BLACK PSYLLIUM

OTHER NAME(S):

Brown Psyllium, Dietary Fiber, Fibre Alimentaire, Fleaseed, Fleawort, French Psyllium, Graine de Psyllium, Herbe aux Puces, &OElig;il-de-Chien, Plantain, Plantago psyllium, Plantain, Plantain Pucier, Psyllion, Psyllios, Psyllium, Psyllium afra, Psyllium arenaria, Psyllium Brun, Psyllium d’Espagne, Psyllium indica, Psyllium Noir, Psyllium Seed, Pucière, Pucilaire, Spanish Psyllium, Zaragatona.<br/><br/>

Overview

Overview Information

Black psyllium is a weed that grows aggressively throughout the world. The plant was spread with the colonization of the New World and was nicknamed "Englishman's foot" by the North American Indians. People use the seed to make medicine. Be careful not to confuse black psyllium with other forms of psyllium including blond psyllium.

Black psyllium is used for chronic constipation and for softening stools in conditions such as hemorrhoids, cracks in the skin around the anus (anal fissures), surgery on the rectum, and pregnancy. It is also used for diarrhea, dysentery, irritable bowel syndrome (IBS), reducing high cholesterol, and treating cancer.

How does it work?

Black psyllium adds bulk to the stool which might help with constipation, diarrhea, and irritable bowel syndrome. It also increases the elimination of cholesterol from the body before it can be absorbed and enter the bloodstream.

Uses

Uses & Effectiveness?

Effective for

Possibly Effective for

Insufficient Evidence for

More evidence is needed to rate the effectiveness of black psyllium for these uses.

Side Effects

Side Effects & Safety

Black psyllium, when taken by mouth with enough water, is LIKELY SAFE for most people. Mild side effects include bloating and gas. In some people, black psyllium can cause allergic reactions such as runny nose, red eyes, rash, and asthma. Black psyllium might lower blood sugar. If you have diabetes, check your blood sugar carefully.

Black psyllium is LIKELY UNSAFE when taken by mouth without enough water. Be sure to take black psyllium with plenty of water. Otherwise, you might choke. The concern is so important that the U.S. Food and Drug Administration (FDA) requires that psyllium be labeled: "WARNING: Taking this product without adequate fluid may cause it to swell and block your throat or esophagus and may cause choking. Do not take this product if you have difficulty in swallowing. If you experience chest pain, vomiting, or difficulty in swallowing or breathing after taking this product, seek immediate medical attention.”

Using non-commercial preparations of black psyllium is also LIKELY UNSAFE. Black psyllium seeds contain a substance that can cause kidney damage. Commercial preparations of black psyllium usually have this substance removed. But non-commercial preparations may contain these toxic substances. Do not use black psyllium seeds unless they have had special processing to make them less toxic.

Special Precautions & Warnings:

Pregnancy and breast-feeding: Taking black psyllium during pregnancy or breast-feeding seems to be LIKELY SAFE, as long as enough water is taken with the dose.

Diabetes: Black psyllium can lower blood sugar levels in people with type 2 diabetes by slowing down absorption of carbohydrates. Monitor blood glucose levels closely if you have diabetes and use black psyllium. Doses of your medications for diabetes may need to be adjusted. On the other hand, some black psyllium products can contain added sugars and other carbohydrates that might increase blood sugar levels. Check labels for added sugar, and again, be sure to monitor your blood sugar levels.

Intestinal problems: Don’t use black psyllium if you have impacted stools, a complication of constipation in which the stool hardens in the rectum and can’t be moved by usual movement of the bowel. Don’t use black psyllium if you have a condition called gastrointestinal (GI) atony, narrowing of the GI tract, bowel blockage or conditions that can lead to bowel blockage such as spastic bowel. The concern is that when black psyllium absorbs water and swells up, it might block the GI tract in people with these types of conditions.

Allergies: Some people are severely allergic to black psyllium. This is more likely to happen to people who have been exposed black psyllium on the job. These people shouldn’t use black psyllium.

Phenylketonuria: Some black psyllium products might be sweetened with aspartame (Nutrasweet). If you have phenylketonuria, avoid these products.

Surgery: Because black psyllium might affect blood sugar levels, there is a concern that it might interfere with blood sugar control during and after surgery. Stop using black psyllium at least 2 weeks before a scheduled surgery.

Swallowing disorders: People who have trouble swallowing might be more likely to choke on black psyllium. If you have a swallowing problem, don’t use black psyllium.

Interactions

Interactions?

