Plant Comparison

Goldenseal vs Speedwell

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 AGoldensealHydrastis canadensisRanunculaceaeFull monograph →
Plant BSpeedwellVeronica officinalisPlantaginaceaeFull monograph →

At a glance

Goldenseal and Speedwell: they share 5 indicated uses (arthritis / joint pain, bloating, indigestion, …); 2 pharmacological actions in common.

GoldensealSpeedwell
Constituents12
Pharmacological actions44
Indicated uses98
Safety notes22
Cited sources2012
Indicated uses
Only Goldenseal
DiarrhoeaInfection (general)Sore throatWounds
Shared (5)
Arthritis / joint painBloatingIndigestionInflammation (general)Skin irritation
Only Speedwell
BronchitisCoughRespiratory support
Pharmacological actions
Only Goldenseal
AntimicrobialAstringent
Shared (2)
Anti-inflammatoryDigestive aid
Only Speedwell
AntioxidantExpectorant

Evidence face-off — shared uses

ConditionGoldensealSpeedwellVerdict
Arthritis / joint pain5/101/10Stronger for Goldenseal
Bloating5/101/10Stronger for Goldenseal
Indigestion5/102/10Stronger for Goldenseal
Inflammation (general)5/102/10Stronger for Goldenseal
Skin irritation5/101/10Stronger for Goldenseal

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

Isoquinoline alkaloids - berberine (principal), hydrastine and canadine[1, 4, 12]

Berberine is the main antimicrobial, hypoglycaemic and hypolipidaemic constituent. Notably, whole-leaf extracts are more potent against MRSA than isolated berberine (owing to efflux-pump-inhibitory flavonoids) and show quorum-quenching, anti-virulence activity.

FlavonoidsAlkaloidsBerberine
Iridoid glycosides (aucubin, catalpol, verproside, verminoside)[8]

Anti-inflammatory constituents that inhibit pro-inflammatory mediators in lung cells.

Iridoid glycosidesGlycosides
Flavonoids and phenolic acids[8, 9, 10]

Antioxidant constituents.

Phenolic acidsFlavonoids

Pharmacological Actions

Anti-inflammatory[1]

Anti-inflammatory and astringent for inflamed mucous membranes (sore-throat gargle, mouth)

Antimicrobial[1, 2, 3, 4, 5, 6, 12]

Antimicrobial (berberine) - supports skin, mucosal and gastrointestinal infections and sore throat

Astringent[1]

Anti-inflammatory and astringent for inflamed mucous membranes (sore-throat gargle, mouth)

Digestive aid[1, 5]

Digestive / gastrointestinal support (traditional for dyspepsia and ulcers)

Anti-inflammatory[8]

Anti-inflammatory and antioxidant

Antioxidant[1, 5, 6, 8]

Anti-inflammatory and antioxidant

Digestive aid[4, 11]

Mild digestive / stomach tonic (indigestion)

Expectorant[8, 11, 12]

Traditional expectorant for cough and respiratory complaints (iridoid glycosides inhibit lung inflammation) - a standardised extract suppressed COX-2 and eotaxin via the NF-kB pathway in human lung epithelial cells

Traditional & Indicated Uses

Arthritis / joint pain[1]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Arthritis / joint pain
Bloating[1]Moderate · 5/10

inferred from digestive action

Evidence: 5
Label: Bloating
Diarrhoea[1]Moderate · 5/10

inferred from astringent action

Evidence: 5
Label: Diarrhoea
Indigestion[1]Moderate · 5/10

Digestive / gastrointestinal support (traditional for dyspepsia and ulcers)

Evidence: 5
Label: Indigestion
Infection (general)[1, 4, 12]Moderate · 5/10

Antimicrobial (berberine) - supports skin, mucosal and gastrointestinal infections and sore throat; Topical for skin infections and irritation - whole-leaf extract is active in vitro against methicillin-resistant Staphylococcus aureus (MRSA)

Evidence: 5
Label: Infection (general)
Inflammation (general)[1]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Inflammation (general)
Skin irritation[1]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Skin irritation
Sore throat[1, 4, 12]Moderate · 5/10

Anti-inflammatory and astringent for inflamed mucous membranes (sore-throat gargle, mouth); Antimicrobial (berberine) - supports skin, mucosal and gastrointestinal infections and sore throat

