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evening primrose
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Category

Herbs & Supplements

Alternate Title

Primrose oil, Oenothera biennisL.

Synonyms

Echte Nachtkerze, EPO, fever plant, gamma-linolenic acid (GLA), herbe aux anes, Huile D'Onagre, kaempe natlys, king's cureall, la belle de nuit, nachtkerzenol, night willow-herb, Oenothera communis Leveill, Oenothera graveolens Gilib, omega-6 essential fatty acid, Onagra biennis Scop, Onogra vulgaris, onagre bisannuelle, scabish, Spach, stella di sera, sun drop, Teunisbloem.

Background

Evening primrose oil (EPO) contains an omega-6 essential fatty acid, gamma-linolenic acid (GLA), which is believed to be the active ingredient. EPO has been studied in a wide variety of disorders, particularly those affected by metabolic products of essential fatty acids. However, high-quality evidence for its use in most conditions is still lacking.

Evidence

DISCLAIMER: These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Eczema (children and adults): Several small studies of eczema suggest benefits of taking evening primrose oil by mouth. Large well-designed studies are needed before a strong recommendation can be made. Evening primrose oil is approved for eczema in several countries outside of the United States.
Grade: B

Skin irritation (atopic dermatitis in children and adults): Several small human studies of atopic dermatitis suggest benefits of taking evening primrose oil by mouth. Large well-designed studies are needed before a strong recommendation can be made. Evening primrose oil is approved for atopic dermatitis in several countries outside of the United States.
Grade: B

Breast cancer: Not enough information is available to advise the use of evening primrose oil for breast cancer. People with known or suspected breast cancer should consult with a qualified healthcare professional about possible treatments.
Grade: C

Breast cysts : The limited available research does not demonstrate that evening primrose oil has a significant effect on treating breast cysts.
Grade: C

Breast pain (mastalgia): Although primrose oil is used for breast pain in several European countries, no high-quality human studies are currently available in this area. Therefore, the available information does not allow recommendation for or against the use of primrose oil in this condition.
Grade: C

Chronic fatigue syndrome/post-viral infection symptoms: Not enough information is available to advise the use of evening primrose oil for symptoms of chronic fatigue syndrome or fatigue following a viral infection.
Grade: C

Diabetes: A small number of laboratory studies and theory suggests that evening primrose oil may be helpful in diabetes, but more information is needed before a recommendation can be made.
Grade: C

Diabetic neuropathy (nerve damage): Gamma-linolenic acid (GLA), one of the components of evening primrose oil, may be helpful in people with diabetic neuropathy. Additional studies are needed before a recommendation can be made.
Grade: C

Multiple sclerosis (MS): It is theorized that primrose oil may be helpful in patients with MS based on laboratory studies. Limited evidence is available in humans, and a firm conclusion is not possible at this time.
Grade: C

Obesity/weight loss: Initial human study suggests that evening primrose oil may have no effects on weight loss.
Grade: C

Pre-eclampsia/high blood pressure of pregnancy: Evening primrose oil is proposed to have effects on chemicals in the blood called prostaglandins, which may play a role in pre-eclampsia. However, more studies are needed before a firm conclusion can be drawn.
Grade: C

Raynaud's phenomenon: Not enough scientific information is available to advise the use of evening primrose oil for Raynaud's phenomenon.
Grade: C

Rheumatoid arthritis: Benefits of evening primrose oil in the treatment of arthritis have not clearly been shown. More information is needed before a recommendation can be made.
Grade: C

Scale-like dry skin (ichthyosis vulgaris): Early studies do not show a benefit from evening primrose oil. However, larger studies are needed to confirm this result.
Grade: C

Asthma: Small studies do not show evening primrose oil to be useful in the treatment of asthma. Further research is needed to confirm this conclusion.
Grade: D

Attention deficit hyperactivity disorder (ADHD): Small human studies show no benefit from evening primrose oil in ADHD. Further research is needed to confirm this conclusion.
Grade: D

Cardiovascular health: Early study of evening primrose oil shows a lack of significant beneficial effects on cardiovascular function and health.
Grade: D

Menopause (flushing/bone metabolism): Available studies do not show evening primrose oil to be helpful with these potential complications of menopause.
Grade: D

Pre-menstrual syndrome (PMS): Small human studies do not report that evening primrose oil is helpful for the symptoms of PMS. A large, well-designed study is needed before any recommendation can be made.
Grade: D

Psoriasis: Initial research does not show a benefit from evening primrose oil in the treatment of psoriasis.
Grade: D

Schizophrenia: Results from studies of mixed quality do not support the use of evening primrose oil for schizophrenia.
Grade: D

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