Botanical Index No. 398

Evening Primrose

oenothera biennis

Safety & Contraindications

Contraindications, Interactions, and Side Effects — Class 1. The literature looks reasonably clean. I’ve heard from two separate personal cases of women taking it satisfactorily for PMS, that it caused migraine-like headaches which they did not experience before taking EPO. Anecdotal but credible. As one source of tryptophan, which may convert to cerebral serotonin, it can alter brain levels of serotonin, which is involved in some migraine cases. Colic, headache, and nausea may occur in a small percentage of subjects. CAN reports patients with schizophrenia on phenothiazines may experience mild dyspepsia and/or increased risk of epilepsy. They rather give it a green light for breastfeeding mothers, since both linoleic acid and gamma-linolenic acid are normally in breast milk. The conservative Miller and Murray book says, “No adverse effects of EPO have been reported. Chronic toxicity and carcinogenicity studies of EPO in rats, mice, and dogs revealed no important adverse effects or tumor differences”. The second edition of the Herbal PDR warns that EPO may possibly lower the seizure threshold in patients being treated with drugs that lower the seizure threshold in schizophrenia.

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