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DOI: 10.1055/s-0043-1774162
Compatibility of a specific herbal multi-component medicine for digestive disorders with the growth of selected intestinal bacteria
The multi-component herbal medicine Amara oral drops consists of nine different hydroethanolic herbal extracts, Artemisia absinthium (Aa), Centaurium erythraea (Ce), Cichorium intybus (Ci), Gentiana lutea (Gl), Juniperus communis (Jc), Millefolii herba (Mh), Peucedanum ostruthium (Po), Salvia officinalis (So) and Taraxacum (T). It is indicated for treatment of moderate digestive disorders like fullness, heartburn, nausea and disturbed gastrointestinal motility. A well functioning digestion is inevitably linked to a healthy intestinal microbiota. Thus, medication should not interfere with intestinal microbes.
We aimed to evaluate the antibacterial impact of the herbal extracts towards distinct bacterial strains using an in vitro approach.
Dry extracts were prepared from mother tinctures of extracts used for production of the final medicinal product Amara oral drops (Amara-Tropfen). Clove, a known antibacterial spice, was used as herbal reference compound. Bacterial strains were incubated in liquid culture under constant shaking at 37°C for up to 7 h together with test samples or controls.
No extract contained in Amara revealed antibacterial effects towards the intestinal commensal bacterial strain Escherichia coli up to a concentration of 10 mg/mL. The growth of Enterobacter cloacae and Bacillus subtilis was differentially affected by some extracts at higher concentrations. The reference extract from cloves was strongly antibiotic towards all tested bacterial strains ([Table 1]).


These results indicate that Amara oral drops are predominantly compatible with the intestinal bacterial strains E. coli and E. cloacae and might be considered as microbiome-friendly.
Additional studies are required to further characterise the compatibility of Amara oral drops with intestinal microbiota.
Publication History
Article published online:
16 November 2023
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