Evidence Level
Moderate
4 Clinical Trials
5 Documented Benefits
3/5 Evidence Score

Quercetin is a plant flavonoid found in onions, apples and capers, and it is a popular supplement during pollen season. In human trials the clearest effects are small. A pooled analysis of 7 randomized trials found blood pressure fell by about 3 mmHg systolic, and only at 500 mg a day or more. A second pooled analysis of 7 trials found the inflammation marker CRP fell by 0.33 mg/L. In 66 adults with pollen allergy symptoms, 200 mg a day of a quercetin phytosome improved eye itching, sneezing and runny nose scores over 4 weeks. In 40 trained cyclists, 1,000 mg a day was followed by fewer colds after a hard training block, without any change in measured immune markers. Its antioxidant activity has been shown in test tubes, not in people. Quercetin is poorly absorbed, which is why phytosome forms exist. Typical doses are 500 to 1,000 mg a day. It can interact with some medicines, so check with a doctor if you take prescriptions.

Studied Dose 500 to 1,000 mg a day. In pooled blood pressure trials, 500 mg a day or more lowered blood pressure and lower doses did not. The pollen trial used 200 mg a day of a phytosome form and the cyclist trial 1,000 mg a day.
Active Compound Quercetin dihydrate / Quercetin phytosome (Quercefit®)

Benefits

Antioxidant activity in lab studies

In test tube studies quercetin neutralizes free radicals. This has not been confirmed as a measurable antioxidant effect in people taking quercetin supplements.

Anti-inflammatory effects

A pooled analysis of 7 randomized trials found quercetin lowered C-reactive protein, a blood marker of inflammation, by 0.33 mg/L on average. That is a small change. The drop was significant in trials using 500 mg a day or more and in people whose CRP started below 3 mg/L, but the size of the drop was not linked to dose.

Immune support

In a single small trial of 40 trained male cyclists, 1,000 mg a day for 3 weeks before, during and 2 weeks after a hard 3-day training block cut colds in the following 2 weeks to 1 of 20 versus 9 of 20 on placebo. Natural killer cell activity, lymphocyte response and salivary IgA did not differ from placebo.

Nasal and eye comfort in pollen season

In a 4-week randomized placebo-controlled trial of 66 adults aged 22 to 78 with pollen allergy symptoms, 200 mg a day of quercetin as a phytosome (an enhanced-absorption form) improved several self-rated scores, including eye itching, sneezing, runny nose and sleep. This was a single small trial, and the result belongs to that form and dose.

Healthy blood pressure

A pooled analysis of 7 randomized trials in 587 people found quercetin lowered systolic blood pressure by about 3.0 mmHg and diastolic by about 2.6 mmHg. The effect was seen at 500 mg a day or more (systolic down 4.45 mmHg) but not at lower doses, although a direct test of the dose difference was not significant.

Mechanism of action

1

Free radical scavenging (laboratory)

In test tube studies quercetin donates electrons to unstable molecules called free radicals. Whether this happens at the low blood levels reached after a supplement is not known.

2

Anti-inflammatory signaling

In laboratory studies quercetin dampens NF-kB signaling, a switch that turns on inflammatory messengers. In people, pooled randomized trials show a small fall in C-reactive protein of about 0.33 mg/L.

3

Histamine and mast cells (laboratory)

In laboratory work quercetin makes mast cells less likely to release histamine. This is the usual explanation offered for the pollen season results, but the human trial did not measure histamine.

4

Absorption

Quercetin is poorly absorbed from the gut. Phytosome forms bind it to lecithin to improve uptake, and the pollen season trial used such a form.

Clinical trials

1
Quercetin and Blood Pressure: Meta-Analysis
PubMed

Systematic review and meta-analysis of 7 placebo-controlled randomized trials (9 treatment arms, 587 people) of quercetin supplements. (Serban et al. 2016, J Am Heart Assoc)

587 adults across 7 trials.

Systolic blood pressure fell by 3.04 mmHg and diastolic by 2.63 mmHg versus placebo. At 500 mg a day or more the falls were 4.45 and 2.98 mmHg; below 500 mg a day there was no significant effect, although indirect comparison did not show a significant difference between dose groups.

