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Cranberry (Vaccinium macrocarpon) has been used traditionally since the 17th
century to treat a variety of ailments, and from the early 1920s to the present
as an herbal treatment for recurring urinary tract infections (UTIs). While
much of the initial evidence for the antibacterial properties of cranberry has
not been proven, the herb's effectiveness against UTIs is unquestioned and the
popularity of cranberry juice for this purpose has soared. Recent scientific
studies have shown that cranberry prevents E. coli, the most common cause of
UTIs, from adhering to the cells lining the wall of the bladder, thus
preventing the bacteria from causing a UTI.
Plant Description
Found in North America and grown in bogs, cranberry is an evergreen shrub
that is botanically related to blueberry, buckberry, huckleberry, cowberry, and
bilberry. The cranberry bush has upright branches whose leaves are speckled on
the underside by tiny dots. Pink flowers blossom and red-black fruits appear
during June and July.
Available Forms
Cranberry is available as juice, fresh or frozen berries, cranberry concentrate, fresh
berries, dried capsules, and tablets.
How to Take It
The following are recommended doses:
- Juice (containing one-third pure juice): 3 or more fluid ounces per
day
- Dried capsules: 6 capsules (equivalent to 3 fluid ounces of cranberry
juice cocktail)
- Fresh or frozen cranberries: 1.5 ounces (equivalent to 3 fluid ounces of
cranberry juice cocktail)
Precautions
There are no side effects or precautions reported. Keep in mind that
cranberry should not be used as a substitute for antibiotics during a serious
urinary tract infection.
Possible Interactions
No noteworthy interactions (positive or negative) between cranberry and
conventional medications are known to have been reported in the literature to
date.
Supporting Research
Ahuja S, Kaack B, Roberts J. Loss of fimbrial adhesion with the addition of
Vaccinum macrocarpon to the growth medium of P-fimbriated Escherichia coli.
J Urol. 1998;159:559-562
Avorn J, Monane M, Gurwitz JH, Glynn RJ, Choodnovskiy I, Lipsitz LA.
Reduction of bacteriuria and pyuria after ingestion of cranberry juice.
JAMA. 1994;271:751-754.
Bodel PT, Crotan R, Kass EH. Cranberry juice and the antibacterial action of
hippuric acid. J Lab Clin Med. 1959;54:881.
Bomser J, Madhavi DL, Singletary K, Smith MA. In vitro anticancer activity
of fruit extracts from Vaccinium species. Planta Med.
1996;62(3):212-216.
Bunney S, ed. The Illustrated Encyclopedia of Herbs. New York, NY:
Dorsett Press; 1984:202.
Fleet JC. New support for a folk remedy: cranberry juice reduces bacteriuria
and pyuria in elderly women. Nutr Rev. 1994;52(5):168-70.
Grieve M. A Modern Herbal. Vol. I. New York, NY: Dover;
1971:99-100.
Kahn DH, et al. Effect of cranberry juice on urine. J Am Diet Assoc.
1967;51:251.
Mabberley DJ. The Plant-Book: A Portable Dictionary of the Higher
Plants. Cambridge, England: Cambridge University Press; 1987:602.
Murray M, Pizzorno J. Encyclopedia of Natural Medicine. 2nd ed.
Rocklin, Ca: Prima Publishing; 1998:287-288.
Prodomos PN, Brusch CA, Ceresia GC. Cranberry juice in the treatment of
urinary tract infection. Southwest Med. 1968;47:17.
Schlager TA. Effect of cranberry juice on bacteriuria in children with
neurogenic bladder. J Pediatr. 1999;135:698-702.
Schmidt DR, Sobota AE. An examination of the anti-adherence activity of
cranberry juice on urinary and nonurinary bacterial isolates. Microbios.
1988;55 (224-225):173-181.
Siciliano AA. Cranberry. J Amer Botan Council Herb Res Foundation.
Winter 1998;38.
Thomson WA. Medicines from the Earth: A Guide to Healing Plants.
Maidenhead, England: McGraw-Hill; 1978:108.
Tyler V. The Honest Herbal: A Sensible Guide to the Use of Herbs and
Related Remedies. 3rd ed. Binghamton, NY: Pharmaceutical Products Press;
1993:101-102.
Zafriri D, Ofek I, Adar R, Pocino M, Sharon N. Inhibitory activity of
cranberry juice on adherence of type 1 and type P fimbriated Escherichia
coli to eucaryotic cells. Antimicrob Agents Chemother. 1989;33:
92-98.
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