Evidence: 5
Label: Sore throat
Wounds[1, 4, 12]Moderate · 5/10

inferred from antimicrobial action

Evidence: 5
Label: Wounds
Arthritis / joint pain[8]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Bloating[11]Traditional · 1/10

inferred from digestive action

Evidence: 1
Label: Bloating
Bronchitis[8, 11, 12]Traditional · 2/10

inferred from expectorant action

Evidence: 2
Label: Bronchitis
Cough[8, 11, 12]Traditional · 2/10

Traditional expectorant for cough and respiratory complaints (iridoid glycosides inhibit lung inflammation) - a standardised extract suppressed COX-2 and eotaxin via the NF-kB pathway in human lung epithelial cells

Evidence: 2
Label: Cough
Indigestion[4, 11]Traditional · 2/10

Mild digestive / stomach tonic (indigestion)

Evidence: 2
Label: Indigestion
Inflammation (general)[8, 11, 12]Traditional · 2/10

Traditional expectorant for cough and respiratory complaints (iridoid glycosides inhibit lung inflammation) - a standardised extract suppressed COX-2 and eotaxin via the NF-kB pathway in human lung epithelial cells

Evidence: 2
Label: Inflammation (general)
Respiratory support[8, 11, 12]Traditional · 2/10

inferred from expectorant action

Evidence: 2
Label: Respiratory support
Skin irritation[11]Traditional · 1/10

Soothing for skin irritation (topical)

Evidence: 1
Label: Skin irritation

Safety, Cautions & Contraindications

Safety note[1]Caution

Contraindicated in pregnancy and breastfeeding: berberine crosses the placenta and into milk and can cause or worsen newborn jaundice (risk of kernicterus); do not give to infants.

Safety note[1, 14]Caution

Berberine strongly inhibits drug-metabolising enzymes (especially CYP3A4 and CYP2D6), so it can raise the blood levels of many medicines - a significant herb-drug-interaction risk. In a screen of commercial herbal products, goldenseal was among the most potent CYP2D6 inhibitors and also inhibited CYP3A4. High doses have shown possible liver, nerve and photo-toxicity.

Safety note[11]Caution

Traditional use only; clinical evidence is limited, so a persistent cough or digestive complaint needs medical assessment. Safety in pregnancy and breastfeeding is not established.

Safety note[2, 8]Info

Buy from a reputable source: Veronica officinalis is frequently adulterated with the related Veronica chamaedrys.

External Ids

Gbif: 3033110
Wikidata: Q1051710
Gbif: 3172049
Wikidata: Q156402

Botanical Description

Low, woodland perennial herb rising from a knotted, bright yellow rhizome with wiry yellow roots. Each stem bears two ragged, palmately lobed, maple-like leaves and a single small, inconspicuous greenish-white flower, followed by a raspberry-like cluster of red berries.[1]

Height: 15-30 cm
Habit: Low, woodland perennial herb
Leaves: Two per stem, ragged, palmately lobed, maple-like
Flowers: Single, small, inconspicuous, greenish-white, petal-less
Stem: Hairy, upright, bearing two leaves
Root: Knotted, bright yellow rhizome with wiry yellow roots (the medicinal part)
Fruit: Raspberry-like cluster of red berries
Flowering Period: April-May

Low, creeping, mat-forming perennial herb with softly hairy, oval, finely toothed leaves along trailing stems that root as they spread. Small, pale lilac-blue flowers with darker veining are borne in slender upright spikes rising from the leaf axils.[8]

Height: 5-40 cm (upright flowering spikes; creeping stems low)
Habit: Low, creeping, mat-forming perennial herb
Leaves: Softly hairy, oval, finely toothed, opposite
Flowers: Small, pale lilac-blue with darker veining, in slender upright axillary spikes
Stem: Trailing, softly hairy, rooting as it spreads
Root: Fine roots along the creeping stem
Fruit: Small, flattened, heart-shaped capsule
Flowering Period: May-August

Habitat

Grows in rich, shaded deciduous woodland with humus-rich soil; native to eastern North America, now scarce in the wild due to overharvesting and largely supplied by cultivation.[1]

