Ribwort Plantain
Plantago lanceolata · Plantago major · Greater plantain
Snapshot
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Ribwort plantain (Plantago lanceolata) is a leaf herb, and Plantago major (greater plantain) is the related species most studied; its demulcent and anti-inflammatory activity underlies use as a soothing agent on irritated mucosa and skin1. Preparations are taken for cough with colds and bronchitis, for oral and pharyngeal irritation, and topically for minor skin inflammation and wounds1. Further uses include oral mucositis, pressure injury, heavy menstrual bleeding, and proteinuria in diabetic nephropathy. Typical users are adults and children with self-limited respiratory symptoms.
Human research is limited to about ten small trials, mostly in cough, wound care, and oral mucositis. Plantain is sold mainly as liquid extracts, among 143 products listing ribwort plantain; see Form comparison.
The main caution is allergic: the European monograph lists hypersensitivity to the herb or to ribwort plantain pollen as its contraindication1. Per the monograph, pregnancy and lactation use is not recommended for lack of safety data, and it directs patients with persistent symptoms to a doctor or qualified health care practitioner1.
Last updated October 17, 2026. Read how we make monographs.
In the full monograph
40 sources, 31 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.
- 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)
- 2Effect of Plantago major on cough severity in acute bronchitis: A double-blind randomized clinical trial.pubmed.ncbi.nlm.nih.govNaderi, Mozaffarpur, Shirafkan et al. · Caspian journal of internal medicine · 2024 · Pubmed
- 3Clinical and phytochemical studies of Plantago major in pressure ulcer treatment: A randomized controlled trial.pubmed.ncbi.nlm.nih.govGhiasian, Niroomandi, Dastan et al. · Complementary therapies in clinical practice · 2021 · Pubmed
- 4Update on the treatment of chemotherapy and radiotherapy-induced buccal mucositis: a systematic review.pubmed.ncbi.nlm.nih.govWen, Brito, Santander et al. · Acta odontologica latinoamericana : AOL · 2023 · Pubmed
- 5Possible therapeutic effects of Plantago major in women with high menstrual bleeding: A systematic review of randomized clinical trials.pubmed.ncbi.nlm.nih.govKianmehr, Khazdair · Avicenna journal of phytomedicine · 2026 · Pubmed
- 6Efficacy and safety of Plantago major seeds in patients with diabetic nephropathy: A randomized open-labeled controlled clinical trial.pubmed.ncbi.nlm.nih.govHaider, Asghari, Aliasl et al. · Explore (New York, N.Y.) · 2024 · Pubmed
- 7US product labelsdsld.od.nih.govWarnings printed on US dietary supplement labels with this ingredient, from the NIH Office of Dietary Supplements' Dietary Supplement Label Database (DSLD). Manufacturers' precautions, not evidence of harm