- What other names is Witch Hazel known by?
- What is Witch Hazel?
- How does Witch Hazel work?
- Are there safety concerns?
- Dosing considerations for Witch Hazel.
Avellano de Bruja, Café du Diable, Hamamelis, Hamamélis, Hamamélis de Virginie, Hamamelis virginiana, Hazel, Noisetier des Sorcières, Snapping Tobacco Wood, Spotted Elder, Winter Bloom.
Witch hazel is a plant. The leaf, bark, and twigs are used to make medicine. You may see a product called witch hazel water (Hamamelis water, distilled witch hazel extract). This is a liquid that is distilled from dried leaves, bark, and partially dormant twigs of Hamamelis virginiana.
Some people apply witch hazel directly to the skin for itching, pain and swelling (inflammation), eye inflammation, skin injury, mucous membrane inflammation, varicose veins, hemorrhoids, bruises, insect bites, minor burns, and other skin irritations.
In manufacturing, witch hazel leaf extract, bark extract, and witch hazel water are used as astringents to tighten the skin. They are also included in some medications to give those products the ability to slow down or stop bleeding. Those medications are used for treating insect bites, stings, teething, hemorrhoids, itching, irritations, and minor pain.
Possibly Effective for...
- Hemorrhoids. Applying witch hazel water to the skin may help to temporarily relieve itching, discomfort, irritation, and burning from hemorrhoids and other anal disorders.
- Minor bleeding. Applying witch hazel bark, leaf, or water to the skin reduces minor bleeding.
- Skin irritation. Applying witch hazel cream seems to relieve mild skin irritation, but not as well as hydrocortisone. Other research shows that applying a specific witch hazel ointment (Hametum) to the skin appears to improve symptoms of skin injury or irritated skin as effectively as a dexpanthenol ointment in children.
Possibly Ineffective for...
- Itchy and inflamed skin (eczema). Applying a cream containing witch hazel to the skin for 14 days does not seem to improve itchy and inflamed skin in people with moderate eczema. Applying hydrocortisone cream seems to be a more effective treatment option.
Insufficient Evidence to Rate Effectiveness for...
- Vomiting blood.
- Coughing up blood.
- Eye inflammation.
- Varicose veins.
- Other conditions.
Witch hazel contains chemicals called tannins. When applied directly to the skin, witch hazel might help reduce swelling, help repair broken skin, and fight bacteria.
Witch hazel is LIKELY SAFE for most adults when applied directly to the skin. In some people, it might cause minor skin irritation.
Witch hazel is POSSIBLY SAFE for most adults when small doses are taken by mouth. In some people, witch hazel might cause stomach upset when taken by mouth. Large doses might cause liver problems.
Witch hazel contains a cancer-causing chemical (safrole), but in amounts that are too small to be of concern.
Special Precautions & Warnings:Children: Witch hazel is POSSIBLY SAFE for children when applied directly to the skin.
The following doses have been studied in scientific research:
APPLIED TO THE SKIN:
- For itching and discomfort associated with hemorrhoids and other anal disorders: Witch hazel water (Hamamelis Liquid Extract diluted with water) applied up to 6 times a day or after every bowel movement.
Natural Medicines Comprehensive Database rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, and Insufficient Evidence to Rate (detailed description of each of the ratings).
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[Drug therapy of hemorrhoids. Proven results of therapy with a hamamelis containing hemorrhoid ointment. Results of a meeting of experts. Dresden, 30 August 1991]. Fortschr.Med.Suppl 1991;116:1-11. View abstract.
Andralojc, P. J., Keys, A. J., Martindale, W., Dawson, G. W., and Parry, M. A. Conversion of D-hamamelose into 2-carboxy-D-arabinitol and 2-carboxy-D-arabinitol 1-phosphate in leaves of Phaseolus vulgaris L. J.Biol.Chem. 10-25-1996;271(43):26803-26809. View abstract.
Balansard, P., Faure, F., Balansard, G., Delaage, M., Roussey, A., and Bouyard, P. [Tonivenous effect of a purified extreact from Hamamelis virginiana]. Therapie 1972;27(5):793-799. View abstract.
Bernard, P., Balansard, P., Balansard, G., and Bovis, A. [Venitonic pharmacodynamic value of galenic preparations with a base of hamamelis leaves]. J.Pharm.Belg. 1972;27(4):505-512. View abstract.
Choi, H. R., Choi, J. S., Han, Y. N., Bae, S. J., and Chung, H. Y. Peroxynitrite scavenging activity of herb extracts. Phytother.Res. 2002;16(4):364-367. View abstract.
Conforti, A., Bellavite, P., Bertani, S., Chiarotti, F., Menniti-Ippolito, F., and Raschetti, R. Rat models of acute inflammation: a randomized controlled study on the effects of homeopathic remedies. BMC.Complement Altern.Med 2007;7:1. View abstract.
