Butea Superba

Butea superba is a traditional Thai medicinal plant known for its potential to support male sexual health. Research suggests it may increase testosterone and dihydrotestosterone (DHT) levels, enhance libido, and improve erectile function through its content of flavonoids and other bioactive compounds that may interact with androgen receptors and influence hormonal pathways.

Alternative Names: Red Kwao Krua, Kwao Kreu Daeng, Butea superba Roxb., Thai Ginseng

Categories: Herbal Extract, Adaptogen, Hormone Support

Primary Longevity Benefits


  • Hormone Optimization
  • Sexual Health
  • Adaptogenic

Secondary Benefits


  • Energy Enhancement
  • Mood Support
  • Antioxidant
  • Anti-inflammatory

Mechanism of Action


Overview

Butea superba exerts its effects primarily through modulation of androgenic pathways and enhancement of nitric oxide signaling, which contribute to its traditional use for male sexual health. The plant contains various bioactive compounds including flavonoids, sterols, and other phytochemicals that interact with multiple physiological systems. Its mechanisms span hormonal modulation, vasodilation, antioxidant protection, and adaptogenic effects.

Hormonal Modulation

Androgen Receptor Activity

Description: Butea superba contains compounds that may interact with androgen receptors.
Mechanisms:
  • Certain flavonoids and sterols may act as partial androgen receptor agonists
  • May enhance sensitivity of androgen receptors to existing testosterone
  • Potentially increases expression of androgen receptors in target tissues
  • May modulate co-activator recruitment to androgen receptors
Key Compounds: Flavonoids, phytosterols, and other unidentified compounds

Testosterone Metabolism

Description: Influences the production and metabolism of testosterone.
Mechanisms:
  • May stimulate luteinizing hormone (LH) production, which signals the testes to produce testosterone
  • Some evidence suggests it may inhibit aromatase, reducing conversion of testosterone to estrogen
  • May enhance activity of enzymes involved in testosterone synthesis
  • Potentially increases free testosterone by affecting sex hormone binding globulin (SHBG) levels
Key Compounds: Flavonoids, sterols, and other bioactive compounds

Dht Modulation

Description: May influence dihydrotestosterone (DHT) levels and activity.
Mechanisms:
  • Some studies suggest it may enhance 5α-reductase activity, increasing conversion of testosterone to DHT
  • This contrasts with many other herbs that inhibit 5α-reductase
  • DHT is a potent androgen that plays important roles in male sexual development and function
  • The DHT-enhancing effect may contribute to its traditional use for male vitality
Key Compounds: Unidentified compounds that may influence 5α-reductase activity

Sexual Function Enhancement

Nitric Oxide Signaling

Description: Enhances nitric oxide (NO) production and signaling.
Mechanisms:
  • Increases activity of nitric oxide synthase (NOS) enzymes
  • Enhances bioavailability of NO through antioxidant effects
  • NO is a key vasodilator that increases blood flow to erectile tissue
  • Improved NO signaling enhances erectile function and sexual response
Key Compounds: Flavonoids, particularly those with known effects on endothelial function

Phosphodiesterase Inhibition

Description: May inhibit phosphodiesterase (PDE) enzymes.
Mechanisms:
  • Some flavonoids in Butea superba may inhibit PDE-5, similar to but weaker than pharmaceutical PDE-5 inhibitors
  • PDE-5 inhibition prevents breakdown of cyclic guanosine monophosphate (cGMP)
  • Elevated cGMP levels enhance and prolong smooth muscle relaxation in erectile tissue
  • This mechanism complements the NO-enhancing effects
Key Compounds: Certain flavonoids with PDE inhibitory activity

Neurotransmitter Modulation

Description: Influences neurotransmitters involved in sexual function.
Mechanisms:
  • May affect dopamine and serotonin signaling, which play roles in sexual desire and arousal
  • Potentially modulates acetylcholine release, which is involved in parasympathetic activation during sexual arousal
  • Some evidence suggests effects on oxytocin signaling, which influences sexual behavior and bonding
Key Compounds: Various alkaloids and flavonoids

Adaptogenic Effects

Stress Response Modulation

Description: Helps the body adapt to physical and psychological stress.
Mechanisms:
  • May modulate hypothalamic-pituitary-adrenal (HPA) axis activity
  • Potentially normalizes cortisol levels under stress conditions
  • Supports adrenal function and stress hormone production
  • Enhances cellular resilience to various stressors
Key Compounds: Various phytochemicals with adaptogenic properties

Energy Metabolism

Description: Supports cellular energy production and utilization.
Mechanisms:
  • May enhance mitochondrial function and ATP production
  • Potentially improves glucose utilization and energy substrate metabolism
  • Supports adrenal energy production pathways
  • May enhance physical performance and reduce fatigue
Key Compounds: Flavonoids, sterols, and other bioactive compounds

Antioxidant And Anti Inflammatory

Free Radical Scavenging

Description: Neutralizes reactive oxygen species (ROS) and free radicals.
Mechanisms:
  • Direct scavenging of free radicals through donation of hydrogen atoms or electrons
  • Chelation of transition metals that catalyze oxidative reactions
  • Protection of cellular components from oxidative damage
  • Particularly relevant for protecting testicular and erectile tissue from oxidative stress
Key Compounds: Flavonoids, polyphenols, and other antioxidant compounds

Anti Inflammatory Pathways

Description: Modulates inflammatory signaling pathways.
Mechanisms:
  • Inhibition of pro-inflammatory enzymes such as cyclooxygenase (COX) and lipoxygenase (LOX)
  • Reduction of pro-inflammatory cytokine production
  • Modulation of nuclear factor kappa B (NF-κB) signaling
  • These effects may contribute to overall reproductive and sexual health
Key Compounds: Flavonoids and other anti-inflammatory compounds

Circulatory Enhancement

Vasodilation

Description: Promotes relaxation of blood vessels and increased blood flow.
Mechanisms:
  • Enhancement of nitric oxide production and signaling as described above
  • Potential calcium channel modulation in vascular smooth muscle
  • Antioxidant protection of endothelial function
  • Particularly important for erectile function and genital blood flow
Key Compounds: Flavonoids and other vasoactive compounds

Microcirculation Improvement

Description: Enhances blood flow in small vessels and capillaries.
Mechanisms:
  • Reduction of platelet aggregation and blood viscosity
  • Enhancement of red blood cell deformability
  • Improvement of endothelial function in microvessels
  • These effects may improve tissue perfusion and nutrient delivery
Key Compounds: Various flavonoids and other circulatory-enhancing compounds

Key Bioactive Compounds

Flavonoids

Description: Plant compounds with multiple hydroxyl groups and various biological activities
Specific Actions:
  • Antioxidant and anti-inflammatory effects
  • Modulation of enzyme systems including aromatase and 5α-reductase
  • Enhancement of nitric oxide signaling
  • Potential interaction with androgen receptors
Examples: Butrin, isobutrin, butein, and other flavonoids

Sterols

Description: Plant sterols with structural similarity to cholesterol and steroid hormones
Specific Actions:
  • Potential precursors for steroid hormone synthesis
  • Possible modulatory effects on hormone receptors
  • Support for cell membrane structure and function
  • Anti-inflammatory properties
Examples: β-sitosterol, stigmasterol, and other phytosterols

Alkaloids

Description: Nitrogen-containing compounds with various pharmacological effects
Specific Actions:
  • Modulation of neurotransmitter systems
  • Potential effects on smooth muscle function
  • Various physiological effects depending on specific structure
Examples: Various alkaloids present in Butea superba

Saponins

Description: Compounds with soap-like properties and various biological activities
Specific Actions:
  • Enhancement of membrane permeability, potentially improving absorption of other compounds
  • Immunomodulatory effects
  • Potential hormonal effects
Examples: Various triterpene and steroid saponins

Polysaccharides

Description: Complex carbohydrates with various biological activities
Specific Actions:
  • Immunomodulatory properties
  • Potential adaptogenic effects
  • Support for cellular energy metabolism

Research Limitations

Compound Identification: Many of the specific bioactive compounds in Butea superba remain unidentified or incompletely characterized

Mechanism Elucidation: The precise mechanisms of action, particularly regarding hormonal effects, are not fully understood

Standardization Challenges: Variation in active compound content between different preparations makes mechanistic studies challenging

Clinical Correlation: Limited human clinical studies correlating specific mechanisms with observed effects

Optimal Dosage


Disclaimer: The following dosage information is for educational purposes only. Always consult with a healthcare provider before starting any supplement regimen, especially if you have pre-existing health conditions, are pregnant or nursing, or are taking medications.

