Omnia SanaCommon names in 25 European languages →
The complete database record: 3 documented constituents, 4 pharmacological actions, 11 traditional / indicated uses, with 20 cited sources.
Botanical Description
Bushy annual or short-lived perennial herb (grown as an annual in temperate climates) with glossy, oval to lance-shaped leaves. Small, star-shaped, white to greenish flowers give way to the characteristic fleshy, hollow fruit (a berry), which ripens from green through yellow to red and varies enormously in size, shape and pungency between cultivars.[1]
Habitat & Distribution
Native to Central and South America; cultivated worldwide in warm and temperate climates as a food and medicinal crop, thriving in full sun on well-drained soil.[1]
Harvesting
Fruit is picked at the desired stage of ripeness (green for milder use, fully red for maximum capsaicin and carotenoid content) through summer and autumn; seeds are separated and dried from fully ripe fruit.
Key Constituents
The pungent alkaloid-like compounds responsible for the fruit's heat and its counterirritant/analgesic action via TRPV1 receptor desensitisation.
Give ripe red fruit its colour and contribute antioxidant and anti-inflammatory activity.
Antioxidant and anti-inflammatory flavonoids identified in leaf and fruit extracts.
Pharmacological Actions
Traditional & Indicated Uses
inferred from anti-inflammatory action
inferred from analgesic action
inferred from digestive action
more plants for cardiovascular / heart health →detailed sources →
inferred from analgesic action
inferred from digestive action
inferred from antimicrobial action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from antimicrobial action
Traditional Use & History
Chili pepper fruit has a long history across the Americas and, after global spread, in many other traditional medicine systems as a warming digestive stimulant and topical counterirritant/analgesic for muscle and joint pain, building on capsaicin's now well-documented ability to desensitise pain-sensing nerve fibres with repeated application.[1]
Preparations
Standardised capsaicin cream or patch applied to the affected area for muscle, joint or nerve pain; repeated application depletes substance P and reduces pain signalling.
Dosage
The EU herbal monograph on Capsici fructus gives semi-solid dosage forms corresponding to 40-53 mg capsaicinoids per 100 g, applied as a thin layer to the affected area 2-4 times daily, in adults and elderly. For medicated plasters, a maximum of 1 plaster per day applied for at least 4 and up to 12 hours, with at least 12 hours before a new plaster is applied to the same area. Not recommended under 18 years. Expect an initial burning sensation that lessens with repeated use. Note the monograph covers hot chilli fruit (C. annuum var. minimum and small-fruited C. frutescens), not sweet peppers. Educational reference only, not a prescription.
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).
Harvest Readiness
[12]
[12]
External Identifiers
References & 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 - The Herbal Medic 'Chilli / Cayenne (Capsicum annuum)'. Available at: https://theherbalmedic.co.uk/chilli-capsicum-annuum Traditional / reference
https://theherbalmedic.co.uk/chilli-capsicum-annuum - European Medicines Agency (HMPC) (2015) 'European Union herbal monograph on Capsicum annuum L. var. minimum (Miller) Heiser and small fruited varieties of Capsicum frutescens L., fructus'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-capsicum-annuum-l-var-minimum-miller-heiser-and-small-fruited-varieties-capsicum-frutescens-l-fructus_en.pdf Traditional / reference
https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-capsicum-annuum-l-var-minimum-miller-heiser-and-small-fruited-varieties-capsicum-frutescens-l-fructus_en.pdf - 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 - 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
Selected studies & references
All 18 studies in the Knowledge Finder →
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