Grows on dry heath, moorland, open woodland, grassland and banks on acidic, well-drained soils; native to Europe and naturalised in North America.[8]

Harvesting

The rhizome and root are dug in autumn from plants at least three to four years old, when berberine content is highest, then cleaned and dried; because wild populations are depleted, cultivated or sustainably sourced material is strongly preferred, and careful identification against the toxic mayapple and bloodroot, which share its woodland habitat, is essential before any wild-harvesting.[1]

Parts: Rhizome and root
Season: Autumn, from mature (3-4+ year) plants

The flowering aerial parts are cut in summer while in flower and dried in a warm, shaded, airy place; the closely related Veronica chamaedrys is a frequent adulterant, so careful identification (or a reputable source) is important.[8]

Parts: Aerial parts (flowering herb)
Season: Summer, at flowering

Traditional Uses

Goldenseal root has a Native American and, after adoption by Eclectic physicians, wider North American tradition as a bitter tonic and antimicrobial remedy for mucous-membrane infections, sore throat, digestive upset and topical skin infections, directly reflecting its high berberine content.[1]

Speedwell has a long European folk history as a mild digestive tonic and traditional expectorant for cough and respiratory complaints, and has also been used topically as a soothing wash for irritated skin; modern research on its iridoid glycosides supports a molecular basis for the traditional respiratory use.

Preparations

Decoction[1]

Dried rhizome and root simmered in water as a traditional bitter antimicrobial tea, or used as a gargle for sore throat.

Tincture[13]

Tincture 1:10 in 60% ethanol of the dried rhizome and root, 2-4 ml three times daily per the WHO monograph Rhizoma Hydrastis. Educational reference only, not a prescription.

Standardised extract[4]

Extract standardised to berberine/hydrastine content, taken as capsules; whole-leaf extracts have shown stronger antimicrobial activity than isolated berberine in some studies.

Not documented

Dosage

Decoction/tincture[13]

The WHO monograph on Rhizoma Hydrastis gives a daily dose of 0.5-1.0 g of the dried rhizome and root three times, or taken as a decoction; a 1:1 liquid extract in 60% ethanol at 0.3-1.0 mL three times; or a 1:10 tincture in 60% ethanol at 2-4 mL three times. For short-term use only, given goldenseal's potent CYP-enzyme inhibition and its contraindication in pregnancy. Educational reference only, not a prescription.

Not documented

References

REF-0455, REF-1849, REF-1850, REF-0588, REF-1851, REF-1852, REF-1853, REF-1854, REF-1855, REF-1856, REF-1857
REF-1378, REF-1379, REF-1380, REF-2552, REF-2554, REF-2555, REF-3123

Drug Class Interactions

Safety note[15, 16]Caution
Drug Class: cyp3a4-substrates
Mechanism: Goldenseal's berberine and hydrastine strongly inhibit CYP3A4 (and also CYP2D6), enzymes that clear many medicines. In a controlled study in healthy volunteers, 28 days of goldenseal cut CYP3A4/5 and CYP2D6 activity by roughly 40%, so it can raise the blood levels and side effects of drugs handled by these pathways - for example some statins, calcium-channel blockers and sedatives (CYP3A4), and certain antidepressants, beta-blockers and opioids (CYP2D6). Separate dosing and monitor, or avoid combining with narrow-margin medicines.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03
Safety note[17]Caution
Drug Class: antidiabetics
Mechanism: Goldenseal is rich in berberine, its main alkaloid, which lowers blood glucose - meta-analyses of randomised trials show berberine significantly reduces fasting glucose and HbA1c. Taken with diabetes medicines, goldenseal may therefore add to blood-sugar lowering, so monitor blood glucose.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03

