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Herb comparison

Andrographis (Andrographis paniculata) vs Fenugreek (Trigonella foenum-graecum)

Both plants are listed as traditional remedies for 2 of the same conditions, which is why they are easy to confuse. Their descriptions and full safety notes are below, free.

Andrographis (Andrographis paniculata) plant

Andrographis (Andrographis paniculata)

Fenugreek (Trigonella foenum-graecum) plant

Fenugreek (Trigonella foenum-graecum)

About
Andrographis, commonly known as Green Chiretta or King of Bitters, is an upright annual herb reaching approximately 3 feet in height. Native to India and cultivated throughout northern regions of India and China, this bitter medicinal plant has been valued in Ayurvedic and traditional Chinese medicine for centuries. MSK notes that it has been studied mostly for colds, flu and upper respiratory infections. The plant thrives on plains and in forest undergrowth, where its spotted pale brown or purple flowers and long seed capsules distinguish it from other medicinal herbs.
Fenugreek is much used in herbal medicine in North Africa, the Middle East, and India. Its seeds have been used to increase breast-milk production; NCCIH says studies of this use have had mixed results. Fenugreek is also thought to be antidiabetic, although NCCIH says there is not enough high-quality evidence to know whether it helps diabetes.
Safety & precautions
Pregnancy & Breastfeeding: Avoid, because andrographis may affect fertility and uterine contractions. High doses can cause nausea, vomiting, and gastrointestinal upset. Medicines: MSK notes laboratory signs of reduced platelet clumping (although a rat study found no interaction with warfarin), possible added blood-pressure lowering, possible interference with some chemotherapy drugs, and a possible rise in side effects from aminophylline. Whether andrographis meaningfully blocks drug-processing enzymes is uncertain: MSK cites laboratory inhibition of CYP1A2, CYP2C9 and CYP3A4, while a 2015 review judged the data too limited to call it an inhibitor. Professional supervision is recommended for long-term use.
Not recommended for use during pregnancy: NCCIH says amounts greater than those in food have been linked to birth defects.

Safety text above is printed in full and is never abbreviated. For each plant’s complete precautions, drug and food interactions and preparation notes, open its own page - both are free.

Conditions that list both