Red clover, a wild plant used as grazing food for cattle and other livestock, has also been used medicinally to treat a wide array of conditions. These have included cancer, mastitis (inflammation of the breast), joint disorders, jaundice, bronchitis, spasmodic coughing, asthma, and skin inflammations, such as psoriasis and eczema. Red clover is thought to "purify" the blood by promoting urine and mucous production, improving circulation, and stimulating the secretion of bile. Recently, specific chemicals in red clover -- known as isoflavones -- have been isolated and tested for their effectiveness in treating a variety of conditions. Although isolated isoflavone products are very different from the whole herb, they have shown promise in the treatment of a number of conditions associated with menopause, such as hot flashes, cardiovascular health, and the bone loss associated with osteoporosis.

Red clover is a perennial herb that commonly grows wild in meadows throughout Europe and Asia, and has now been naturalized to grow in North America. The red flowers at the end of the branched stems are considered to be the source of its medicinal properties and are usually dried for therapeutic use.

Red clover is a source of many valuable nutrients including calcium, chromium, magnesium, niacin, phosphorus, potassium, thiamine, and vitamin C. Red clover is also considered to be one of the richest sources of isoflavones (water-soluble chemicals that act like estrogens and are found in many plants).

Cardiovascular Health

Menopause increases a woman's risk for developing cardiovascular disease. Supplementation with red clover isoflavones has been associated with a sizeable increase in high-density lipoprotein (HDL) cholesterol, or "good" cholesterol in pre- and postmenopausal women, leading some researchers to believe that these isoflavones may help protect against cardiovascular disease. Other studies, however, have refuted this finding. Interestingly, one recent study found that menopausal women taking red clover supplements experienced a significant improvement in arterial compliance (a measure of the strength and resilience of the arterial walls). Arterial compliance diminishes during menopause and may increase a woman's risk for heart disease.

Menopause

While not all studies are thoroughly convincing, several studies of a proprietary extract of red clover isoflavones suggest that it may significantly reduce hot flashes in menopausal women.

Osteoporosis

Menopause increases a woman's risk for developing osteoporosis (significant bone loss). Some studies suggest that a proprietary extract of red clover isoflavones may slow bone loss and even boost bone mineral density in pre- and perimenopausal women.

Cancer

The isoflavones isolated from red clover have been studied for their effectiveness in treating some forms of cancer. It is thought that the isoflavones prevent the proliferation of cancer cells and that they may even destroy cancer cells. Laboratory and animal studies have found that red clover isoflavones may protect against the growth of breast cancer cells. This is surprising because estrogens (and isoflavones have estrogenic properties) have generally been thought to stimulate the growth of breast cancer in women. Until further research has been conducted and more information is available, the use of red clover isoflavones or other red clover products should probably be avoided in women with a history of breast cancer.

Other Uses

Traditionally, red clover ointments have been applied to the skin to treat conditions such as psoriasis, eczema, and other rashes. Red clover also has a history of use as a cough remedy for children.

Red clover is available in a variety of preparations, including teas, tinctures, tablets, capsules, liquid extract, and extracts standardized to specific isoflavone contents. It can also be prepared as an ointment for topical application.

Red clover has a history of short-term use as a cough remedy for children. Isolated red clover isoflavone products are very different than the whole herb, however, and are not recommended for children.

Although dosage and administration will vary from individual to individual, general guidelines are as follows:

• Dried herb (used for tea): 1 to 2 tsp dried flowers or flowering tops steeped in 8 oz hot water for 1/2 hour; take 2 to 3 cups daily
• Powdered herb (available in capsules): 2 to 6 capsules (500 mg each) per day
• Tincture (1:5, 30% alcohol): 60 to 100 drops (3 to 5 mL) three times per day; may add to hot water as a tea
• Fluid Extract (1:1): 1 mL three times per day; may add to hot water as a tea
• Standardized red clover isoflavone extracts: directions on product labels should be carefully followed
• Topical treatment (such as for psoriasis or eczema): an infusion, liquid extract, or ointment containing 10 to 15% flowerheads

As mentioned above, isolated red clover isoflavones have shown promise in the treatment of a variety of conditions. It is important to remember, however, that extracts of red clover isoflavones are very different from the whole herb -- in fact, they represent only a small portion of the entire herb in a highly concentrated form.

No serious adverse side effects from red clover have been reported in humans. However, infertility has been noted in grazing animals that consume large amounts of red clover.

The use of red clover is not recommended for pregnant or breastfeeding women.

Because of the estrogen-like properties in red clover isoflavones, women with a history of breast cancer should avoid red clover (some studies suggest that synthetic and/or natural estrogens may increase the risk of breast cancer). Red clover isoflavones should be used with caution, if at all, by people receiving hormone therapy (including birth control pills) containing estrogen, progesterone, androgen or any derivatives of these hormones. Because of the increased risk of bleeding associated with red clover, individuals taking blood-thinning medications (such as warfarin or aspirin) or blood-thinning herbs and supplements (such as ginkgo, ginger, garlic, and vitamin E) should avoid red clover.

