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Couch grass (Elymus repens / Agropyron repens)

EMA-monograph European traditional aquaretic for urinary tract irrigation, among the gentler options in the urinary-herbal lineup.

Why

Couch grass rhizome (Elymus repens, also called Agropyron repens) holds an EMA HMPC Traditional Use monograph for the increased amount of urine to achieve flushing of the urinary tract, as adjuvant in minor urinary complaints. A common European garden 'weed' with longstanding traditional use as a gentle aquaretic. Often combined with stronger urinary herbs in proprietary preparations.

How it works

Polysaccharides (triticin), saponins and minor essential oil components produce mild aquaretic effect via increased renal tubular flow. Mucilage provides demulcent action on urinary mucosa.

Expected onset · Diuretic effect within hours

How to take

Dosage

Dried rhizome: 6–12 g/day as decoction, three times daily. With substantial additional water (2+ litres/day).

Timing

Throughout the day with adequate water

On the label

Elymus repens (= Agropyron repens) rhizome.

Ideal for

Adults with mild urinary tract irritation seeking the gentler end of the European traditional aquaretic spectrum.

Safety

Adequate fluid intake essential. Avoid in oedema due to cardiac or renal insufficiency. Generally well tolerated. Pregnancy and breastfeeding data limited.

Evidence

At a glance

EMA classifies couch grass rhizome at Traditional Use for urinary-tract irrigation. Traditional-use registration only, no Cochrane review, no Well-Established Use monograph, no EFSA-authorised claim, and no major-journal RCT supports a specific therapeutic effect. Inclusion here reflects the documented tradition; modern clinical evidence is limited.

Limitations

Traditional-use registration only, no Cochrane review, no Well-Established Use monograph, no EFSA-authorised claim, and no major-journal RCT supports a specific therapeutic effect. Inclusion here reflects the documented tradition; modern clinical evidence is limited.

Where to get it

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