People commonly use echinacea to boost the immune system and prevent upper respiratory tract infections. However, there is no conclusive evidence that it is effective for children.
Echinacea is a group of flowering herbs native to North America. People use it to stimulate the immune system, and it is a popular remedy for infections, such as colds and flu.
This article discusses the possible benefits of echinacea for children, research findings, how to take it, dosage, and safety.
However, studies have not found strong evidence to support these uses, and there is a lack of research into echinacea use for children.
Read an overview of echinacea.
Research into echinacea’s benefits is mixed. In an
Echinacea may decrease the number of secondary bacterial complications resulting from viral respiratory infections.
Doctors prescribe antibiotics to treat bacterial infections rather than viral infections. However, sometimes viral respiratory infections suppress a child’s immune system, so they also develop a bacterial infection. An example is bacterial pneumonia, which doctors often treat with antibiotics.
In the 2021 study, researchers gave echinacea or vitamin C supplements to children ages 4–12 years. They wanted to compare the effectiveness of the supplements in preventing viral RTIs and secondary bacterial complications.
Even when someone requires antibiotics, echinacea may increase their efficacy, according to a 2020 study on recurrent tonsillitis in children. The study found that echinacea combined with the antibiotic Azithromycin (AZT) was more effective than AZT alone at reducing the frequency and severity of tonsillitis recurrence.
More research is necessary to understand echinacea’s benefits and mechanisms of action.
Read about the side effects of antibiotics.
Echinacea is available in different forms, some of which include:
- tincture (concentrated liquid extract)
- chewable tablets
Many products have additional ingredients that caregivers should be aware of, including sugars, colors, flavors, and preservatives.
Echinacea may feature in products designed to strengthen the immune system alongside other nutrients, such as zinc and vitamin C. It may also be part of a herbal blend. Research is necessary into how effective such products are.
It is important to follow the dosage instructions on package labels and avoid exceeding the maximum dosage.
According to a
The researchers gave children 3 or 5 echinacea tablets daily for 10 days. Both groups required fewer antibiotics, and those taking 5 tablets daily experienced shorter cold duration than those taking 3 tablets.
The study assessed the safety margin of echinacea using 400 mg Echinaforce Junior (EFJ) tablets.
Participants were randomly assigned to a cold and flu treatment regimen of either 3 EFJ tablets each day (with a daily maximum of 1,200 mg) or 5 tablets (with a daily maximum of 2,000 mg).
The cold episodes treated with EFJ lasted an average of 7.5 days. The 5-tablet treatment shortened the average cold duration by 1.7 days compared to the 3-tablet regimen.
To assess tolerability, the researchers asked caregivers, children, and physicians to rate the treatment. The table below shows the tolerability ratings:
|Daily EFJ maximum
|Tolerability percentage rated as “good” or “very good”
|1,200 mg / 3 tablets
|2,000 mg / 5 tablets
|all physician ratings
- Supplements may interfere with medications, lab tests, and even surgery.
- The FDA does not approve the labeling, safety, or effectiveness of supplements before they are available for sale to the public.
- A company can introduce a supplement product to the market without notifying the FDA.
- The responsibility for product safety lies with the supplement company.
Herbal products like echinacea can sometimes cause unwanted side effects or interact with medications. Caregivers can check with a pediatrician to see if echinacea use is appropriate for a particular child.
Supplements such as echinacea should not replace prescription medication from a child’s doctor.
The safety of long-term echinacea use is unknown.
Echinacea may not be safe for people of any age with certain
- leukemia and similar conditions
- multiple sclerosis
- collagen disorders
- autoimmune diseases
- AIDS and HIV infections
- any condition requiring the use of immunosuppressant drugs
Echinacea may cause skin rash in children, according to older research from
Echinacea is an herb that some people take to improve immune system function. It may be beneficial for preventing and treating respiratory infections in some children, but more research is necessary.
Although generally safe, people with certain medical conditions, such as leukemia or an autoimmune disease, should not take it.
Echinacea may cause allergic reactions, such as rashes, nausea, or stomach pain.