Omnia Sana · Plant Monograph
Chili Pepper
Capsicum annuum
This monograph compiles 4 pharmacological actions, 11 traditional / indicated uses, supported by 17 cited sources, drawn directly from the Omnia Sana plant database.
Pharmacological Actions
Traditional & Indicated Uses
inferred from anti-inflammatory action
more plants for arthritis / joint pain →detailed sources →inferred from analgesic action
more plants for back pain →detailed sources →inferred from digestive action
more plants for bloating →detailed sources →inferred from analgesic action
more plants for headache →detailed sources →inferred from digestive action
more plants for indigestion →detailed sources →inferred from antimicrobial action
more plants for infection (general) →detailed sources →inferred from anti-inflammatory action
more plants for inflammation (general) →detailed sources →inferred from anti-inflammatory action
more plants for skin irritation →detailed sources →inferred from antimicrobial action
more plants for wounds →detailed sources →Safety, Cautions & Contraindications
Capsaicin causes intense burning sensation; avoid contact with eyes and mucous membranes. High oral doses can cause gastrointestinal irritation, nausea, and diarrhoea. Topical preparations may cause skin irritation and should be used diluted. Not recommended for individuals with active peptic ulcers. Caution with anticoagulants — capsaicin may enhance bleeding risk. During pregnancy, culinary amounts are considered safe, but high-dose supplements should be avoided. Repeated topical application leads to desensitisation (TRPV1 depletion), which is the basis for its analgesic use. Children under 2 should not be given capsaicin-containing topical products (Basu and Bhattacharyya, 2023).
Duke (2002) rates cayenne/chili pepper (Capsicum annuum) highly for its clinically documented analgesic, counterirritant, and rubefacient activities. Commission E approves topical capsaicin preparations for muscle pain, arthritis, and neuralgia (score 2). The active compound capsaicin depletes substance P in sensory neurons upon repeated application, reducing pain signals. Capsaicin cream (0.025–0.075%) is a validated treatment for post-herpetic neuralgia, diabetic neuropathy, and osteoarthritis pain. Internal use can irritate mucous membranes; external use requires avoiding contact with eyes and mucous membranes (Duke, 2002).
References
REF-2142, REF-2143, REF-2144, REF-2145, REF-2146, REF-2147, REF-2148, REF-2149, REF-2150, REF-2151, REF-2152References & Sources
- Cho, S.Y., Kim, H.W., Lee, M.K., Kim, H.J., Kim, J.B., Choe, J.S., Lee, Y.M. and Jang, H.H (2020) 'Antioxidant and anti-inflammatory activities in relation to the flavonoids composition of pepper (Capsicum annuum L.)', Antioxidants, 9(10), pp. 986. doi:10.3390/antiox9100986 Preclinical
https://doi.org/10.3390/antiox9100986 - Khan, F.A., Mahmood, T., Ali, M., Saeed, A. and Maalik, A (2014) 'Pharmacological importance of an ethnobotanical plant: Capsicum annuum L', Natural Product Research, 28(16), pp. 1267-1274. doi:10.1080/14786419.2014.895723 Meta-analysis / review
https://doi.org/10.1080/14786419.2014.895723 - Srinivasan, K (2016) 'Biological activities of red pepper (Capsicum annuum) and its pungent principle capsaicin: a review', Critical Reviews in Food Science and Nutrition, 56(9), pp. 1488-1500. doi:10.1080/10408398.2013.772090 Meta-analysis / review
https://doi.org/10.1080/10408398.2013.772090 - Hernandez-Perez, T., Gomez-Garcia, M.D.R., Valverde, M.E. and Paredes-Lopez, O (2020) 'Capsicum annuum (hot pepper): an ancient Latin-American crop with outstanding bioactive compounds and nutraceutical potential. A review', Comprehensive Reviews in Food Science and Food Safety, 19(6), pp. 2972-2993. doi:10.1111/1541-4337.12634 Meta-analysis / review
