Plant Profile

Ivy Leaf

Hedera helix
Family: Araliaceae  ·  Parts used: Leaf (standardised dry extract)  ·  Also known as: Common ivy, English ivy

The complete database record: 2 documented constituents, 3 pharmacological actions, 6 traditional / indicated uses, with 15 cited sources.

Botanical Description

Woody, evergreen climbing or trailing vine that attaches to surfaces by small aerial rootlets. Juvenile leaves are glossy, dark green with three to five lobes; mature, flowering growth on well-lit stems produces unlobed, oval leaves. Small, greenish-yellow flowers in rounded umbels appear in autumn on mature growth, followed by black berries.[12]

Height: Climbing/trailing to 20-30 m where supported
Habit: Woody, evergreen climbing or trailing vine
Leaves: Juvenile leaves glossy, three- to five-lobed; mature leaves unlobed, oval
Flowers: Small, greenish-yellow, in rounded umbels, on mature flowering growth
Stem: Woody, climbing by small aerial rootlets
Root: Woody root system plus climbing aerial rootlets
Fruit: Black berry (toxic if eaten in quantity - not used medicinally)
Flowering Period: Autumn (on mature growth only)

Habitat & Distribution

Grows as a climbing or ground-covering evergreen on trees, walls, buildings and woodland floors, tolerant of shade; native to Europe and Western Asia and widely naturalised elsewhere.

Harvesting

Juvenile (lobed) leaves are picked for medicinal use, typically in spring to summer, then dried and processed into standardised extract; the fresh raw leaf is not used directly due to irritant saponins.

Parts: Leaf (standardised dry extract)

Key Constituents

Triterpene saponins (hederacoside C, alpha-hederin)[4, 5, 7, 8, 12, 13]

The secretolytic and antispasmodic active constituents; extracts are standardised to them.

Triterpene saponinsTerpenes / terpenoidsSaponins
Flavonoids and phenolic acids[12]

Antioxidant supporting constituents.

Phenolic acidsFlavonoids

Pharmacological Actions

Antispasmodic[5, 7, 10, 12]

Antispasmodic / bronchodilatory - eases coughing fits and breathlessness

Bronchodilator / anti-asthmatic[5, 12]

Antispasmodic / bronchodilatory - eases coughing fits and breathlessness

Expectorant[1, 2, 3, 12, 13, 15]

Expectorant / secretolytic for productive cough and acute bronchitis (loosens and helps clear mucus)

Traditional & Indicated Uses

Asthma[12]Limited · 3/10

inferred from bronchodilator action

Evidence: 3
Label: Asthma

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Bronchitis[12, 13, 15]Good · 7/10

Expectorant / secretolytic for productive cough and acute bronchitis (loosens and helps clear mucus)

Evidence: 7
Label: Bronchitis

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Cough[12, 13, 15]Good · 7/10

Expectorant / secretolytic for productive cough and acute bronchitis (loosens and helps clear mucus)

Evidence: 7
Label: Cough

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Menstrual cramps[12]Limited · 3/10

inferred from antispasmodic action

Evidence: 3
Label: Menstrual cramps

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Muscle spasm[12]Limited · 3/10

inferred from antispasmodic action

Evidence: 3
Label: Muscle spasm

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Respiratory support[12, 13, 15]Good · 7/10

inferred from expectorant action

Evidence: 7
Label: Respiratory support

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Traditional Use & History

Ivy leaf has a long European folk history as an expectorant remedy for coughs and chest complaints, and modern standardised leaf extracts are among the best-studied herbal treatments for acute bronchitis and productive cough, shown in clinical trials to reduce cough severity and ease breathing.[12]

Preparations

Standardised dry extract (syrup/drops)[12]

Leaf extract standardised to saponin (hederacoside C) content, formulated as a cough syrup or drops; the well-studied clinical form for acute bronchitis and productive cough.

