Ingredient

Mahonia Aquifolium Root Extract

Mahonia Aquifolium Root Extract is flagged for pregnancy, breastfeeding and trying to conceive. The concern behind the strongest flag is absorbed into the body.

By Team TruvaLast checked

Verdict by profile

Truva checks every ingredient against six profiles. Jump to any of them for the full assessment.

Strongest verdict
Caution Advised
Its verdict for pregnancy, the profile this one is worst in
Profiles flagged
3 of 6
Counting avoid, high risk and medium risk
Irritancy
2 of 5
Higher means more likely to sting or redden
PregnancyCAUTION

Mahonia Aquifolium Root Extract and pregnancy

Caution Advised

Mahonia aquifolium root extract contains berberine, an alkaloid compound with antimicrobial and anti-inflammatory properties. It's used in skincare products for its astringent effects and ability to help with inflammatory skin conditions. The concern during pregnancy stems from berberine's known effects when taken orally. Oral berberine supplementation is contraindicated during pregnancy as it can cross the placenta and has been associated with increased bilirubin levels in newborns. While topical application results in much lower systemic absorption than oral use, there is insufficient data on dermal absorption rates during pregnancy. Some natural medicine practitioners and obstetricians recommend avoiding berberine-containing topical products during pregnancy as a precautionary measure, particularly on large areas of skin or broken skin where absorption could be increased. Neither ACOG nor the FDA has issued specific guidance on topical berberine use during pregnancy, largely due to limited research. However, the known risks of oral berberine lead many healthcare providers to suggest pregnant women choose alternative ingredients when possible, especially during the first trimester when fetal development is most vulnerable.

BreastfeedingCAUTION

Mahonia Aquifolium Root Extract and breastfeeding

Caution Advised

Mahonia aquifolium root extract contains berberine, an alkaloid with antimicrobial properties. When used topically in skincare, it provides astringent and anti-inflammatory benefits. The concern during breastfeeding relates to berberine's ability to transfer into breast milk when taken orally. Oral berberine supplementation is not recommended during lactation because it can pass into breast milk and potentially cause jaundice in breastfed infants by displacing bilirubin. While topical application results in minimal systemic absorption compared to oral intake, specific studies on dermal absorption and milk transfer are lacking. Most lactation consultants and dermatologists suggest caution with berberine-containing products, particularly if applied to large areas or near the breast. The AAD has not issued specific guidance on topical berberine during breastfeeding due to limited research. Given the known risks of oral berberine to breastfed infants, many healthcare providers recommend choosing alternative anti-inflammatory or antimicrobial ingredients until after weaning.

PostpartumSAFE

Mahonia Aquifolium Root Extract and postpartum

Safe to Use

Mahonia aquifolium root extract can be beneficial for postpartum skin concerns when not breastfeeding. Its anti-inflammatory and antimicrobial properties may help with hormonal acne or skin inflammation that can occur after pregnancy. For postpartum women not breastfeeding, there are no specific concerns with topical use. The ingredient can provide anti-inflammatory benefits without the lactation-related concerns. Those with sensitive skin should patch test first due to potential for mild irritation.

Trying to ConceiveCAUTION

Mahonia Aquifolium Root Extract and trying to conceive

Caution Advised

When trying to conceive, the approach to mahonia aquifolium root extract should be similar to early pregnancy, as you may become pregnant while using a product. Since oral berberine is contraindicated during pregnancy, some healthcare providers recommend discontinuing topical berberine-containing products when actively trying to conceive. While topical absorption is minimal compared to oral use, the precautionary principle suggests avoiding potential exposure to berberine once you begin trying to conceive. This is especially important if you're applying products to large areas of skin or using them multiple times daily, which could increase systemic exposure.

PCOSSAFE

Mahonia Aquifolium Root Extract and PCOS

Safe to Use

Mahonia aquifolium root extract may be beneficial for women with PCOS who experience acne and oily skin. Its berberine content provides antimicrobial effects against acne-causing bacteria and helps reduce inflammation. Interestingly, oral berberine supplementation has been studied for metabolic aspects of PCOS, showing potential benefits for insulin sensitivity. However, topical use in skincare products is purely for local skin benefits and does not provide systemic effects. There are no hormonal concerns with topical application. For PCOS-related skin concerns, this ingredient can help manage acne and reduce sebum production through its astringent properties. It's particularly useful in formulations targeting inflammatory acne, which is common in women with PCOS due to elevated androgens.

General UseSAFE

Mahonia Aquifolium Root Extract and general use

Safe to Use

Mahonia aquifolium root extract is a botanical ingredient with anti-inflammatory and antimicrobial properties. It's traditionally used in herbal medicine and increasingly appears in skincare products targeting acne and inflammation. For the general population, this ingredient is generally safe when used topically. The main concerns are potential skin irritation or allergic reactions in sensitive individuals. Berberine can cause mild redness or stinging in some users, particularly at higher concentrations. Those with sensitive skin should patch test products containing this extract. This ingredient is approved for cosmetic use in both the EU and US. It's most commonly found in products for acne-prone or oily skin, where its astringent and antimicrobial properties are beneficial. Most people tolerate it well when used in properly formulated products.

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Provenance

Where this came from

Truva summarises published guidance from bodies including ACOG, the FDA, the EU SCCS and the Cosmetic Ingredient Review. It has no access to your medical history and it is not a substitute for your doctor, dermatologist or midwife. These assessments have not been reviewed by a clinician, and nothing here is a diagnosis or a prescription. If you are pregnant, breastfeeding or being treated for PCOS, take the ingredient list to the person looking after you.

Assessment last pulled from the ingredient database on .

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A label has thirty of them. Truva reads the whole list at once and answers for the profile you set: pregnancy, breastfeeding, postpartum, trying to conceive, PCOS, or general use.

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