The effective dosage of Butea superba depends on the preparation method, standardization, and intended use. For standardized extracts (typically standardized to flavonoid content), typical doses range from 100-500 mg daily. For traditional dried root powder, typical doses range from 500-1,500 mg daily. Clinical studies have used varying doses, but most positive results for sexual function have been observed with doses of 100-250 mg of standardized extract or 500-1,000 mg of root powder daily.

Due to limited clinical research, dosing recommendations are partly based on traditional use and anecdotal evidence.

By Condition

Condition Dosage Notes
erectile function support 100-250 mg of standardized extract daily, or 500-1,000 mg of root powder daily Effects typically observed after 2-4 weeks of consistent use; may be taken 1-2 hours before sexual activity for acute effects, though long-term use appears more effective
libido enhancement 100-250 mg of standardized extract daily, or 500-1,000 mg of root powder daily Consistent daily use recommended; effects may be noticed within 1-3 weeks
hormonal support 150-300 mg of standardized extract daily, or 750-1,500 mg of root powder daily Higher doses within the therapeutic range may be more appropriate for hormonal effects; consistent use for at least 4-8 weeks recommended to evaluate effects
general vitality and energy 100-200 mg of standardized extract daily, or 500-1,000 mg of root powder daily Lower doses may be sufficient for general adaptogenic benefits

By Age Group

Age Group Dosage Notes
young adults (18-30 years) Lower end of the dosage range typically sufficient (100-150 mg extract or 500-750 mg powder) Generally used for performance enhancement rather than addressing deficiencies in this age group
middle-aged adults (30-50 years) Standard dosing appropriate (100-250 mg extract or 500-1,000 mg powder) May be particularly beneficial as testosterone levels naturally begin to decline
older adults (50+ years) Standard to upper range dosing (150-300 mg extract or 750-1,500 mg powder) May be most beneficial in this age group due to more significant hormonal changes; start at lower doses and increase gradually
women Generally not recommended for women due to potential androgenic effects Limited research on effects in women; traditional use primarily for men

Timing Recommendations

General Timing: Can be taken once daily or divided into 2 doses

With Food: Taking with meals is generally recommended to enhance absorption and reduce potential digestive discomfort

Morning Vs Evening: Morning dosing often preferred for energy benefits; no strong evidence for optimal timing

Pre Activity: May be taken 1-2 hours before sexual activity, though consistent daily use appears more effective than acute dosing

Consistency: Daily consistent use is important for achieving and maintaining benefits

Notes On Standardization

Standardization Parameters: Products may be standardized to total flavonoid content or specific marker compounds

Extract Ratios: Common extract ratios include 10:1 and 20:1, indicating the concentration factor

Standardized Vs Whole: Standardized extracts provide more consistent results but whole root preparations may offer a broader spectrum of compounds

Special Considerations

Individual Variation: Significant variation in individual response; some may require higher or lower doses for optimal effects

Onset Of Action: Most effects develop gradually over weeks rather than acutely; patience and consistency are important

Tolerance: Limited evidence for development of tolerance with long-term use

Cycling Protocols: Some practitioners recommend cycling (e.g., 5 days on, 2 days off, or 3 weeks on, 1 week off), though clinical evidence for this necessity is limited

Hormonal Monitoring: Consider monitoring testosterone levels if using for hormonal support, particularly at higher doses

Formulation Specific Dosing

Standardized Extracts

  • Concentrated extracts standardized to specific compounds
  • 100-500 mg daily
  • Preferred form for consistent results; look for standardization to flavonoid content

Dried Root Powder

  • Traditional preparation of dried and powdered root
  • 500-1,500 mg daily
  • Less concentrated than extracts; may contain a broader spectrum of compounds

Tinctures

  • Alcohol or glycerin-based liquid extracts
  • 1-3 mL (20-60 drops) 1-2 times daily
  • Concentration varies by product; follow manufacturer recommendations

Combination Products

  • Formulations containing Butea superba along with other herbs
  • Varies by product
  • Dosage may be lower when combined with synergistic herbs; follow manufacturer recommendations

Research Based Dosing

Clinical Studies: Limited clinical studies have used doses ranging from 100-250 mg of standardized extract daily

Animal Studies: Animal studies have used equivalent human doses of approximately 100-500 mg/day of extract

Traditional Use: Traditional Thai medicine typically used approximately 500-1,500 mg of dried root powder daily

Research Limitations: More clinical research needed to establish optimal dosing for specific conditions

Bioavailability


Absorption Rate

Moderate, with significant variation depending on the specific bioactive compounds and preparation method. Butea superba contains a diverse array of compounds with different absorption characteristics. Some flavonoids and other active compounds have limited oral bioavailability due to poor water solubility, extensive first-pass metabolism, and P-glycoprotein efflux in the intestine.

Factors Affecting Absorption

Preparation Form: Extracts generally have better bioavailability than whole root powder due to increased concentration of active compounds and removal of some interfering substances.

Extraction Method: Alcohol-based extracts may improve absorption of certain lipophilic compounds compared to water-based extractions.

Standardization: Standardized extracts with higher concentrations of specific active compounds may offer more consistent bioavailability.

Particle Size: Finely ground powder may have better absorption than coarsely ground material due to increased surface area.

Food Interactions: Taking with meals containing fat may enhance absorption of fat-soluble components.

Individual Factors: Gut microbiome composition, digestive enzyme activity, and intestinal transit time can significantly affect absorption and metabolism of various compounds.

Enhancement Methods

Taking with meals containing moderate fat content to enhance absorption of lipophilic compounds, Using alcohol-based extracts for improved extraction and potential absorption of certain compounds, Combining with black pepper extract (piperine) may enhance absorption by inhibiting P-glycoprotein efflux and certain metabolic enzymes, Micronization (very fine grinding) to increase surface area and potential absorption, Liposomal or phytosomal delivery systems that encapsulate active compounds in phospholipid structures

Timing Recommendations

Optimal Timing: Taking with meals is generally recommended to enhance absorption of fat-soluble components.

Consistency: Regular daily use is important for maintaining steady blood levels of bioactive compounds.

Morning Vs Evening: No strong evidence for optimal timing; consistency is more important than specific timing.

Divided Dosing: For higher doses, dividing into 2 daily doses may help maintain more consistent blood levels.

