Flavonoids

What Are "Star" Ratings?

a7_3star Reliable and relatively consistent scientific data showing a substantial health benefit.

a7_2star Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit.

a7_1star For an herb, supported by traditional use but minimal or no scientific evidence. For a supplement, little scientific support.

Our proprietary “Star-Rating” system was developed to help you easily understand the amount of scientific support behind each supplement in relation to a specific health condition. While there is no way to predict whether a vitamin, mineral, or herb will successfully treat or prevent associated health conditions, our unique ratings tell you how well these supplements are understood by the medical community, and whether studies have found them to be effective for other people.

For over a decade, our team has combed through thousands of research articles published in reputable journals. To help you make educated decisions, and to better understand controversial or confusing supplements, our medical experts have digested the science into these three easy-to-follow ratings. We hope this provides you with a helpful resource to make informed decisions towards your health and well-being.

This supplement has been used in connection with the following health conditions:

Used for	Amount	Why
Chronic Venous Insufficiency	500 mg hydroxyethylrutosides twice per day	Flavonoids strengthen capillaries. A flavonoid derived from rutin, called HR, has been shown to be effective in clearing leg swelling and reducing other CVI symptoms.
Chronic Venous Insufficiency 500 mg hydroxyethylrutosides twice per day Flavonoids promote venous strength and integrity. Most trials of flavonoids in patients with CVI have used a type of flavonoid called hydroxyethylrutosides (HR), which is derived from rutin. These double-blind and other controlled trials have consistently shown a beneficial effect of HR in clearing leg swelling and other signs of CVI.²^{, 3}^{, 4} Positive results from a double-blind trial have been obtained using 500 mg of HR taken twice per day for 12 weeks.⁵ In this trial, the preparation was found to add further benefit to that provided by compression stockings commonly used to treat CVI. Similar results were obtained in another controlled trial.⁶ It is unclear whether other flavonoids are as effective as HR for CVI. HR has also been used successfully as a topical preparation for the treatment of CVI.⁷ Learn More

Used for	Amount	Why
Hepatitis	500 to 750 mg daily of catechins	The flavonoid catechin has helped people with acute viral hepatitis, as well as people with chronic hepatitis.
Hepatitis 500 to 750 mg daily of catechins Catechin, a flavonoid, has helped people with acute viral hepatitis,⁸ as well as individuals with chronic hepatitis,⁹ though not all trials have found a benefit.¹⁰ A typical amount used in successful trials is 500–750 mg three times per day. Although catechin is found in several plants, none contain sufficient amounts to reach the level used in the trials; thus, catechin supplements are needed. However, because of its potential to cause side effects on rare occasions,¹¹ catechin should be used only under medical supervision. Learn More

Used for	Amount	Why
Bruising	400 to 800 mg hesperidin with vitamin C daily	Flavonoids are often recommended with vitamin C. Flavonoids are vitamin-like substances that can help strengthen capillaries and therefore may also help with bruising.
Bruising 400 to 800 mg hesperidin with vitamin C daily Doctors often suggest that people who experience easy bruising supplement with 100 mg to 3 grams of vitamin C per day for several months. Controlled research is limited, but vitamin C supplements have been shown to reduce bruising in people with low vitamin C intake.¹² Flavonoids are often recommended along with vitamin C. Flavonoids are vitamin-like substances that can help strengthen capillaries and therefore may also help with bruising.¹³ Flavonoids may also increase the effectiveness of vitamin C; citrus flavonoids, in particular, improve the absorption of vitamin C. Older preliminary research suggested that vitamin C, 400–800 mg per day, in combination with 400–800 mg per day of the flavonoid, hesperidin, reduced bruising in menopausal women.¹⁴ A small, preliminary trial in Germany gave three people with progressive pigmented purpura (a chronic bruising disorder) 1,000 mg per day of vitamin C and 100 mg per day of the flavonoid rutoside. After four weeks, noticeable bruising was no longer apparent and did not recur in the three month period after treatment was stopped.¹⁵ Controlled research is needed to better establish whether vitamin C and flavonoids are effective for easy bruising. Learn More

