GREEN TEA EXTRACT

Background and Date of Approval

Green tea extract is derived from the leaves of Camellia sinensis and contains antioxidant and anti-inflammatory compounds. The extract is rich in catechins, primarily epigallocatechin gallate (EGCG), which accounts for most of its identified effects. Green tea extract has been consumed in its natural form for centuries and is now available in concentrated form. Clinical studies have examined its potential role in supporting cardiovascular health, aiding weight management, and reducing cancer risk. Green tea extract is recognised as Generally Recognized as Safe (GRAS) for use in supplements and beverages, though it has not received approval as a pharmaceutical drug. Clinical trials evaluating its use in managing obesity and cardiovascular health have reported outcomes of interest.

Uses

Green tea extract is commonly used as a dietary supplement for the following FDA-approved and widely acknowledged purposes: Promoting weight loss and fat metabolism Supporting cardiovascular health by lowering LDL cholesterol Reducing oxidative stress and inflammation Enhancing cognitive function and focus Improving skin health due to its antioxidant properties

How is it administered?

Green tea extract is available in various forms, including capsules, tablets, powders, and liquid formulations. The typical dosage ranges from 250 mg to 500 mg of standardised extract (containing 50-90% catechins) per day. It is generally recommended to take green tea extract with food to minimise potential gastrointestinal discomfort. Higher doses should be taken under medical supervision to avoid adverse effects.

Side Effects

Common Side Effects: Nausea or stomach discomfort Headache or dizziness Increased heart rate or palpitations Insomnia or restlessness Serious Side Effects: Hepatotoxicity (rare but possible with high doses) Increased bleeding risk in individuals taking anticoagulants Severe gastrointestinal disturbances in sensitive individuals

Warnings

Drug Interactions: May interact with blood thinners (warfarin), increasing bleeding risk. Caffeine Sensitivity: Individuals sensitive to caffeine may experience anxiety, palpitations, or insomnia. Iron Absorption: Can interfere with iron absorption; avoid taking with iron supplements or iron-rich meals. Liver Toxicity: Excessive consumption (>800 mg/day) has been linked to rare cases of hepatotoxicity. Pregnancy and Lactation: Not recommended due to potential risks associated with high caffeine intake.

Precautions

Green tea extract should be used with caution in individuals with pre-existing conditions such as hypertension, heart disease, or anxiety disorders due to its caffeine content. To minimise the risk of liver toxicity, it is advisable to stick to recommended doses and avoid prolonged use of high concentrations. Those with anaemia or gastrointestinal conditions should take it between meals to prevent interference with nutrient absorption. If any adverse reactions occur, discontinuation and consultation with a healthcare provider are advised.

Word of Advice

Green tea extract is best taken with meals to minimise gastrointestinal discomfort. Patients using it for weight management should combine supplementation with a healthy diet and regular exercise. Patients with underlying health conditions, particularly liver disorders or cardiovascular issues, should seek guidance from a healthcare provider before commencing supplementation. Do not exceed recommended doses to mitigate potential side effects, especially liver-related complications.

References

https://www.nccih.nih.gov/health/green-tea https://www.tandfonline.com/doi/abs/10.1080/07315724.2006.10719518 https://www.mdpi.com/1422-0067/21/5/1744 https://www.sciencedirect.com/science/article/abs/pii/009174359290041F

Frequently Asked Questions

What is the best time to take green tea extract?

The best time to take green tea extract is after meals, preferably in the morning or early afternoon, to avoid potential interference with sleep due to its caffeine content.

Can green tea extract be taken on an empty stomach?

It is not recommended to take green tea extract on an empty stomach as it may cause gastrointestinal discomfort. Taking it with food helps minimise this effect.

Does green tea extract help with weight loss?

Yes, green tea extract can aid weight loss by boosting metabolism and promoting fat oxidation. However, its effects are more effective when combined with a balanced diet and regular physical activity.

Are there any interactions between green tea extract and medications?

Green tea extract may interact with anticoagulants (e.g., warfarin), blood pressure medications, and certain antidepressants. It is advisable to consult a healthcare provider if you are on any medication.

Can green tea extract be used long-term?

Green tea extract is generally safe for short-term use, but prolonged use of high doses may increase the risk of liver toxicity. It is best to follow recommended dosages and consult a healthcare provider for extended use.

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Written By: Muskan Patel, M.Pharm

Reviewed By: Dr. Vishwa Patel, MBBS