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Herbs & Botanicals · Traditional calming herb

Black horehound

Ballota nigra L. · also called Black horehound, stinking horehound, black stinking horehound, ballote noire (French), marrubio negro (Spanish)

Black horehound is a strong-smelling European herb of the mint family. It is used traditionally for nervous tension, poor sleep and an upset stomach. Human research is very thin: one open study and one trial of a four-herb mix. Avoid it in pregnancy, and ask a pharmacist first if you take Parkinson's or sedating medicines.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. How this page is made

About Black horehound

Black horehound (Ballota nigra) is an old European herb used as a mild calming remedy and for upset stomach. Compounds in it attach to calming-type receptors in the lab, but almost nothing has been tested in people. Pregnancy and Parkinson's medicine are the main cautions.

What it is

Black horehound (Ballota nigra) is a mint-family plant (Lamiaceae). The part used is the dried flowering tops. It is not the same plant as white horehound, which is used for cough and appetite.

Its main compounds are phenylpropanoid glycosides such as verbascoside and forsythoside B, along with flavonoids, bitter diterpenes and an essential oil.

5 1 9

Traditional and current uses

Traditional European use is for nervous tension, mild sleep trouble, stomach cramps and spasmodic cough. The ESCOP monograph lists tenseness, restlessness and irritability with trouble falling asleep.

Some reference sources also list nausea and vomiting. We could not confirm the idea that the German Commission E or the EU herbal committee approved it for nausea: a German reference says neither has a monograph on it.

4 1 8

What the research shows

There is no controlled trial of black horehound on its own. ESCOP cites one open study in anxious people with a 65% responder rate after 60 days, but without a comparison group this cannot show the herb caused the change.

A 2022 placebo-controlled crossover trial in 31 healthy adults tested a product with four herbs, including ballota. Tension and stress signals were lower, but the effect cannot be credited to black horehound.

Everything else is lab or animal work: receptor binding, antioxidant activity, and lower blood glucose in rats.

4 3 2 7

At a glance

Traditional uses history, not proof

  • Traditional European medicine: a mild calming herb for nervous tension and light sleep trouble; also used for stomach cramps and spasmodic cough (Altmeyers; RxList lists nausea and vomiting too).
  • ESCOP monograph (2015): tenseness, restlessness and irritability with difficulty falling asleep.

Studied for research

  • Tension, restlessness and sleep, very low
  • Anxiety and stress response (in a multi-herb product), very low
  • Nausea and vomiting, insufficient
  • Stomach cramps, insufficient
  • Blood sugar (rats only), insufficient

Main compounds

  • Phenylpropanoid glycosides: verbascoside, forsythoside B, arenarioside, ballotetroside
  • A labdane-type diterpene (13-hydroxyballonigrinolide) and flavonoids
  • Rosmarinic acid and other caffeic acid derivatives; essential oil

Common forms

  • Dried flowering tops (the ESCOP drug)
  • Tea, liquid extract or tincture, capsules and tablets (product contents vary)
  • Multi-herb sleep or tension products that include ballota

Research links: ESCOP monograph summary on black horehound · Altmeyers Encyclopedia: Ballotae nigrae herba · RxList (Natural Medicines): Black horehound · Research Library · Genes & Biomarkers Library

The plant and its history

Accepted scientific name
Ballota nigra L.
Naming authority
L. (GBIF accepted species, key 2926894)
Synonyms
Not listed here: the GBIF synonym list was not pulled. The accepted subspecies Ballota nigra subsp. foetida (Vis.) Hayek (GBIF key 3882777) is the 'stinking' form often used in papers and products.
Common names
Black horehound (English); Stinking horehound (English); Black stinking horehound (English); Ballote noire / ballote fétide (French); Marrubio negro (Spanish)
Botanical family
Lamiaceae (mint family), the same family as white horehound, sage, lemon balm and skullcap.
Classification
Plantae > Tracheophyta > Magnoliopsida > Lamiales > Lamiaceae > Ballota > Ballota nigra
Native range
Not verified in the sources read. The genome paper used a UK specimen.
Habitat
Not verified.
What the plant looks like
Roots: Not verified.; Stems: The herb used is the dried flowering stem tips (Altmeyers; ESCOP: dried flowering tops).; Leaves: Not verified.; Flowers: Flowering tops are the medicinal part.; Fruit: Not relevant; not verified.
Cultivation
Not verified.
Harvest and processing
Not verified.
Look-alikes and adulterants
Name: White horehound (Marrubium vulgare); Note: A different plant in the same family, with its own uses (cough, appetite). RxList warns not to confuse the two. See /herbs-botanicals/horehound.; Name: Other Ballota species; Note: Other Ballota species were compared in lab antioxidant work; they are not interchangeable with Ballota nigra.
Sustainability and conservation
Not verified.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Traditional European medicineUsed as a mild calming herb for nervous tension and mild sleep trouble, for stomach cramps, and for spasmodic cough (Altmeyers: empirical medicine; RxList: nausea, vomiting, spasms, cough, whooping cough, nervous disorders).s-altmeyers-ballotae-nigrae-herba
Modern European herbal reference (2015)ESCOP published a monograph on the dried flowering tops, with the indication tenseness, restlessness and irritability with difficulty falling asleep.s-escop-black-horehound
EU and German regulatorsPer Altmeyers, the EU herbal committee (HMPC) has not processed it and the German Commission E has no monograph. Not verified from the primary lists.s-altmeyers-ballotae-nigrae-herba

Traditional use shows how a plant was used. It does not show that a supplement works or is safe today.

