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Hawthorn berry (Crataegus)

Heart failure · Blood pressure
Tier 2 — Promising

What it is

Studied in multiple RCTs for mild to moderate heart failure. A Cochrane review found it improved exercise tolerance and reduced breathlessness vs placebo. The large SPICE trial confirmed symptomatic improvement but found no mortality benefit. May interact with cardiac medications (digoxin, beta-blockers) — use under medical supervision.

Efficacy
3/5
Safety
4/5
Research
3/5
Onset
2/5
Cost
3/5
Drug-int.
3/5

Dose

160–900 mg/day hawthorn extract standardised to flavonoids; use under medical supervision for heart conditions

Time of day & tips

Take with food. Use under medical supervision if taking cardiac medications — it can interact with digoxin and beta-blockers. Split into 2–3 daily doses.

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