DRUGS AND SUPPLEMENTS

Celery (Apium graveolens)

March 22, 2017

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Celery (Apium graveolens)

Natural Standard Bottom Line Monograph, Copyright © 2013 (www.naturalstandard.com). Commercial distribution prohibited. This monograph is intended for informational purposes only, and should not be interpreted as specific medical advice. You should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

While some complementary and alternative techniques have been studied scientifically, high-quality data regarding safety, effectiveness, and mechanism of action are limited or controversial for most therapies. Whenever possible, it is recommended that practitioners be licensed by a recognized professional organization that adheres to clearly published standards. In addition, before starting a new technique or engaging a practitioner, it is recommended that patients speak with their primary healthcare provider(s). Potential benefits, risks (including financial costs), and alternatives should be carefully considered. The below monograph is designed to provide historical background and an overview of clinically-oriented research, and neither advocates for or against the use of a particular therapy.

Related Terms

  • 7-O-apiosylglucoside, alpha-methylene gamma-butyrolactone group, Api g, Api g 4, Api g 4 profilin, Apiaceae (family), apigenin, Apium graveolens spp., ascorbic acid, bergapten, celeriac, celery extract, celery juice, celery profilin, celery root, celery seed, celery seed oil, celery soup, celery spice, celery tuber, cross-reactive carbohydrate determinants, crude celery, falcarindiol, falcarinol, furocoumarins, immunogenic food, isopimpinellin, luteolin, methoxsalen (8-methoxypsoralen), methoxypsoralen, phthalide, profilin, psoralen, raw celery, sedanolide, seselin, sodium, Umbelliferae (family), xanthotoxin.

Background

  • Wild celery is found throughout Europe, around the Mediterranean, and in parts of Asia. The leaves, stalks, root, and seeds are edible. In Western cuisine, the stalks of its domesticated relative are commonly eaten raw alone or in salads, or as a cooked ingredient in various recipes. Celery seed has also been used as a diuretic and to treat gout.

  • Allergy to celery is fairly common, as celery contains an allergen similar to the birch pollen allergen. Both raw and cooked celery may cause reactions that range from contact dermatitis to anaphylactic shock. Celery contains the chemical psoralen. Contact with or ingestion of cooked or raw celery followed by exposure to ultraviolet radiation (such as from tanning) may cause an acute skin reaction, with symptoms including swelling and redness or, with ongoing exposure, excess skin darkening at the contact site.

  • The ancient Greeks and Egyptians cultivated celery, which was probably originally used as a medicine. Some Egyptian tombs also contained celery leaves and flowers.

Scientific Evidence

Uses

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Grade*

Dysmenorrhea (painful menstruation)

According to preliminary research, an herbal product containing celery may be useful for painful menstruation. Research evaluating celery alone for this use is needed.

C

High blood pressure

According to preliminary research, celery may lower blood pressure. Caution is warranted, as celery may contain sodium. High-quality research is needed before a conclusion can be drawn.

C

Mosquito repellent

Preliminary research suggests that a celery extract may be an effective mosquito repellent. Additional research is needed in this area.

C

*Key to grades:A: Strong scientific evidence for this use; B: Good scientific evidence for this use; C: Unclear scientific evidence for this use; D: Fair scientific evidence against this use (it may not work); F: Strong scientific evidence against this use (it likely does not work).

Tradition/Theory

The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious and should be evaluated by a qualified health care professional.

  • Aflatoxin toxicity, anthelmintic (acts against parasitic worms), antibacterial, anticonvulsant, antifungal, anti-inflammatory, antimicrobial, antioxidant, antiseptic, arthritis, athletic performance, breast cancer, cancer, cerebral ischemia (insufficient blood flow to the brain), chemotherapy side effects, colon cancer, cystitis (bladder inflammation), dental conditions, detoxification, diabetes, diuretic (increases urination), energy enhancement, fever, food preservative, gastric cancer, gout, high cholesterol, inflammatory joint diseases (rheumatoid arthritis, osteoarthritis), insecticide, jaundice, kidney disorders, leukemia, liver cancer, liver damage from drugs or toxins, liver protection, lung cancer, multiple sclerosis, neuroprotection, pain, parasitic infections, reproduction disorders, rheumatism, tonic, toxicity, ulcer, weight loss.