Bioactive Compound Specifics

Flavonoids

  • Variable absorption based on specific structure; many undergo extensive metabolism
  • Subject to phase II metabolism in intestinal cells and liver
  • Molecular size and structure significantly affect absorption
  • Piperine co-administration may inhibit metabolic enzymes and enhance bioavailability

Sterols

  • Limited systemic absorption (typically 2-5%); primarily act locally in the intestine
  • Compete with cholesterol for absorption; limited systemic bioavailability
  • Fat content of meals may affect absorption efficiency
  • Taking with meals containing fat may slightly improve absorption

Alkaloids

  • Generally better absorption than flavonoids but still subject to first-pass metabolism
  • Primarily hepatic metabolism via cytochrome P450 enzymes
  • pH of the gastrointestinal tract can significantly affect ionization and absorption
  • Enzyme inhibitors like piperine may reduce first-pass metabolism

Saponins

  • Limited direct absorption due to large molecular size
  • May enhance absorption of other compounds by increasing membrane permeability
  • May exert effects through local action in the gut or through enhancing absorption of other compounds

Metabolism And Elimination

Primary Metabolic Pathways: Various compounds undergo different metabolic processes; many are subject to hepatic metabolism via phase I and II enzymes

Elimination Routes: Primarily renal excretion of water-soluble compounds and metabolites; some biliary excretion

Half Life: Variable depending on specific compounds; flavonoids typically have half-lives of 2-8 hours

Extract Type Considerations

Alcohol Extracts: Better extraction of lipophilic compounds

Water Extracts: Better extraction of water-soluble compounds but may miss some important lipophilic compounds

Standardized Extracts: More consistent bioavailability of specific compounds

Whole Root Preparations: Broader spectrum of compounds but potentially lower bioavailability of some

Research Limitations

Compound Complexity: The diverse array of compounds in Butea superba makes comprehensive bioavailability assessment challenging

Metabolite Identification: Limited characterization of all biologically active metabolites

Pharmacokinetic Studies: Limited human pharmacokinetic data on specific bioactive compounds

Standardization Issues: Variation in preparation methods makes generalizing bioavailability challenging

Practical Implications

Dosing Frequency: Once or twice daily dosing recommended based on observed clinical effects

Formulation Considerations: Standardized extracts generally preferred for consistent bioavailability

Individual Response Variation: Significant variation in individual response likely due to differences in absorption, metabolism, and gut microbiome

Onset Expectations: Gradual onset of effects over weeks suggests cumulative action rather than acute effects

Bioavailability Comparison

Vs Other Herbs: Moderate bioavailability compared to other herbal supplements; better than some flavonoid-rich herbs but less than highly bioavailable compounds

Vs Synthetic Compounds: Generally lower and more variable bioavailability than synthetic pharmaceutical compounds

Improvement Potential: Significant room for improvement through advanced delivery systems and formulation technologies

Future Directions

Delivery Systems: Development of advanced delivery systems like nanoparticles, liposomes, and phytosomes may significantly enhance bioavailability

Prodrug Approaches: Modification of key compounds to improve absorption and reduce pre-systemic metabolism

Targeted Release: Formulations designed for specific release profiles or targeted delivery

Bioavailability Enhancers: Identification of optimal natural bioavailability enhancers beyond piperine

Safety Profile


Safety Rating i

3Moderate Safety

Overview

Butea superba has a moderate safety profile based on limited clinical research and traditional use in Thai medicine. While it appears generally well-tolerated at recommended doses, its potential hormonal effects warrant caution in certain populations. The limited number of formal safety studies and some case reports of hormonal side effects at high doses necessitate a cautious approach, particularly regarding dosage and duration of use.

Side Effects

  • [“Mild digestive discomfort (uncommon)”,”Mild stimulatory effects in some individuals”,”Slight increase in body temperature (due to increased metabolism)”]
  • [“Insomnia or sleep disturbances (particularly with evening dosing)”,”Increased blood pressure in sensitive individuals”,”Acne or oily skin (due to androgenic effects)”,”Headache”]
  • [“Significant hormonal imbalances at high doses (case reports of hyperthyroidism-like symptoms)”,”Potential liver stress at excessive doses (theoretical based on metabolism of active compounds)”,”Allergic reactions (rare)”]

Contraindications

  • Hormone-sensitive conditions including certain cancers (prostate, breast) due to potential androgenic effects
  • Benign prostatic hyperplasia (BPH) due to potential DHT-enhancing effects
  • Hyperthyroidism (case reports suggest potential thyroid stimulation at high doses)
  • Severe hypertension (precautionary due to potential mild stimulatory effects)
  • Pregnancy and breastfeeding (due to limited safety data and potential hormonal effects)
  • Children and adolescents (due to potential effects on developing hormonal systems)
  • Scheduled surgery (discontinue at least 2 weeks before due to theoretical effects on blood pressure and bleeding time)

Drug Interactions

Category Medications Interaction Type Recommendation
Hormone therapies Array Potential additive or antagonistic effects on hormone levels Avoid combining or use with medical supervision; monitor hormone levels
Blood pressure medications Array Potential interference with blood pressure regulation Monitor blood pressure; may need dose adjustment of medications
Erectile dysfunction medications Array Potential additive effects on nitric oxide signaling and blood pressure Use with caution; start with lower doses of both agents if combined
Blood thinners Array Theoretical interaction; limited evidence for significant effects Monitor for changes in bleeding time or bruising; no strong evidence for concerning interactions
Liver-metabolized medications Array Potential competition for metabolic enzymes Monitor for altered effectiveness or side effects of medications

Special Populations

Men With Normal Hormone Levels: Generally well-tolerated; monitor for signs of hormonal imbalance

Men With Low Testosterone: May be beneficial but should be used under medical supervision with hormone monitoring

Women: Generally not recommended due to potential androgenic effects; limited safety data in women

Elderly: Start with lower doses and monitor for interactions with medications and existing conditions

Liver Or Kidney Impairment: Use with caution due to potential altered metabolism and elimination

Upper Limit

No officially established upper limit. Clinical studies typically use 100-250 mg of extract daily without significant adverse effects. Traditional use suggests doses up to 1,000 mg of root powder are generally well-tolerated. However, case reports of hormonal side effects have been associated with higher doses (>1,500 mg of root powder daily) or prolonged use at high doses.

Toxicity Data

Acute Toxicity: Animal studies suggest low acute toxicity with high safety margin

Chronic Toxicity: Limited long-term studies; some concerns about hormonal effects with prolonged high-dose use

Genotoxicity: Limited data, but available studies do not indicate significant genotoxic concerns

Reproductive Toxicity: Limited data; potential concerns due to hormonal effects; not recommended during pregnancy

Quality Concerns

Adulteration: Risk of adulteration with synthetic hormones or other compounds in some products

Contamination: Risk of environmental contaminants; quality sourcing important

Standardization Issues: Wide variation in active compound content between products

Recommendations: Choose products from reputable manufacturers with third-party testing

Monitoring Recommendations

General Users: Self-monitor for any unusual effects, particularly signs of hormonal imbalance

Hormonal Monitoring: Consider baseline and follow-up testosterone, DHT, and thyroid function tests with long-term use

Liver Function: Consider baseline and periodic liver function tests with long-term use

Blood Pressure: Monitor blood pressure, particularly in those with pre-existing hypertension

Preparation Specific Safety

Standardized Extracts: More consistent active compound content may provide more predictable safety profile

Traditional Preparations: Long history of use but variable potency may affect safety

High Concentration Extracts: Higher risk of side effects; should be used with greater caution

Combination Products: Consider potential interactions with other herbs in combination products

Allergic Potential

Cross Reactivity: Potential cross-reactivity with other plants in the Fabaceae (legume) family

Symptoms: Typical allergic reactions may include skin rashes, itching, or digestive disturbances

Incidence: Appears to be rare based on limited reports

Safety In Traditional Use

Historical Context: Long history of use in traditional Thai medicine with generally good safety record

Traditional Dosing: Traditional doses typically lower than some modern concentrated extracts

