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Herbs and plants

Hops — the beer flower that helps you sleep better than a pill?

Sources: 11 · Article: 16 109 characters

The European Medicines Agency (EMA) indicates that preparations made from hop cones may help with sleep and relieve mild nervous tension.

  • Their long-standing use supports their use, but clinical studies do not allow the effects of hops alone on sleep to be assessed with confidence.
  • Studies used hops together with valerian, so no firm conclusions could be drawn about hops alone.
  • Medicines containing hop cones are intended for adults and adolescents over 12 years of age; if symptoms last longer than two weeks, consult a healthcare professional.

What the authors write

Europejska Agencja Leków (EMA)

Preparations made from hop cones may help with sleep and relieve mild nervous tension.

„The HMPC concluded that, based on their long-standing use, these hop cone preparations may be used to relieve mild nervous tension and help with sleep. 30 Churchill Place ● Canary Wharf ● London E14 5EU ● United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact © European Medicines Agency, 2017.”HMPC ustalił, że z uwagi na wieloletnie zastosowanie te przetwory z szyszki chmielu mogą być stosowane w łagodzeniu łagodnych stanów napięcia nerwowego oraz w ułatwianiu snu. 30 Churchill Place ● Canary Wharf ● London E14 5EU ● United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact © European Medicines Agency, 2017.
Henryk Różański

Hop cones and lupulin are described as sedative, sleep-inducing and anti-anxiety remedies.

„Hop cones—Strobilus Lupuli—and lupulin (lupulinum) have a pronounced sedative, sleep-inducing, antispasmodic and anti-anxiety effect. Lupulin consists of the oil glands (Glandulae Lupuli) of hop flowers. It is a yellow or brown powder with a distinctive strong smell (somewhat like valerian and butter).”Szyszki chmielu – Strobilus Lupuli oraz lupulina (lupulinum) wywierają wyraźne działanie uspokajające, nasenne, rozkurczowe i przeciwlękowe. Lupulina to gruczoły olejkowe (Glandulae Lupuli) kwiatostanów chmielu. Ma postać żółtego lub brązowego proszku o swoistym silnym zapachu (nieco walerianowo-masłowym).
Europejska Agencja Leków (EMA)

Long-standing use supports the use of hops, but clinical studies are not sufficient to confirm with confidence the effect of hops alone on sleep.

„This means that although evidence from clinical studies is insufficient, these herbal medicines are considered effective enough, and there is evidence that they have been used safely in this way for at least 30 years (including at least 15 years in the EU).”Oznacza to, że chociaż dowody z badań klinicznych nie są wystarczające, efektywność tych leków roślinnych jest do przyjęcia i istnieją dowody na to, że są one bezpiecznie stosowane w ten sposób od co najmniej 30 lat (w tym od co najmniej 15 lat w UE).
Europejska Agencja Leków (EMA)

Clinical studies on sleep used hops together with valerian, so no firm conclusions could be drawn about hops alone.

„The HMPC also considered clinical studies, but these used combinations of hop cone preparations and valerian root to help with sleep, so it was not possible to draw firm conclusions about the effects of hop cones. Therefore, the HMPC’s conclusions on the use of medicines containing hop cones are based on their long-standing use.”HMPC wziął pod uwagę także badania kliniczne, ale w celu ułatwiania snu stosowano w nich połączenia przetworów z szyszki chmielu i korzenia kozłka lekarskiego, więc wyciągnięcie wiążących wniosków na temat działania szyszek chmielu nie było możliwe. Dlatego też ustalenia HMPC dotyczące stosowania leków zawierających szyszkę chmielu opierają się na ich długotrwałym stosowaniu.
Henryk Różański

Herbal honey made with hops, valerian and lemon balm is recommended, among other things, for insomnia.