What is inside, and how it may work

What the plant contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Verbascoside (acteoside)
PubChem 5281800
phenylpropanoid glycosideFlowering aerial partsBound benzodiazepine, dopamine and opioid receptor preparations in rat tissue (lab); antioxidant; inhibited LDL oxidation in test tubes. 2 9 10Laboratory research
Forsythoside B
PubChem 23928102
phenylpropanoid glycosideFlowering aerial partsAntioxidant; inhibited LDL oxidation in test tubes (lab). 9 10Laboratory research
Ballotetroside
PubChem 44584314
phenylpropanoid glycosideFlowering aerial partsAntioxidant and LDL-oxidation inhibitor in test tubes (lab). 9 10Laboratory research
Arenariosidephenylpropanoid glycosideFlowering aerial partsAntioxidant and LDL-oxidation inhibitor in test tubes (lab). PubChem identifier not checked. 9 10Laboratory research
13-Hydroxyballonigrinolidelabdane-type diterpeneFlowering aerial partsIsolated and described; no activity tested in the sources read. PubChem identifier not checked. 9Laboratory research
Flavonoids and rosmarinic acid (and other caffeic acid derivatives)polyphenolsAerial partsListed by ESCOP and Altmeyers as main constituents; no content values read. 1 4Laboratory research

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Benzodiazepine, dopamine and opioid receptor bindingBenzodiazepine site, dopamine receptors, opioid receptors (specific genes not stated)Four of five phenylpropanoids bound rat brain receptor preparations at 0.4 to 4.7 mg/ml. Binding does not show whether they act as agonists or antagonists. 2Laboratory research
Sedative behaviour in rodentsExtracts reduced movement, anxiety-like behaviour and lengthened barbiturate sleep time (ESCOP summary). 4Animal research
Antioxidant actionScavenged reactive oxygen species in cell-free tests and white blood cells; slowed copper-induced LDL oxidation. 2 10Laboratory research
Blood-glucose loweringAqueous extract lowered plasma glucose in healthy and alloxan-diabetic rats. 7Animal research

Absorption, metabolism and elimination

Absorption
No human or animal pharmacokinetic study was found.
Distribution
Unknown.
Metabolism
Unknown.
Elimination
Unknown.
Bioavailability
Unknown. Large glycosides such as verbascoside are generally thought to be poorly absorbed intact, but that was not checked for this plant.

Isolated compounds versus whole extracts

The sedative-type lab findings come from isolated compounds (verbascoside and relatives) and from extracts; whether the whole herb or tea acts the same way in people is unknown. The authors of the chemistry paper suggest these glycosides could be used to standardise the drug, but products differ. The diterpene 'marrubiin-like' bitters mentioned in some descriptions were not confirmed: marrubiin (PubChem 73401) is the known bitter of white horehound, while the diterpene isolated from black horehound in the paper read was 13-hydroxyballonigrinolide.

Nutritional composition

A nutrient table does not apply to black horehound as a medicinal herb.

7benefits and uses looked at
11studies and sources checked
Very low certaintybest evidence rating found
3lab markers tracked in trials

2 very low certainty5 not enough evidence

What is Black horehound good for?

The main proposed uses and how strong the human evidence is for each. 'Very low' means one weak study or a mixed product; 'insufficient' means traditional use, or lab and animal work only.

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Nervous tension, restlessness and trouble falling asleep

Very low certainty

This is the main traditional use and the one a European herbal body (ESCOP) lists. The proof for it is thin. There is one open study with no comparison group, plus animal and lab work. There is no controlled trial of black horehound on its own.

3 studiesThe ESCOP drug is the dried flowering tops. The product in the open s…

Studies, doses and limits

What the trials found

The ESCOP summary mentions one open clinical study (no comparison group) in people with generalised anxiety disorder with depression and sleep problems, with a 65% responder rate after 60 days. We could not read the study itself, so its size, product and measures are unknown. No placebo-controlled trial of black horehound alone was found.

Results

Rodents given extracts moved less, looked calmer, showed less anxiety-like behaviour and slept longer after a sleep drug (ESCOP summary of animal work). In people there is only the one open study.

Effect sizes as reported

65% responder rate after 60 days in one open study, as quoted by ESCOP. Without a placebo group this cannot show the herb caused the change. No other numbers verified.

Why this rating

One uncontrolled study read only through a regulator-style summary, and animal and lab findings. No controlled human trial.

Form and dose studied

The ESCOP drug is the dried flowering tops. The product in the open study was not visible. Ask a doctor or pharmacist about amounts.

Who was studied

Adults with anxiety symptoms, depression and sleep problems (open study, via ESCOP summary).

Limits

No control group, unknown size, summary-level source only, animal findings may not carry over to people.

Why researchers looked

The plant has a long reputation as a mild calming herb, and lab tests found its compounds can attach to receptors involved in calming.

Traditional use

Black horehound is an old European herb. It has been used for nervous tension, restlessness and mild sleep trouble, and the ESCOP herbal monograph lists these as its indication.

Proposed mechanism Laboratory research

In test-tube work, four of five phenylpropanoid compounds from the plant attached to benzodiazepine, dopamine and opioid receptor preparations from rat brain. This is a lead, not proof that the herb calms people.

A proposed mechanism does not show that the effect happens in people.

Lab binding to benzodiazepine-type receptors means added drowsiness with sedatives is plausible. See the safety section.

4 2 1

Anxiety and stress response (only as one ingredient in a multi-herb product)

Very low certainty

One placebo-controlled trial tested a four-herb product that contains black horehound. Healthy adults felt a little less tense and showed a smaller stress reaction in a lab task. We cannot tell how much, if any, came from black horehound.

1 studiesEuphytose, a combination product (valerian, passionflower, hawthorn, …

Studies, doses and limits

What the trials found

Dodd 2022: 31 healthy adults aged 19 to 58 took the product Euphytose and a placebo for 14 days each, in random order, with a 28-day break. After the product, tension-anxiety was lower (p = 0.038), and salivary alpha-amylase (p = 0.041) and skin conductance (p = 0.004) rose less during a multitasking stress test.

Results

Positive on three of the measures reported in the abstract, in healthy people.

Effect sizes as reported

tension-anxiety p = 0.038; salivary alpha-amylase p = 0.041; galvanic skin response p = 0.004. Effect sizes not given in the abstract.

Why this rating

One small trial of a four-herb mix. The result cannot be assigned to black horehound, and the participants were healthy people, not patients.

Form and dose studied

Euphytose, a combination product (valerian, passionflower, hawthorn, ballota), 14 days. Product details beyond that were not read.

Who was studied

Healthy adults, 19 to 58 years.