Traditional Precautions: Traditional use included specific preparation methods and combination with other herbs

Modern Context: Modern concentrated extracts may have different safety profiles than traditional preparations

Hormonal Safety Considerations

Testosterone Effects: Potential to increase testosterone levels, which may be beneficial or problematic depending on individual needs

Dht Effects: Potential to increase DHT, which may exacerbate androgenic alopecia or BPH in susceptible individuals

Thyroid Effects: Case reports of thyroid stimulation at high doses; mechanism not well understood

Monitoring: Consider hormone level monitoring with long-term use

Long Term Safety

Clinical Evidence: Very limited studies beyond several months of use

Traditional Evidence: Traditional use suggests reasonable long-term safety at appropriate doses

Cycling Recommendations: Some practitioners recommend cycling (periods of use alternated with breaks) for theoretical safety reasons

Monitoring Recommendations: Consider periodic hormone level assessment and liver function testing with long-term use

Case Reports

Thyroid Stimulation: Several case reports of hyperthyroidism-like symptoms with high doses

Androgenic Effects: Reports of acne, oily skin, and other androgenic effects in some users

Dose Relationship: Most adverse effects reported with doses significantly higher than traditionally recommended

Resolution: Most reported effects resolved after discontinuation

Synergistic Compounds


Compound Synergy Mechanism Evidence Rating
Tongkat Ali (Eurycoma longifolia) Both Butea superba and Tongkat Ali support male sexual health through complementary mechanisms. While Butea superba appears to work partly through androgen receptor modulation and PDE-5 inhibition, Tongkat Ali primarily increases testosterone production through effects on the hypothalamic-pituitary-gonadal axis. The combination may provide more comprehensive hormonal and sexual support than either herb alone, addressing both testosterone production and androgen receptor sensitivity. 2
Tribulus Terrestris Tribulus Terrestris may enhance luteinizing hormone (LH) production, potentially increasing testosterone production, while Butea superba appears to enhance androgen receptor sensitivity and provides PDE-5 inhibitory effects. This combination addresses both hormone production and receptor sensitivity/response, potentially providing more comprehensive support for male sexual health than either herb alone. 2
Horny Goat Weed (Epimedium) Both Butea superba and Horny Goat Weed contain compounds with PDE-5 inhibitory activity, supporting erectile function through enhanced nitric oxide signaling. However, they contain different active compounds (flavonoids in Butea superba vs. icariin in Horny Goat Weed) that may work through slightly different mechanisms or binding sites. The combination may provide more robust support for erectile function than either herb alone. 2
Mucuna Pruriens Mucuna Pruriens provides L-DOPA, a precursor to dopamine, which plays important roles in sexual desire and arousal. This complements Butea superba’s effects on androgen receptors and nitric oxide signaling. The combination addresses both the neurological/motivational aspects of sexual function (via Mucuna) and the physiological/vascular aspects (via Butea), potentially providing more comprehensive sexual support. 2
Panax Ginseng Panax Ginseng has adaptogenic properties and supports nitric oxide production through different mechanisms than Butea superba. While Butea superba appears to work partly through androgen receptor modulation and direct PDE-5 inhibition, Ginseng works through ginsenoside-mediated effects on nitric oxide synthase and stress response. The combination may provide more comprehensive support for sexual function and overall vitality. 2
Zinc Zinc is essential for testosterone production and overall reproductive health. While Butea superba may enhance androgen receptor sensitivity and response, zinc ensures the body has the necessary mineral cofactors for hormone production. The combination addresses both the production of testosterone and the cellular response to androgens, potentially providing more comprehensive hormonal support. 2
Piperine (Black Pepper Extract) Piperine enhances the bioavailability of many compounds by inhibiting certain metabolic enzymes and P-glycoprotein efflux pumps. Many of the active compounds in Butea superba, particularly flavonoids, have limited oral bioavailability due to extensive first-pass metabolism. Piperine may significantly enhance the absorption and effectiveness of Butea superba’s active compounds. 2
Boron Boron helps optimize testosterone metabolism by reducing sex hormone binding globulin (SHBG) levels and supporting healthy estrogen metabolism. This complements Butea superba’s direct effects on androgen receptors. The combination may provide more comprehensive hormonal support by both enhancing androgen receptor response (via Butea) and optimizing free testosterone levels (via Boron). 2
L-Arginine L-Arginine is a precursor to nitric oxide (NO), which is essential for erectile function. While Butea superba appears to work partly through PDE-5 inhibition (which prevents the breakdown of cGMP, a messenger in NO signaling), L-Arginine increases the production of NO itself. The combination addresses both the production of NO and the prolongation of its effects, potentially providing more robust support for erectile function. 2
Maca Root Maca Root supports sexual function and libido through mechanisms that appear to be non-hormonal, possibly involving effects on neurotransmitters and energy metabolism. This complements Butea superba’s more directly androgenic and vasodilatory effects. The combination may address multiple aspects of sexual health simultaneously, with Maca particularly supporting libido and Butea supporting erectile function. 2
Ashwagandha Ashwagandha has adaptogenic properties that help manage stress and may support testosterone levels by reducing cortisol. Chronic stress and elevated cortisol can suppress testosterone production and sexual function. This stress-management effect complements Butea superba’s more direct effects on androgen receptors and erectile function, potentially providing more comprehensive support for male sexual health. 2
Shilajit Shilajit contains fulvic acid and dibenzo-alpha-pyrones that support energy production, testosterone levels, and overall vitality. These effects complement Butea superba’s more direct effects on androgen receptors and erectile function. The combination may provide more comprehensive support for male sexual health and vitality than either substance alone. 2

Antagonistic Compounds


Compound Interaction Type Evidence Rating
5-alpha reductase inhibitors Butea superba may enhance 5-alpha reductase activity and increase DHT levels, while medications like finasteride and dutasteride are designed to inhibit this enzyme. This creates a direct pharmacological opposition that could reduce the effectiveness of these medications used for conditions like benign prostatic hyperplasia (BPH) and male pattern baldness. The combination could lead to unpredictable effects on DHT levels and potentially undermine treatment efficacy. 3
Antiandrogens Medications that block androgen receptors or reduce androgen production (such as spironolactone, cyproterone acetate, or flutamide) work in direct opposition to Butea superba’s apparent androgenic effects. This antagonism could reduce the effectiveness of these medications when used for conditions like prostate cancer, hirsutism, or hormone therapy for transgender individuals. The combination could potentially lead to unpredictable hormonal effects. 3
Thyroid medications Case reports suggest Butea superba at high doses may affect thyroid function, potentially causing hyperthyroidism-like symptoms. When combined with thyroid medications (either for hypothyroidism or hyperthyroidism), there is potential for unpredictable effects on thyroid function. This could lead to either excessive or insufficient thyroid activity depending on the specific medication and individual factors. 2
PDE-5 inhibitors While not strictly antagonistic, combining Butea superba (which has mild PDE-5 inhibitory activity) with pharmaceutical PDE-5 inhibitors like sildenafil, tadalafil, or vardenafil could potentially lead to additive effects on blood pressure and vasodilation. This could increase the risk of hypotension, headaches, and other side effects associated with these medications. Caution and dose adjustment may be necessary if combined. 2
Antihypertensive medications Butea superba may have mild effects on blood pressure due to its vasodilatory properties. When combined with antihypertensive medications, there is potential for additive effects that could lead to excessive blood pressure reduction in sensitive individuals. While this interaction is generally mild, monitoring is advisable when combining these. 2
Saw Palmetto Saw Palmetto is commonly used to inhibit 5-alpha reductase and reduce DHT levels for prostate health and hair loss prevention. Butea superba may have the opposite effect, potentially enhancing 5-alpha reductase activity and increasing DHT levels. This creates a pharmacological opposition that could reduce the effectiveness of Saw Palmetto for its intended purposes. 2
Estrogen-containing medications Butea superba’s androgenic effects may oppose the effects of estrogen-containing medications used for hormone replacement therapy, contraception, or other purposes. This antagonism could potentially reduce the effectiveness of these medications or lead to unpredictable hormonal effects. The combination should generally be avoided without medical supervision. 2
Blood thinning medications Some herbs with vasodilatory properties may have mild effects on blood clotting. When combined with anticoagulant or antiplatelet medications such as warfarin, aspirin, or clopidogrel, there is a theoretical potential for enhanced blood-thinning effects. While significant interactions have not been well-documented for Butea superba specifically, caution may be warranted in individuals on these medications. 1
Stimulants Butea superba may have mild stimulatory effects in some individuals. When combined with stimulant medications or substances like caffeine, amphetamines, or certain medications for ADHD, there is a theoretical potential for additive stimulatory effects. This could potentially lead to increased heart rate, blood pressure, or anxiety in sensitive individuals. 1
Sedatives The potential stimulatory effects of Butea superba may counteract the effects of sedative medications or substances. This could potentially reduce the effectiveness of medications used for anxiety, insomnia, or other conditions requiring sedation. While this interaction is likely mild, awareness of the potential opposition is warranted. 1

