Evidence-based·Last reviewed May 30, 2026·How we grade evidence

Andrographis

Botanical

Useful mainly for shortening and easing common cold symptoms when started early.

Quick decision guide

May help most

shortening and easing common cold symptoms when started early

Common dosing range

200–1200 mg standardized extract/day

When to expect effects

Days

Watch out for

avoid in pregnancy; may add to bleeding-drug effects

What is it

Andrographis (Andrographis paniculata) is a herbaceous plant used in traditional Ayurvedic and Chinese medicine, particularly for cold and flu symptoms. The aerial parts contain andrographolides, the main active compounds.

Is it worth it for you?

Use this as a quick fit check, not a diagnosis.

Worth considering if

you start it at the first signs of a cold
you want symptom relief over a 5–7 day course
you are not pregnant and not on anticoagulants

Probably skip if

you want long-term or preventive immune support
you are pregnant or trying to conceive
you take warfarin or immunosuppressants without medical advice

Evidence at a glance

common cold and upper respiratory infection

Good Evidence
Effect
Meaningful reduction in symptom severity and duration
Best fit
adults starting treatment early in an acute respiratory infection
Time
Days

Evidence for 1 use

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

common cold and upper respiratory infection

Supplement benefit
Good Evidence

Meta-analyses of randomized controlled trials indicate andrographis reduces the severity and duration of common cold symptoms, particularly cough and sore throat, when started early. Andrographolides modulate inflammatory pathways and have antiviral activity in laboratory studies. Trials are typically short (57 days) and methodological quality varies, but the direction of effect is consistent.

Effect size
Meaningful reduction in symptom severity and duration
Time to effect
Days
Best fit
adults starting treatment early in an acute respiratory infection
Less likely
people seeking cold prevention rather than treatment

Bottom line: One of the better-evidenced botanicals for easing acute cold symptoms when taken early.

How it works

Andrographolides modulate inflammatory pathways (NF-kB, COX-2) and have direct antiviral effects in laboratory studies. The herb may also stimulate immune function and reduce production of pro-inflammatory cytokines. Clinical evidence is strongest for acute respiratory infections: meta-analyses suggest andrographis can reduce duration and severity of cold symptoms when started early. Effects on chronic conditions like rheumatoid arthritis or ulcerative colitis are less established.

How to take it

1. Typical dose
200–1200 mg standardized extract/day (4–6% andrographolides), divided
2. Timing
at first signs of cold or flu, 2–3 times daily
3. With food
with water; food may reduce nausea
4. Split dosing
2–3 divided doses
5. How long to try
5–7 days for acute use

What to track

sore throat and cough severity
symptom duration
nausea or GI upset

2 commercial forms

Compare the main delivery options and what they’re best suited for.

Standardized extract (KalmCold, ParActin)

Most-studied form; preferred for clinical applications.

Standardized to 4-6% andrographolides for consistent dosing.

Whole herb powder

Traditional form; less consistent dosing.

Variable andrographolide content.

Safety

Know the common side effects, key cautions, and who should avoid it.

Common side effects

nauseadiarrheaheadachefatigue

Who should avoid it

Pregnancy & breastfeeding

Avoid in pregnancy due to traditional uterotonic and fertility concerns.

Interactions

anticoagulants and antiplatelets (warfarin)Moderate

may enhance bleeding risk

antihypertensivesModerate

may add to blood-pressure lowering

immunosuppressantsModerate

theoretical immune-stimulating interaction

Choosing a product

What to look for on the label — and what to be skeptical of.

Look for

standardized to 4–6% andrographolides
Andrographis paniculata aerial parts specified
clear per-dose andrographolide amount

Be skeptical of

prevents colds and flu
boosts immunity long-term
treats COVID-19

Frequently asked questions

When should I take andrographis for a cold?

Evidence is strongest when started within the first 24-72 hours of cold symptoms. Beyond that window, benefits may be smaller.

Can I take andrographis every day?

Most studies use it short-term (5-7 days for acute infections). Daily long-term use has less safety data and is generally not recommended without medical guidance.

References by claim

common cold and upper respiratory infection

Hu et al., 2017PMC (2017) link

Melchior et al., 2000PubMed (2000) link

Safety

Memorial Sloan Kettering — AndrographisMSKCC About Herbs link

Track Andrographis with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

Coming to App Store
Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.