2
Quercetin and C-Reactive Protein: Meta-Analysis
PubMed

Systematic review and meta-analysis of 7 randomized controlled trials (10 treatment arms) of quercetin and blood CRP, an inflammation marker. (Mohammadi-Sartang et al. 2017, Eur J Clin Nutr)

Adults across 7 trials.

CRP fell by 0.33 mg/L on average. The drop was significant in trials using 500 mg a day or more and in people starting with CRP below 3 mg/L. Meta-regression found no link between the change in CRP and dose or starting CRP.

3
Quercetin and Colds After Intense Exercise
PubMed

Randomized double-blind placebo-controlled trial: 1,000 mg a day for 3 weeks before, during and 2 weeks after 3 days of 3-hour cycling sessions. (Nieman et al. 2007, Med Sci Sports Exerc)

40 trained male cyclists.

Upper respiratory infections in the 2 weeks after the training block: 1 of 20 on quercetin versus 9 of 20 on placebo (P=0.004). Exercise-induced changes in natural killer cell activity, lymphocyte proliferation, oxidative burst activity and salivary IgA did not differ from placebo.

4
Quercetin Phytosome and Pollen Season Symptoms
PubMed

4-week randomized placebo-controlled double-blind parallel-group trial of 200 mg a day of quercetin as Quercetin phytosome. (Yamada et al. 2022, Eur Rev Med Pharmacol Sci)

66 Japanese adults aged 22 to 78 with pollen allergy symptoms of the eyes and nose.

Several self-rated quality of life scores improved versus placebo, including eye itching, sneezing, nasal discharge and sleep disturbance. Only minor adverse effects were noted. The trial was small and tested one specific formulation.

Side effects and drug interactions

Common Potential side effects

Gastrointestinal upset: Nausea, stomach pain, diarrhea
Headaches or tingling sensations.
Allergic reactions: Rash, itching, or breathing difficulties, especially in those sensitive to flavonoids.

Important Drug interactions

Cyclosporine and tacrolimus: in laboratory studies quercetin blocks CYP3A4 and P-glycoprotein, which help clear these drugs, so it could raise their blood levels. Do not combine without your doctor's advice.
Warfarin: in laboratory studies quercetin blocks CYP2C9, the main enzyme that clears warfarin, which could raise warfarin levels. Tell your doctor and have your INR checked if you combine them.
Digoxin: quercetin blocks the P-glycoprotein transporter in laboratory studies, which could raise digoxin levels. Ask your doctor before combining.
Quinolone antibiotics such as ciprofloxacin: laboratory studies suggest quercetin may interfere with these antibiotics. Ask your pharmacist before combining.

Frequently asked questions about Quercetin

How much quercetin should I take?

Common doses are 500 to 1,000 mg a day, often split into two. In pooled blood pressure trials, 500 mg a day or more lowered blood pressure while lower doses did not, so check what the label actually supplies.

What is quercetin used for?

Quercetin is a plant flavonoid found in onions, apples and capers. Human trials show small drops in blood pressure and in the inflammation marker CRP, better eye and nose comfort scores in adults with pollen allergy symptoms, and fewer colds in a small trial of trained cyclists after hard training. Its antioxidant activity has been shown in test tubes rather than in people.

How can I improve quercetin absorption?

Quercetin is poorly absorbed on its own. Phytosome forms bind it to lecithin to improve uptake, and the pollen season trial used 200 mg a day of such a form. Products also pair it with bromelain or vitamin C, but those pairings have not been tested in the trials summarized above.

Is quercetin safe to take every day?

At typical doses of 500 to 1,000 mg a day, quercetin is generally well tolerated. Very high long-term doses have not been well studied, and it can interact with some medicines, including certain antibiotics, blood thinners and immunosuppressants, so check with your doctor if you take prescriptions.

What is Quercetin?