Cost Efficiency


Relative Cost

Medium

Overview

Butea superba is generally a moderately priced supplement, with cost varying based on preparation method, standardization, and source. Standardized extracts typically command higher prices than traditional root powder. The cost-efficiency is enhanced by its multiple potential benefits for male sexual health, potentially providing several benefits in one supplement. However, the variable quality and potency of products on the market can significantly affect the actual value received.

Cost Per Effective Dose

Standardized Extracts: $0.75-$2.00 per day (based on 100-250mg daily)

Root Powder: $0.50-$1.50 per day (based on 500-1,000mg daily)

Tinctures: $1.00-$2.50 per day (based on typical dosing)

Combination Products: Variable, typically $1.00-$3.00 per day

Price Determinants

Factor Impact Consumer Guidance
Standardization Standardized extracts typically cost 30-100% more than non-standardized preparations The increased consistency and potency of standardized extracts generally justify the higher cost
Geographic origin Products specifically sourced from Thailand may command premium prices Thai origin may indicate more authentic sourcing but verify quality testing regardless of origin
Extract ratio Higher concentration extracts (e.g., 20:1 vs. 10:1) typically cost more Higher concentration may provide better value despite higher cost due to lower required dose
Third-party testing Products with extensive third-party testing typically cost 20-50% more The quality assurance from third-party testing often justifies the premium, particularly given adulteration concerns
Brand reputation Established brands with quality reputations command premium prices Brand reputation can be a useful proxy for quality but verify testing practices

Value Analysis

Erectile Function Support

  • Moderate to high
  • More affordable than pharmaceutical options but potentially less reliable
  • Effective doses (100-250mg extract) provide good value compared to alternatives
  • Standardized extracts typically offer best value for this specific application

Libido Enhancement

  • Moderate to high
  • Comparable or better value than many alternatives for this purpose
  • Effective doses provide good value for this application
  • Both standardized extracts and quality root powder can provide good value

Hormonal Support

  • Moderate
  • More affordable than pharmaceutical hormone therapies but less predictable
  • May require higher doses for hormonal effects, affecting value calculation
  • Standardized extracts typically offer more consistent hormonal effects

General Vitality

  • Moderate
  • Many alternatives available at similar or lower cost
  • Lower doses may be sufficient for general adaptogenic benefits
  • Traditional root powder may offer adequate value for general vitality support

Cost Comparison To Alternatives

Vs Pharmaceutical Ed Treatments

  • Significantly lower cost than prescription PDE-5 inhibitors
  • Generally less potent and reliable than pharmaceuticals
  • May offer better value for long-term use due to lower cost and potentially fewer side effects
  • Natural alternative at lower cost, though with less consistent results

Vs Testosterone Therapy

  • Substantially lower cost than prescription testosterone replacement therapy
  • Much milder effects than pharmaceutical testosterone
  • May offer better value for those seeking mild support rather than replacement therapy
  • Natural approach with lower cost and potentially fewer risks

Vs Other Herbal Options

  • Similar cost to many other herbs used for male sexual health
  • Comparable evidence base to many alternatives
  • Potential androgenic effects differentiate from some alternatives
  • Reasonable value among herbal options for male sexual health

Cost Optimization Strategies

Choose standardized extracts for more consistent results despite higher initial cost, Consider extract concentration (10:1, 20:1) when comparing prices between products, Purchase from reputable sources with quality testing to ensure getting active product, Buy in larger quantities when possible for bulk discounts once effectiveness is established, Consider combination products that include synergistic herbs if addressing multiple aspects of sexual health

Cost Effectiveness By Goal

Acute Sexual Performance: Moderate cost-effectiveness; other options may provide more reliable acute effects

Long Term Sexual Health: Good cost-effectiveness; consistent use may provide cumulative benefits

Hormonal Balance: Moderate cost-effectiveness; effects less predictable than pharmaceutical options

General Vitality: Moderate cost-effectiveness; many alternatives available at similar cost

Multiple Health Goals: Good cost-effectiveness when addressing multiple aspects of male sexual health simultaneously

Market Trends

Pricing Trends: Gradually increasing prices due to growing demand and limited supply

Value Trends: Improving value proposition as standardization and quality control improve

Future Outlook: Likely to remain a moderately priced supplement with potential for premium positioning of high-quality standardized extracts

Bulk Purchasing

Powder Savings: Significant savings (20-40%) available when purchasing powder in bulk

Extract Savings: Moderate savings for larger quantities of standardized extracts

Considerations: Balance bulk savings against shelf life and usage rate

Preparation Specific Value

Standardized Extracts: Higher initial cost but potentially better value due to consistency and lower effective dose

Traditional Root Powder: Lower cost but less consistent potency may affect actual value

Tinctures: Higher cost but convenient administration and potentially better absorption

Combination Products: Variable value depending on formulation quality and synergistic effects

Quality Vs Cost Considerations

Adulteration Risks: Lower-cost products may have higher risk of adulteration or quality issues

Testing Importance: Third-party testing adds cost but significantly increases value assurance

Standardization Value: Standardization adds cost but provides more consistent results

False Economy: Very low-cost products may represent false economy if potency or quality is compromised

Value Conclusion

Butea superba represents a moderate value for those seeking support for male sexual health, particularly

when using standardized extracts from reputable sources. The multiple potential benefits for sexual function, libido, and hormonal support enhance overall value.

However , the variable quality and potency of products on the market mean that the lowest-cost options may not provide the best value. Investing in quality standardized extracts from reputable sources with third-party testing typically provides the best overall value

despite higher initial cost.