„Valerian, lemon balm and hop herbal honeys have a calming effect, especially when made with sweet clover, heather (also good for urinary tract inflammation), honeydew, lemon balm or lavender honey. While staying in Belgium, I saw lavender and lemon balm honey for sale; they are hard to find in Poland. Mix equal parts tinctures of valerian, lemon balm and hops. Add one part honey to one part of the tincture mixture and stir. To make it stronger, add 10 drops of natural lemon balm oil or chopped fresh lemon balm (1 teaspoon of lemon balm per 1 tablespoon of herbal honey), and stir again. Take one tablespoon 1–4 times a day, as needed, for neurosis, anxiety, stress, restlessness, insomnia, the period after menopause and menopause, and nervousness.”Ziołomiód walerianowy, melisowy, chmielowy – działają uspokajająco, zwłaszcza gdy są przygotowane na miodzie nostrzykowym, wrzosowym (dobry też na zapalenia układu moczowego), spadziowym, melisowym, lawendowym. Przebywając w Belgii spotkałem w sprzedaży miód lawendowy i melisowy, w Polsce trudno je kupić. Nalewkę z waleriany, melisy, chmielu w równych częściach zmieszać. Na 1 część mieszanki nalewek dać 1 część miodu, wymieszać, dodać dla wzmocnienia 10 kropel olejku melisowego naturalnego lub posiekaną melisę świeżą (1 łyżeczka melisy na 1 łyżkę ziołomiodu), wymieszać ponownie. Zażywać 1-4 razy dziennie (zależnie od potrzeby) po łyżce w nerwicach, lęku, stresie, niepokoju, bezsenności, okresie po- i przekwitania, w stanach zdenerwowania.
Henryk Różański

A tincture made from fresh hop cones has a calming effect.

„A tincture can be made from fresh hop cones, especially when they are richly covered with glands. This tincture has antispasmodic, digestive and calming effects. It eliminates neurosis and attacks of anxiety and hysteria. Pure lupulin taken with honey also has calming, estrogenic and antispasmodic effects, and protects the prostate gland in men.”Ze świeżych szyszek chmielowych przygotować można nalewkę, szczególnie, gdy są bogato pokryte gruczołkami. Taka nalewka działa rozkurczowo, trawiennie i uspokajająco. Likwiduje nerwice i ataki lęku oraz histerii. Także czysta lupulina zażyta na miodzie działa uspokajająco, estrogennie, przeciwskurczowo i ochronnie na gruczoł krokowy u mężczyzn.
Henryk Różański

Water extracts of the cones mainly aid digestion, while the calming ingredients dissolve poorly in water.

„Water extracts of hop cones mainly stimulate digestion, because the calming ingredients dissolve poorly in water. However, an infusion of hop cones, or even hop leaves, is rich in phlobaphenes, tannins, phenolic acids, chalcones (xanthohumol) and flavonoids, etc.”Wodne wyciągi z szyszek chmielowych działają przede wszystkim pobudzająco na trawienie, bowiem składniki o działaniu uspokajającym słabo rozpuszczają się w wodzie. Jednakże napar z szyszek chmielowych, a nawet z liści chmielu jest bogaty we flobafeny, garbniki, fenolokwasy, chalkony (xanthohumol) i flawonoidy ok.
Henryk Różański

Hop oil was taken by mouth as a sedative and mild narcotic.

„Humulene is another name for alpha-caryophyllene! The oil was found to contain acids and their esters: valeric, acetic, formic, decyl, nonyl, octyl, oenanthylic and butyric acids. The oil was taken by mouth as a sedative and mild narcotic.”Humulen to synonimowa nazwa alfa-kariofilenu!. W olejku stwierdzono obecność kwasów i ich estrów: walerianowego, octowego, mrówkowego, decylowego, nonylowego, oktylowego, oenanthylowego i masłowego. Olejek podawany był doustnie jako środek uspokajający i lekko narkotyczny.
Europejska Agencja Leków (EMA)

Hop cone is the common name for the inflorescences of the hop plant.

„Hop cone is the common name for the inflorescences of the plant Humulus lupulus L. The HMPC’s conclusions apply only to hop cone preparations made by comminuting (reducing to small particles) or drying and powdering the flowers, and to dry or liquid extracts.”Szyszka chmielu to nazwa zwyczajowa kwiatostanów rośliny Humulus lupulus L. Ustalenia HMPC dotyczą jedynie przetworów z szyszki chmielu, które są uzyskiwane przez rozdrabnianie (zmniejszając do drobnych cząstek) lub przez suszenie i proszkowanie kwiatów, oraz w postaci suchych lub płynnych wyciągów.
Europejska Agencja Leków (EMA)

Medicines containing hop cones are intended for adults and adolescents over 12 years of age; if symptoms last longer than two weeks, consult a healthcare professional.

