The Basics

What is Calendula / Calendula officinalis?

Commonly used for wounds, rashes, infection, inflammation, and many other conditions.

Brand names for Calendula / Calendula officinalis

Na

How Calendula / Calendula officinalis is classified

Complementary Therapies, Phytotherapy, Plants, Medicinal

Calendula / Calendula officinalis During Pregnancy

Calendula / Calendula officinalis pregnancy category

Category N/ANote that the FDA has deprecated the use of pregnancy categories, so for some medications, this information isn’t available. We still think it’s useful to list historical info, however, given what a common proxy this has been in the past.

What we know about taking Calendula / Calendula officinalis while pregnant

N/A

Taking Calendula / Calendula officinalis While Breastfeeding

What are recommendations for lactation if you're taking Calendula / Calendula officinalis?

Calendula (Calendula officinalis) flowers contain triterpene glycosides and aglycones, carotenoids, and essential oils. Topical application of calendula products has been used to treat sore and cracked nipples during nursing, either in homeopathic or pharmacologic preparations,[1][2][3] although little high-quality evidence supports this use.[4] One uncontrolled case series found that a cream containing Mimosa tenuiflora and Calendula officinalis was useful for healing cracked nipples during breastfeeding;[5] however, the lack of a control group and the presence of another ingredient makes the evaluation of calendula’s efficacy impossible. Oral calendula has no specific lactation-related uses and no information is available on the oral use of calendula during breastfeeding. Calendula is generally recognized as safe (GRAS) as a food by the U.S. Food and Drug Administration when used as a seasoning or flavoring. Allergic reactions, including cross-reactions to chrysanthemums, daisies and marigolds, occur rarely. Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to prove the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does not certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products.

Maternal / infant drug levels

Calendula (Calendula officinalis) flowers contain triterpene glycosides and aglycones, carotenoids, and essential oils. Topical application of calendula products has been used to treat sore and cracked nipples during nursing, either in homeopathic or pharmacologic preparations,[1][2][3] although little high-quality evidence supports this use.[4] One uncontrolled case series found that a cream containing Mimosa tenuiflora and Calendula officinalis was useful for healing cracked nipples during breastfeeding;[5] however, the lack of a control group and the presence of another ingredient makes the evaluation of calendula’s efficacy impossible. Oral calendula has no specific lactation-related uses and no information is available on the oral use of calendula during breastfeeding. Calendula is generally recognized as safe (GRAS) as a food by the U.S. Food and Drug Administration when used as a seasoning or flavoring. Allergic reactions, including cross-reactions to chrysanthemums, daisies and marigolds, occur rarely. Dietary supplements do not require extensive pre-marketing approval from the U.S. Food and Drug Administration. Manufacturers are responsible to ensure the safety, but do not need to prove the safety and effectiveness of dietary supplements before they are marketed. Dietary supplements may contain multiple ingredients, and differences are often found between labeled and actual ingredients or their amounts. A manufacturer may contract with an independent organization to verify the quality of a product or its ingredients, but that does not certify the safety or effectiveness of a product. Because of the above issues, clinical testing results on one product may not be applicable to other products.

Possible effects of Calendula / Calendula officinalis on milk supply

Relevant published information was not found as of the revision date.

Possible alternatives to Calendula / Calendula officinalis

None listed

List of References

Lactation sources: Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/1. Stapleton H. The use of herbal medicine in pregnancy and labour. Part II: Events after birth, including those affecting the health of babies. Complement Ther Nurs Midwifery. 1995;1:165-7. PMID: 9456733
2. Kaplan B. Homoeopathy: 2. In pregnancy and for the under-fives. Prof Care Mother Child. 1994;4:185-7. PMID: 8680189
3. Petrie KA, Peck MR. Alternative medicine in maternity care. Prim Care. 2000;27:117-36. PMID: 10739460
4. Amir LH, Pirotta MV, Raval M. Breastfeeding – Evidence based guidelines for the use of medicines. Aust Fam Physician. 2011;40:684-90. PMID: 21894275
5. Mucci M, Sciocchetti M, Benvenuti C. Clinical efficacy and safety of Mimosa tenuiflora bark extract in the rhagades of the nipple. G Ital Ostet Ginecol. 2006;28:106-14.

Disclaimer: This material is provided for educational purposes only and is not intended for medical advice, diagnosis, or treatment. Consult your healthcare provider with any questions.

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