Stability Information


Shelf Life

Dried Root: 2-3 years when properly dried and stored

Root Powder: 1-2 years when stored in airtight containers away from light and moisture

Standardized Extracts: 1-2 years when stored properly, depending on extraction method and additives

Tinctures: 2-3 years when stored properly, alcohol content helps preserve bioactive compounds

Capsules Tablets: 1-3 years in original packaging, depending on manufacturing processes and additives

Storage Recommendations

Temperature: Store at room temperature (15-25°C/59-77°F); avoid temperature extremes

Humidity: Keep in low-humidity environment; use desiccants if necessary for powder forms

Light Exposure: Protect from direct light, especially UV exposure; amber glass or opaque containers preferred

Air Exposure: Use airtight containers to minimize oxidation, particularly important for powder forms

Packaging Materials: Amber glass, opaque HDPE plastic, or foil pouches with moisture barriers are preferred

Ideal Conditions: Cool, dry place away from direct sunlight in airtight containers

Degradation Factors

Factor Effect Prevention
Heat Accelerates degradation of bioactive compounds, particularly flavonoids and other heat-sensitive components Store at controlled room temperature; avoid exposure to heat sources
Moisture Promotes microbial growth, enzymatic degradation, and potential mold formation Use airtight containers with desiccants if necessary; avoid humid storage areas
Oxygen Causes oxidation of bioactive compounds, particularly flavonoids and other antioxidant components Minimize air exposure; use oxygen absorbers in packaging when possible
Light UV and visible light can degrade certain compounds, particularly flavonoids and other photosensitive molecules Store in amber or opaque containers; keep away from direct light
Microbial contamination Can lead to spoilage, potential health risks, and degradation of active compounds Proper drying and processing; appropriate preservatives in liquid forms

Stability Of Key Compounds

Flavonoids

  • Moderately stable in dry form; more susceptible to degradation with heat, oxygen, and light exposure
  • Oxidation, hydrolysis
  • Antioxidants, low moisture, protection from light and oxygen

Sterols

  • Relatively stable under proper storage conditions; susceptible to oxidation
  • Oxidation, particularly accelerated by heat and light
  • Antioxidants, low moisture, protection from light and oxygen

Saponins

  • Generally stable under proper storage conditions
  • Hydrolysis in presence of moisture
  • Low moisture, controlled temperature

Alkaloids

  • Variable stability depending on specific structure
  • Oxidation, hydrolysis
  • Low moisture, protection from light and oxygen

Formulation Stability

Dried Root: Most stable form; natural protective structures intact

Root Powder: More susceptible to oxidation and moisture due to increased surface area

Standardized Extracts: Stability varies by extraction method and additives; generally stable when properly stored

Tinctures: Alcohol content helps preserve bioactive compounds; generally good stability

Capsules: Generally stable; vegetable capsules may be more susceptible to moisture than gelatin

Tablets: Compressed tablets typically have good stability; coating can provide additional protection

Signs Of Degradation

Color changes (darkening or fading of powder or extract), Unusual odor development or loss of characteristic aroma, Clumping or caking of powders, Changes in taste (increased bitterness or off-flavors), Visible mold or other contamination

Stability Testing Methods

Accelerated stability testing under controlled temperature and humidity, Real-time stability testing, HPLC analysis of marker compounds (flavonoids, sterols) over time, Microbial limit testing, Sensory evaluation

Extraction Method Stability Impact

Alcohol Extraction: Generally good stability due to antimicrobial properties of alcohol

Water Extraction: More susceptible to microbial degradation; shorter shelf life without preservatives

Mixed Solvent Extraction: Stability depends on final solvent composition and processing

Standardization Process: May enhance stability by removing unstable compounds or adding stabilizers

Travel Considerations

Short Term: Original packaging sufficient for short trips

Long Term: Transfer to airtight travel containers; consider desiccant packets

Climate Factors: Extra precautions needed in humid or hot environments

Recommendations: Avoid leaving in hot vehicles or direct sunlight; keep in carry-on luggage when flying to avoid extreme temperatures in cargo holds

Practical Recommendations

Purchase Quantity: Purchase amounts that can be used within 6-12 months for powders

Container Transfer: If transferring from original packaging, use airtight, opaque containers

Refrigeration: Generally not necessary but may extend shelf life in very warm climates

Freezing: Possible for long-term storage of powder, but avoid freezing and thawing cycles that can introduce moisture

Potency Retention

Short Term: Minimal loss of potency under proper storage conditions for 6-12 months

Medium Term: Gradual decline in potency over 1-2 years, but still generally effective

Long Term: Significant decline in potency after 2-3 years, particularly for powders and non-standardized preparations

Compound Specific: Different bioactive compounds degrade at different rates; some more stable than others

Manufacturing Considerations

Processing Temperature: Lower processing temperatures generally preserve more heat-sensitive compounds

Drying Methods: Controlled, low-temperature drying preferred for preserving bioactive compounds

Extraction Solvents: Choice of solvent affects both initial compound profile and long-term stability

Packaging Selection: Appropriate packaging critical for maintaining stability throughout shelf life

Sourcing


Natural Sources

  • Butea superba Roxb., a climbing vine in the Fabaceae (legume) family native to Thailand, Vietnam, India, and other parts of Southeast Asia
  • Root tuber is the primary part used for medicinal purposes, containing the highest concentration of relevant bioactive compounds
  • Wild-harvested from forests in Thailand and neighboring countries
  • Limited commercial cultivation due to slow growth and traditional reliance on wild collection

Geographical Variations

Characteristics Active Compounds Commercial Significance
Thai Butea superba is traditionally considered the premium source and most extensively studied May have optimal phytochemical profile due to traditional growing conditions Primary commercial source for global supplements
Similar species with potentially different chemotypes May have similar compound profiles but potentially different ratios Secondary commercial source
Less commonly used commercially but has traditional use in some regions Less studied than Thai varieties Limited global presence

Seasonal Considerations

  • Traditionally harvested during the dry season when the plant is dormant
  • Bioactive compound concentrations may vary seasonally
  • Older plants (3+ years) typically preferred for higher concentration of active compounds

Traditional Preparation

  • Carefully cleaned and dried at controlled temperatures to preserve active compounds
  • Traditional processing often involves specific drying and storage methods
  • Used in traditional Thai medicine for centuries

Modern Processing Methods

Method Description Benefits Limitations
Alcohol extraction Uses ethanol or ethanol-water mixtures to extract both water-soluble and fat-soluble compounds Extracts a wide range of bioactive compounds including flavonoids and sterols Alcohol content may be a concern for some individuals
Water extraction Uses water to extract water-soluble compounds Alcohol-free; more similar to traditional preparations Less effective for extracting lipophilic compounds
Standardization Processing to ensure consistent levels of specific bioactive compounds More consistent therapeutic effects; better quality control May focus on specific compounds at the expense of the full spectrum
Spray drying Converting liquid extracts into powder form Improved stability and convenience Heat exposure may degrade some compounds

Commercial Forms

Form Typical Potency Typical Use
Standardized extracts Standardized to specific compounds or extract ratios (e.g., 10:1, 20:1) Dietary supplements focused on male sexual health
Dried root powder Natural concentration of bioactive compounds Traditional herbal preparations, capsules, tablets
Tinctures Variable depending on extraction method and ratio Liquid herbal supplements
Combination products Variable, often combined with other herbs for male sexual health Targeted sexual health supplements

Quality Considerations

  • Proper botanical identification is crucial; confusion with other Butea species possible
  • Root tuber is used for sexual health; other plant parts have different compound profiles
  • Age of plant and harvest season affect compound profile
  • Drying temperature and extraction methods significantly affect compound profile
  • Various approaches including extract ratio or flavonoid content
  • Testing for heavy metals, pesticides, and microbial contamination important

Sustainability Issues

  • Increasing commercial demand has led to overharvesting concerns in some regions
  • Plants take 3+ years to develop medicinal-quality roots, creating sustainability challenges
  • Difficult to cultivate commercially due to growth requirements and time to maturity
  • Not currently endangered but monitoring warranted due to increasing demand
  • Fair labor practices in harvesting and processing