Used for	Amount	Why
Cold Sores (Vitamin C)	200 mg with 200 mg flavonoids, three to five times daily	Vitamin C plus flavonoids may help speed cold sore healing.
Cold Sores 200 mg with 200 mg flavonoids, three to five times daily Vitamin C has been shown to inactivate herpes viruses in the test tube.¹⁶ In one study, people with herpes infections received either a placebo or 200 mg of vitamin C plus 200 mg of flavonoids, each taken three to five times per day. Compared with the placebo, vitamin C and flavonoids reduced the duration of symptoms by 57%.¹⁷ Learn More

Used for	Amount	Why
Gingivitis (Vitamin C)	300 mg of vitamin C, plus 300 mg of flavonoids daily	In one study, supplementing with vitamin C plus flavonoids improved gum health in a group of people with gingivitis.
Gingivitis 300 mg of vitamin C, plus 300 mg of flavonoids daily People who are deficient in vitamin C may be at increased risk for periodontal disease.¹⁸ When a group of people with periodontitis who normally consumed only 20–35 mg of vitamin C per day were given an additional 70 mg per day, objective improvement of periodontal tissue occurred in only six weeks.¹⁹ It makes sense for people who have a low vitamin C intake (e.g., people who eat few fruits and vegetables) to supplement with vitamin C in order to improve gingival health. For people who consume adequate amounts of vitamin C in their diet, several studies have found that supplemental vitamin C has no additional therapeutic effect. Research,²⁰ including double-blind evidence,²¹ shows that vitamin C fails to significantly reduce gingival inflammation in people who are not vitamin C deficient. In one study, administration of vitamin C plus flavonoids (300 mg per day of each) did improve gingival health in a group of people with gingivitis;²² there was less improvement, however, when vitamin C was given without flavonoids. Preliminary evidence has suggested that flavonoids by themselves may reduce inflammation of the gums.²³ Learn More

Used for	Amount	Why
Hemorrhoids	600 to 4,000 mg hydroxyethylrutosides daily or 1 to 3 grams of a mixture of 90% diosmin and 10% hesperidin	Supplementing with flavonoids may reduce symptoms. A number of flavonoids have been shown to have anti-inflammatory effects and to strengthen blood vessels
Hemorrhoids 600 to 4,000 mg hydroxyethylrutosides daily or 1 to 3 grams of a mixture of 90% diosmin and 10% hesperidin A number of flavonoids have been shown to have anti-inflammatory effects and/or to strengthen blood vessels. These effects could, in theory, be beneficial for people with hemorrhoids. Most,²⁴ ^{, 25} ^{, 26} ^{, 27} but not all,²⁸ double-blind trials using a group of semisynthetic flavonoids (hydroxyethylrutosides derived from rutin) have demonstrated significant improvements in itching, bleeding, and other symptoms associated with hemorrhoids when people used supplements of 600–4,000 mg per day. Other trials have evaluated Daflon, a product containing the food-derived flavonoids diosmin (90%) and hesperidin (10%). An uncontrolled trial reported that Daflon produced symptom relief in two-thirds of pregnant women with hemorrhoids.²⁹ Double-blind trials have produced conflicting results about the effects of Daflon in people with hemorrhoids.³⁰ ^{, 31} Amounts of flavonoids used in Daflon trials ranged from 1,000 to 3,000 mg per day. Diosmin and hesperidin are available separately as dietary supplements. Some doctors recommend flavonoid supplements for people with hemorrhoids. However, many different flavonoids occur in food and supplements, and additional research is needed to determine which flavonoids are most effective against hemorrhoids. Learn More