Limits

Combination product, small crossover trial, healthy volunteers, many outcomes measured.

Why researchers looked

Each of the four herbs in the product (valerian, passionflower, hawthorn, black horehound) has a traditional calming reputation.

Traditional use

Black horehound is an old European herb. It has been used for nervous tension, restlessness and mild sleep trouble, and the ESCOP herbal monograph lists these as its indication.

Proposed mechanism Pharmacological theory

Not established for this product. For black horehound alone, only the receptor-binding lab work above exists.

A proposed mechanism does not show that the effect happens in people.

The abstract does not describe side effects.

3

Low mood (animal finding only)

Not enough evidence

Extract of the plant reduced giving-up behaviour in a standard mouse or rat swimming test used to screen for antidepressant-like effects. No human study of mood was found.

1 studiesNot applicable.

Studies, doses and limits

What the trials found

None found.

Results

Antidepressant-like activity in the rodent forced-swim test, as reported in the ESCOP summary.

Effect sizes as reported

Not available from the summary page.

Why this rating

Animal data only, read through a summary.

Form and dose studied

Not applicable.

Who was studied

Rodents.

Limits

The forced-swim test is a rough screening test and does not predict benefit in people.

Why researchers looked

The calming use led researchers to screen the plant in animal models of low mood.

Traditional use

Black horehound is an old European herb. It has been used for nervous tension, restlessness and mild sleep trouble, and the ESCOP herbal monograph lists these as its indication.

Proposed mechanism Animal research

Unknown. Possibly linked to the receptor binding seen in the lab, but this has not been tested.

A proposed mechanism does not show that the effect happens in people.

Not applicable.

4

Nausea and vomiting

Not enough evidence

Black horehound is traditionally taken for nausea and vomiting, but we found no trial. A common claim that a German herbal commission approved it for this is not supported: the German Commission E has no monograph on it and the EU herbal committee has not assessed it.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

None found. RxList rates the evidence as 'insufficient to rate'.

Results

No data.

Effect sizes as reported

Not applicable.

Why this rating

Traditional use only. No trial, review or regulator endorsement was found.

Form and dose studied

Not applicable.

Who was studied

Not applicable.

Limits

Evidence does not exist in the sources read.

Why researchers looked

Traditional European use; some references list nausea among its uses.

Traditional use

RxList lists nausea and vomiting among the traditional uses. The ESCOP indication is tension and sleep, not nausea.

Proposed mechanism Pharmacological theory

Not established. Nothing was read that tested an anti-nausea effect.

A proposed mechanism does not show that the effect happens in people.

Vomiting that does not settle can be serious, so the herb should not delay medical care. See the safety section.

8 1

Mild stomach cramps and gut spasms

Not enough evidence

Used traditionally for mild stomach cramps, and one German reference notes it as an empirical (experience-based) use. We found no trial.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

None found.

Results

No data.

Effect sizes as reported

Not applicable.

Why this rating

Traditional or empirical use only.

Form and dose studied

Not applicable.

Who was studied

Not applicable.

Limits

No trial data; secondary reference sources.

Why researchers looked

Bitter, aromatic Lamiaceae herbs are widely used for digestive complaints.

Traditional use

Altmeyers lists mild stomach and gut cramps as an empirical use; the ESCOP summary in the same entry is cited for 'mild stomach cramps'. We could not read the ESCOP text itself.

Proposed mechanism Pharmacological theory

Not established.

A proposed mechanism does not show that the effect happens in people.

Severe or lasting belly pain needs medical assessment.

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Blood sugar (rat finding only)

Not enough evidence

In rats, a water extract lowered blood glucose in both healthy and diabetic animals. Nothing like this has been tested in people, so it gives no basis for using the herb for diabetes.

2 studiesNot applicable.

Studies, doses and limits

What the trials found

None found.

Results

Significantly lower plasma glucose in healthy and alloxan-diabetic rats after an aqueous extract (abstract gives no numbers).

Effect sizes as reported

Not given.

Why this rating

One rat study with a very short abstract, plus a line in the ESCOP summary.

Form and dose studied

Not applicable.

Who was studied

Rats.

Limits

Animal only; no dose or duration in the abstract.

Why researchers looked

Many plants are screened for blood-sugar effects in rats.

Traditional use

Not a documented traditional use in the sources read.

Proposed mechanism Animal research

Unknown.

A proposed mechanism does not show that the effect happens in people.

Anyone using glucose-lowering medicines should be careful about adding any herb that might lower sugar further; this has not been tested for black horehound.

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Antioxidant and anti-germ activity (lab only)

Not enough evidence

Compounds from the plant mop up reactive molecules and slow LDL (cholesterol particle) oxidation in test tubes, and plant fractions inhibited some microbes in dishes. None of this has been tested in people.

3 studiesNot applicable.

Studies, doses and limits

What the trials found

None found.

Results

Lab results only. Compounds were as active as known antioxidant drugs in cell tests; plant fractions inhibited bacteria, fungi and Leishmania in dishes.

Effect sizes as reported

LDL oxidation ED50 about 1 to 9.5 microM for the isolated compounds (quercetin 2.3 microM).

Why this rating

Test-tube and cell work only.

Form and dose studied

Not applicable.

Who was studied

Not applicable.

Limits

Antioxidant action in a test tube does not predict benefit in the body.

Why researchers looked

Phenylpropanoid compounds such as verbascoside are strong antioxidants in the lab.

Traditional use

Not a documented traditional use in the sources read.

Proposed mechanism Laboratory research

Phenylpropanoid glycosides scavenge reactive oxygen species and slowed copper-induced LDL oxidation in test tubes; they were stronger than or similar to the reference antioxidant quercetin.

A proposed mechanism does not show that the effect happens in people.

None specific.