„Medicines containing hop cones should be used only by adults and adolescents over 12 years of age. If symptoms continue for more than two weeks of treatment or get worse while using the medicine, consult a doctor or another qualified healthcare professional.”Leki zawierające szyszkę chmielu należy stosować wyłącznie u osób dorosłych i młodzieży w wieku powyżej 12 lat. Jeśli objawy utrzymują się dłużej niż przez dwa tygodnie stosowania leku lub ulegają pogorszeniu w trakcie jego stosowania, należy skonsultować się z lekarzem lub innym wykwalifikowanym pracownikiem służby zdrowia.

Research from PubMed · Europe PMC

We selected 7 studies with the best, positive results. This is a selection, not a full review of all research.

Total number of studies on this topic in PubMed: 31.

A review suggests that hops may improve sleep quality and ease insomnia symptoms, although the strength of the evidence varies.

Aim of the study: Herbal and natural supplements have gained popularity as alternative treatments for insomnia and sleep disorders because they are perceived as safe and may be effective. This literature review summarizes current evidence on the effectiveness, safety and mechanisms of action of commonly used sleep supplements, including valerian, hops, kava, German chamomile, cherry, tryptophan, theanine, melatonin, magnesium and zinc.

Results: Findings suggest that certain supplements, particularly valerian, hops and melatonin, could improve sleep quality and reduce insomnia symptoms by affecting neurotransmitter systems and regulating sleep-wake cycles. However, the strength of the evidence varies, and the best doses, formulations and treatment durations have not been established. Although generally considered safe, these supplements are not without risks, such as rare but serious adverse effects associated with kava and possible interactions with prescription medicines. The quality and purity of supplements also vary widely because of a lack of strict regulation. Healthcare providers should keep up to date with the latest research and work closely with patients to develop personalized treatment plans.

Money for the studygovernment, public institutions · National Research Foundation of Korea, Ministry of Science and Information and Communications Technology, Institute of Information and Communications Technology Planning and Evaluation
Do the authors have ties to companies?no — the authors say so
Did a manufacturer help with the study?NO
Type of studydiscussion of other studies

“Not stated” does not mean nobody paid — the database does not always record it.

In a small study, a combination of valerian and hops increased sleep duration compared with a placebo.

Aim of the study: This study evaluated the feasibility of investigating the effects of a valerian- and hops-based herbal medicine (Ze 91019) on daytime cognitive performance, psychological measures and sleep in people with occasional sleep problems.

Results: The study design proved feasible, and participants followed the study protocol closely. Exploratory analyses found a statistically significant increase in sleep duration during treatment among participants using Ze 91019 compared with placebo (mean daily increase: 21.7 min, p = 0.019), with no statistically significant effects on cognitive or psychological outcomes. In addition, Ze 91019 statistically significantly increased the sleep duration of the shortest night during treatment by 48.7 minutes. The medicine was well tolerated. The study design proved feasible, and Ze 91019 increased sleep duration without affecting daytime cognitive or psychological outcomes.

Money for the studycompany or manufacturer · Max Zeller Söhne AG
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?YES
Type of studystudy with random allocation to groups (RCT)
Participants40

“Not stated” does not mean nobody paid — the database does not always record it.

A review links the use of valerian alone or with hops to improvements in some sleep measures, but recommends interpreting the results with caution.

Aim of the study: To evaluate the effectiveness of valerian and hops in treating primary insomnia.

Results: Further randomized, double-blind, placebo-controlled trials are needed before such herbal treatments can be confidently recommended for treating primary insomnia.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studyreview of many studies

“Not stated” does not mean nobody paid — the database does not always record it.

A combination product containing hops improved sleep duration, time to fall asleep and the number of nighttime awakenings, similarly to zolpidem.

Aim of the study: To assess the effectiveness and safety of NSF-3, a polyherbal sedative-hypnotic containing standardized extracts of Valeriana officinalis, Passiflora incarnata and Humulus lupulus, compared with zolpidem in primary insomnia.