Dosing

The below doses are based on scientific research, publications, traditional use, or expert opinion. Many herbs and supplements have not been thoroughly tested, and safety and effectiveness may not be proven. Brands may be made differently, with variable ingredients, even within the same brand. The below doses may not apply to all products. You should read product labels, and discuss doses with a qualified healthcare provider before starting therapy.

Adults (over 18 years old)

  • A celery-based product has been used on the skin as a mosquito repellant.

Children (under 18 years old)

  • There is no proven safe or effective dose for celery in children.

Safety

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Allergies

  • Avoid with known allergy or hypersensitivity to celery (Apium graveolens), its constituents, or members of the Apiaceae or Umbelliferae families.

  • Allergy to celery is fairly common, as celery contains an allergen similar to the birch pollen allergen. Other chemical compounds related to birch pollen allergens are those found in apple, cherry, hazelnut, carrot, and soybean. Specific reported cross-sensitivities include anise, apple, Artemisia vulgaris pollen, birch pollen, caraway, carrot, chamomile, Chinese bellflower root, coriander, corn, cucumber, cumin, fennel, garlic, grape, grass pollens, hazelnut, hops, latex, legumes, mango, mugwort pollen, nuts, olive pollen, onion, paprika, parsley, parsnip, peaches, peanut, pepper, pineapple, pistachio nuts, poppy, potato, ragweed, rice, spices, sunflower, tomato, watermelon, and zucchini.

  • Allergy to celery, mugwort, birch, dandelion, and carrot may be called "celery-carrot-mugwort-condiment" or "celery-carrot-mugwort-spice" syndrome.

  • Raw or cooked celery or celery juice may cause allergic reactions. Symptoms of celery allergy include oral allergy syndrome, eczema (skin rashes), swelling under the skin, burning or inflammation of the skin following exposure to light, hives, dermatitis (skin inflammation), laryngeal swelling, celery-dependent exercise-induced anaphylaxis (life-threatening reaction), anaphylactic shock (life-threatening reaction), intoxication, and swelling. Immediate symptoms of skin inflammation caused by celery and light exposure include skin eruption with swelling and redness; the main long-term symptom is darkening of the skin at the eruption site.

  • Oral celery juice been used for successful hyposensitization (to make less sensitive to something).

  • Intake of allergenic foods such as celery during pregnancy may increase the risk of sensitization (to make more sensitive) to food allergens.

Side Effects and Warnings

  • Celery may cause low blood pressure. Caution is advised in patients taking drugs, herbs, or supplements that lower blood pressure. Use cautiously in patients with high blood pressure, as celery contains relatively high amounts of sodium (3-9 milligrams per two grams).

  • Celery may increase the risk of bleeding. Caution is advised in patients with bleeding disorders or those taking drugs, herbs, or supplements that may increase the risk of bleeding. Dosing adjustments may be necessary.

  • Celery may interfere with the way the body processes certain drugs using the liver's cytochrome P450 enzyme system. As a result, the levels of these drugs may be decreased or increased in the blood and may cause altered effects or potentially serious adverse reactions. Patients taking any medications should check the package insert and speak with a qualified healthcare professional, including a pharmacist, about possible interactions.

  • Drowsiness or sedation may occur. Use caution if driving or operating heavy machinery.

  • Use cautiously in patients who will be exposed to ultraviolet radiation.

  • Use cautiously in patients using photosensitizing (to make sensitive to light) agents, as celery may increase the risk of sun damage. Some chemical compounds in food plants of the Apiaceae family, including celery, have displayed neurotoxic (toxic to neurons) effects.

  • Use cautiously in patients taking cholesterol- and triglyceride-lowering agents, as celery extract may reduce serum total cholesterol, high-density lipoprotein (HDL) cholesterol, and low-density lipoprotein (LDL) cholesterol, and may either increase or decrease triglyceride levels.

  • Use cautiously in patients with bile secretion disorders or those with misaligned teeth.