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Connections to the rest of health

How Black horehound connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

A. Wellness goals

Connected toKind of connectionEvidence statusContextStudies
Calm Relaxation Traditional use Very low certainty Nervous tension, restlessness and trouble falling asleep: This is the main traditional use and the one a European herbal body (ESCOP) lists. The proof for it is thin. There is one open study with no comparison group, plus animal and lab work. There is no controlled trial of black horehound on its own. 4 2 1
Better Sleep Traditional use Very low certainty Nervous tension, restlessness and trouble falling asleep: This is the main traditional use and the one a European herbal body (ESCOP) lists. The proof for it is thin. There is one open study with no comparison group, plus animal and lab work. There is no controlled trial of black horehound on its own. 4 2 1
Anxiety Support Preliminary mechanism Very low certainty Anxiety and stress response (only as one ingredient in a multi-herb product): One placebo-controlled trial tested a four-herb product that contains black horehound. Healthy adults felt a little less tense and showed a smaller stress reaction in a lab task. We cannot tell how much, if any, came from black horehound. 3
Stress Reduction Preliminary mechanism Very low certainty Anxiety and stress response (only as one ingredient in a multi-herb product): One placebo-controlled trial tested a four-herb product that contains black horehound. Healthy adults felt a little less tense and showed a smaller stress reaction in a lab task. We cannot tell how much, if any, came from black horehound. 3
Mood Balance Preliminary mechanism Not enough evidence Low mood (animal finding only): Extract of the plant reduced giving-up behaviour in a standard mouse or rat swimming test used to screen for antidepressant-like effects. No human study of mood was found. 4
Digestive Support Traditional use Not enough evidence Nausea and vomiting: Black horehound is traditionally taken for nausea and vomiting, but we found no trial. A common claim that a German herbal commission approved it for this is not supported: the German Commission E has no monograph on it and the EU herbal committee has not assessed it. Mild stomach cramps and gut spasms: Used traditionally for mild stomach cramps, and one German reference notes it as an empirical (experience-based) use. We found no trial. 8 1
Gut Health Traditional use Not enough evidence Mild stomach cramps and gut spasms: Used traditionally for mild stomach cramps, and one German reference notes it as an empirical (experience-based) use. We found no trial. 1 8
Blood Sugar Balance Preliminary mechanism Not enough evidence Blood sugar (rat finding only): In rats, a water extract lowered blood glucose in both healthy and diabetic animals. Nothing like this has been tested in people, so it gives no basis for using the herb for diabetes. 7 4
Inflammation Balance Preliminary mechanism Not enough evidence Antioxidant and anti-germ activity (lab only): Compounds from the plant mop up reactive molecules and slow LDL (cholesterol particle) oxidation in test tubes, and plant fractions inhibited some microbes in dishes. None of this has been tested in people. 10 2 11
Heart Health Preliminary mechanism Not enough evidence Antioxidant and anti-germ activity (lab only): Compounds from the plant mop up reactive molecules and slow LDL (cholesterol particle) oxidation in test tubes, and plant fractions inhibited some microbes in dishes. None of this has been tested in people. 10 2 11

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Reproductive system Contraindication Very low certainty Avoid in pregnancy; possible menstrual-cycle effect (RxList, consumer reference). Avoid in pregnancy (RxList, consumer reference).
Preparation or compound: Black horehound, oral use
8
Nervous System Biological association Very low certainty Studied for: Nervous tension, restlessness and trouble falling asleep Studied for: Anxiety and stress response (only as one ingredient in a multi-herb product) 4 2 1 3
Sleep Recovery Biological association Very low certainty Studied for: Nervous tension, restlessness and trouble falling asleep 4 2 1
Stress Mood Biological association Very low certainty Studied for: Anxiety and stress response (only as one ingredient in a multi-herb product) Studied for: Low mood (animal finding only) 3 4
Digestive System Biological association Not enough evidence Studied for: Nausea and vomiting Studied for: Mild stomach cramps and gut spasms 8 1
Endocrine System Biological association Not enough evidence Studied for: Blood sugar (rat finding only) 7 4
Cardiovascular System Biological association Not enough evidence Studied for: Antioxidant and anti-germ activity (lab only) 10 2 11
Immune System Biological association Not enough evidence Studied for: Antioxidant and anti-germ activity (lab only) 10 2 11

C. Body parts and organs

Connected toKind of connectionEvidence statusContextStudies
Brain Drug or supplement interaction Very low certainty Lab binding to dopamine, benzodiazepine and opioid receptor preparations; RxList cautions about Parkinson's medicines. Lab binding to dopamine, benzodiazepine and opioid receptor preparations; caution with Parkinson's medicines (RxList).
Preparation or compound: Ballota nigra phenylpropanoids (verbascoside, forsythoside B, arenarioside, ballotetroside)
2 8

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Tension-anxiety score (State-Trait Anxiety Inventory) Biological association Very low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 3
Stress body signals: salivary alpha-amylase and skin conductance Biological association Very low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 3
Blood glucose (rats only) Biological association Not enough evidence Measured in trials: lowered. A lab change is not the same as a health benefit. 7

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
Dopamine receptors Preliminary mechanism In vitro Compounds bound dopamine receptor preparations in the lab; links to the Parkinson's medicine caution. 2
Benzodiazepine binding site (GABA-A related) Preliminary mechanism In vitro Compounds bound benzodiazepine receptor preparations in the lab; links to the sedation caution. 2

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Verbascoside (acteoside) Biological association In vitro Bound benzodiazepine, dopamine and opioid receptor preparations in rat tissue (lab); antioxidant; inhibited LDL oxidation in test tubes.
Preparation or compound: Flowering aerial parts
2 9 10
Forsythoside B Biological association In vitro Antioxidant; inhibited LDL oxidation in test tubes (lab).
Preparation or compound: Flowering aerial parts
9 10
Ballotetroside Biological association In vitro Antioxidant and LDL-oxidation inhibitor in test tubes (lab).
Preparation or compound: Flowering aerial parts
9 10
Arenarioside Biological association In vitro Antioxidant and LDL-oxidation inhibitor in test tubes (lab). PubChem identifier not checked.
Preparation or compound: Flowering aerial parts
9 10
13-Hydroxyballonigrinolide Biological association In vitro Isolated and described; no activity tested in the sources read. PubChem identifier not checked.
Preparation or compound: Flowering aerial parts
9
Flavonoids and rosmarinic acid (and other caffeic acid derivatives) Biological association In vitro Listed by ESCOP and Altmeyers as main constituents; no content values read.
Preparation or compound: Aerial parts
1 4

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 25, 2026).