Dosage

Standardised extract (syrup)[12]

Commercial standardised ivy-leaf syrups are typically dosed per product labelling (varying by age); clinical trials show benefit within about 48 hours of starting treatment. Educational reference only, not a prescription.

Safety, Cautions & Contraindications

Safety note[12]Info

Generally well tolerated; occasional gastrointestinal upset or, rarely, allergic reaction. Use only standardised extract products - the fresh raw plant contains irritant saponins and falcarinol that can cause contact dermatitis.

Safety note[12]Caution

A cough lasting more than a week, or with fever, breathlessness or purulent sputum, needs medical assessment. Safety in pregnancy and breastfeeding is not established.

Harvest Readiness

[14]

Part: leaf
Signals: Gather the leaves in spring to early summer, used fresh or dried.
Basis: traditional
Source Quote: The leaves are harvested in spring and early summer, they are used fresh and can also be dried.
Species Confirmed: 1
Notes: PFAF (REF-3269); the leaves are gathered in spring and early summer. Single lineage -> provisional.

External Identifiers

References & Sources

  1. Sierocinski, E., Holzinger, F. and Chenot, J.F (2021) 'Ivy leaf (Hedera helix) for acute upper respiratory tract infections: an updated systematic review', European Journal of Clinical Pharmacology, 77(8), pp. 1113-1122. doi:10.1007/s00228-021-03090-4 Meta-analysis / review
    https://doi.org/10.1007/s00228-021-03090-4
  2. Baharara, H., Moghadam, A.T., Sahebkar, A., Emami, S.A. et al (2021) 'The Effects of Ivy (Hedera helix) on Respiratory Problems and Cough in Humans: A Review', Advances in Experimental Medicine and Biology, 1328, pp. 361-376. doi:10.1007/978-3-030-73234-9_23 Traditional / reference
    https://doi.org/10.1007/978-3-030-73234-9_23
  3. Song, K.J., Shin, Y.J., Lee, K.R., Lee, E.J. et al (2015) 'Expectorant and antitussive effect of Hedera helix and Rhizoma coptidis extracts mixture', Yonsei Medical Journal, 56(3), pp. 819-824. doi:10.3349/ymj.2015.56.3.819 Preclinical
    https://doi.org/10.3349/ymj.2015.56.3.819
  4. Yu, M., Liu, J., Li, L., Xu, H., Xing, Y., Zhao, Y. and Yu, Z (2016) 'Pharmacokinetic parameters of three active ingredients hederacoside C, hederacoside D, and alpha-hederin in Hedera helix in rats', Journal of Separation Science, 39(17), pp. 3292-3301. doi:10.1002/jssc.201600523 Preclinical
    https://doi.org/10.1002/jssc.201600523
  5. Sieben, A., Prenner, L., Sorkalla, T., Wolf, A., Jakobs, D., Runkel, F. and Haberlein, H (2009) 'Alpha-hederin, but not hederacoside C and hederagenin from Hedera helix, affects the binding behavior, dynamics, and regulation of beta-2-adrenergic receptors', Biochemistry, 48(15), pp. 3477-3482. doi:10.1021/bi802036b Preclinical
    https://doi.org/10.1021/bi802036b
  6. Alkattan, A., Alameer, R., Alsalameen, E., Almaary, M., Alkhairat, M., Alkhalifah, A., Alghanim, F. and Radwan, N (2021) 'Safety of English ivy (Hedera helix) leaf extract during pregnancy: retrospective cohort study', DARU Journal of Pharmaceutical Sciences, 29(2), pp. 493-499. doi:10.1007/s40199-021-00415-7 Clinical study
    https://doi.org/10.1007/s40199-021-00415-7
  7. Trute, A., Gross, J., Mutschler, E. and Nahrstedt, A (1997) 'In vitro antispasmodic compounds of the dry extract obtained from Hedera helix', Planta Medica, 63(2), pp. 125-129. doi:10.1055/s-2006-957627 Preclinical
