Herb Profile

Andrographis Paniculata

Andrographis paniculata

Andrographis Paniculata (Andrographis paniculata) carries a Grade C rating — limited evidence.

Last reviewed: 3 sources citedReport a correctionProfile-wide ·C Limited

Use extra caution Immune modulating activity is plausible; use caution with autoimmune disease, transplant medicines, or immunosuppressants. Details

Evidence
Limited Evidence
Typical onset
Varies by prep
Safety rating
High caution
Best for
Respiratory, Inflammatory signaling
Avoid / review if
Pregnancy/Breastfeeding Without Clinician Supervision, Known Allergy To The Plant/Family, Potential Interaction Concern With Immunosuppressants
Andrographis Paniculata monograph visual
Generated profile category visual

At a glance

From this profile's structured data
Evidence
Grade C
Safety
Immune-modulating activity is plausible; use caution with autoimmune disease, transplant medicines, or immunosuppressants.
Profile context
respiratory
Next steps

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Safety

Safety & Cautions

Immune modulating activity is plausible; use caution with autoimmune disease, transplant medicines, or immunosuppressants.

High caution

Caution level: High. Multiple caution categories apply, or the record uses avoid/contraindication language.

  • Interaction-AwareMedication or interaction context is explicitly noted.
  • Pregnancy/Breastfeeding CautionPregnancy or breastfeeding caution language is present.
Detailed safety fields

Pregnancy, breastfeeding, and contraindications

  • Pregnancy/Breastfeeding Without Clinician Supervision
  • Known Allergy To The Plant/Family
  • Potential Interaction Concern With Immunosuppressants
  • Use Clinician Review For High Dose Extracts Or Chronic Use.

Safety classifications

  • Interaction-Aware: Medication or interaction context is explicitly noted.
  • Pregnancy/Breastfeeding Caution: Pregnancy or breastfeeding caution language is present.

Full safety note

  • Immune modulating activity is plausible; use caution with autoimmune disease, transplant medicines, or immunosuppressants.

Safety labels

  • Interaction-Aware
  • Pregnancy/Breastfeeding Caution

Evidence

Evidence Summary

Evidence lens

Read as directional context, not settled clinical proof.

LimitedLimited Evidence

Human clinical evidence: Present in source signals

Mechanistic / preclinical: Mechanism mappedInflammatory Signaling Modulation · Immune Signaling Modulation · NF KB Modulation

Research maturity: Emerging researchLong Term Human Evidence May Be Limited.

Safety boundary: Safety note availableImmune modulating activity is plausible; use caution with autoimmune disease, transplant medicines, or immunosuppressants.

This profile cites 3 human studies.

Study design details
Evidence Grade

Grade C: Limited Evidence

Evaluation of methodological rigor, population reach, and evidence alignment.

Design Match
Meta-analysis
Risk of Bias
Low
Consistency
Consistent
Strongest recorded design is a meta-analysis, drawn from 7 recorded studies, 4 in people. No disagreement is recorded across them.
How evidence grades work

Each grade reflects the strength and consistency of published human evidence — not marketing claims. Grades are based on study count, design quality, effect size, consistency, and recency.

Strong
Multiple RCTs, consistent direction, adequate effect size
Moderate
Some RCTs or consistent observational data in humans
Preliminary / Mixed
Animal or in-vitro only, or conflicting human data
Traditional / Theoretical
Traditional use only; no controlled human trials
Clinical Study Summaries (8)4 human evidence sources · 2 human trials · ~60 participants across 1 human evidence source with reported N · Consistency not yet classifiable

Filter by study class

Showing 8 of 8 studies.

What the evidence actually shows

This table contains 8 structured sources, including 4 human evidence sources; 2 are human trials. Across 1 human evidence source with a reported sample size, the approximate participant total is 60; overlapping publications may include some of the same people.

StudyDesignNDoseDurationPopulationOutcomeResult & magnitudeSource

Exploring the clinical effects of Andrographis paniculata-derived compounds, its extract, or derivatives for the treatment of COVID-19: a systematic review and meta-analysis

Background
Meta-analysis

Statistically combines results from multiple eligible studies; confidence still depends on the quality, consistency, and directness of those studies.

