Can Milk Thistle Cause Skin Rashes?
Milk thistle has been reported to cause skin rashes, such as eczema, hives and pruritus, according to Drugs.com 12. Although not proven, milk thistle is commonly used to treat toxicity, alcohol-related hepatitis, cancer and diabetes 1. If you choose to use milk thistle to treat any medical condition, talk with your doctor first 1. Milk thistle has not been evaluated by the U.S. Food and Drug Administration, or FDA, and should be used with caution 1. Common skin rashes resulting from milk thistle are a minor allergic reaction in the skin 1.
Cause
Skin rashes from milk thistle are the result of the presence of IgE antibodies that increase histamine levels in the skin, according to the American Academy of Allergy, Asthma and Immunology 1. After ingesting the herb, you immune system reacts to the substance as if it was dangerous and begins to build a defense against the supplement. The body creates IgE antibodies that attempt to fight off the herb. IgE antibodies cause mast cells in the skin to produce histamine, which causes inflammation and irritation.
- Skin rashes from milk thistle are the result of the presence of IgE antibodies that increase histamine levels in the skin, according to the American Academy of Allergy, Asthma and Immunology 1.
Eczema
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Eczema is a chronic skin condition that is mostly found in young children, but can affect adults throughout their life, according to the American Academy of Dermatology 3. Eczema is a hypersensitivity of the skin that causes blisters to form, typically on the face, behind the legs and arms. The blisters can fill will liquid that can weep and crust over. Eczema also causes leathery, dry and scaly patches to form that can crack, leaving the skin susceptible to secondary infections.
- Eczema is a chronic skin condition that is mostly found in young children, but can affect adults throughout their life, according to the American Academy of Dermatology 3.
- Eczema also causes leathery, dry and scaly patches to form that can crack, leaving the skin susceptible to secondary infections.
Hives and Pruritus
The exact cause of hives is still undetermined, but the presence of histamine can trigger the rash. Hives are for the most part considered harmless but cause discomfort and itching. This rash develops in various shapes and sizes in clusters of welts that have defined borders, according to MayoClinic.com 2. Pruritus is the medical term used for itchy skin. You can also experience general itchiness after taking milk thistle 1.
Treatment
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If you develop a rash after ingesting milk thistle, discontinue use and talk with your doctor 1. Allergic skin rashes can be treated with over-the-counter hydrocortisone to alleviate the itch and help reduce inflammation, according to the American Academy of Allergy, Asthma and Immunology. In severe cases, your doctor may prescribe corticosteroid creams to calm the skin. Apply a cold compress to the affected areas to reduce the itch.
- If you develop a rash after ingesting milk thistle, discontinue use and talk with your doctor 1.
- Allergic skin rashes can be treated with over-the-counter hydrocortisone to alleviate the itch and help reduce inflammation, according to the American Academy of Allergy, Asthma and Immunology.
Other Reactions
Other adverse reactions reported by Drugs.com include:
- abdominal pain
- bloating
- fullness
- changes in bowel habits
- nausea
- diarrhea
- headaches
- impotence
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References
- Drugs.com: Milk Thistle
- MayoClinic.com: Hives
- American Academy of Dermatology: What is Eczema?
- National Center for Complementary and Integrative Health. Milk Thistle. Updated September 2016.
- Abenavoli L, Capasso R, Milic N, Capasso F. Milk thistle in liver diseases: past, present, future. Phytother Res. 2010;24(10):1423-32. doi:10.1002/ptr.3207
- Salmi HA, Sarna S. Effect of silymarin on chemical, functional, and morphological alterations of the liver. A double-blind controlled study. Scand J Gastroenterol. 1982;17(4):517-21. doi:10.3109/00365528209182242
- Seeff LB, Curto TM, Szabo G, et al. Herbal product use by persons enrolled in the hepatitis C Antiviral Long-Term Treatment Against Cirrhosis (HALT-C) Trial. Hepatology. 2008;47(2):605-12. doi:10.1002/hep.22044
- Fried MW, Navarro VJ, Afdhal N, et al. Effect of silymarin (milk thistle) on liver disease in patients with chronic hepatitis C unsuccessfully treated with interferon therapy: a randomized controlled trial. JAMA. 2012;308(3):274-82. doi:10.1001/jama.2012.8265
- Ebrahimpour koujan S, Gargari BP, Mobasseri M, Valizadeh H, Asghari-jafarabadi M. Effects of Silybum marianum (L.) Gaertn. (silymarin) extract supplementation on antioxidant status and hs-CRP in patients with type 2 diabetes mellitus: a randomized, triple-blind, placebo-controlled clinical trial. Phytomedicine. 2015;22(2):290-6. doi:10.1016/j.phymed.2014.12.010
- Kazazis CE, Evangelopoulos AA, Kollas A, Vallianou NG. The therapeutic potential of milk thistle in diabetes. Rev Diabet Stud. 2014;11(2):167-74. doi:10.1900/RDS.2014.11.167
- Ebrahimpour, K.; Gargari, B.; Mobasseri, M. et al. Effects of Silybum marianum (L.) Gaertn. (silymarin) extract supplementation on antioxidant status and hs-CRP in patients with type 2 diabetes mellitus: a randomized, triple-blind, placebo-controlled clinical trial. Phytomedicine. 2015 Feb 15;22(2):290-6. DOI: 10.1016/j.phymed.2014.12.010.
- Fried, M.; Navarro, V.; Afdhal, N. et al. Effect of silymarin (milk thistle) on liver disease in patients with chronic hepatitis C unsuccessfully treated with interferon therapy: a randomized controlled trial. JAMA. 2012 Jul 18;308(3):274-82. DOI: 10.1001/jama.2012.8265.
- Rambaldi, A.; Jacobs, B.; Iaquinto G, Gluud C. Milk thistle for alcoholic and/or hepatitis B or C liver diseases--a systematic Cochrane hepato-biliary group review with meta-analyses of randomized clinical trials. Am J Gastroenterol. 2005 Nov;100(11):2583-91. DOI: 10.1111/j.1572-0241.2005.00262.x.
- Salmi, H. and Sarna, S. Effect of silymarin on chemical, functional, and morphological alterations of the liver. A double-blind controlled study. Scan J Gastroenterol. 1982;17:517–21.
- Seeff, L.; Curto, T.; Szabo, G. et al. Herbal product use by persons enrolled in the Hepatitis C Antiviral Long-Term Treatment Against Cirrhosis (HALT-C) Trial. Hepatology. 2008;47(2):605-12. DOI: 10.1002/hep.22044.
- Voroneanu, L.; Nistor, I.; Dumea, R. et al. Silymarin in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Diabetes Res. 2016;2016:5147468. DOI: 10.1155/2016/5147468.
Writer Bio
Diane Marks started her writing career in 2010 and has been in health care administration for more than 30 years. She holds a registered nurse license from Citizens General Hospital School of Nursing, a Bachelor of Arts in health care education from California University of Pennsylvania and a Master of Science in health administration from the University of Pittsburgh.