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Yannis Lopez
Reviewed by Yannis Lopez · Nutrition Industry Veteran
Last updated: July 10, 2026
Immune Support Herbal Extract

Andrographis

Cold and flu relief, anti-inflammatory support, and immune activation

Used in Ayurveda and TCM for centuries
Strong clinical evidence for URTI relief

FDA Disclaimer: These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Always consult your physician before starting any supplement.

Overview

Andrographis paniculata is a bitter-tasting herb native to South and Southeast Asia, widely used in Ayurvedic medicine and Traditional Chinese Medicine for thousands of years — primarily for fever, respiratory infections, and digestive complaints. In Scandinavia, a proprietary extract called Kan Jang has been a registered herbal medicine for upper respiratory tract infections since the 1980s, backed by multiple clinical trials. It is one of the most rigorously studied herbs for cold and flu relief in modern literature.

The primary active compound is andrographolide, a bitter diterpene lactone that accounts for most of Andrographis’s therapeutic effects. Andrographolide works by inhibiting NF-κB signaling — a master regulator of pro-inflammatory gene expression — which reduces the production of cytokines like IL-6, IL-1β, and TNF-α. This is not simple immune suppression but a modulation of the inflammatory cascade that allows the immune system to respond effectively without the excessive inflammation responsible for many cold and flu symptoms. Andrographolide also has documented direct antiviral effects against influenza and other respiratory viruses in vitro.

Potential Benefits

Cold & Flu Symptom Relief

Meta-analyses of RCTs consistently show that Andrographis reduces the duration and severity of upper respiratory tract infection symptoms when taken at onset. Sore throat, fatigue, nasal congestion, and headache are all improved compared to placebo. It is one of the herbs with the strongest evidence base for URTI relief.

Anti-Inflammatory Effects

Andrographolide inhibits NF-κB, reducing the production of multiple pro-inflammatory cytokines. This is relevant not just for respiratory infections but for general inflammatory conditions. Research is ongoing in areas including rheumatoid arthritis and inflammatory bowel conditions.

Immune Modulation

Unlike simple immune stimulants, Andrographis modulates immune activity — it can upregulate certain immune responses while dampening excessive inflammation. This dual action is why it is used both acutely during illness and, in some protocols, preventively during cold and flu season.

Respiratory Health

Clinical studies on the Kan Jang formulation (Andrographis + Eleutherococcus) have shown significant reductions in sinusitis symptoms and duration. Several Scandinavian trials document improvements in overall respiratory symptom burden in adults with acute uncomplicated respiratory infections.

Typical Dosage
Standard Dose (Acute Use)
200–400mg
Standardized to 4–6% andrographolide. Taken 2–3x daily at first sign of illness. Most RCTs use 4–6 days of treatment.
Timing
Start at first symptom onset
The strongest evidence is for acute use within 24–72 hours of symptom onset. For prevention during high-risk periods, lower doses may be used daily for up to 3 months.
Pro Tips
  • Timing is critical — take within 24–48 hours of first symptoms for maximum benefit
  • It is genuinely bitter — capsule form is much easier than loose powder or tea
  • Do NOT use during pregnancy — may have uterotonic (uterus-contracting) effects
  • May interact with blood thinners and immunosuppressants — consult your doctor if on these medications
Research Snapshot

A 2004 systematic review and meta-analysis by Poolsup et al. published in the Journal of Clinical Pharmacy and Therapeutics evaluated all available RCTs on Andrographis for upper respiratory tract infections. The analysis found that Andrographis extract was significantly superior to placebo in reducing the overall severity of URTI symptoms, with consistent results across multiple independent trials. A separate Cochrane-style review by Coon and Ernst (2004) reached the same conclusion, describing the evidence as “encouraging” and noting a good safety profile.

How Andrographis Compares

Ingredient Best For Key Difference
Andrographis Acute cold/flu relief, anti-inflammatory NF-κB inhibition; strongest evidence for URTI symptom reduction
Elderberry Cold and flu prevention and symptom relief Antiviral flavonoids; both prevention and acute use evidence
Echinacea URTI prevention, immune stimulation More immune-stimulating than anti-inflammatory; more variable clinical evidence
Beta-Glucan Daily immune priming, cholesterol Preventive immune support; not for acute illness treatment

For acute illness relief, Andrographis is one of the better-evidenced herbal options available.

Popular Stacks with Andrographis
Acute Illness Stack
Andrographis + Zinc + Vitamin C
Take at first sign of cold or flu; covers anti-viral, antioxidant, and immune bases
Cold Season Defense Stack
Andrographis + Beta-Glucan + Vitamin D3
Daily immune priming plus vitamin D, with Andrographis ready at first symptoms
Anti-Inflammatory Stack
Andrographis + Turmeric + Omega-3
Multiple pathways for reducing systemic inflammation
Frequently Asked Questions
When should I take Andrographis?
Andrographis is most effective when taken at the first sign of illness. Clinical trials typically start supplementation within 24–72 hours of symptom onset. Taking it preventively in the week before expected exposure (travel, crowded events) may also be useful, but the strongest evidence is for acute use during active symptoms.
Is Andrographis safe for long-term use?
Andrographis is generally considered safe for short-term use of up to 3 months. Long-term safety data beyond this window is limited. Some sources suggest cycling it — using it during illness or cold season and taking breaks. Avoid during pregnancy as it may have uterotonic effects. Rare cases of allergic reactions have been reported.
Does Andrographis work like Echinacea?
Both are used for upper respiratory infections, but via different mechanisms. Echinacea primarily stimulates immune cell activity. Andrographis works through andrographolide’s inhibition of NF-κB, reducing pro-inflammatory cytokines while also having direct antiviral effects. The clinical evidence for Andrographis in reducing cold duration and severity is generally considered stronger and more consistent than for Echinacea.
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