Evidence at a glance: what changed in 3 lab markers

Tap a number to show only those markers. Counts are markers, not people.

The evidence

The research centre for Black horehound. Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We read the ESCOP summary page, a German phytotherapy reference and a consumer drug reference, searched PubMed for Ballota nigra (28 records, none a human trial of the herb alone), and read the abstracts of the studies cited.

Study library: every study we checked 11
StudyDesignPeopleProduct, dose, lengthResult
Altmeyers Encyclopedia (Department of Phytotherapy) 2026
Ballotae nigrae herba
Altmeyers Encyclopedia (updated 19 Feb 2026) · Source
Authoritative guidance
Medical professionals Black horehound herb
flowering stem tips not applicable not applicable
Quality is specified in the European Pharmacopoeia. 'HMPC: not processed.' 'Commission E: no monograph.' ESCOP indication: internal tension, restlessness and irritability with difficulty falling asleep; for mild stomach cramps. Empirical uses: mild sedative, mild insomnia, spasm relief for stomach and gut complaints, sedative for spasmodic cough. Contents: essential oil (furans give the smell), caffeic acid derivatives, diterpene bitters, flavonoids, chlorogenic acid, tannins, rosmarinic acid.
Methods, limits and funding

Outcomes: Regulatory status and empirical uses

Limitations: A reference entry; short and partly machine-translated from German; no dose or safety section visible.

Read: summary-only

Daels-Rakotoarison 2000
Neurosedative and antioxidant activities of phenylpropanoids from ballota nigra.
Arzneimittelforschung · PMID 10683711 · DOI
Laboratory research
in-vitro
Rat brain tissue preparations and isolated white blood cells (lab study) Five phenylpropanoids isolated from a hydroalcoholic extract (verbascoside, forsythoside B, arenarioside, ballotetroside, caffeoyl malic acid)
aerial parts (extract) not applicable not applicable
Four of the five compounds bound to the receptor preparations (50% inhibitory concentrations 0.4 to 4.7 mg/ml). All showed antioxidant activity in cell-free and white-blood-cell tests, comparable to mesna or N-acetylcysteine.
IC50 0.4 to 4.7 mg/ml (receptor binding)
Methods, limits and funding

Outcomes: Binding to benzodiazepine, dopamine and opioid (morphine-type) receptor preparations; scavenging of reactive oxygen species

Limitations: Lab work on isolated compounds. Binding shows a compound can attach to a receptor; it does not show whether it switches the receptor on or off, or that it does anything in a living person. Concentrations are high.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Dodd 2022
The chronic effects of a combination of herbal extracts (Euphytose) on psychological mood state and response to a laboratory stressor: A randomised, placebo-controlled, double blind study in healthy humans.
J Psychopharmacol · PMID 35875924 · DOI
Controlled trial
31
Healthy adults aged 19 to 58
Euphytose, a multi-herb product containing valerian, passionflower, hawthorn and ballota (black horehound) extracts
mixed (combination product) not applicable 14 days, 28-day washout · vs Placebo
After 14 days the multi-herb product was linked to lower tension-anxiety (p = 0.038), lower salivary alpha-amylase (p = 0.041) and lower galvanic skin response (p = 0.004) than placebo. The abstract reports no change in cortisol or heart rate as a result.
tension-anxiety p = 0.038; alpha-amylase p = 0.041; galvanic skin response p = 0.004
Methods, limits and funding

Outcomes: Anxiety (State-Trait Anxiety Inventory), mood, heart rate, galvanic skin response, salivary alpha-amylase and cortisol before and after a laboratory multitasking stressor

Limitations: Four herbs in one product, so nothing can be credited to black horehound. Small crossover trial in healthy people, not people with an anxiety disorder. Authors report no conflicts of interest (abstract). Cortisol and heart-rate results are not described in the abstract.

Funding and conflicts: No competing interests declared (abstract).

Read: abstract

ESCOP (European Scientific Cooperative on Phytotherapy) 2015
Ballotae nigrae herba (Black Horehound): ESCOP monograph, summary page
ESCOP monograph (summary page; full text is paid) · Source
Authoritative guidance
Adults (indication) Dried flowering tops of Ballota nigra L.
flowering tops not applicable not applicable
Indication: tenseness, restlessness and irritability with difficulty falling asleep. Lab: affinity for benzodiazepine, dopamine and opioid receptors; antioxidant and antimicrobial activity. Animals: sedative effects in rodents (less movement, calming, less anxiety, longer barbiturate-induced sleep), antidepressant-like effect in the forced swim test, blood-sugar lowering. One open clinical study: 65% responder rate after 60 days in people with generalised anxiety disorder with depression and sleep problems.
Methods, limits and funding

Outcomes: Indication, lab, animal and one open clinical study

Limitations: Only the free summary page was read. Dose, contraindications, pregnancy, interactions and side-effect sections are in the paid text and were not read. The open study has no comparison group and no sample size or product details were visible.

Read: summary-only

GBIF Secretariat 2026
GBIF Backbone Taxonomy: Ballota nigra L. (species key 2926894)
GBIF species API, checked 2026-10-25 · Source
Authoritative guidance
not applicable Plant name check
whole plant not applicable not applicable
Accepted species, family Lamiaceae, exact match.
Methods, limits and funding

Outcomes: Accepted name

Limitations: Name database only.

Read: full-text

NCBI PubChem 2026
PubChem compound records: verbascoside (CID 5281800), forsythoside B (CID 23928102), ballotetroside (CID 44584314), marrubiin (CID 73401)
PubChem PUG REST name search, checked 2026-10-25 · Source
Authoritative guidance
not applicable Compound identity check
not applicable not applicable not applicable
Each name returned one compound record with the formula shown (verbascoside C29H36O15; forsythoside B C34H44O19; ballotetroside C39H52O23; marrubiin C20H28O4).
Methods, limits and funding

Outcomes: Compound identifiers

Limitations: Identity check only; it does not show that a compound is in a given product.

