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Fact Sheet Number 735

SILYMARIN (Milk Thistle)


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WHAT IS SILYMARIN?

Silymarin refers to the extract from the seeds of the plant Silybum

marianum, also called “milk thistle”. It has been

used for over 2,000 years. During the Middle Ages the seed of

the milk thistle was commonly used to treat liver diseases.

The active ingredients of milk thistle are chemicals called

flavonoids. The flavonoids in milk thistle are silybin, silydianin,

and silychristin. Together, they are called silymarin.


WHAT ARE THE BENEFITS

OF SILYMARIN?

Silymarin protects the liver by acting as an antioxidant and by

promoting the growth of new liver cells. Silymarin also helps

with the digestion of fats. It appears to help keep harmful substances

out of liver cells.

Milk thistle can help prevent or reverse liver damage caused

by alcohol, recreational drugs, pesticides, some poisons, or hepatitis.

Silymarin has been used (especially in Europe) to treat hepatitis,

liver damage due to alcoholism, and poisoning by certain types

of mushrooms.

There is no evidence that silymarin acts directly against HIV.


WHY DO PEOPLE

WITH HIV USE SILYMARIN?

Some medicines used to fight HIV can damage the liver. People

who have had hepatitis are more likely to have liver problems

when they take anti-HIV drugs. Milk thistle might help prevent

liver damage.

Several anti-HIV drugs can cause stomach problems, and silymarin

can help treat indigestion.


HOW IS SILYMARIN

USED?

Silymarin is an extract of the seeds of the milk thistle plant.

A standardized extract should be 80% silymarin (the active ingredient).

The usual dosage of milk thistle extract is between 300 milligrams

(mg) and 600 mg daily.


WHAT ARE THE SIDE

EFFECTS?

There are no documented side effects of milk thistle. Even very

high doses do not seem to have any negative effects. However,

some people get an upset stomach or have more gas when they start

using silymarin. If this happens, cut back on your dosage and

then increase it slowly.


HOW DOES IT INTERACT

WITH OTHER THERAPIES?

There are no documented interactions of milk thistle with other

therapies.


HOW DO WE KNOW

IT WORKS?

Milk thistle has been used for over 2,000 years, so a lot has

been written about its health effects. There have been over 300

scientific studies of silymarin that document:

  • Antioxidant effects
  • Treatment of cirrhosis of the liver caused by alcoholism
  • Treatment of chronic hepatitis
  • Treatment of poisoning due to eating wild mushrooms
  • Helping the liver repair itself

Most of the scientific studies of silymarin were published

in Europe.


THE BOTTOM LINE

Silymarin is an extract of the seeds of the milk thistle plant.

It has been used for over 2,000 years to treat liver problems.

No side effects or dangerous interactions have been noted.

For people with HIV, especially if they have had hepatitis,

silymarin might help protect the liver from damage caused by antiviral

medications. It might also reduce stomach upset caused by medications.


Note: This Fact Sheet is based on the work of Direct AIDS

Alternative Information Resources (DAAIR). For more details, contact

DAAIR at 1-888-951-5433 or http://www.daair.org.


Reviewed April 30, 2002

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