Moderate Interaction

Be cautious with this combination

!
  • Carbamazepine (Tegretol) interacts with BLACK PSYLLIUM

    Black psyllium contains large amounts of fiber. Fiber can decrease how much carbamazepine (Tegretol) the body absorbs. By decreasing how much carbamazepine (Tegretol) the body absorbs black psyllium might decrease the effectiveness of carbamazepine (Tegretol).

  • Digoxin (Lanoxin) interacts with BLACK PSYLLIUM

    Black psyllium is high in fiber. Fiber can decrease the absorption and decrease the effectiveness of digoxin (Lanoxin). As a general rule, any medications taken by mouth should be taken one hour before or four hours after black psyllium to prevent this interaction.

  • Lithium interacts with BLACK PSYLLIUM

    Black psyllium contains large amounts of fiber. Fiber can decrease how much lithium the body absorbs. Taking lithium along with black psyllium might decrease the effectiveness of lithium. To avoid this interaction take black psyllium at least 1 hour after lithium.

  • Medications for diabetes (Antidiabetes drugs) interacts with BLACK PSYLLIUM

    Black psyllium might decrease blood sugar by decreasing how much sugar your body absorbs from foods. Diabetes medications are also used to lower blood sugar. Taking black psyllium with diabetes medications might cause your blood sugar to be too low. Monitor your blood sugar closely. The dose of your diabetes medication might need to be changed.<br /><br /> Some medications used for diabetes include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), chlorpropamide (Diabinese), glipizide (Glucotrol), tolbutamide (Orinase), and others.

Dosing

Dosing

The following doses have been studied in scientific research:

BY MOUTH:

  • As a laxative for constipation: The typical dose of black psyllium seed is 10-30 grams per day in divided amounts. Mix 10 grams of seed in 100 mL water, and then drink at least another 200 mL of water. It's important to take enough water. Otherwise, black psyllium might cause choking. Take at least 150 mL water for each 5 grams of black psyllium. The FDA labeling recommends at least 8 ounces (a full glass) of water or other fluid with each dose.
Avoid chewing or crushing the seeds. This can release a chemical that builds up in the kidneys.

Black psyllium should be taken 30-60 minutes after eating a meal or taking other drugs.

View References

REFERENCES:

  • Agha FP, Nostrant TT, Fiddian-Green RG. Giant colonic bezoar: a medication bezoar due to psyllium seed husks. Am J Gastroenterol 1984;79:319-21. View abstract.
  • Blommers J, de Lange-De Klerk ES, Kuik DJ, et al. Evening primrose oil and fish oil for severe chronic mastalgia: a randomized, double-blind, controlled trial. Am J Obstet Gynecol 2002;187:1389-94.. View abstract.
  • Cook IJ, Irvine EJ, Campbell D, et al. Effect of dietary fiber on rectosigmoid motility in patients with irritable bowel syndrome: A controlled, crossover study. Gastroenterology 1990;98:66-72. View abstract.
  • Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
  • Etman M. Effect of a bulk forming laxative on the bioavailablility of carbamazepine in man. Drug Dev Ind Pharm 1995;21:1901-6.
  • Frati Munari AC, Benitez Pinto W, Raul Ariza Andraca C, Casarrubias M. Lowering glycemic index of food by acarbose and Plantago psyllium mucilage. Arch Med Res 1998;29:137-41. View abstract.
  • Frati-Munari, A. C., Fernandez-Harp, J. A., Becerril, M., Chavez-Negrete, A., and Banales-Ham, M. Decrease in serum lipids, glycemia and body weight by Plantago psyllium in obese and diabetic patients. Arch Invest Med (Mex) 1983;14(3):259-268. View abstract.
  • Perlman BB. Interaction between lithium salts and ispaghula husk. Lancet 1990;335:416. View abstract.
  • Schneider RP. Perdiem causes esophageal impaction and bezoars. South Med J 1989;82:1449-50. View abstract.
  • Shulman LM, Minagar A, Weiner WJ. Perdiem causing esophageal obstruction in Parkinson's disease. Neurology 1999;52:670-1. View abstract.
  • Wolever TM, Vuksan V, Eshuis H, et al. Effect of method of administration of psyllium on glycemic response and carbohydrate digestibility. J Am Coll Nutr 1991;10:364-71. View abstract.

More Resources for BLACK PSYLLIUM

CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you.

This copyrighted material is provided by Natural Medicines Comprehensive Database Consumer Version. Information from this source is evidence-based and objective, and without commercial influence. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version. © Therapeutic Research Faculty 2009.