Read: full-text

Nusier 2007
Effects of Ballota nigra on glucose and insulin in alloxan-diabetic albino rats.
Neuro Endocrinol Lett · PMID 17627273
Animal research
animal
Healthy and alloxan-diabetic albino rats Aqueous extract of Ballota nigra
not stated in abstract not applicable not applicable
The aqueous extract significantly lowered glucose in both healthy and diabetic rats (abstract gives no numbers).
not given in the abstract
Methods, limits and funding

Outcomes: Plasma glucose

Limitations: Rat study, very short abstract with no numbers, dose or duration. Not evidence for people.

Funding and conflicts: Not stated in the abstract.

Read: abstract

RxList / Natural Medicines 2026
Black Horehound: Health Benefits, Side Effects, Uses, Dose and Precautions (Natural Medicines monograph on RxList)
RxList (consumer drug reference) · Source
Authoritative guidance
General public Black horehound, aerial parts
aerial parts not applicable not applicable
Evidence rated 'insufficient' for nausea, vomiting, nervous disorders, whooping cough, spasms, bile flow, gout and worms. 'Possibly safe' by mouth, side effects not known. Likely unsafe in pregnancy (may affect the menstrual cycle); avoid when breastfeeding. Caution in Parkinson's disease, schizophrenia and psychotic disorders. Moderate interaction rating with Parkinson's dopamine medicines (levodopa, bromocriptine, pramipexole, ropinirole). Not to be confused with white horehound.
Methods, limits and funding

Outcomes: Uses, safety, pregnancy, interactions

Limitations: A consumer drug reference that gives ratings without citing the underlying studies on the page read. The pregnancy and interaction statements are cautions based on reasoning about the plant's chemicals, not on reported cases.

Read: summary-only

Seidel 1998
[Diterpene and phenylpropanoid heteroside esters from Ballota nigra L]. (article in French)
Ann Pharm Fr · PMID 9770033
Laboratory research
in-vitro
Phytochemical isolation from flowering aerial parts Compounds isolated from the plant
flowering aerial parts not applicable not applicable
Isolated one diterpene (13-hydroxyballonigrinolide) and four phenylpropanoid glycosides (verbascoside, forsythoside B, arenarioside, ballotetroside), new to the genus Ballota. The authors say these compounds appear characteristic of the species and could be used to standardise the drug.
not applicable
Methods, limits and funding

Outcomes: Chemical identification

Limitations: Chemistry paper. The authors' remark that the glycosides 'could justify' the neurosedative use is a suggestion, not a test.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Seidel 2000
Phenylpropanoids from Ballota nigra L. inhibit in vitro LDL peroxidation.
Phytother Res · PMID 10685104 · DOI
Laboratory research
in-vitro
Isolated human-type LDL particles in a test tube, copper-induced oxidation Four phenylpropanoid glycosides and caffeoyl-L-malic acid isolated from Ballota nigra
aerial parts not applicable not applicable
All five compounds inhibited LDL oxidation in the test tube. ED50 about 1 microM for verbascoside and forsythoside B, 1.8 microM arenarioside, 7.5 microM ballotetroside, 9.5 microM caffeoyl-L-malic acid, versus 2.3 microM for quercetin.
ED50 1 to 9.5 microM
Methods, limits and funding

Outcomes: Inhibition of copper-induced LDL oxidation

Limitations: Test-tube chemistry only. No animal or human data. Not shown to protect arteries or lower heart risk.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Ullah 2014
In vitro antimicrobial and antiprotozoal activities, phytochemical screening and heavy metals toxicity of different parts of Ballota nigra.
Biomed Res Int · PMID 25054139 · DOI
Laboratory research
in-vitro
Plant material (root, stem, leaves) tested in the lab; plant collected in Pakistan Solvent fractions of root, stem and leaves
root, stem, leaves not applicable not applicable
Several fractions inhibited microbes in the lab (largest zone 17 mm against E. coli). Chromium, cadmium and lead were above the permissible values used in the paper in all parts tested; nickel was above the WHO limit in root and leaves; iron was above the permissible value in all parts.
Cd above 0.3 mg/kg; Pb above 2 mg/kg; Cr above 1.5 mg/kg in all parts
Methods, limits and funding

Outcomes: Growth inhibition of bacteria, fungi and Leishmania; heavy metal levels in plant material

Limitations: Wild plant from one region; shows that this plant can take up metals from its surroundings, not that commercial products contain them. Antimicrobial results are lab only.

Funding and conflicts: Not stated in the abstract.

Read: abstract

What we do not know yet

  • What the evidence supports: nothing about black horehound reaches even low certainty. The calming use rests on one open study and animal findings.
  • What is uncertain: whether black horehound adds anything to multi-herb products; its dopamine-related effects in people; whether it helps nausea at all.
  • What is missing: any controlled trial of the herb alone, safety data, liver data, and pharmacokinetics.

How new research is added

New studies are found by a saved PubMed search and placed in a review queue. A person checks them before they are added.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Metabolic 1

▼

Blood glucose (rats only)

Lowered in trials

The amount of sugar in the blood.

Not enough evidence
Results and what it means

Why it was measured

The usual first check for anti-diabetic effects in animals.

Statistical vs. clinical meaning

Animal result only; no human biomarker data exist.

Safety implication

Possible additive effect with glucose-lowering medicines is a theory only.

StudyResultPeopleProduct
7Plasma glucose significantly reduced in healthy and alloxan-diabetic rats after aqueous extract. No values given in the abstract.Albino ratsAqueous extract of Ballota nigra

7

Other 2

▼

Tension-anxiety score (State-Trait Anxiety Inventory)

Lowered in trials

A short questionnaire where people rate how tense or anxious they feel right now.

Very low certainty
Results and what it means

Why it was measured

A standard way to measure how anxious someone feels, in trials of calming products.

Statistical vs. clinical meaning

Statistically significant in one small trial. Whether the change would be noticeable in daily life is not stated, and the product has four herbs.

Safety implication

None identified from this measure.

