September 1, 2024

The Science Behind Quercetin in Urology: Benefits and Uses

Written by
Edward Calleja
General Urology
Testicle Conditions
Prostate Conditions
Wave Blue

What is Quercetin?

Quercetin is a type of flavonoid, which is a naturally occurring compound found in various fruits, vegetables, and grains. Known for its powerful antioxidant properties, quercetin helps combat inflammation and oxidative stress in the body. Common dietary sources of quercetin include apples, onions, berries, and green tea.

How Does Quercetin Benefit Urological Health?

Quercetin has been studied for its potential benefits in various urological conditions. Its anti-inflammatory and antioxidant properties make it a promising candidate for supporting bladder health, prostate health, and managing chronic pain.

How Does Quercetin Support Bladder Health?

What Are Common Bladder Health Issues?

Bladder health issues can include conditions like interstitial cystitis (a chronic condition causing bladder pressure and pain) and overactive bladder. These conditions can significantly impact quality of life.

How Can Quercetin Help?

Quercetin may support bladder health by:

  • Reducing Bladder Inflammation: Quercetin’s anti-inflammatory properties can help manage bladder conditions like interstitial cystitis.
  • Alleviating Symptoms: By reducing inflammation, quercetin can help alleviate symptoms such as bladder pain and frequent urination.

What Does the Research Say?

A study published in the "Journal of Urology" found that quercetin significantly reduced symptoms of interstitial cystitis in patients who took it as a supplement. Participants reported decreased pain and improved urinary function. However, further research is necessary to establish standardized dosing and long-term efficacy.

Can Quercetin Improve Prostate Health?

What Are Common Prostate Issues?

Common prostate issues include benign prostatic hyperplasia (BPH) (enlarged prostate) and prostatitis (inflammation of the prostate). These conditions can cause urinary problems and discomfort.

How Can Quercetin Help?

Quercetin can benefit prostate health by:

  • Reducing Inflammation: Its anti-inflammatory effects can help manage prostatitis and BPH.
  • Alleviating Symptoms: Quercetin can reduce symptoms such as urinary frequency, urgency, and discomfort.

What Does the Research Say?

A study found that men with chronic prostatitis who took quercetin supplements experienced significant improvements in pain and urinary symptoms. Quercetin’s ability to reduce prostate inflammation was highlighted as a key factor in these improvements.

Non-Traditional Dietary Supplements and CPPS

Non-traditional dietary supplements are gaining popularity in the treatment of chronic pelvic pain syndrome (CPPS). In a rigorous double-blind, placebo-controlled study, it was discovered that quercetin, a bioflavonoid, significantly alleviated symptoms in patients suffering from CPPS IIIA and IIIB. Quercetin is known for its multiple beneficial properties, including its antioxidant capabilities, inhibition of tyrosine kinase and nitric oxide, as well as its anti-inflammatory effects, which involve blocking inflammation mediators such as chemokines and cytokines. Although the precise mechanism by which quercetin operates remains unclear, the study noted substantial reductions in prostatic fluid isoprostane levels, which are considered indicators of oxidative stress within the prostate.

Does Quercetin Help with Chronic Testicular Pain?

What Is Chronic Testicular Pain?

Chronic testicular pain can be caused by conditions such as epididymitis (inflammation of the tube at the back of the testicle) or orchitis (inflammation of one or both testicles). This pain can be persistent and affect daily activities.

How Can Quercetin Help?

Quercetin may help manage chronic testicular pain by:

  • Reducing Inflammation: Its anti-inflammatory properties can alleviate pain and swelling associated with epididymitis and orchitis.
  • Providing Antioxidant Support: Quercetin’s antioxidant effects can protect testicular tissue from oxidative stress, potentially reducing pain.

What Does the Research Say?

While specific research on quercetin for chronic testicular pain is limited, studies on its anti-inflammatory and antioxidant properties suggest it could be beneficial. Anecdotal evidence and preliminary studies indicate that quercetin supplements may help reduce pain and improve quality of life for those with chronic testicular pain.

How is Quercetin Commonly Used?

Adults most often use quercetin in daily doses ranging from 250 to 1000 mg, typically taken orally for up to 12 weeks.

Is Quercetin Safe to Use?

When taken orally, quercetin is generally considered safe for most people when used short-term. It has been used safely in doses up to 1 gram daily for up to 12 weeks. However, the safety of long-term use or higher doses is not well-established.

Potential Drug Interactions with Quercetin

When considering quercetin supplements, it is important to be aware of potential interactions with medications. Here are some key interactions:

  • Quinolone Antibiotics: Quercetin might reduce the effectiveness of certain antibiotics, but more research is needed to determine the significance of this interaction.
  • Cyclosporine: Quercetin may slow down how quickly the body breaks down cyclosporine, potentially increasing its effects and side effects.
  • Medications Metabolised by the Liver (CYP2C8, CYP2C9, CYP2D6, CYP3A4 substrates): Quercetin can alter the rate at which these medications are metabolised, affecting their efficacy and side effects.
  • P-Glycoprotein Substrates: Quercetin might interfere with cellular pumps, affecting how drugs are transported in and out of cells.
  • Warfarin: Taking quercetin with warfarin might enhance its effects, increasing the risk of bleeding and bruising.
  • Antihypertensive Drugs: Quercetin can lower blood pressure, which, when combined with blood pressure medications, might cause blood pressure to drop too low.
  • Organic Anion-Transporting Polypeptide (OATP) Substrates: Quercetin can impact the function of these cellular pumps, altering drug concentrations in the body.
  • Midazolam: Quercetin may accelerate the breakdown of midazolam, reducing its effectiveness.
  • Pravastatin: Quercetin might slow the elimination of pravastatin, increasing its effects and side effects.
  • Antidiabetes Drugs: Quercetin can lower blood sugar levels, which may result in hypoglycemia when taken with diabetes medications.
  • Diclofenac: Quercetin might decrease the breakdown of diclofenac, enhancing its effects and side effects.
  • Losartan: Quercetin can alter how the body absorbs and processes losartan, impacting its efficacy and side effects.
  • Quetiapine: Quercetin might increase the levels of quetiapine, intensifying its effects and side effects.
  • Mitoxantrone: Quercetin might elevate mitoxantrone levels, increasing its effects and side effects.
  • Prazosin: Quercetin might raise prazosin levels, heightening its effects and side effects.
  • Sulfasalazine: Quercetin might increase the levels of sulfasalazine, enhancing its effects and side effects.

Reflection from a urologist

Quercetin shows promise in supporting various aspects of urological health, including improving bladder health, enhancing prostate health, and potentially alleviating chronic testicular pain. Its anti-inflammatory and antioxidant properties are key to these benefits. However, more research, particularly human studies, is needed to fully understand its effectiveness and establish optimal dosages.

Quercetin is generally considered safe when consumed in dietary amounts.