Adlercreutz H, Bannwart C, Wahala K, et al. Inhibition of human aromatase by mammalian lignans and isoflavonoid phytoestrogens. J Steroid Biochem Molec Biol. 1993;44(2):147-153.

Baber R, Bligh PC, Fulcher G, Lieberman D, Nery L, Moreton T. The effect of an Isoflavone dietary supplement (P-081) on serum lipids, forearm bone density & endometrial thickness in post menopausal women [abstract]. Menopause. 1999a;6:326.

Baber RJ, Templeman C, Morton T, Kelly GE, West L. Randomized, placebo-controlled trial of an isoflavone supplement and menopausal symptoms in women. Climacteric. 1999b;2(2):85-92.

Bradley PR, ed. Red clover flower. In: British Herbal Compendium. Vol 1. Bournemouth, UK: British Herbal Medicine Association; 1992:183-184.

Cassady JM, Zennie TM, Young-Heum C, Ferin MA, Portuondo NE, Baird WM. Use of a mammalian cell culture benzo(a)pyrene metabolism assay for the detection of potential anticarcinogens from natural products: Inhibition of metabolism by biochanin A, an isoflavone from Trifolium pratense L. Cancer Res. 1988;48:6257-6261.

DerMarderosian A, Burnham TH, Short RM, et al, eds. Red clover monograph, a monograph in the series The Review of Natural Products. St. Louis, Mo: Facts and Comparisons; 2000.

Duke JA. Handbook of Phytochemical Constituents of GRAS Herbs and Other Economic Plants. Boca Raton, Fla: CRC Press; 1992:603-605.

Duke JA. CRC Handbook of Medicinal Herbs. Boca Raton, Fla: CRC Press, Inc.; 1985:488-489.

Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm. 2000;57(13):1221-1227.

Hoffman D. The New Holistic Herbal. Boston, Mass: Element Books Limited; 1990:227.

Howes JB, Sullivan D, Lai N. The effects of dietary supplementation with isoflavones from red clover on the lipoprotein profiles of postmenopausal women with mild to moderate hypercholesterolemia. Atherosclerosis. 2000;152(1):143-147.

Husband A. Red clover isoflavone supplements: safety and pharmacokinetics. Journal of the British Menopause Society. 2001;Supplement S1:4-7.

Jeri AR. The effect of isoflavones phytoestrogens in relieving hot flushes in Peruvian postmenopausal women. Paper presented at: 9^th International Menopause Society World Congress on the Menopause; October 20, 1999; Yokahama, Japan.

Kuhn MA, Winston D. Herbal Therapy and Supplements. Philadelphia, Pa: Lippincott; 2001:273-277.

McGuffin M, Hobbs C, Upton R, Goldberg A. Botanical Safety Handbook. Boca Raton, Fla: CRC Press LLC; 1997: 117.

Nachtigall LE. Isoflavones in the management of menopause. Journal of the British Menopause Society. 2001;Supplement S1:8-12.

Nestel PJ, Pomeroy S, Kay S, et al. Isoflavones from red clover improve systemic arterial compliance but not plasma lipids in menopausal women. J Clin Endocrinol Metab. 1999;84(3):895-898.

New promensil study - cholesterol benefit. 2000a (October 31). Novogen news and announcements page. Novogen website. Available at: http://www.novogen.com. Accessed March 29, 2001.

Novogen anti-cancer drug enters phase I trials. 2000b (June 23). Novogen news and announcements page. Novogen website. Available at: http://www.novogen.com. Accessed March 29, 2001.

Novogen anti-cancer drug trials advance. 2000c (August 21). Novogen news and announcements page. Novogen website. Available at: http://www.novogen.com. Accessed March 29, 2001.

Managing menopause naturally. Promensil clinical monograph. 1999. Novogen website. Available at: http://www.novogen.com. Accessed April 11, 2001.

North American Menopause Society (NAMS). The role of isoflavones in menopausal health: consensus opinion of the North American Menopause Society. Menopause. 2000;7(4):215-229.

Pedersen M. Nutritional Herbology A Reference Guide to Herbs. Warsaw, Ind: Wendell W. Whitman Company; 1994;144-145.

Stephens FO. Phytoestrogens and prostate cancer: possible preventive role. MJA. 1997;167:138-140.

Woodside JV, Campbell MJ. Isoflavones and breast cancer. Journal of the British Menopause Society. 2001;Supplement S1:17-21.

Zava DT, Dollbaum CM, Blen M. Estrogen and progestin bioactivity of foods, herbs, and spices. Proc Soc Exp Biol Med. 1998;217(3):369-378.