Witch hazel
Witch hazel

Background

Witch hazel (Hamamelis virginiana) is a flowering shrub or small tree native to Eastern North America. Its leaf and bark are used as medicine.

Witch hazel contains chemicals called tannins, which might help reduce swelling and fight bacteria. Witch hazel water (Hamamelis water, distilled witch hazel extract) is a liquid that is distilled from dried leaves, bark, and twigs of witch hazel.

People use witch hazel for hemorrhoids. It is also used for eczema, acne, skin irritation, sunburn, and many other conditions, but there is no good evidence to support these uses.
When taken by mouth: Witch hazel is possibly safe. But because witch hazel contains tannins, high doses might cause more side effects and liver or kidney problems. Witch hazel also contains a cancer-causing chemical (safrole), but in amounts that are too small to be of concern.

When applied to the skin: Witch hazel water is likely safe. It might cause minor skin irritation in some people.

Special Precautions & Warnings:

Pregnancy and breast-feeding: There isn't enough reliable information to know if witch hazel is safe to use when pregnant or breast-feeding. Stay on the safe side and avoid use.

Children: Witch hazel is possibly safe for children when applied to the skin.

Effectiveness

NatMed Pro rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate.
Likely effective Effectiveness definitions
Possibly effective Effectiveness definitions
  • Hemorrhoids. Applying witch hazel water to the skin may help relieve itching, discomfort, irritation, and burning from hemorrhoids.
Likely ineffective Effectiveness definitions
Possibly ineffective Effectiveness definitions
  • Eczema (atopic dermatitis). Applying witch hazel to the skin doesn't seem to improve eczema.
There is interest in using witch hazel for a number of other purposes, but there isn't enough reliable information to say whether it might be helpful.
Insufficient evidence Effectiveness definitions

Dosing & administration

Witch hazel has most often been used by adults in topical creams, lotions, ointments, and solutions. Speak with a healthcare provider to find out what type of product and dose might be best for a specific condition.

Interactions with pharmaceuticals

It is not known if Witch Hazel interacts with any medicines. Before taking Witch Hazel, talk with your healthcare professional if you take any medications.

Interactions with herbs & supplements

There are no known interactions with herbs and supplements.

Interactions with foods

There are no known interactions with foods.
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This monograph was last reviewed on 18/11/2024 11:00:00 and last updated on 28/03/2018 18:31:49. Monographs are reviewed and/or updated multiple times per month and at least once per year.
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