Testing And Verification

Methods Key Markers Standardization Parameters Common Concerns
  • Macroscopic and microscopic examination
  • HPLC fingerprinting
  • DNA barcoding
Characteristic root morphology; specific flavonoid profile
  • HPLC quantification of marker compounds
  • Total flavonoid assays
Extract ratio; specific bioactive compounds
  • Heavy metal analysis
  • Microbial testing
  • Pesticide residue analysis
As a root crop, heavy metal testing particularly important

Sourcing Recommendations

  • Look for products specifying Thai origin, particularly from traditional growing regions
  • Clear information about extraction method and standardization
  • Independent verification of identity, potency, and purity
  • Information about harvesting practices and environmental impact
  • Preference for roots from mature plants (3+ years old)

Adulteration Concerns

  • Other Butea species, synthetic hormones, pharmaceutical PDE-5 inhibitors
  • HPLC, mass spectrometry, and other analytical techniques can identify adulterants
  • Adulteration more common in products marketed specifically for erectile dysfunction
  • Purchase from reputable companies with transparent testing practices

Traditional Knowledge

  • Long history in traditional Thai medicine as a male sexual tonic
  • Traditional knowledge includes specific harvesting times and methods
  • Traditional processing methods developed to optimize potency
  • Traditionally often used in formulas with other herbs

Historical Usage


Traditional Medicine Systems

Thai

Historical Period: Documented use dating back several centuries in traditional Thai medicine
Traditional Names: Kwao Kreu Daeng (Red Kwao Krua)
Primary Uses:
  • Male sexual vitality and potency
  • Treatment of erectile dysfunction
  • Enhancement of libido
  • General male tonic
  • Longevity and anti-aging
Preparation Methods: Root typically dried and prepared as decoctions, powders, or alcohol extracts

Other Southeast Asian

Historical Period: Traditional use in various Southeast Asian medical systems
Primary Uses:
  • Male sexual health
  • Vitality enhancement
  • Adaptogenic tonic
Preparation Methods: Various traditional preparations similar to Thai methods

Ayurvedic

Historical Period: Limited but documented use in some Ayurvedic traditions
Primary Uses:
  • Male reproductive health
  • Vitality enhancement
Preparation Methods: Various traditional Ayurvedic preparations

Cultural Significance

Folklore: Featured in Thai folklore as a potent male tonic

Gender Associations: Traditionally associated with male energy and vitality

Symbolic Importance: Red color of the root associated with blood, vitality, and masculine energy in Thai culture

Social Practices: Traditional use often accompanied by specific rituals or preparation methods

Historical Applications

Sexual Health

  • Traditional remedy for difficulty achieving or maintaining erection
  • Used to enhance sexual desire and performance
  • Sometimes used to support male fertility

Vitality And Energy

  • Used as a general tonic for energy and vitality
  • Traditional remedy to counter age-related decline in energy and sexual function
  • Used to enhance physical strength and endurance

Adaptogenic Use

  • Traditional use to enhance resilience to physical and mental stress
  • Used to promote general health and wellbeing

Historical Preparation Methods

Method Description Traditional Rationale
Decoction Roots simmered in water for extended periods to extract water-soluble compounds Believed to extract the medicinal properties effectively from the tough root material
Alcohol extraction Roots macerated in local alcoholic beverages to extract both water-soluble and alcohol-soluble compounds Enhanced extraction of certain compounds and preserved the medicine
Dried powder Dried roots ground into powder and consumed directly or mixed with honey or other vehicles Convenient form for consumption and storage
Combination formulas Often combined with other herbs in traditional formulations Synergistic effects and balanced properties

Evolution Of Use

Ancient Period: Early use in indigenous Thai and Southeast Asian medicine

Traditional Period: Refinement of specific applications and preparation methods

Modern Traditional: Continued use in traditional Thai medicine with more standardized approaches

Contemporary Adaptation: Integration into modern supplement market with scientific investigation of traditional claims

Traditional Knowledge Documentation

Oral Traditions: Significant body of knowledge passed through generations of traditional healers

Traditional Texts: Documented in traditional Thai medical texts

Modern Documentation: Increasing scientific documentation of traditional uses and mechanisms

Ethnobotanical Research: Modern documentation of traditional uses across Southeast Asia

Traditional Dosing Practices

Decoctions: Typically prepared with specific amounts of root per volume of water

Powders: Traditional doses typically ranged from 500-1,500 mg daily

Duration Of Use: Often used for extended periods for chronic conditions

Timing: Specific timing recommendations in some traditions (morning, before meals, etc.)

Historical Efficacy Observations

Sexual Function: Consistent historical reports of improvement in male sexual function

Energy Effects: Traditional observations of enhanced energy and vitality

Adaptogenic Effects: Historical reports of improved stress resilience and overall wellbeing

Limitations: Traditional use did not distinguish between physiological, psychological, and placebo effects

Transition To Modern Use

Scientific Investigation: Began in earnest in the late 20th century, primarily in Thailand

Commercialization: Global market expansion beginning in the early 2000s

Standardization: Development of standardized extracts for clinical use

Research Focus: Scientific investigation of mechanisms related to sexual function and hormonal effects

Red Vs White Kwao Krua

Botanical Distinction: Red Kwao Krua (Butea superba) vs. White Kwao Krua (Pueraria mirifica)

Traditional Differentiation: Red traditionally used for men, White traditionally used for women

Opposite Effects: Traditional understanding that they have somewhat opposing hormonal effects

Usage Cautions: Traditional warnings against using the wrong type for one’s gender

Historical Safety Observations

Traditional Cautions: Traditional use included specific dosing guidelines and preparation methods

Contraindications: Traditional contraindications for certain conditions or constitutions

Gender Specificity: Traditionally considered specifically for men, with cautions against use by women

Preparation Importance: Traditional processing methods may have addressed certain safety concerns

Geographical Distribution Of Use

Primary Regions: Thailand, particularly northern and northeastern regions

Secondary Regions: Other parts of Southeast Asia including Vietnam, Cambodia, and parts of India

Modern Global Spread: Now used globally, with strongest traditional roots in Thai medicine

Comparison To Other Traditional Aphrodisiacs

Vs Tongkat Ali: Different traditional uses and mechanisms, though both used for male sexual health

Vs Tribulus: Different traditional origins but some overlap in applications

Vs Ginseng: Less broad in traditional applications than ginseng, more specifically focused on male sexual health

Complementary Use: Sometimes traditionally used in combination with other male tonics

Traditional Harvesting Practices

Timing: Specific traditional timing for harvest based on plant age and season

Selection: Traditional methods for selecting the most potent roots

Sustainability: Traditional practices often included sustainable harvesting methods

Rituals: Some traditional harvesting practices included specific rituals or observances

Modern Traditional Use

Current Status In Thailand: Still used in traditional Thai medicine alongside modern approaches

Integration With Modern Medicine: Some integration with modern medical approaches in Thailand

Preservation Efforts: Efforts to preserve traditional knowledge about proper use and preparation

Challenges: Challenges in sustainable sourcing due to increased global demand

Scientific Evidence


Evidence Rating i

2Evidence Rating: Low Evidence – Some small studies with mixed results

Overview

Butea superba has a limited but growing body of scientific evidence supporting some of its traditional uses for male sexual health. Research includes a small number of human clinical trials, several animal studies, and in vitro investigations. The strongest evidence supports its potential benefits for erectile function and libido, with preliminary evidence for hormonal effects. Most studies have been conducted in Thailand, with relatively few published in international peer-reviewed journals.

The quality of available research varies, with many studies having methodological limitations.

