph on Epilobium angustifolium L. and/or Epilobium parviflorum Schreb., herba'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-epilobium-angustifolium-l-andor-epilobium-parviflorum-schreb-herba_en.pdf Traditional / reference
    https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-epilobium-angustifolium-l-andor-epilobium-parviflorum-schreb-herba_en.pdf
  12. Battinelli, L., Tita, B., Evandri, M.G. and Mazzanti, G (2014) 'Antimicrobial activity of Epilobium spp', pp. extracts. doi:10.1016/S0014-827X(01)01092-0 Preclinical
    https://doi.org/10.1016/S0014-827X(01)01092-0
  13. http://Latvijasdaba.lv (n.d.) 'ugunspuķe – Chamerion angustifolium (L.) Holub'. Available at: http://Latvijasdaba.lv Traditional / reference
    http://Latvijasdaba.lv
  14. Kozhevnikov, A.Y. and Kozhevnikova, N.A (2021) 'Phytochemical and Pharmacological Review of Chamerion angustifolium (Fireweed)', 10(11). doi:10.3390/plants10112295 Traditional / reference
    https://doi.org/10.3390/plants10112295
  15. Royal Botanic Gardens, Kew (n.d.) 'Chamerion angustifolium (L.) Holub'. Available at: https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:19659-1 Traditional / reference
    https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:19659-1
  16. Zhivoderov, A., Laletina, D. and Ushakova, I (2021) 'Ivan-chai: the history and properties of Russian herbal tea', 7(2), pp. 62. doi:10.3390/fermentation7020062 Traditional / reference
    https://doi.org/10.3390/fermentation7020062
  17. Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
    https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition
  18. Forage-ology 'Foraging Fireweed: How to Identify and Use Every Part of This Stunning Wild Plant'. Available at: https://forage-ology.com/foraging-fireweed-how-to-identify-and-use-every-part-of-this-stunning-wild-plant/ Traditional / reference
    https://forage-ology.com/foraging-fireweed-how-to-identify-and-use-every-part-of-this-stunning-wild-plant/
  19. Garnier, R. and Carlier, P. and Hoffelt, J. and Savidan, A (1985) 'Acute dietary poisoning by white hellebore (Veratrum album L.). Clinical and analytical data. A propos of 5 cases', Annales de Medecine Interne (Paris), 136(2), pp. 125-8. Available at: https://pubmed.ncbi.nlm.nih.gov/4073696/ Clinical study
    https://pubmed.ncbi.nlm.nih.gov/4073696/
  1. Abenavoli, L., Izzo, A.A., Milic, N., Cicala, C., Santini, A. and Capasso, R (2018) 'Milk thistle (Silybum marianum): A concise overview on its chemistry, pharmacological, and nutraceutical uses in liver diseases', Phytotherapy Research, 32(11), pp. 2202-2213. doi:10.1002/ptr.6171 Meta-analysis / review
    https://doi.org/10.1002/ptr.6171
  2. Bahmani, M., Shirzad, H., Rafieian, S. and Rafieian-Kopaei, M (2015) 'Silybum marianum: Beyond Hepatoprotection', Journal of Evidence-Based Complementary & Alternative Medicine, 20(4), pp. 292-301. doi:10.1177/2156587215571116 Meta-analysis / review
    https://doi.org/10.1177/2156587215571116
  3. Wang, X., Zhang, Z. and Wu, S (2020) 'Health Benefits of Silybum marianum: Phytochemistry, Pharmacology, and Applications', Journal of Agricultural and Food Chemistry, 68(42), pp. 11644-11664. doi:10.1021/acs.jafc.0c04791 Meta-analysis / review
    https://doi.org/10.1021/acs.jafc.0c04791
  4. Marmouzi, I., Bouyahya, A., Ezzat, S.M., El Jemli, M. and Kharbach, M (2020) 'The food plant Silybum marianum (L.) Gaertn.: Phytochemistry, Ethnopharmacology and clinical evidence', Journal of Ethnopharmacology, 265, pp. 113303. doi:10.1016/j.jep.2020.113303 Meta-analysis / review
    https://doi.org/10.1016/j.jep.2020.113303
  5. Greenlee, H., Abascal, K., Yarnell, E. and Ladas, E (2007) 'Clinical applications of Silybum marianum in oncology', Integrative Cancer Therapies, 6(2), pp. 158-165. doi:10.1177/1534735407301727 Meta-analysis / review
    https://doi.org/10.1177/1534735407301727