Used for	Amount	Why
Ménière’s Disease	Refer to label instructions	Certain flavonoids, known as hydroxyethylrutosides, have been reported to improve symptoms of Ménière’s disease, including hearing problems.
Ménière’s Disease Certain flavonoids, known as hydroxyethylrutosides (HR), have been reported to improve symptoms of MD in one double-blind study. In this study, 2 grams per day of HR for three months resulted in either stabilization of or improvement in hearing.³² Other types of flavonoids have not been studied as treatments for MD. Some cases of MD are associated with otosclerosis,³³ ^{, 34} ^{, 35} ^{, 36} a disease affecting the small bones of the inner ear. Otosclerosis often goes undiagnosed in people with MD, although the coexistence is well documented.³⁷ While preliminary reports suggest otosclerosis may be a cause of MD,³⁸ ^{, 39} the relationship between these two conditions remains unclear. Sodium fluoride, a mineral compound available only by prescription, is reported to improve otosclerosis.⁴⁰ ^{, 41} ^{, 42} ^{, 43} In a preliminary study,⁴⁴ people with MD and otosclerosis were given supplements of 50 mg of sodium fluoride, 200 mg calcium carbonate, and a multiple vitamin supplying 400–800 IU of vitamin D per day, for periods ranging from six months to over five years. Many participants also had blood sugar abnormalities, and were asked to follow a modified hypoglycemia diet as described above. Significant improvement in vertigo was reported within six months, but improvements in hearing required one to two years. Because most participants used both diet and supplements, the importance of fluoride, calcium, and/or vitamin D to the overall results of this trial is unclear. Learn More

Used for	Amount	Why
Allergies and Sensitivities	Refer to label instructions	Test tube and animal studies have found some effects from natural antihistamines such as flavonoids, though no clinical research has shown whether these substances can specifically reduce allergic reactions.
Allergies and Sensitivities Many of the effects of allergic reactions are caused by the release of histamine, which is the reason antihistamine medication is often used by allergy sufferers. Some natural substances, such as vitamin C⁴⁵ ^{, 46} and flavonoids,⁴⁷ including quercetin,⁴⁸ ^{, 49} have demonstrated antihistamine effects in test tube, animal, and other preliminary studies. However, no research has investigated whether these substances can specifically reduce allergic reactions in humans. Learn More

Used for	Amount	Why
Capillary Fragility	Refer to label instructions	Flavonoids may help strengthen weakened capillaries, possibly by protecting collagen, one of the most important components of capillary walls.
Capillary Fragility Compounds called flavonoids may help strengthen weakened capillaries. In test tube and animal studies, they have been shown to protect collagen, one of the most important components of capillary walls.⁵⁰ ^{, 51} A preliminary study found that proanthocyanidins (flavonoids extracted from grape seeds), 150 mg per day, increased capillary strength in people with hypertension and/or diabetes.⁵² A double-blind trial found a combination of two flavonoids (900 mg per day of diosmin and 100 mg per day hesperidin) for six weeks reduced symptoms of capillary fragility.⁵³ Use of vitamin C with flavonoids, particularly quercetin, rutin, and hesperidin, is sometimes recommended for capillary fragility.⁵⁴ Doctors often recommend 400 mg of rutin or quercetin three times per day or 1 gram of citrus flavonoids three times per day. Learn More

Used for	Amount	Why
Gingivitis	Refer to label instructions	Shown to be effective against gingivitis when taken with vitamin C, flavonoids also appear to be effective by themselves at reducing gum inflammation.
Gingivitis People who are deficient in vitamin C may be at increased risk for periodontal disease.⁶⁷ When a group of people with periodontitis who normally consumed only 20–35 mg of vitamin C per day were given an additional 70 mg per day, objective improvement of periodontal tissue occurred in only six weeks.⁶⁸ It makes sense for people who have a low vitamin C intake (e.g., people who eat few fruits and vegetables) to supplement with vitamin C in order to improve gingival health. For people who consume adequate amounts of vitamin C in their diet, several studies have found that supplemental vitamin C has no additional therapeutic effect. Research,⁶⁹ including double-blind evidence,⁷⁰ shows that vitamin C fails to significantly reduce gingival inflammation in people who are not vitamin C deficient. In one study, administration of vitamin C plus flavonoids (300 mg per day of each) did improve gingival health in a group of people with gingivitis;⁷¹ there was less improvement, however, when vitamin C was given without flavonoids. Preliminary evidence has suggested that flavonoids by themselves may reduce inflammation of the gums.⁷² Learn More

