Horny Goat Weed

Epimedium is a Traditional Chinese Medicine herb with the active compound icariin, a natural PDE5 inhibitor (similar mechanism to Viagra/sildenafil). Best evidence is for bone health (B-grade for BMD improvement in 10 studies/956 participants). Also studied for erectile dysfunction via PDE5/NO/cGMP pathway and possible testosterone effects. May have fewer side effects than pharmaceutical PDE5 inhibitors. Requires 60-200mg icariin for bone effects; higher doses for testosterone.

Quick Answer

What it is

Epimedium is a Traditional Chinese Medicine herb with the active compound icariin, a natural PDE5 inhibitor (similar mechanism to Viagra/sildenafil). Best evidence is for bone health (B-grade for BMD improvement in 10 studies/956 participants).

Key findings

  • Grade B: Bone Mineral Density (Osteoporosis)
  • Grade C: Circulating Alkaline Phosphatase (Osteoporosis)
  • Grade N/A: Interleukin 6 (Osteoporosis)

Safety

No specific caution or interaction language was detected in the current summary/outcome notes.

ℹ️ Quick Facts: Horny Goat Weed

Quick Facts: Horny Goat Weed

  • Best Evidence:Grade B
  • Conditions Studied:3
  • Research Outcomes:10
  • Grade B Findings:1
  • Key Effect:Osteoporosis
Outcomes by grade:
A0
B1
C2
D0
3 conditions · 10 outcomes

Detailed Outcomes

|
B
Bone Mineral Density
Small Improvement
smallImproves
C
Circulating Alkaline Phosphatase
Small Decrease
1 study
smallImproves
?
Interleukin 6
3 studies
Improves
?
Estrogen
Worsens
?
Serum Phosphorus
2 studies
Worsens
?
Pain
1 study
Improves
?
Serum Calcium
1 study
Improves
C
Bone Mineral Density
Small Improvement
smallImproves
?
Estrogen
Worsens
?
Estrogen
Worsens

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