Quercetin is a plant flavonoid found in onions, apples and capers, and it is a popular supplement during pollen season. In human trials the clearest effects are small. A pooled analysis of 7 randomized trials found blood pressure fell by about 3 mmHg systolic, and only at 500 mg a day or more.

What is the recommended dosage of Quercetin?

The clinically studied dose is 500 to 1,000 mg a day. In pooled blood pressure trials, 500 mg a day or more lowered blood pressure and lower doses did not. The pollen trial used 200 mg a day of a phytosome form and the cyclist trial 1,000 mg a day. Always follow the product label and check with a healthcare provider for personal advice.

Is Quercetin safe, and does it have side effects?

For most healthy adults, Quercetin is well tolerated at studied doses. Reported effects can include: Gastrointestinal upset: Nausea, stomach pain, diarrhea Headaches or tingling sensations. It may also interact with some medications. Quercetin is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Quercetin interact with any medications?

Possible interactions include: Cyclosporine and tacrolimus: in laboratory studies quercetin blocks CYP3A4 and P-glycoprotein, which help clear these drugs, so it could raise their blood levels. Do not combine without your doctor's advice. If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Quercetin?

NutraSmarts rates the evidence for Quercetin as Moderate (3 out of 5). It is backed by 4 clinical trials and 4 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(4 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Serban MC, Sahebkar A, Zanchetti A, Mikhailidis DP, Howard G, Antal D, Andrica F, Ahmed A, Aronow WS, Muntner P, Lip GY, Graham I, Wong N, Rysz J, Banach M, Lipid and Blood Pressure Meta-analysis Collaboration (LBPMC) Group. Effects of Quercetin on Blood Pressure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Am Heart Assoc. 2016;5(7):e002713. doi: 10.1161/JAHA.115.002713.PubMedUsed to support: Meta-analysis of 7 randomized trials (587 people). Quercetin lowered systolic blood pressure by 3.04 mmHg and diastolic by 2.63 mmHg. At 500 mg a day or more the falls were 4.45 and 2.98 mmHg; below 500 mg a day there was no significant effect, though indirect tests did not show a significant difference between dose groups.
  2. Nieman DC, Henson DA, Gross SJ, Jenkins DP, Davis JM, Murphy EA, Carmichael MD, Dumke CL, Utter AC, McAnulty SR, McAnulty LS, Mayer EP. Quercetin reduces illness but not immune perturbations after intensive exercise. Med Sci Sports Exerc. 2007;39(9):1561-9. doi: 10.1249/mss.0b013e318076b566.PubMedUsed to support: Randomized trial in 40 trained male cyclists: 1,000 mg a day of quercetin cut upper respiratory infections in the 2 weeks after a hard 3-day training block (1 of 20 versus 9 of 20 on placebo, P=0.004) but did not change natural killer cell activity, lymphocyte proliferation, oxidative burst activity or salivary IgA.
  3. Mohammadi-Sartang M, Mazloom Z, Sherafatmanesh S, Ghorbani M, Firoozi D. Effects of supplementation with quercetin on plasma C-reactive protein concentrations: a systematic review and meta-analysis of randomized controlled trials. Eur J Clin Nutr. 2017;71(9):1033-1039. doi: 10.1038/ejcn.2017.55.PubMedUsed to support: Meta-analysis of 7 randomized trials: quercetin lowered circulating CRP by 0.33 mg/L. The effect was significant in trials at 500 mg a day or more and in people with CRP below 3 mg/L, while meta-regression found no association between the change in CRP and dose or baseline CRP.
  4. Yamada S, Shirai M, Inaba Y, Takara T. Effects of repeated oral intake of a quercetin-containing supplement on allergic reaction: a randomized, placebo-controlled, double-blind parallel-group study. Eur Rev Med Pharmacol Sci. 2022;26(12):4331-4345. doi: 10.26355/eurrev_202206_29072.PubMedUsed to support: 4-week randomized placebo-controlled trial in 66 adults aged 22 to 78 with pollen allergy symptoms: 200 mg a day of quercetin as a phytosome improved several self-rated eye, nose and sleep scores versus placebo. Small trial of one specific formulation.