Not documented

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]Dangerous
Dangerous Plant: podophyllum-peltatum
Confused Part: Woodland rhizome dug as goldenseal; mayapple shares the same rich woods and has similar lobed, maple-like leaves.
Confusion Context: Goldenseal (Hydrastis canadensis) is dug from rich woodland for its yellow rhizome. Mayapple (Podophyllum peltatum) grows in the same rich-woods habitat and, once its leaves expand, its lobed maple-like leaves resemble goldenseal, so novice foragers confuse them. Mayapple contains podophyllotoxin (a potent cell poison) in all parts except the ripe fruit; ingestion causes severe vomiting and diarrhoea and can cause serious systemic toxicity. Because the plants share habitat and leaf shape, this is a genuine hazard when digging goldenseal.
Distinguishing Features: Whole plant: goldenseal has a hairy upright stem bearing usually two ragged, maple-like lobed leaves and a single small flower, with a knotted BRIGHT-YELLOW rhizome. Mayapple has one or two large, smooth, umbrella-like lobed leaves on a hairless stalk and a white flower nodding beneath, with a white-ish creeping rhizome., Rhizome colour (decisive): goldenseal's rhizome and root are vivid yellow inside (berberine). Mayapple's rhizome is not bright yellow., Leaf texture: goldenseal leaves are hairy and puckered; mayapple leaves are large, smooth and shield-like (the stalk joins near the centre).
Key Test: Dig only after matching the whole plant, and check the rhizome. A hairy stem with ragged maple-like leaves over a BRIGHT-YELLOW knotted rhizome = goldenseal. Large smooth umbrella-like leaves over a pale rhizome (no yellow) = mayapple - toxic, do not use. If the root is not bright yellow inside, do not use it.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07
Safety note[18, 20]Dangerous
Dangerous Plant: sanguinaria-canadensis
Confused Part: Woodland rhizome dug as goldenseal; bloodroot grows in the same rich woods and its rhizome is gathered in mistake for goldenseal.
Confusion Context: Bloodroot (Sanguinaria canadensis) shares the same rich-woods spring habitat as goldenseal and is listed among goldenseal's harvesting look-alikes. Bloodroot is a high-severity poison: its rhizome contains isoquinoline alkaloids (sanguinarine) and, when broken, oozes a bright red-orange sap; ingestion causes vomiting, faintness, dizziness, dilated pupils and, in serious cases, heart failure, and the sap is destructive to tissue. Because both are dug for their rhizomes from the same woodland, this is a genuine hazard.
Distinguishing Features: Sap colour (decisive): a broken bloodroot rhizome bleeds a bright RED-ORANGE sap. Goldenseal's rhizome is BRIGHT YELLOW inside, not red., Leaf: bloodroot has a single, rounded, deeply scalloped/lobed grey-green leaf that wraps the flower stalk, and a white flower; goldenseal has a hairy stem with two ragged maple-like leaves., Whole plant: confirm goldenseal by its paired hairy maple-like leaves and yellow root before digging.
Key Test: Break the rhizome and look at the sap and leaves. Bright YELLOW root with paired hairy maple-like leaves = goldenseal. A single scalloped leaf and a rhizome bleeding RED-ORANGE sap = bloodroot - a high-severity poison, do not use. If the sap is red, it is not goldenseal.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