    https://doi.org/10.1055/s-2006-957627
  8. Gavrila, A.I., Tatia, R., Seciu-Grama, A., Tarcomnicu, I., Negrea, C., Calinescu, I., Zalaru, C., Moldovan, L., Raiciu, A.D. and Popa, I (2022) 'Ultrasound assisted extraction of saponins from Hedera helix L. and an in vitro biocompatibility evaluation of the extracts', Pharmaceuticals, 15(10), pp. 1197. doi:10.3390/ph15101197 Preclinical
    https://doi.org/10.3390/ph15101197
  9. Suleyman, H., Mshvildadze, V., Gepdiremen, A. and Elias, R (2003) 'Acute and chronic antiinflammatory profile of the ivy plant, Hedera helix, in rats', Phytomedicine, 10(5), pp. 370-374. doi:10.1078/0944-7113-00260 Preclinical
    https://doi.org/10.1078/0944-7113-00260
  10. Mendel, M., Chlopecka, M., Dziekan, N. and Wiechetek, M (2011) 'The effect of the whole extract of common ivy (Hedera helix) leaves and selected active substances on the motoric activity of rat isolated stomach strips', Journal of Ethnopharmacology, 134(3), pp. 796-802. doi:10.1016/j.jep.2011.01.036 Preclinical
    https://doi.org/10.1016/j.jep.2011.01.036
  11. Rosca-Casian, O., Mircea, C., Vlase, L., Gheldiu, A., Teuca, D.T. and Parvu, M (2017) 'Chemical composition and antifungal activity of Hedera helix leaf ethanolic extract', Acta Biologica Hungarica, 68(2), pp. 196-207. doi:10.1556/018.68.2017.2.7 Preclinical
    https://doi.org/10.1556/018.68.2017.2.7
  12. Kruttschnitt, E., Wegener, T., Zahner, C. and Henzen-Bucking, S (2020) 'Assessment of the Efficacy and Safety of Ivy Leaf Cough Syrup Compared with Acetylcysteine in Adults and Children with Acute Bronchitis', Evidence-Based Complementary and Alternative Medicine. doi:10.1155/2020/1910656 Clinical study
    https://doi.org/10.1155/2020/1910656
  13. Schonknecht, K., Fal, A.M., Mastalerz-Migas, A., Joachimiak, M. and Doniec, Z (2017) 'Efficacy of dry extract of ivy leaves in the treatment of productive cough', Wiadomosci Lekarskie. Randomized trial
    https://scholar.google.com/scholar?q=Efficacy%20of%20dry%20extract%20of%20ivy%20leaves%20in%20the%20treatment%20of%20productive%20cough
  14. Plants For A Future 'Hedera helix (Common Ivy, English Ivy)'. Available at: https://pfaf.org/user/Plant.aspx?LatinName=Hedera+helix Traditional / reference
    https://pfaf.org/user/Plant.aspx?LatinName=Hedera+helix
  15. Schaefer, A., Kehr, M.S., Giannetti, B.M., Bulitta, M. and Staiger, C (2016) 'A randomized, controlled, double-blind, multi-center trial to evaluate the efficacy and safety of a liquid containing ivy leaves dry extract (EA 575) vs. placebo in the treatment of adults with acute cough', Die Pharmazie, 71(9), pp. 504--509. doi:10.1691/ph.2016.6712 Randomized trial
    https://doi.org/10.1691/ph.2016.6712

This fact sheet is generated automatically from the Omnia Sana plant database and reflects its latest synced data. It is provided for educational purposes only and is not medical advice. How this site is built.

Selected studies & references

Educational use only. This profile summarises traditional and scientific sources for reference. It is not medical advice and not a substitute for a qualified practitioner. Some plants carry safety cautions and drug interactions - always check before use.
This profile is assembled automatically from the Omnia Sana plant database, which we curate by hand. How this site is built.
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