Dauer, A., Hensel, A., Lhoste, E., Knasmuller, S., and Mersch-Sundermann, V. Genotoxic and antigenotoxic effects of catechin and tannins from the bark of Hamamelis virginiana L. in metabolically competent, human hepatoma cells (Hep G2) using single cell gel electrophoresis. Phytochemistry 2003;63(2):199-207. View abstract.
Deters, A., Dauer, A., Schnetz, E., Fartasch, M., and Hensel, A. High molecular compounds (polysaccharides and proanthocyanidins) from Hamamelis virginiana bark: influence on human skin keratinocyte proliferation and differentiation and influence on irritated skin. Phytochemistry 2001;58(6):949-958. View abstract.
Duwiejua, M., Zeitlin, I. J., Waterman, P. G., and Gray, A. I. Anti-inflammatory activity of Polygonum bistorta, Guaiacum officinale and Hamamelis virginiana in rats. J.Pharm.Pharmacol. 1994;46(4):286-290. View abstract.
East, C. E., Begg, L., Henshall, N. E., Marchant, P., and Wallace, K. Local cooling for relieving pain from perineal trauma sustained during childbirth. Cochrane.Database.Syst.Rev. 2007;(4):CD006304. View abstract.
Engel, R., Gutmann, M., Hartisch, C., Kolodziej, H., and Nahrstedt, A. Study on the composition of the volatile fraction of Hamamelis virginiana. Planta Med 1998;64(3):251-258. View abstract.
Erdelmeier, C. A., Cinatl, J., Jr., Rabenau, H., Doerr, H. W., Biber, A., and Koch, E. Antiviral and antiphlogistic activities of Hamamelis virginiana bark. Planta Med. 1996;62(3):241-245. View abstract.
Friedrich, H. and Kruger, N. [New investigations on the tannin of Hamamelis. II. The tannin of the leaves of H. virginiana (author's transl)]. Planta Med. 1974;26(4):326-332. View abstract.
Gloor, M., Reichling, J., Wasik, B., and Holzgang, H. E. Antiseptic effect of a topical dermatological formulation that contains Hamamelis distillate and urea. Forsch.Komplementarmed.Klass.Naturheilkd. 2002;9(3):153-159. View abstract.
Grimme, H. and Augustin, M. [Phytotherapy in chronic dermatoses and wounds: what is the evidence?]. Forsch.Komplementarmed. 1999;6 Suppl 2:5-8. View abstract.
Haberland, C. and Kolodziej, H. Novel Galloylhamameloses from Hamamelis virginiana1. Planta Med 1994;60(5):464-466. View abstract.
Habtemariam, S. Hamamelitannin from Hamamelis virginiana inhibits the tumour necrosis factor-alpha (TNF)-induced endothelial cell death in vitro. Toxicon 2002;40(1):83-88. View abstract.
Hartisch, C., Kolodziej, H., and von Bruchhausen, F. Dual inhibitory activities of tannins from Hamamelis virginiana and related polyphenols on 5-lipoxygenase and lyso-PAF: acetyl-CoA acetyltransferase. Planta Med. 1997;63(2):106-110. View abstract.
Hill, N., Stam, C., and van Haselen, R. A. The efficacy of Prrrikweg gel in the treatment of insect bites: a double-blind, placebo-controlled clinical trial. Pharm World Sci 1996;18(1):35-41. View abstract.
Hughes-Formella, B. J., Bohnsack, K., Rippke, F., Benner, G., Rudolph, M., Tausch, I., and Gassmueller, J. Anti-inflammatory effect of hamamelis lotion in a UVB erythema test. Dermatology 1998;196(3):316-322. View abstract.
Hughes-Formella, B. J., Filbry, A., Gassmueller, J., and Rippke, F. Anti-inflammatory efficacy of topical preparations with 10% hamamelis distillate in a UV erythema test. Skin Pharmacol.Appl.Skin Physiol 2002;15(2):125-132. View abstract.
Iauk, L., Lo Bue, A. M., Milazzo, I., Rapisarda, A., and Blandino, G. Antibacterial activity of medicinal plant extracts against periodontopathic bacteria. Phytother.Res 2003;17(6):599-604. View abstract.
Khanna, N. and Datta, Gupta S. Rejuvenating facial massage--a bane or boon? Int J Dermatol. 2002;41(7):407-410. View abstract.
Kiran, M. D., Adikesavan, N. V., Cirioni, O., Giacometti, A., Silvestri, C., Scalise, G., Ghiselli, R., Saba, V., Orlando, F., Shoham, M., and Balaban, N. Discovery of a quorum-sensing inhibitor of drug-resistant staphylococcal infections by structure-based virtual screening. Mol.Pharmacol. 2008;73(5):1578-1586. View abstract.
Korting, H. C., Schafer-Korting, M., Klovekorn, W., Klovekorn, G., Martin, C., and Laux, P. Comparative efficacy of hamamelis distillate and hydrocortisone cream in atopic eczema. Eur.J.Clin.Pharmacol. 1995;48(6):461-465. View abstract.