  6. Shaker, E., Mahmoud, H. and Mnaa, S (2009) 'Silymarin, the antioxidant component and Silybum marianum extracts prevent liver damage', Food and Chemical Toxicology, 48(3), pp. 803-806. doi:10.1016/j.fct.2009.12.011 Preclinical
    https://doi.org/10.1016/j.fct.2009.12.011
  7. Flora, K., Hahn, M., Rosen, H. and Benner, K (1998) 'Milk thistle (Silybum marianum) for the therapy of liver disease', American Journal of Gastroenterology, 93(2), pp. 139-143. doi:10.1111/j.1572-0241.1998.00139.x Meta-analysis / review
    https://doi.org/10.1111/j.1572-0241.1998.00139.x
  8. Csupor, D., Csorba, A. and Hohmann, J (2016) 'Recent advances in the analysis of flavonolignans of Silybum marianum', Journal of Pharmaceutical and Biomedical Analysis, 130, pp. 301-317. doi:10.1016/j.jpba.2016.05.034 Meta-analysis / review
    https://doi.org/10.1016/j.jpba.2016.05.034
  9. Ball, K.R. and Kowdley, K.V (2005) 'A review of Silybum marianum (milk thistle) as a treatment for alcoholic liver disease', Journal of Clinical Gastroenterology, 39(6), pp. 520-528. doi:10.1097/01.mcg.0000165668.79530.a0 Meta-analysis / review
    https://doi.org/10.1097/01.mcg.0000165668.79530.a0
  10. Tajmohammadi, A., Razavi, B.M. and Hosseinzadeh, H (2018) 'Silybum marianum (milk thistle) and its main constituent, silymarin, as a potential therapeutic plant in metabolic syndrome: A review', Phytotherapy Research, 32(10), pp. 1933-1949. doi:10.1002/ptr.6153 Meta-analysis / review
    https://doi.org/10.1002/ptr.6153
  11. Ghahfarrokhi, S.H., Heidari-Soureshjani, S., Sherwin, C.M.T. and Azadegan-Dehkordi, Z (2024) 'Efficacy and Mechanisms of Silybum marianum, Silymarin, and Silibinin on Rheumatoid Arthritis and Osteoarthritis Symptoms: A Systematic Review', Current Rheumatology Reviews, 20(4), pp. 414-425. doi:10.2174/0115733971266397231122080247 Meta-analysis / review
    https://doi.org/10.2174/0115733971266397231122080247
  12. Soleimani, V., Delghandi, P.S., Moallem, S.A. and Karimi, G (2019) 'Safety and toxicity of silymarin, the major constituent of milk thistle extract: An updated review', Phytotherapy Research. doi:10.1002/ptr.6361 Randomized trial
    https://doi.org/10.1002/ptr.6361
  13. Fallah, M., Davoodvandi, A., Nikmanzar, S., Aghili, S., Mirazimi, S.M.A., Aschner, M., Rashidian, A., Hamblin, M.R., Chamanara, M., Naghsh, N. and Mirzaei, H (2021) 'Silymarin (milk thistle extract) as a therapeutic agent in gastrointestinal cancer', Biomedicine & Pharmacotherapy. doi:10.1016/j.biopha.2021.112024 Preclinical
    https://doi.org/10.1016/j.biopha.2021.112024
  14. Voroneanu, L., Nistor, I., Dumea, R., Apetrii, M. and Covic, A (2016) 'Silymarin in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials', Journal of Diabetes Research. doi:10.1155/2016/5147468 Meta-analysis / review
    https://doi.org/10.1155/2016/5147468
  15. Zhou, J., Chen, Y., Yu, J., Li, T., Lu, Z., Chen, Y., Zhang, X. and Ye, F (2021) 'The efficacy of novel metabolic targeted agents and natural plant drugs for nonalcoholic fatty liver disease treatment: A PRISMA-compliant network meta-analysis of randomized controlled trials', Medicine (Baltimore), 100(12). doi:10.1097/MD.0000000000024884 Meta-analysis / review
    https://doi.org/10.1097/MD.0000000000024884
  16. Fuhr, U., Beckmann-Knopp, S., Jetter, A., Lueck, H. and Mengs, U (2007) 'The effect of silymarin on oral nifedipine pharmacokinetics', Planta Medica, 73(14), pp. 1429-1435. doi:10.1055/s-2007-990256 Randomized trial
    https://doi.org/10.1055/s-2007-990256
  17. Hadi, A., Pourmasoumi, M., Mohammadi, H., Symonds, M. and Miraghajani, M (2018) 'The effects of silymarin supplementation on metabolic status and oxidative stress in patients with type 2 diabetes mellitus: A systematic review and meta-analysis of clinical trials', Complementary Therapies in Medicine, 41, pp. 311-319. doi:10.1016/j.ctim.2018.08.010 Meta-analysis / review
    https://doi.org/10.1016/j.ctim.2018.08.010

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.