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The root of this herb that is native from Southern Africa is used. It contains iridoids as harpagoside and phytosterols and flavonoids. Traditional indications are not based on clinical evidence: relief of pain and joint inflammation, dyspepsia, flatulence and anorexia (Bargsten 2025, EMA 2016, Cameron 2014, WHO 2007, Brien 2006) . Similar efficacy to meloxicam has been found in the treatment of knee osteoarthritis. (Farpour 2021)
As of last update we found no published data on its excretion in breast milk.
Side effects are rare and usually mild (Posadzki 2013, Vlachojannis 2008); cases of gastralgia and dyspepsia (Prescrire 2013) and pancreatitis have been published. (Douros 2013)
Moderate or occasional consumption would be acceptable during breastfeeding.