Kostalova, D., Misikova, E., and Gaborova, G. [Polyphenol compounds from Hamamelis virginiana L.]. Ceska.Slov.Farm. 2001;50(1):51-53. View abstract.
Lloyd JU, Lloyd JT. History of Hamamelis (witch hazel) extract and distillate. Journal of the American Pharmaceutical Association 1935;24(6)
Longo, R. and Mazzoldi, G. [Determination of tannic substances in the drug and extracts of Hamamelis virginiana L]. Boll.Chim.Farm. 1966;105(3):241-244. View abstract.
MacKay, D. Hemorrhoids and varicose veins: a review of treatment options. Altern Med Rev 2001;6(2):126-140. View abstract.
Masaki, H., Atsumi, T., and Sakurai, H. Evaluation of superoxide scavenging activities of hamamelis extract and hamamelitannin. Free Radic.Res.Commun. 1993;19(5):333-340. View abstract.
Masaki, H., Atsumi, T., and Sakurai, H. Protective activity of hamamelitannin on cell damage of murine skin fibroblasts induced by UVB irradiation. J.Dermatol.Sci. 1995;10(1):25-34. View abstract.
Masaki, H., Sakaki, S., Atsumi, T., and Sakurai, H. Active-oxygen scavenging activity of plant extracts. Biol Pharm Bull. 1995;18(1):162-166. View abstract.
McGregor, D. B., Brown, A., Cattanach, P., Edwards, I., McBride, D., and Caspary, W. J. Responses of the L5178Y tk+/tk- mouse lymphoma cell forward mutation assay. II: 18 coded chemicals. Environ.Mol.Mutagen. 1988;11(1):91-118. View abstract.
Messerschmidt, W. [On the knowledge of water steam distillate of the leaves of Hamamelis virginiana L. 3. On the isolation and identification of safrole]. Arzneimittelforschung. 1968;18(12):1618. View abstract.
Royer, R. J. and Schmidt, C. L. [Evaluation of venotropic drugs by venous gas plethysmography. A study of procyanidolic oligomers (author's transl)]. Sem Hop 12-18-1981;57(47-48):2009-2013. View abstract.
Tourino, S., Lizarraga, D., Carreras, A., Lorenzo, S., Ugartondo, V., Mitjans, M., Vinardell, M. P., Julia, L., Cascante, M., and Torres, J. L. Highly galloylated tannin fractions from witch hazel (Hamamelis virginiana) bark: electron transfer capacity, in vitro antioxidant activity, and effects on skin-related cells. Chem.Res.Toxicol. 2008;21(3):696-704. View abstract.
Vennat, B., Pourrat, H., Pouget, M. P., Gross, D., and Pourrat, A. Tannins from Hamamelis virginiana: Identification of Proanthocyanidins and Hamamelitannin Quantification in Leaf, Bark, and Stem Extracts. Planta Med 1988;54(5):454-457. View abstract.
von Dohlen, C. D., Kurosu, U., and Aoki, S. Phylogenetics and evolution of the eastern Asian-eastern North American disjunct aphid tribe, Hormaphidini (Hemiptera: Aphididae). Mol.Phylogenet.Evol. 2002;23(2):257-267. View abstract.
Wang, H., Provan, G. J., and Helliwell, K. Determination of hamamelitannin, catechins and gallic acid in witch hazel bark, twig and leaf by HPLC. J.Pharm.Biomed.Anal. 11-24-2003;33(4):539-544. View abstract.
Wolff, H. H. and Kieser, M. Hamamelis in children with skin disorders and skin injuries: results of an observational study. Eur.J.Pediatr. 2007;166(9):943-948. View abstract.
Yang, S., Dennehy, C. E., and Tsourounis, C. Characterizing adverse events reported to the California Poison Control System on herbal remedies and dietary supplements: a pilot study. J.Herb.Pharmacother. 2002;2(3):1-11. View abstract.
Broadhurst CL, Polansky MM, Anderson RA. Insulin-like biological activity of culinary and medicinal plant aqueous extracts in vitro. J Agric Food Chem 2000;48:849-52.. View abstract.
Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
Dauer A, Metzner P, Schimmer O. Proanthocyanidins from the bark of Hamamelis virginiana exhibit antimutagenic properties against nitroaromatic compounds. Planta Med 1998;64:324-7. View abstract.
Hormann HP, Korting HC. Evidence for the efficacy and safety of topical herbal drugs in dermatology: part I: anti-inflammatory agents. Phytomedicine 1994;1:161-71.
Korting HC, Schafer-Korting M, Hart H, et al. Anti-inflammatory activity of hamamelis distillate applied topically to the skin. Influence of vehicle and dose. Eur J Clin Pharmacol 1993;44:315-8.. View abstract.
Robbers JE, Tyler VE. Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals. New York, NY: The Haworth Herbal Press, 1999.