Genitourinary
Overactive bladder (adjunct)
3 plants
Ask Assistant about thisUrgency, frequency, nocturia without infection. A post-void residual, hematuria, and neurologic exam still come first. Cranberry is a UTI-prevention file, not an OAB drug. Saw palmetto is a BPH symptom file in men — not an overactive detrusor therapy. Horsetail is a traditional diuretic, which is the opposite of what nocturia wants.
Primary plants
1CranberryHuman dataVaccinium macrocarpon
UTI-prevention file (proanthocyanidins). Not an OAB antimuscarinic. Useful only if recurrent UTI is the real leftover.
Typical. Juice/extract as in prevention studies if UTI is the story — not for dry OAB.
Safety. Warfarin INR folklore. Sugar load in juice. GI.
Supportive plants2
Saw palmettoHuman dataSerenoa repensBPH LUTS file in men. Borrowed here only if the patient is a man with overlap. Not a woman's OAB drug.
Typical. Fruit extract as labeled for male LUTS overlap only.
Safety. GI. Not a prostate-cancer skip.
Stinging nettleStrong traditionalUrtica dioicaRoot is a BPH-traditional; leaf is a different diuretic/hay-fever object. Easy to mix up.
Typical. If used at all, know which organ you bought.
Safety. Leaf stings fresh. Diuretic leaf can worsen nocturia.
Clinical notes
- New urgency plus hematuria or a smoking history is a bladder-cancer thought, not cranberry.
When this is not enough
- Retention, hematuria, fever/flank pain, cauda equina signs, overflow incontinence
Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.