Pooled evidence did not show consistent clinically important improvement across fever, cough, CRP, or IL-6 outcomes.PubMed

Herbal Medicines for the Treatment of Active Ulcerative Colitis: A Systematic Review and Meta-Analysis

Background
Systematic review

Uses a predefined method to find and evaluate relevant studies, but may or may not pool their results statistically.

Within the broader herbal evidence base, Andrographis did not show a clearly significant clinical response/remission signal.PubMed

Efficacy of Andrographis paniculata spray in acute pharyngitis: A randomized controlled trial

Okonogi R et al. · Drug Discov Ther · 2023

Background
Randomized controlled trial

Randomly assigns participants to interventions or controls, reducing many sources of bias when the trial is conducted well.

n=60PubMed

Andrographis paniculata extract versus placebo in the treatment of COVID-19: a double-blinded randomized control trial

Background
Randomized controlled trial

Randomly assigns participants to interventions or controls, reducing many sources of bias when the trial is conducted well.

No meaningful difference in disease progression versus placebo; only limited symptom-specific differences were reported.PubMed

Andrographolide: A review of its pharmacology, pharmacokinetics, toxicity and clinical trials and pharmaceutical researches

Zeng B et al. · Phytother Res · 2022

Background
Narrative review

Summarizes selected literature without the full prespecified search and selection methods of a systematic review.

PubMed

Overview of pharmacological activities of Andrographis paniculata and its major compound andrographolide

Dai Y et al. · Crit Rev Food Sci Nutr · 2019

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

PubMed
Show 2 more studies

Exploratory pharmacokinetic-pharmacodynamic characterization and safety of standardized Andrographis paniculata aqueous extract capsules in patients with mild COVID-19

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

Adds human pharmacokinetic, pharmacodynamic, and tolerability data for a standardized Andrographis preparation.PubMed

Non-linear oral bioavailability and clinical pharmacokinetics of high-dose Andrographis paniculata ethanolic extract: relevant dosage implications for COVID-19 treatment

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

Human exposure was non-linear at high oral doses, adding important dose-context information.PubMed

Dosing & Timing

No standardized dose
Preparation specific; use standardized product label for Preparation varies by tradition and product form and require source backed dosage review before therapeutic claims.
How Andrographis Paniculata works

Simplified mechanism pathway based on preclinical and pharmacological evidence. Does not confirm clinical efficacy.

Mechanism Pathway — How Andrographis Paniculata Works

How Andrographis Paniculata WorksAndrographis Paniculata acts on biological target pathways via anti inflammatory, leading to respiratory.Andrographis PaniculataBiological TargetBiological pathwayAnti InflammatoryRespiratoryObservable outcomeImmune ModulationParallel pathway
CompoundTarget / ReceptorMechanismEffect / Outcome
Mechanisms & biological pathways (preclinical)
  • Inflammatory Signaling Modulation
  • Immune Signaling Modulation
  • NF KB Modulation

Active Compounds

Key constituents studied in Andrographis Paniculata, with full pharmacology and safety profiles.

Compare related active botanicals

Explore botanicals with similar chemistry, effects, or safety considerations in the Botanical Activity Atlas.

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Andrographis product picks

Recommendation status

Product recommendations are not shown for this profile because the current site safety and monetization policy does not permit them.

Product form & quality guidelines

When sourcing Andrographis Paniculata, verify the label for:

  • Standardized extract: Confirm active content percentages on the supplement facts panel (e.g. standardized to specific marker compounds) rather than simple raw herb weights.
  • Third-party testing: Look for independent purity labels (USP, NSF, ConsumerLab, or Eurofins) to ensure the product is free from heavy metals, solvents, and contaminants.
  • Form bioavailability: Ensure the form matches evidence-supported configurations (e.g. standardized active extracts like bacosides, withanolides, or curcuminoids) for optimal onset and digestion tolerance.

Safety first · Harm reduction

This information is educational and not medical advice. Start low, avoid risky combinations, and consult a licensed clinician before making health decisions—especially if you use medications, have diagnosed conditions, or are pregnant/breastfeeding.

Learn how we evaluate confidence, safety, and intensity on the methodology page.

Editorial Review

Checked against primary sources, cited evidence, and contraindication language before publication. Evidence claims, safety language, and affiliate modules are reviewed independently. Not personal medical advice.

Editorial Standards →

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