Used for	Amount	Why
Measles	Refer to label instructions	Flavonoids are nutrients found in the white, pithy parts of fruits and vegetables. Certain flavonoids have been found to inhibit the infectivity of measles virus in the test tube.
Measles Flavonoids are nutrients found in the white, pithy parts of fruits and vegetables. In preliminary laboratory research, certain flavonoids have been found to inhibit the infectivity of measles virus in the test tube.⁷³ Whether flavonoid supplements could be effective in preventing or treating measles is unknown. Learn More

Used for	Amount	Why
Menopause	Refer to label instructions	A preliminary trial reported that a combination of vitamin C and the flavonoid hesperidin helped relieve hot flashes in menopausal women.
Menopause In 1964, a preliminary trial reported that 1,200 mg each of vitamin C and the flavonoid hesperidin taken over the course of the day helped relieve hot flashes.⁷⁴ Although placebo effects are strong in women with hot flashes, other treatments used in that trial failed to act as effectively as the flavonoid/vitamin C combination. Since then, researchers have not explored the effects of flavonoids or vitamin C in women with menopausal symptoms. Learn More

Used for	Amount	Why
Menorrhagia	Refer to label instructions	Flavonoids protect capillaries (small blood vessels) from damage. In so doing, they might protect against the blood loss of menorrhagia.
Menorrhagia Both vitamin C and flavonoids protect capillaries (small blood vessels) from damage. In so doing, they might protect against the blood loss of menorrhagia. In one small study, 88% of women with menorrhagia improved when given 200 mg vitamin C and 200 mg flavonoids three times per day.⁷⁵ In another study, 70% of women with excessive menstrual bleeding experienced at least a 50% reduction in bleeding after taking a flavonoid product.⁷⁶ The preparation used in this study contained 90% diosmin and 10% hesperidin and was given in the amount of 1,000 mg per day, beginning five days prior to the expected start of menstruation and continuing until the end of bleeding for three cycles. Learn More

Used for	Amount	Why
Retinopathy	Refer to label instructions	Quercetin has been shown to inhibit aldose reductase, an enzyme that appears to contribute worsen diabetic retinopathy. Another flavonoid, rutin, may also improve retinopathy.
Retinopathy Quercetin (a flavonoid) has been shown to inhibit the enzyme, aldose reductase.⁷⁷ This enzyme appears to contribute to worsening of diabetic retinopathy. However, because the absorption of quercetin is limited, it is questionable whether supplementing with quercetin can produce the tissue levels that are needed to inhibit aldose reductase. Although human studies have not been done using quercetin to treat retinopathy, some doctors prescribe 400 mg of quercetin three times per day. Another flavonoid, rutin, has been used with success to treat retinopathy in preliminary research.⁷⁸ Learn More

Used for	Amount	Why
Varicose Veins	Refer to label instructions	Taking hydroxyethylrutoside may help reduce the size of varicose veins associated with pregnancy.
Varicose Veins A controlled clinical trial found that oral supplementation with hydroxyethylrutosides (HR), a type of flavonoid that is derived from rutin, improved varicose veins in a group of pregnant women.⁷⁹ Further research is needed to confirm the benefits observed in this preliminary trial. A typical amount of HR is 1000 mg per day. Learn More

Also indexed as:

bioflavonoids,
flavanoid,
flavonoids

About this treatment

How to Use It

Flavonoid supplements are not required to prevent deficiencies in people eating a healthy diet. Healthcare practitioners commonly recommend 1,000 mg of citrus flavonoids taken one to three times per day. Alternatively, 240–600 mg of bilberry (standardized to 25% anthcyanosides) may be taken per day.

Where to Find It

Flavonoids are found in a wide range of foods. For example, flavanones are in citrus, isoflavones in soy products, anthocyanidins in wine and bilberry, and flavans in apples and tea.

Possible Deficiencies

Flavonoid deficiencies have not been reported.

Interactions

Last Review: 05-11-2011

Learn more about Aisle7, the company.

The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires June 2011.

© 1995-2011 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

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