StudyResultPeopleProduct
3Lower tension-anxiety after 14 days of the multi-herb product than after placebo (p = 0.038). No scores given in the abstract.31 healthy adults, 19 to 58 yearsEuphytose (valerian, passionflower, hawthorn, ballota), 14 days, crossover

3

▼

Stress body signals: salivary alpha-amylase and skin conductance

Lowered in trials

Alpha-amylase is an enzyme in saliva that rises with stress. Skin conductance (galvanic skin response) measures sweating on the skin, which also rises with stress.

Very low certainty
Results and what it means

Why it was measured

Used as body-based signs of the stress response during a lab task.

Statistical vs. clinical meaning

These are lab markers of stress arousal, not proof of health benefit. Cortisol and heart rate changes are not described in the abstract.

Safety implication

None identified from this measure.

StudyResultPeopleProduct
3Smaller rise in salivary alpha-amylase (p = 0.041) and in galvanic skin response (p = 0.004) during the stress task after the product than after placebo.31 healthy adultsEuphytose, 14 days, crossover

3

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 4
  • Safety is poorly documented: no clinical safety data, no case reports found. RxList calls oral use 'possibly safe' but says the side effects are not known. We found no reported side-effect case, no liver report and no trial that measured safety. 'Not documented' is not the same as 'safe'. Authoritative guidance 8
  • Avoid in pregnancy and while breastfeeding. RxList rates oral use likely unsafe in pregnancy because it may affect the menstrual cycle and so threaten a pregnancy, and advises against use while breastfeeding. This is a precaution from a consumer reference, not from a reported case or a regulator. Authoritative guidance 8
  • Parkinson's medicines and related brain conditions: ask first. Lab work shows compounds from the plant attach to dopamine receptor preparations, and RxList rates a moderate interaction with Parkinson's dopamine medicines such as levodopa, bromocriptine, pramipexole and ropinirole. It also advises caution in schizophrenia and psychotic disorders. No human interaction has been reported; this is a theory based on lab binding. Pharmacological theory 8 2
  • Possible added drowsiness with sedatives and alcohol. The plant's compounds attach to benzodiazepine-type receptor preparations in the lab, and animals given extracts became sedated. So extra drowsiness with sleeping pills, anti-anxiety drugs, opioids, alcohol or other sedating herbs is plausible. No human case was found. Pharmacological theory 2 4
Side effects 2
EffectHow oftenSeverity and recoveryEvidence
Drowsiness or sedation (expected from the animal and lab findings; not reported in people in the sources read)
ESCOP lists undesirable effects in its full text, which we could not read.
Not establishedunknown
Unknown
Animal research 4
Menstrual-cycle effects (cited as a pregnancy concern)
No mechanism or case given by the source.
Not establishedunknown
Unknown
Authoritative guidance 8
Liver

We found no published case of liver injury from black horehound and no LiverTox entry for it (a search of NCBI Bookshelf found nothing). This means no data, not proof of liver safety.

How often. No frequency data exist.

Monitoring. No agency monitoring advice was found.

This is a safety connection. It is not evidence that Black horehound supports liver health.

Medicines and supplements 4
WithWhy it mattersImportanceEvidenceWhat to do
Parkinson's medicines that act on dopamine (levodopa, bromocriptine, pramipexole, ropinirole)
prescription
Theory: compounds from the plant bound dopamine receptor preparations from rat brain in the lab.RxList gives a 'moderate' rating; no human case was found. The lab study did not show whether the compounds switch dopamine receptors on or off.Pharmacological theory Very low certainty 8 2If you take any Parkinson's medicine, do not add this herb without asking the doctor who prescribes it.
Sedatives and sleep or anti-anxiety medicines (for example benzodiazepines), opioids, alcohol, other calming herbs
prescription
Theory: lab binding to benzodiazepine and opioid receptor preparations; sedation in rodents.Added drowsiness is plausible but not reported in people.Pharmacological theory Very low certainty 2 4Ask a doctor or pharmacist first. Take care when driving or using machinery if it makes you drowsy.
Antipsychotic medicines and other medicines that act on dopamine
prescription
Theory based on dopamine receptor binding in the lab; RxList also advises caution in schizophrenia and psychotic disorders.No human data.Pharmacological theory Very low certainty 8 2Ask the prescriber before use.
Glucose-lowering medicines
prescription
Theory: blood-sugar lowering in rats.Never tested in people.Animal research Not enough evidence 7If you use insulin or tablets for diabetes, mention any herb you add to your pharmacist.
Who should check first 5
SituationAdviceEvidence
PregnancyAvoid. RxList rates oral use likely unsafe.Authoritative guidance 8
BreastfeedingAvoid. The effects on a nursing baby are unknown.Authoritative guidance 8
Parkinson's diseaseAsk the treating doctor before use (possible effect on dopamine-based treatment).Pharmacological theory 8 2
Schizophrenia or other psychotic disordersAsk the treating doctor before use.Pharmacological theory 8
ChildrenNo safety information was found for children. Do not use without a doctor's advice.Authoritative guidance 8
Overdose, product quality and regulators

Summary. ESCOP says toxicity studies were assessed, but only the paid full text gives the results. We could not read them. No human poisoning report was found.

Animal. Not read.

Human doses studied. Not available.

High dose or long term signals. None found; also no data on long-term use.

Overdose response. Not documented in the sources read.

Genotoxicity. Not read.

Toxic plant parts. No toxic plant part is documented in the sources read. The traditional drug is the dried flowering tops.

One study of wild plants in Pakistan found heavy metals above permissible values.

Heavy metals in wild-grown plants. Chromium, cadmium and lead were above the permissible values used in the paper in root, stem and leaves; nickel was above the WHO limit in root and leaves; iron was above the permissible value in all parts. 11

Look-alike confusion. RxList warns not to confuse black horehound with white horehound (Marrubium vulgare), a different plant. 8

BodyActionDate
ESCOP (European Scientific Cooperative on Phytotherapy) (Europe)Monograph on black horehound (published 2015): indication tenseness, restlessness and irritability with difficulty falling asleep. Contraindications, pregnancy and interactions are in the paid full text. source2015
When to get medical help
  • Vomiting that will not stop, or you cannot keep fluids down (risk of dehydration). See a doctor instead of relying on a herb.
  • Blood in vomit, black stools, severe or lasting belly pain, or a high fever with vomiting.
  • Vomiting or nausea during pregnancy that is severe.
  • Very heavy drowsiness, trouble waking up, confusion, hallucinations or sudden worsening of Parkinson's symptoms after starting it.
  • Swelling of the face or lips, hives or trouble breathing (possible allergy).

