Artichoke Leaf
Cynara scolymus · Cynara cardunculus · Artichoke leaf extract
Snapshot
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Artichoke leaf (Cynara scolymus, Cynara cardunculus) is the leaf of the globe artichoke, prepared as extracts, powders, and infusions for herbal use, while the flower heads are eaten as food11. Uses follow from that: dyspepsia with fullness, bloating, and flatulence, which the European Medicines Agency recognizes as a traditional use1; blood lipids; and liver enzymes in nonalcoholic fatty liver disease (NAFLD).
A meta-analysis of randomized trials reports lower total cholesterol, low-density lipoprotein cholesterol, and triglycerides, with no significant change in high-density lipoprotein cholesterol2. In NAFLD, pooled trials show lower alanine and aspartate aminotransferase4, 12. Dyspepsia support rests on an open-label study and a ginger-combination trial, both reporting symptom improvement13, 14. A 2025 structured review of digestive food supplements, artichoke products among them, found most label claims rested on traditional use rather than robust clinical substantiation. Products listing artichoke leaf are sold mainly as capsules and liquid extracts; see Form comparison.
The bile-flow effect underlies the main contraindication: the European Medicines Agency monograph excludes bile duct obstruction and gallstones1. Health Canada labels ask for a practitioner's advice before use in pregnancy or with gallstones10.
Last updated October 16, 2026. Read how we make monographs.
In the full monograph
54 sources, 43 studies
- When to useThe situations practitioners use it for, each with the reason and the study behind it.
- SafetyWho should avoid it, who needs extra care, and the side effects reported in studies.
- InteractionsThe medicines and supplements it interacts with, the effect of each, and what labeling says to watch.
- Protocol notesThe doses used in studies, how and when they were taken, and how the forms on the market compare.
- How it worksWhat it is and how it works in the body, in plain terms.
- Published studiesThe studies behind each use, popular claims checked against them, and trials still under way.
- Word of mouthWhat patients and practitioners report online, kept separate from the clinical evidence.
- Clinical perspectiveA closing read of where the evidence is solid, where it is thin, and what has not been studied.
Sources
- 1EMAema.europa.euEuropean Medicines Agency — European Union herbal monograph from the Committee on Herbal Medicinal Products (HMPC)
- 2Lipid-lowering activity of artichoke extracts: A systematic review and meta-analysis.pubmed.ncbi.nlm.nih.govSahebkar, Pirro, Banach et al. · Critical reviews in food science and nutrition · 2018 · Pubmed
- 3Effects of artichoke leaf extract supplementation or artichoke juice consumption on lipid profile: A systematic review and dose-response meta-analysis of randomized controlled trials.pubmed.ncbi.nlm.nih.govShahinfar, Bazshahi, Amini et al. · Phytotherapy research : PTR · 2021 · Pubmed
- 4The effects of Cynara scolymus L. supplementation on liver enzymes: A systematic review and meta-analysis.pubmed.ncbi.nlm.nih.govMoradi, Shokri-Mashhadi, Saraf-Bank et al. · International journal of clinical practice · 2021 · Pubmed
- 5Artichoke leaf extract reduces steatosis and decreases liver size in prebariatric patients: A randomized placebo-controlled pilot trial-The "SteatoChoke-Study".pubmed.ncbi.nlm.nih.govHolländer, Marth, Scherber et al. · Journal of clinical lipidology · 2026 · Pubmed
- 6Artichoke and cardiometabolic health: A systematic and meta-analytic synthesis of current evidence.pubmed.ncbi.nlm.nih.govJafari, Karimi, Mahmoudinezhad et al. · Diabetes & metabolic syndrome · 2025 · Pubmed
- 7Exploring the Cardiovascular Potential of Artichoke-A Comprehensive Review.pubmed.ncbi.nlm.nih.govSilva, Daia · Biology · 2025 · Pubmed
- 8The Effect of Cynara scolymus on Blood Pressure and BMI in Hypertensive Patients: A Randomized, Double-Blind, Placebo-Controlled, Clinical Trial.pubmed.ncbi.nlm.nih.govArdalani, Jandaghi, Meraji et al. · Complementary medicine research · 2020 · Pubmed
- 9Effects of Cynara scolymus L. on glycemic indices:A systematic review and meta-analysis of randomized clinical trials.pubmed.ncbi.nlm.nih.govJalili, Moradi, Babaei et al. · Complementary therapies in medicine · 2020 · Pubmed
- 10Health Canadahealth-products.canada.caLabel statements and adult daily amounts Health Canada authorized on licensed natural health products with this ingredient alone, from the Licensed Natural Health Products Database. Contains information licensed under the Open Government Licence – Canada
- 11Functional and Therapeutic Potential of Cynara scolymus in Health Benefits.pubmed.ncbi.nlm.nih.govPorro, Benameur, Cianciulli et al. · Nutrients · 2024 · Pubmed
- 12Therapeutic Potential of Artichoke in the Treatment of Fatty Liver: A Systematic Review and Meta-Analysis.pubmed.ncbi.nlm.nih.govKamel, Farag · Journal of medicinal food · 2022 · Pubmed
- 13Artichoke leaf extract reduces mild dyspepsia in an open study.pubmed.ncbi.nlm.nih.govMarakis, Walker, Middleton et al. · Phytomedicine : international journal of phytotherapy and phytopharmacology · 2002 · Pubmed
- 14The Effect of Ginger (Zingiber officinalis) and Artichoke (Cynara cardunculus) Extract Supplementation on Functional Dyspepsia: A Randomised, Double-Blind, and Placebo-Controlled Clinical Trial.pubmed.ncbi.nlm.nih.govGiacosa, Guido, Grassi et al. · Evidence-based complementary and alternative medicine : eCAM · 2015 · Pubmed