Hawthorn Berry and Heart Disease, Uses, Dosages, and Side Effects

Hawthorn and Heart Disease History

Hawthorn has been used by many cultures for a variety of purposes.  Hawthorn is a shrub of the rose family. The scientific name is Crataegus monogyna. Hawthorn, a Crataegus species, is part of a genus of spiny shrubs and trees native to temperate regions in the Northern Hemisphere in Europe, Asia, and North America. Historicallyhawthorn has been used for a variety of heart disorders.

Hawthorn is also used for digestive disorders, kidney disorders, and anxiety. Hawthorn is the oldest known medicinal plant in European medicine.

Hawthorn Uses for Heart Disease


hawthorn and heart diseaseStudies of hawthorn have revealed that it is helpful in a variety of heart conditions. These conditions include:

  • Improvement in ejection fracture
  • A decrease in high blood pressure
  • Normalization of heart rate and blood pressure
  • Subjective sense of well being

Hawthorn For Heart Failure

Hawthorn has been used as an oral agent for congestive heart failure. In fact, in Germany hawthorn is approved by the German Commission for the use of heart failure stage 11.  In most of the studies, hawthorn was used as an adjunct to conventional treatment.

Symptoms such as shortness of breath and fatigue were significantly improved in people who took hawthorn. Exercise tolerance was also improved.

Hawthorn Dosages

The daily dosage used in trials ranged from 600mg to 1800mg in two or three divided doses.  Hawthorn is usually standardized to flavonoids (2.2%) or oligomeric procyanidins (18.75%). A trial of at least 4-5 week should be completed to determine if a patient will benefit from the use of hawthorn.

The German Commission recommends that hawthorn’s leaf and flower should be used.

Cost of Hawthorn

Hawthorn costs between $10 -$25 dollars per month based on a 160-1800 mg per day dosage.

Side Effects of Hawthorn



Hawthorn and Heart Disease: Trials

In another study, hawthorn was pitted against the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten) in comparable groups of patients with NYHA class II heart failure. By the end of the trial, both groups had improved exercise capacity compared with baseline measurements, with no statistically significant differences between the two treatment arms. However, the investigators used a relatively low daily dosage of captopril (37.5 mg taken orally).

Studies have shown that Hawthorn has positive inotropic and anti-arrhythmic properties.  Hawthorn also protects the heart muscle from ischemic damage, hypertension-related hypertrophy, and reperfusion injury.

Studies were done on people who had congestive heart failure, and these people had improved exercise capacity, improved breathing, and overall improved quality of life.

The subjects were taking beta blockers, ace inhibitors, diuretics, and ARB’S along with the Hawthorn. Another clinical trial showed that Hawthorn had positive benefits for congestive heart failure with or without a preserved ejection fracture.

General Safety

The entire rose family has very little toxicity, and like apples or rose hips, the fruits are safe to consume
in quantity.
One randomized controlled trial (RTC) investigating hawthorn use in diabetic patients reported no
adverse events and no drug interactions.


Dosage is 160 mg two to three times per day and up; 1000–3000 mg of Crataegus, standardized to
deliver 200 mg of PCOs per 1000 mg has been used in RCTs. Oligomeric proanthocyanidin complexes
(OPCs) stabilize capillary walls when taken at a dosage of 150–300 mg/day. Standardized extracts may
contain 1.8% vitexin-4-rhamnoside to 18% OPCs.3


Hawthorn has been used for centuries for blood and heart disorders. There is credible evidence that hawthorn is effective in treating symptoms of high blood pressure, congestive heart failure, and chest pain.

Have you used Hawthorn? Leave a comment about how Hawthorn has changed your life?


Phyllis Robinson MSN, RN

My name is Phyllis Robinson MSN, RN. I have been a Registered Nurse for 27 years in the Cardiac Intensive Care Unit. I am passionate about cardiac care and heart disease. I also want this blog to be an educational tool that people can refer to for traditional and alternative treatment. I will blog on heart disorders such as high blood pressure, congestive heart failure, cardiomyopathy, and high cholesterol. I received my Nursing degree from Baltimore Community College. I went on to receive my Masters in Nursing from Walden University I have worked for almost 30 years in Critical Care with a focus on heart health. I am an advocate of preventive healthcare.

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