Pharmacopoeias. In Europe and US. US also includes the extract and the powdered form.

European Pharmacopoeia, 6th ed. (Saw Palmetto Fruit). The dried, ripe fruit of Serenoa repens (Sabal serrulata). It contains not less than 11.0% of total fatty acids, calculated with reference to the dried drug. Protect from light.

The United States Pharmacopeia 31, 2008 (Saw Palmetto). The partially dried, ripe fruit of Serenoa repens (Arecaceae). Store in airtight containers. Protect from light.

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Saw palmetto is the dried fruit of the American dwarf palm tree, Serenoa repens (Arecaceae). It contains various steroidal compounds with anti-androgenic and oestrogenic activities, one of which is sitosterol. Saw palmetto is used for the treatment of benign prostatic hyperplasia. Preparations of alcoholic or lipophilic extracts have typically been given in oral doses of 160 mg twice daily, or 320 mg once daily.

Adverse effects. EFFECTS ON THE LIVER. Cholestatic hepatitis occurred in a man who took a herbal preparation containing saw palmetto for 2 weeks to treat nocturia and hesitancy.

Uses. BENIGN PROSTATIC HYPERPLASIA. A lipid hexane extract of saw palmetto has been shown to be generally superior to placebo, and of similar efficacy to fmasteride in the treatment of benign prostatic hyperplasia. A systematic review of randomised studies of various saw palmetto extracts concluded that they improve urological symptoms and flow measures. However, a more recent double-blind study concluded that treatment for one year was not superior to placebo for improving urinary symptoms and objective measures.

Preparations

The United States Pharmacopeia 31, 2008: Saw Palmetto Capsules.

Proprietary Preparations

Argentina: Beltrax Uno Herbaccion Prostatico † Permicaps Permixon Sereprostat- †

Australia:: Bioglan Pro-Guard Prosta †

Austria: Permixon Prosta-Urgenin

Belgium: Prosta-Urgenin Prostaserene

Brazil: Permixon Prostalium † Prostat Prostatal Renopen

Chile: Prostatort

Czech Republic: Capistan Prosta-Urgenin Prostakan Mono Prostamol Uno Spalda Sabal

France: Permixon

Germany: AzuprostatSabal † Eviprostat-S Hyperprost Uno Normurol † Planturol-P Prosta Urgenin Uno Prostagutt mono Prostagutt uno Prostaplant † Prostess Remiprostan uno Sabacur uno Sabal Sabal uno Sabalvit Sabonal Uno Sita Steiprostat Strogen Talso

Greece: Libeprosta Urisedon

Hungary: Prostakan Prostamol Uno Saballo Strogen Uno

Indonesia: Lanaprost Prostakur

Israel: Permixon

Italy: Biosernl Permixon Prosteren Rilaprost Saba Serpens

Mexico: Permixon Prostasan Prostex Urogut

Poland: Bioprost Fitoprost Permixon Prostamol Uno Prostaplant Sterko

Portugal: Permixon Prostiva † Sereprosta

Russia: Permixon Prostamol Uno Prostaplant

Singapore: Permixon

Spain: Permixon Sereprostat

Switzerland: Permixon Prosta-Urgenine ProstaMed Prostasan SabCaps

Thailand: Permixon Urogutt

UK: Prostasan Sabalin

Venezuela: Permixon

Multi-ingredient

Argentina: Anastim con RTH Argeal Catiz Plus Keracnyl Normoprost Plus PR21 Sabal Ultracal

Australia:: Bioglan Mens Super Soy/Clover Extralife Flow-Care Lifechange Mens Complex with Saw Palmetto † Serenoa Complex Urapro Urgenin † Urinase †

Austria: Prostagutt Spasmo-Urgenin Urgenin

Belgium: Urgenin

Canada: Damiana-Sarsaparilla Formulaf Prostate Ease Prostease ProstGard

Czech Republic: Prostakan Forte

France: Argeal Kelual DS Keracnyl Sabal

Germany: Cefasabal Granu Fink Prosta Nephroselect M Prostagutt forte

Hong Kong: Palmetto Plus Phyto-Ease Prostease Sawmetto Vivo-Livo Urgenin

Indonesia: Instink Maxirex Menolia Reximax Soprost

Israel: Urgenin

Italy: Biothymus M Urto Pluvio Prostaplant

Malaysia: Prostakan Total Man

Mexico: Prosgutt

Poland: Naturapia Prostata Penigra

Portugal: Efluvium Anti-caspa Efluvium Anti-seborreico Neo Urgenin Spasmo-Urgenin

Russia: Prostagutt Forte

South Africa: Spasmo-Urgenin

Singapore: Palmetto Plus

Spain: Neo Urgenin Spasmo-Urgenin Urgenin

Switzerland: Granu Fink Prosta Phytomed Prosta † Prosta-Caps Chassot N1 Prostagutt †

Thailand: Spasmo-Urgenin

UK: Antiglan Daily Fatigue Relief Damianaand Kola Tablets Elixir Damiana and Saw Palmetto Regina Royal Concorde Strength

Venezuela: Sabal

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