  • Use cautiously in those using anticonvulsants, as pretreatment with celery juices prolonged the action of pentobarbital.

  • Avoid in patients eating large amounts of psoralen-containing foods or herbs.

  • Avoid medicinal amounts during pregnancy, as celery may induce abortion. Intake of allergenic foods such as celery during pregnancy may increase the risk of sensitization (to make more sensitive) to food allergens.

  • Avoid with known allergy or hypersensitivity to celery (Apium graveolens), its constituents, members of the Apiaceae or Umbelliferae family, or any birch pollen-related antigens. Other chemical compounds related to birch pollen allergens are those found in apple, cherry, hazelnut, carrot, and soybean. Specific reported cross-sensitivities include anise, apple, Artemisia vulgaris pollen, birch pollen, caraway, carrot, chamomile, Chinese bellflower root, coriander, corn, cucumber, cumin, fennel, garlic, grape, grass pollens, hazelnut, hops, latex, legumes, mango, mugwort pollen, nuts, olive pollen, onion, paprika, parsley, parsnip, peaches, peanut, pepper, pineapple, pistachio nuts, poppy, potato, ragweed, rice, spices, sunflower, tomato, watermelon, and zucchini. Symptoms of celery allergy include oral allergy syndrome, eczema, swelling under the skin, skin burn or inflammation when exposed to light, hives, skin inflammation, laryngeal swelling, celery-dependent exercise-induced anaphylaxis (life-threatening reaction), anaphylactic shock (life-threatening reaction), intoxication, and swelling.

Pregnancy & Breastfeeding

  • Avoid medicinal amounts during pregnancy, as celery may induce abortion. Intake of allergenic foods such as celery during pregnancy may increase the risk of sensitization (to make more sensitive) to food allergens.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

Interactions with Drugs

  • Celery may increase the risk of bleeding when taken with drugs that increase the risk of bleeding. Some examples include aspirin, anticoagulants (blood thinners) such as warfarin (Coumadin®) or heparin, antiplatelet drugs such as clopidogrel (Plavix®), and nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen (Motrin®, Advil®) or naproxen (Naprosyn®, Aleve®).

  • Celery may cause low blood pressure. Caution is advised in patients taking drugs that lower blood pressure.

  • Celery may interfere with the way the body processes certain drugs using the liver's cytochrome P450 enzyme system. As a result, the levels of these drugs may be decreased or increased in blood and may cause altered effects or potentially serious adverse reactions. Patients using any medications should check the package insert and speak with a qualified healthcare professional, including a pharmacist, about possible interactions.

  • Celery may increase the amount of drowsiness caused by some drugs. Examples include benzodiazepines such as lorazepam (Ativan®) or diazepam (Valium®), barbiturates such as phenobarbital and pentobarbital, narcotics such as codeine, some antidepressants, and alcohol. Caution is advised while driving or operating machinery.

  • Celery may also interact with ACE inhibitors, alcohol, anticonvulsants, antispasmodics, antiulcer agents, aspirin, beta-blockers, cholesterol- and triglyceride-lowering drugs, diuretics, doxorubicin, light-sensitizing agents, pain relievers, salicylates, and valproic acid.

Interactions with Herbs & Dietary Supplements

  • Celery may increase the risk of bleeding when taken with herbs and supplements that are believed to increase the risk of bleeding. Multiple cases of bleeding have been reported with the use of Ginkgo biloba, and fewer cases with garlic and saw palmetto. Numerous other agents may theoretically increase the risk of bleeding, although this has not been proven in most cases.

  • Celery may lower blood pressure. Caution is advised in patients taking other herbs or supplements with blood pressure-altering activity.

  • Celery may interfere with the way the body processes certain herbs or supplements using the liver's cytochrome P450 enzyme system. As a result, the levels of other herbs or supplements may become too low or too high in the blood. It may also alter the effects that other herbs or supplements possibly have on the cytochrome P450 system.

  • Celery may increase the amount of drowsiness caused by some herbs or supplements. Caution is advised while driving or operating machinery.

