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GMJ News > Ingredients A-Z > Compound/nutraceutical > Butcher’s Broom

Butcher’s Broom

GMJ
Last updated: 02/06/2026 19:52
By
Prof. Giorgi Pkhakadze
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Medically reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD — GMJ Editorial Board

6 min read|1,134 words

What is Butcher’s Broom?

Butcher’s broom (Ruscus aculeatus) is a low-growing evergreen shrub native to the Mediterranean region and parts of Europe. Also known as knee holly or sweet broom, this hardy plant has been used medicinally for centuries. The name “butcher’s broom” comes from its historical use by butchers who bundled the stiff branches together to clean their cutting boards and blocks.

The medicinal parts of the plant are primarily the underground rhizomes (root-like stems) and roots, which contain bioactive compounds called ruscogenins. These steroidal saponins are considered the primary therapeutic components responsible for butcher’s broom’s health benefits. The plant is commonly available as dietary supplements in capsule, tablet, or extract form.

Health benefits & uses

Chronic venous insufficiency (Moderate evidence): The most well-researched use of butcher’s broom is for chronic venous insufficiency (CVI), a condition where leg veins struggle to send blood back to the heart. Clinical studies suggest that butcher’s broom extract may help reduce symptoms like leg swelling, pain, and heaviness associated with CVI.

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Hemorrhoids (Limited evidence): Some research indicates that butcher’s broom may help alleviate hemorrhoid symptoms, likely due to its anti-inflammatory properties and effects on blood vessel tone. However, more robust clinical trials are needed to confirm these benefits.

Varicose veins (Limited evidence): Traditional use and some preliminary studies suggest butcher’s broom might help with varicose vein symptoms, though evidence remains limited. The proposed mechanism involves strengthening blood vessel walls and improving circulation.

Orthostatic hypotension (Limited evidence): Some studies have explored butcher’s broom’s potential to help manage orthostatic hypotension (a drop in blood pressure when standing up), but research is still in early stages.

How it works

Butcher’s broom’s therapeutic effects are primarily attributed to ruscogenins, particularly ruscin and neoruscin. These compounds appear to work through several mechanisms:

The ruscogenins act as alpha-adrenergic agonists, which means they can cause constriction of blood vessels, particularly veins. This vasoconstrictor effect may help improve venous tone and reduce pooling of blood in the legs. Additionally, these compounds possess anti-inflammatory properties that may help reduce swelling and inflammation in blood vessel walls.

The plant also contains flavonoids and other compounds that may contribute to its antioxidant effects, potentially protecting blood vessels from oxidative damage and supporting overall vascular health.

Dosage

Typical adult dosages of butcher’s broom extract range from 150-300 mg daily, usually divided into two or three doses. Standardized extracts are often formulated to contain 9-11% ruscogenins. Some studies have used doses up to 36-75 mg of ruscogenins daily.

There is no established Recommended Daily Allowance (RDA) or Upper Limit (UL) for butcher’s broom, as it is not considered an essential nutrient. Dosage recommendations vary significantly between products and intended uses.

It’s important to consult with a healthcare provider before starting any supplementation regimen, especially if you have existing health conditions or take medications. A qualified practitioner can help determine the most appropriate dosage based on individual needs and health status.

Food sources

Butcher’s broom is not commonly consumed as a food. The young shoots of the plant are occasionally eaten in some Mediterranean regions, similar to asparagus, but this practice is rare and the shoots contain much lower concentrations of the active compounds found in the roots and rhizomes.

For therapeutic purposes, butcher’s broom is almost exclusively obtained through dietary supplements rather than food sources. The medicinal preparations use concentrated extracts from the underground portions of the plant, which are not typically part of any culinary tradition.

Safety & side effects

Butcher’s broom is generally considered safe for most adults when used appropriately. However, some side effects may occur, including:

Gastrointestinal upset, including nausea or stomach discomfort, has been reported in some users. Some individuals may experience headaches or dizziness, particularly when first starting supplementation.

Due to its vasoconstrictor properties, butcher’s broom might affect blood pressure. People with cardiovascular conditions should exercise particular caution and medical supervision when considering this supplement.

Interactions

Butcher’s broom may interact with several medications due to its effects on blood vessels and circulation. Of particular concern are interactions with blood pressure medications, as the herb’s vasoconstrictor effects could potentially interfere with antihypertensive drugs.

The supplement may also interact with alpha-blockers, medications used for high blood pressure and prostate conditions, potentially reducing their effectiveness. Additionally, there’s theoretical concern about interactions with monoamine oxidase inhibitors (MAOIs) due to butcher’s broom’s alpha-adrenergic activity.

Always inform healthcare providers about all supplements and medications you’re taking to avoid potentially harmful interactions.

Who should be cautious

Several groups should exercise caution or avoid butcher’s broom entirely. Pregnant and breastfeeding women should avoid this supplement due to insufficient safety data and potential effects on blood circulation.

People with high blood pressure, heart conditions, or other cardiovascular disorders should consult their healthcare provider before use, as the vasoconstrictor effects could potentially worsen these conditions.

Individuals taking blood pressure medications or other cardiovascular drugs should be particularly cautious due to potential interactions. Those with kidney disease should also exercise caution, as changes in blood pressure and circulation could affect kidney function.

Frequently asked questions

How long does it take for butcher’s broom to work?

Most clinical studies suggest that benefits for venous insufficiency symptoms may become apparent within 4-12 weeks of regular use. However, individual responses can vary, and some people may notice improvements sooner or require longer treatment periods.

Can I take butcher’s broom with other circulation supplements?

While butcher’s broom is sometimes combined with other vascular health supplements like horse chestnut or diosmin, it’s important to consult with a healthcare provider before combining supplements to avoid potential interactions or excessive effects.

Is butcher’s broom the same as regular broom plant?

No, butcher’s broom (Ruscus aculeatus) is completely different from common broom (Cytisus scoparius) or other plants called “broom.” These are distinct species with different properties and safety profiles.

Should I take butcher’s broom with food?

Butcher’s broom can typically be taken with or without food. However, taking it with food may help reduce the risk of gastrointestinal upset in sensitive individuals.

Can butcher’s broom cure varicose veins?

No, butcher’s broom cannot cure varicose veins. While it may help manage some symptoms associated with venous insufficiency, structural vein problems typically require medical treatment. Always consult with a healthcare provider for proper diagnosis and treatment of vascular conditions.

Classification:

Typical dose: — · Studied up to: —

References

Authoritative profile & live regulatory status: Butcher's Broom on SupplementIndex →

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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