Key Studies

Study Title: The use of Butea superba (Roxb.) compared to sildenafil for treating erectile dysfunction
Authors: Cherdshewasart W, Nimsakul N
Publication: BJU International
Year: 2010
Doi: 10.1111/j.1464-410X.2009.09089.x
Url: https://pubmed.ncbi.nlm.nih.gov/20002076/
Study Type: Randomized controlled trial
Population: 35 men with erectile dysfunction (ED)
Findings: Significant improvement in erectile function with 100 mg/day of Butea superba extract compared to placebo after 3 months. Effects were less potent than sildenafil but showed statistical significance. Improvements were noted in all domains of the International Index of Erectile Function (IIEF).
Limitations: Small sample size; limited follow-up; single-center study

Study Title: Effect of Butea superba on reproductive organs, spermatogenesis and fertility of male rats
Authors: Manosroi A, Sanphet K, Saowakon S, Aritajat S, Manosroi J
Publication: Fitoterapia
Year: 2006
Doi: 10.1016/j.fitote.2006.04.004
Url: https://pubmed.ncbi.nlm.nih.gov/16740397/
Study Type: Animal study
Population: Male rats
Findings: Administration of Butea superba extract increased sperm count, weights of reproductive organs, and showed evidence of increased testosterone-like effects. No toxic effects were observed at the doses tested.
Limitations: Animal study; may not directly translate to human effects

Study Title: Evaluation of androgenic activity of Butea superba Roxb., Thai traditional medicine, on the rat prostate
Authors: Cherdshewasart W, Bhuntaku P, Panriansaen R, Dahlan W, Malaivijitnond S
Publication: Asian Journal of Andrology
Year: 2008
Doi: 10.1111/j.1745-7262.2008.00358.x
Url: https://pubmed.ncbi.nlm.nih.gov/18097508/
Study Type: Animal study
Population: Male rats
Findings: Butea superba extract demonstrated androgenic activity by increasing prostate size and expression of androgen receptors in a dose-dependent manner. Effects were comparable to testosterone propionate at higher doses.
Limitations: Animal study; focused specifically on prostatic effects

Study Title: A case of hyperthyroidism due to the abuse of Butea superba
Authors: Geumjeon E, Choe S, Kang W, Choi H
Publication: Yonsei Medical Journal
Year: 2012
Doi: 10.3349/ymj.2012.53.3.676
Url: https://pubmed.ncbi.nlm.nih.gov/22477019/
Study Type: Case report
Population: Single male patient
Findings: Report of hyperthyroidism symptoms in a patient taking high doses of Butea superba. Symptoms resolved after discontinuation, suggesting a potential effect on thyroid function at excessive doses.
Limitations: Single case report; causality not definitively established

Study Title: In vitro effects of Butea superba on penile erectile tissue and its modification of phosphodiesterase
Authors: Tocharus C, Smitasiri Y, Jeenapongsa R
Publication: Urology
Year: 2006
Doi: 10.1016/j.urology.2006.03.005
Url: https://pubmed.ncbi.nlm.nih.gov/16753374/
Study Type: In vitro study
Population: Isolated rat penile tissue
Findings: Butea superba extract caused relaxation of penile tissue and showed inhibitory effects on phosphodiesterase activity, suggesting a mechanism for its traditional use in erectile dysfunction.
Limitations: In vitro study; may not directly translate to in vivo effects

Study Title: Identification of phosphodiesterase 5 inhibitors from Butea superba using a bioassay-guided fractionation
Authors: Roengsumran S, Petsom A, Ngamrojanavanich N, Rugsilp T, Sittiwichienwong P, Khorphueng P, Chaichantipyuth C, Ishikawa T
Publication: Phytotherapy Research
Year: 2000
Doi: 10.1002/1099-1573(200012)14:8<680::AID-PTR767>3.0.CO;2-K
Url: https://pubmed.ncbi.nlm.nih.gov/11114006/
Study Type: In vitro study
Population: Isolated compounds tested on enzyme assays
Findings: Identified specific compounds in Butea superba with phosphodiesterase 5 inhibitory activity, providing a mechanistic explanation for its effects on erectile function.
Limitations: In vitro study focused on isolated compounds

Meta Analyses

Title: No comprehensive meta-analyses on Butea superba have been published in peer-reviewed journals as of last update
Authors: N/A
Publication: N/A
Year: N/A
Doi: N/A
Findings: The lack of meta-analyses reflects the limited number of clinical trials available for systematic review.

Ongoing Trials

Limited information available on ongoing clinical trials, Some research continuing in Thailand on mechanisms of action and clinical applications, Interest in standardization and quality control methods

Research Gaps

Large Scale Trials: Need for larger, well-designed clinical trials with adequate power

Long Term Safety: Limited data on effects beyond several months of use

Hormonal Mechanisms: More detailed investigation of effects on various hormonal pathways

Standardization: Better understanding needed of which compounds should be used for standardization

Bioavailability: Limited research on absorption and metabolism of key compounds

Comparative Effectiveness: Direct comparisons with other treatments for sexual dysfunction

Evidence By Benefit

Erectile Function

  • Moderate
  • Generally positive findings across limited studies
  • Supported by both clinical and mechanistic evidence

Libido Enhancement

  • Preliminary to moderate
  • Consistent findings in limited studies
  • Subjective measures show improvement in available studies

Hormonal Effects

  • Preliminary
  • Some inconsistency in findings
  • Animal studies show stronger evidence than limited human data

Sperm Parameters

  • Preliminary
  • Limited studies with generally positive findings
  • Primarily based on animal research

General Vitality

  • Preliminary
  • Limited evidence
  • Based largely on traditional use and anecdotal reports

Traditional Use Validation

Male Sexual Enhancement: Moderate scientific validation of traditional use for erectile function and libido

Hormonal Effects: Preliminary scientific validation of traditional androgenic applications

Vitality Enhancement: Limited scientific validation of traditional use for general vitality

Preparation Specific Evidence

Standardized Extracts: Most clinical research has used standardized extracts

Traditional Preparations: Less studied in controlled trials but supported by traditional use

Specific Fractions: Some research on isolated compounds or specific fractions

Expert Consensus

Generally recognized as having potential benefits for male sexual function, particularly erectile function and libido. Most experts acknowledge the preliminary nature of some evidence but consider the risk-benefit profile favorable for most healthy adult men when used at appropriate doses. More research is needed to fully establish efficacy and optimal use.

Comparative Evidence

Vs Pde5 Inhibitors: Less potent than pharmaceutical PDE-5 inhibitors like sildenafil, but may offer a more natural approach with potentially fewer side effects

Vs Testosterone Therapy: Less potent than pharmaceutical testosterone but may offer milder effects with potentially fewer risks

Vs Other Herbal Approaches: Limited direct comparisons with other herbs used for similar purposes

Mechanism Validation

Pde5 Inhibition: Well-documented in laboratory studies; likely contributes to erectile effects

Androgenic Activity: Demonstrated in animal studies; human relevance needs further confirmation

Nitric Oxide Enhancement: Some evidence from preclinical studies; likely contributes to erectile effects

Neurotransmitter Effects: Limited research on potential effects on neurotransmitters related to sexual function

Bioactive Compound Research

Flavonoids: Several flavonoids identified and studied for biological activity

Sterols: Present in the plant but less studied for specific contributions

Other Compounds: Various other compounds identified but not fully characterized for activity

Thai Vs International Research

Publication Bias: More studies published in Thai journals than international peer-reviewed journals

Methodological Differences: Some methodological limitations in studies not published in international journals

Translation Limitations: Some Thai studies not readily accessible to international researchers

Research Focus: Thai research often focuses on traditional applications within Thai traditional medicine framework

Disclaimer: The information provided is for educational purposes only and is not intended as medical advice. Always consult with a healthcare professional before starting any supplement regimen, especially if you have pre-existing health conditions or are taking medications.

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