https://doi.org/10.1111/1541-4337.12634 - Sanati, S., Razavi, B.M. and Hosseinzadeh, H (2018) 'A review of the effects of Capsicum annuum L. and its constituent, capsaicin, in metabolic syndrome', Iranian Journal of Basic Medical Sciences, 21(5), pp. 439-448. doi:10.22038/IJBMS.2018.25200.6238 Meta-analysis / review
https://doi.org/10.22038/IJBMS.2018.25200.6238 - Mandal, S.K., Rath, S.K., Logesh, R., Mishra, S.K., Devkota, H.P. and Das, N (2023) 'Capsicum annuum L. and its bioactive constituents: a critical review of a traditional culinary spice in terms of its modern pharmacological potentials with toxicological issues', Phytotherapy Research, 37(3), pp. 965-1002. doi:10.1002/ptr.7660 Meta-analysis / review
https://doi.org/10.1002/ptr.7660 - Grojja, Y., Hajlaoui, H., Luca, S.V., Abidi, J., Skalicka-Wozniak, K., Zouari, S. and Bouaziz, M (2023) 'Untargeted phytochemical profiling, antioxidant, and antimicrobial activities of a Tunisian Capsicum annuum cultivar', Molecules, 28(17), pp. 6346. doi:10.3390/molecules28176346 Preclinical
https://doi.org/10.3390/molecules28176346 - Hernandez-Ortega, M., Ortiz-Moreno, A., Hernandez-Navarro, M.D., Chamorro-Cevallos, G., Dorantes-Alvarez, L. and Necoechea-Mondragon, H (2012) 'Antioxidant, antinociceptive, and anti-inflammatory effects of carotenoids extracted from dried pepper (Capsicum annuum L.)', Journal of Biomedicine and Biotechnology, 2012, pp. 524019. doi:10.1155/2012/524019 Preclinical
https://doi.org/10.1155/2012/524019 - Maji, A.K. and Banerji, P (2016) 'Phytochemistry and gastrointestinal benefits of the medicinal spice, Capsicum annuum L. (Chilli): a review', Journal of Complementary & Integrative Medicine, 13(2), pp. 97-122. doi:10.1515/jcim-2015-0037 Meta-analysis / review
https://doi.org/10.1515/jcim-2015-0037 - Marrelli, M., Menichini, F. and Conforti, F (2016) 'Hypolipidemic and antioxidant properties of hot pepper flower (Capsicum annuum L.)', Plant Foods for Human Nutrition, 71(3), pp. 301-306. doi:10.1007/s11130-016-0560-7 Preclinical
https://doi.org/10.1007/s11130-016-0560-7 - Song, C., Yu, C., Zhu, X., Luo, X., Zhang, Y., Meng, L., Luo, Y., Chang, H., Qin, C. and Liu, Y (2020) 'A new capsaicin-containing phenolic glycoside from Capsicum annuum L', Natural Product Research, 36(2), pp. 546-552. doi:10.1080/14786419.2020.1789983 Preclinical
https://doi.org/10.1080/14786419.2020.1789983 - Anand, P. and Bley, K (2011) 'Topical capsaicin for pain management: therapeutic potential and mechanisms of action of the new high-concentration capsaicin 8% patch', 107(4), pp. 490--502. doi:10.1093/bja/aer260 Clinical study
https://doi.org/10.1093/bja/aer260 - Basu, S. and Bhattacharyya, S (2023) 'Capsicum and capsaicin: a comprehensive review of chemistry, pharmacology, and therapeutic applications', 22(5), pp. 1413--1442. doi:10.1007/s11101-023-09875-8 Traditional / reference
https://doi.org/10.1007/s11101-023-09875-8 - Derry, S., Rice, A.S., Cole, P., Tan, T. and Moore, R.A (2017) 'Topical capsaicin (high concentration) for chronic neuropathic pain in adults'. doi:10.1002/http://14651858.CD007393.pub4 Randomized trial
https://doi.org/10.1002/http://14651858.CD007393.pub4 - Royal Botanic Gardens, Kew (n.d.) 'Capsicum annuum L'. Available at: https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:841033-1 Traditional / reference
https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:841033-1 - Molina-Torres, J., García-Chávez, A. and Ramírez-Chávez, E (1999) 'Antimicrobial properties of alkamides present in flavouring plants traditionally used in Mesoamerica', 64(3), pp. 241--248. doi:10.1016/S0378-8741(98)00131-4 Traditional / reference
https://doi.org/10.1016/S0378-8741(98)00131-4 - Lv, J., Qi, L., Yu, C. et al (2015) 'Consumption of spicy foods and total and cause specific mortality: population based cohort study'. doi:10.1136/bmj.h3942 Clinical study
https://doi.org/10.1136/bmj.h3942
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