Stop the supplement and contact a clinician or emergency service. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

What is black horehound?

A European herb of the mint family (Ballota nigra). The part used is the dried flowering tops. It is used as a traditional calming herb, and has a strong, unpleasant smell.

5 1

Is black horehound the same as white horehound?

No. White horehound (Marrubium vulgare) is a different plant with different uses. RxList warns not to confuse them. We have a separate page on white horehound.

8 6

Does black horehound help with nausea and vomiting?

It is used traditionally for this, but we found no trial, and the evidence is rated insufficient. We could not confirm that the German Commission E or the EU herbal committee approved it for nausea. If vomiting does not stop, see a doctor.

8 1

Does it help with anxiety, tension or sleep?

This is its listed traditional use, and the evidence is weak. There is one open study with no comparison group, plus animal and lab findings. One placebo-controlled trial tested a four-herb product that includes it, so its own part is unknown.

4 3

Is there good human research?

No. The human evidence is one open study (read only through a summary) and one trial of a multi-herb product. There are no large or well-controlled trials of black horehound alone.

4 3

Can it interact with Parkinson's medicines?

Possibly. Lab work shows compounds from the plant attach to dopamine receptor preparations, and RxList rates a moderate interaction with medicines such as levodopa, bromocriptine, pramipexole and ropinirole. No human case was found. Ask the doctor who prescribes your medicine before using it.

8 2

Can it make me drowsy or mix badly with sleeping pills?

Plausible, not proven in people. The plant's compounds attach to benzodiazepine-type receptor preparations in the lab and animals became sedated. Talk to a pharmacist before combining it with sedatives, opioids or alcohol.

2 4

Is it safe in pregnancy or while breastfeeding?

Avoid it. RxList rates oral use likely unsafe in pregnancy because it may affect the menstrual cycle, and advises against it while breastfeeding. This is a precaution from a consumer reference, not a reported case.

8

Does it harm the liver?

No liver injury report and no LiverTox entry were found. That means there is no data, not that it is proven safe.

8

Is it approved by regulators?

ESCOP, a European herbal society, has a monograph for tension, restlessness and trouble falling asleep. A German reference says the EU herbal committee has not processed it and that the German Commission E has no monograph on it. We did not confirm this from the primary lists.

4 1

What does the lab research show?

Compounds such as verbascoside are antioxidants and attach to calming-type receptors in test tubes. Rats given a water extract had lower blood glucose. These are lab and animal findings and do not show effects in people.

2 10 7

Should I ask a professional before using it?

Yes, especially if you are pregnant or breastfeeding, take Parkinson's, sleep or anxiety medicines, or have a psychotic disorder. A doctor or pharmacist can also advise on amounts.

8

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against the sources listed.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-25
Last substantive update
2026-10-25
How we research
We read the ESCOP summary page, a German phytotherapy reference and a consumer drug reference, searched PubMed for Ballota nigra (28 records, none a human trial of the herb alone), and read the abstracts of the studies cited.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted on this page. No affiliate links are shown.
Sources 11

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. Altmeyers Encyclopedia (Department of Phytotherapy). Ballotae nigrae herba. Altmeyers Encyclopedia (updated 19 Feb 2026). 2026. (summary-only)
  2. Daels-Rakotoarison DA, Seidel V, Gressier B, et al.. Neurosedative and antioxidant activities of phenylpropanoids from ballota nigra.. Arzneimittelforschung. 2000. PMID 10683711. DOI 10.1055/s-0031-1300158. (abstract)
  3. Dodd F, Kennedy D, Wightman E, et al.. The chronic effects of a combination of herbal extracts (Euphytose) on psychological mood state and response to a laboratory stressor: A randomised, placebo-controlled, double blind study in healthy humans.. J Psychopharmacol. 2022. PMID 35875924. DOI 10.1177/02698811221112933. (abstract)
  4. ESCOP (European Scientific Cooperative on Phytotherapy). Ballotae nigrae herba (Black Horehound): ESCOP monograph, summary page. ESCOP monograph (summary page; full text is paid). 2015. (summary-only)
  5. GBIF Secretariat. GBIF Backbone Taxonomy: Ballota nigra L. (species key 2926894). GBIF species API, checked 2026-10-25. 2026. (full-text)
  6. NCBI PubChem. PubChem compound records: verbascoside (CID 5281800), forsythoside B (CID 23928102), ballotetroside (CID 44584314), marrubiin (CID 73401). PubChem PUG REST name search, checked 2026-10-25. 2026. (full-text)
  7. Nusier MK, Bataineh HN, Bataineh ZM, et al.. Effects of Ballota nigra on glucose and insulin in alloxan-diabetic albino rats.. Neuro Endocrinol Lett. 2007. PMID 17627273. (abstract)
  8. RxList / Natural Medicines. Black Horehound: Health Benefits, Side Effects, Uses, Dose and Precautions (Natural Medicines monograph on RxList). RxList (consumer drug reference). 2026. (summary-only)
  9. Seidel V, Bailleul F, Tillequin F. [Diterpene and phenylpropanoid heteroside esters from Ballota nigra L]. (article in French). Ann Pharm Fr. 1998. PMID 9770033. (abstract)
  10. Seidel V, Verholle M, Malard Y, et al.. Phenylpropanoids from Ballota nigra L. inhibit in vitro LDL peroxidation.. Phytother Res. 2000. PMID 10685104. DOI 10.1002/(sici)1099-1573(200003)14:2<93::aid-ptr558>3.0.co;2-x. (abstract)
  11. Ullah N, Ahmad I, Ayaz S. In vitro antimicrobial and antiprotozoal activities, phytochemical screening and heavy metals toxicity of different parts of Ballota nigra.. Biomed Res Int. 2014. PMID 25054139. DOI 10.1155/2014/321803. (abstract)
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.