  • Celery may also interact with anticonvulsants, antioxidants, antispasmodics, antiulcer herbs and supplements, cholesterol- and triglyceride-lowering herbs and supplements, diuretics, insect repellants, light-sensitizing agents, pain relievers, perillyl alcohol-containing agents and foods, psoralens, salicylate-containing herbs, and willow bark.

Author Information

  • This information is based on a systematic review of scientific literature edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).

References

Natural Standard developed the above evidence-based information based on a thorough systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to www.naturalstandard.com. Selected references are listed below.

  1. Asero R, Mistrello G, Roncarolo D, et al. Immunological cross-reactivity between lipid transfer proteins from botanically unrelated plant-derived foods: a clinical study. Allergy 2002;57(10):900-906. View Abstract

  2. Ballmer-Weber BK, Hoffmann A, Wuthrich B, et al. Influence of food processing on the allergenicity of celery: DBPCFC with celery spice and cooked celery in patients with celery allergy. Allergy 2002;57(3):228-235. View Abstract

  3. Cheng MC, Ker YB, Yu TH, et al. Chemical synthesis of 9(Z)-octadecenamide and its hypolipidemic effect: a bioactive agent found in the essential oil of mountain celery seeds. J Agric Food Chem 2010;58(3):1502-1508. View Abstract

  4. Chu YF, Sun J, Wu X, et al. Antioxidant and antiproliferative activities of common vegetables. J Agric Food Chem 2002;50(23):6910-6916. View Abstract

  5. Darsow U, Laifaoui J, Kerschenlohr K, et al. The prevalence of positive reactions in the atopy patch test with aeroallergens and food allergens in subjects with atopic eczema: a European multicenter study. Allergy 2004;59(12):1318-1325. View Abstract

  6. DeLeo VA. Photocontact dermatitis. Dermatol Ther 2004;17(4):279-288. View Abstract

  7. Erdmann SM, Sachs B, Schmidt A, et al. In vitro analysis of birch-pollen-associated food allergy by use of recombinant allergens in the basophil activation test. Int Arch Allergy Immunol 2005;136(3):230-238. View Abstract

  8. Jahn-Schmid B, Radakovics A, Luttkopf D, et al. Bet v 1142-156 is the dominant T-cell epitope of the major birch pollen allergen and important for cross-reactivity with Bet v 1-related food allergens. J Allergy Clin Immunol 2005;116(1):213-219. View Abstract

  9. Moneret-Vautrin DA, Morisset M, Lemerdy P, et al. Food allergy and IgE sensitization caused by spices: CICBAA data (based on 589 cases of food allergy). Allerg Immunol (Paris) 2002;34(4):135-140. View Abstract

  10. Nahid K, Fariborz M, Ataolah G, et al. The effect of an Iranian herbal drug on primary dysmenorrhea: a clinical controlled trial. J Midwifery Womens Health 2009;54(5):401-404. View Abstract

  11. Ott H, Folster-Holst R, Merk HF, et al. Allergen microarrays: a novel tool for high-resolution IgE profiling in adults with atopic dermatitis. Eur J Dermatol 2010;20(1):54-61. View Abstract

  12. Sausenthaler S, Koletzko S, Schaaf B, et al. Maternal diet during pregnancy in relation to eczema and allergic sensitization in the offspring at 2 y of age. Am J Clin Nutr 2007;85(2):530-537. View Abstract

  13. Tuetun B, Choochote W, Pongpaibul Y, et al. Field evaluation of G10, a celery (Apium graveolens)-based topical repellent, against mosquitoes (Diptera: Culicidae) in Chiang Mai province, northern Thailand. Parasitol Res 2009;104(3):515-521. View Abstract

  14. Tuetun B, Choochote W, Pongpaibul Y, et al. Celery-based topical repellents as a potential natural alternative for personal protection against mosquitoes. Parasitol Res 2008;104(1):107-115. View Abstract

  15. Tuetun B, Choochote W, Kanjanapothi D, et al. Repellent properties of celery, Apium graveolens L., compared with commercial repellents, against mosquitoes under laboratory and field conditions. Trop Med Int Health 2005;10(11):1190-1198. View Abstract

Copyright © 2013 Natural Standard (www.naturalstandard.com)

The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

Updated:  

March 22, 2017