Results: A total of 91 subjects were recruited, of whom 39 in each group completed the study. Total sleep time, time taken to fall asleep, number of nightly awakenings and insomnia severity index scores improved significantly in both groups. However, there was no statistically significant difference between the groups. Epworth sleepiness scores did not change significantly during the study. Although 12 treatment-emergent adverse events were reported with NSF-3 and 16 with zolpidem (the most common in both groups was drowsiness), most were mild and no serious adverse events occurred. NSF-3 is a safe and effective short-term alternative to zolpidem for primary insomnia. It remains to be studied whether the benefits last and whether long-term use of this formulation carries a risk of dependence.

Money for the studynot stated
Do the authors have ties to companies?no — the authors say so
Did a manufacturer help with the study?YES
Type of studystudy with random allocation to groups (RCT)
Participants91

“Not stated” does not mean nobody paid — the database does not always record it.

In animal models, some hop extracts increased sleep duration and improved sleep in a model of caffeine-induced insomnia.

Aim of the study: Among natural products that promote sleep, hops have been used since ancient times as a tranquilizer and sleep-inducing agent. This study investigated the sleep-promoting effects of extracts from various hop (Humulus lupulus L.) varieties in invertebrate and vertebrate models.

Results: Total sleep time in mice with pentobarbital-induced sleep was significantly increased by Simcoe and Mosaic water extracts and Saphir and Simcoe ethanol extracts compared with the normal group. Oral administration of Simcoe water extract and Saphir alcohol extract improved sleep in the caffeine-induced insomnia model and increased mRNA expression of GABAA (gamma 2 subunit) and GABAB receptors in mouse brains. In addition, Saphir alcohol extract significantly increased GABA content in mouse brains. Simcoe water extract and Saphir ethanol extract affected GABAergic signaling and improved sleep-related behaviors, including sleep duration.

Money for the studycompany or manufacturer · Lotte Co., Ltd.
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?YES
Type of studyanimal study

“Not stated” does not mean nobody paid — the database does not always record it.

A mixture of two hop varieties increased sleep duration in an animal model of caffeine-induced insomnia.

Aim of the study: Hops contain flavonoids with sedative and sleep-promoting effects, such as α-acid, β-acid and xanthohumol. This study measured the sleep-enhancing activity of a Saaz-Saphir hop mixture.

Results: Because the GABA antagonists picrotoxin and bicuculline reduced sleep activity, the GABAA receptor was confirmed to be involved in the activity of the Saaz-Saphir mixture. In addition, the GABAA receptor antagonist also reduced the sleep activity caused by xanthohumol and humulone in the Saaz-Saphir mixture. Therefore, xanthohumol and humulone in the Saaz-Saphir mixture showed sleep-promoting activity mediated by GABAA receptors. The Saaz and Saphir hop variety mixture may therefore help ease sleep disturbances compared with other hop varieties.

Money for the studycompany or manufacturer · Lotte Chilsung Beverage Co., Ltd.
Do the authors have ties to companies?no — the authors say so
Did a manufacturer help with the study?YES
Type of studyanimal study

“Not stated” does not mean nobody paid — the database does not always record it.

A mixture of valerian and hops increased sleep duration in fruit flies, partly even after caffeine was given.

Aim of the study: This study aimed to investigate the sleep-promoting effect of a valerian/hops mixture in fruit flies. HPLC analysis showed that valerian and hops contained valerenic acid (1260.53 µg/g of extract) and xanthohumol (Cascade: 827.49 µg/g, Hallertau: 763.60 µg/g, Saaz: 186.93 µg/g), respectively.

Results: This mixture-related effect was partly seen in caffeine-treated flies. The Valerian/Cascade mixture increased mRNA expression of gamma-aminobutyric acid (GABA) receptors and the serotonin receptor, with a stronger effect on GABA receptors than on the serotonin receptor. In a competitive GABA receptor binding assay, the Valerian/Cascade mixture extract showed a greater ability to bind to GABA receptors than valerenic acid and/or xanthohumol, which are thought to be active compounds in the extract. This study shows that a Valerian/Cascade mixture extract improves sleep-related behaviors, including sleep duration, by affecting GABAergic/serotonergic signaling.

Money for the studynot stated
Do the authors have ties to companies?not stated
Did a manufacturer help with the study?unknown
Type of studyanimal study

“Not stated” does not mean nobody paid — the database does not always record it.

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