Not documented

References & Sources

  1. Mandal, S.K., Maji, A.K., Mishra, S.K., Ishfaq, P.M., Devkota, H.P., Silva, A.S. and Das, N (2020) 'Goldenseal (Hydrastis canadensis L.) and its active constituents: A critical review of their efficacy and toxicological issues', Pharmacological Research. doi:10.1016/j.phrs.2020.105085 Randomized trial
    https://doi.org/10.1016/j.phrs.2020.105085
  2. Corn, J., Tibbitts, D., Ito, H., Schafer, M. and Vasilevsky, N (2021) 'Effects of Hydrastis Canadensis, Commiphora Habessinica, Phytolacca Americana, and Echinacea Purpurea on Bacterial Growth', Alternative Therapies in Health and Medicine, 27(4), pp. 24-27. Preclinical
    https://scholar.google.com/scholar?q=Effects%20of%20Hydrastis%20Canadensis%2C%20Commiphora%20Habessinica%2C%20Phytolacca%20Americana%2C%20and%20Echinacea%20Purpurea%20on%20Bacterial%20Growth
  3. Ettefagh, K.A., Burns, J.T., Junio, H.A., Kaatz, G.W. and Cech, N.B (2010) 'Goldenseal (Hydrastis canadensis L.) extracts synergistically enhance the antibacterial activity of berberine via efflux pump inhibition', Planta Medica, 77(8), pp. 835-840. doi:10.1055/s-0030-1250606 Preclinical
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  4. Cech, N.B., Junio, H.A., Ackermann, L.W., Kavanaugh, J.S. and Horswill, A.R (2012) 'Quorum quenching and antimicrobial activity of goldenseal (Hydrastis canadensis) against methicillin-resistant Staphylococcus aureus (MRSA)', Planta Medica, 78(14), pp. 1556--1561. doi:10.1055/s-0032-1315042 Traditional / reference
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  5. Mahady, G.B., Pendland, S.L., Stoia, A. and Chadwick, L.R (2003) 'In vitro susceptibility of Helicobacter pylori to isoquinoline alkaloids from Sanguinaria canadensis and Hydrastis canadensis', Phytotherapy Research, 17(3), pp. 217-221. doi:10.1002/ptr.1108 Preclinical
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  11. Douglas, J.A., Follett, J.M., Parmenter, G.A., Sansom, C.E., Perry, N.B. and Littler, R.A (2010) 'Seasonal variation of biomass and bioactive alkaloid content of goldenseal, Hydrastis canadensis', Fitoterapia, 81(7), pp. 925-928. doi:10.1016/j.fitote.2010.06.006 Preclinical
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  12. Singh, S., Pathak, N., Fatima, E. and Negi, A.S (2021) 'Plant isoquinoline alkaloids: Advances in the chemistry and biology of berberine', European Journal of Medicinal Chemistry. doi:10.1016/j.ejmech.2021.113839 Preclinical
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  13. World Health Organization (2007) 'Rhizoma Hydrastis'. Available at: https://iris.who.int/items/6418d8af-5200-4e6b-9bf5-004f3aa62a37 Traditional / reference
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  14. Sevior, D.K., Hokkanen, J., Tolonen, A., Abass, K., Tursas, L., Pelkonen, O. and Ahokas, J.T (2010) 'Rapid screening of commercially available herbal products for the inhibition of major human hepatic cytochrome P450 enzymes using the N-in-one cocktail', Xenobiotica, 40(4), pp. 245--254. doi:10.3109/00498251003592683 Preclinical
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  15. Gurley, B.J., Gardner, S.F., Hubbard, M.A., Williams, D.K., Gentry, W.B., Khan, I.A. and Shah, A (2005) 'In vivo effects of goldenseal, kava kava, black cohosh, and valerian on human cytochrome P450 1A2, 2D6, 2E1, and 3A4/5 phenotypes', Clinical Pharmacology and Therapeutics, 77(5), pp. 415-426. doi:10.1016/j.clpt.2005.01.009 Randomized trial
    https://doi.org/10.1016/j.clpt.2005.01.009
  16. McDonald, M.G., Tian, D.D., Thummel, K.E., Paine, M.F. and Rettie, A.E (2020) 'Modulation of major human liver microsomal cytochromes P450 by component alkaloids of goldenseal: time-dependent inhibition and allosteric effects', Drug Metabolism and Disposition, 48(10), pp. 1018-1027. doi:10.1124/dmd.120.091041 Preclinical
    https://doi.org/10.1124/dmd.120.091041
  17. Guo, J., Chen, H., Zhang, X., Lou, W., Zhang, P., Qiu, Y., Zhang, C., Wang, Y. and Liu, W.J (2021) 'The effect of berberine on metabolic profiles in type 2 diabetic patients: a systematic review and meta-analysis of randomized controlled trials', Oxidative Medicine and Cellular Longevity, 2021, pp. 2074610. doi:10.1155/2021/2074610 Meta-analysis / review
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    https://plants.ces.ncsu.edu/plants/sanguinaria-canadensis/
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  11. HerbaZest (n.d.) 'Veronica (Speedwell)'. Available at: https://www.herbazest.com/herbs/veronica Traditional / reference
    https://www.herbazest.com/herbs/veronica
  12. Grundemann, C., Garcia-Kaufer, M., Sauer, B., Stangenberg, E., Konczol, M., Merfort, I., Zehl, M. and Huber, R (2012) 'Traditionally used Veronica officinalis inhibits proinflammatory mediators via the NF-kB signalling pathway in a human lung cell line', Journal of Ethnopharmacology, 145(1), pp. 118--126. doi:10.1016/j.jep.2012.10.039 Preclinical
    https://doi.org/10.1016/j.jep.2012.10.039

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.