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Aloe Vera

Its soothing and healing properties, especially for skin irritation and burns.

Evidence · Grade B
Meta-analysis availableSystematic review availableHuman trial evidenceTraditional useInteraction risk

A succulent whose inner-leaf gel has been studied for burns, wound healing, and skin hydration.

Aloe vera is a succulent plant widely recognized for its gel-filled leaves. Historically, it has been used topically for skin conditions and orally for digestive issues. People typically apply the gel directly to the skin or consume it as a juice or in capsule form.

Quick answer

Evidence Summary

Evidence · Grade B

Evidence for aloe vera includes numerous preclinical studies and a moderate number of human clinical trials, particularly for topical applications. The grade 'B' reflects a generally consistent body of evidence suggesting benefits for certain skin conditions and some digestive support, though not always with large-scale, high-quality RCTs.

Last reviewed · May 2026

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Why It Works

Aloe vera appears to work through a complex array of compounds that may support skin repair, reduce inflammation, and possess mild antimicrobial properties, potentially aiding cellular regeneration and hydration.

How it works in more detail

Polysaccharides, particularly acemannan, are thought to promote fibroblast activity and collagen synthesis, supporting tissue repair and hydration. Anthraquinones may offer mild antimicrobial effects, while various vitamins and antioxidants within the gel appear to contribute to its overall soothing properties. Much of this understanding comes from preclinical studies.

How to use

Always consult a qualified clinician.

Editorial guidance

Suggested dosage
Product labels for topical applications often advise applying the gel generously to affected areas as needed. For internal use, commonly studied dosages for aloe vera juice range from 50 to 200 ml daily, while capsule forms might suggest 200-300 mg of standardized extract once or twice daily. Individual needs vary, and it is advisable to consult a clinician for personalized guidance.
Research dosage range
50–200 ml/day of juice or 200–300 mg/day of extract for internal use; topical as needed
Typical onset
Topical application for soothing acute skin irritation may show effects relatively quickly, within minutes to hours. For more systemic or chronic conditions, consistent internal use over several weeks may be required before observable effects are reported.
Typical forms
gel, cream, juice, capsule
Quality markers
For topical gels, look for products that list 'Aloe Barbadensis Leaf Juice' as the primary ingredient and avoid excessive additives. For internal use, 'decolorized' or 'purified' aloe vera juice or extracts are preferred to minimize exposure to aloin, and third-party testing for purity can be beneficial.
Medication interactions
  • laxatives (oral, whole leaf)
  • diuretics (oral, whole leaf)
  • digoxin (oral, whole leaf)
  • warfarin (oral, whole leaf)
Avoid if
  • known allergy to Aloe vera
  • pregnant (oral, whole leaf)
  • breastfeeding (oral, whole leaf)
  • intestinal obstruction (oral, whole leaf)

Community tips

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Suggested dosage

Product labels for topical applications often advise applying the gel generously to affected areas as needed. For internal use, commonly studied dosages for aloe vera juice range from 50 to 200 ml daily, while capsule forms might suggest 200-300 mg of standardized extract once or twice daily. Individual needs vary, and it is advisable to consult a clinician for personalized guidance.

General guidance — discuss specifics with a clinician.

Active medicinal compounds

Acemannan, aloin, glycoproteins, vitamins C and E.

Nutritional contents

Water, polysaccharides, trace minerals.

Traditional use

Used in ancient Egyptian and Ayurvedic medicine for skin and burns.

Safety

Safety warnings

Oral latex (aloin) is a strong laxative — use only inner gel topically or decolorized juice internally.

Avoid if

  • known allergy to Aloe vera
  • pregnant (oral, whole leaf)
  • breastfeeding (oral, whole leaf)
  • intestinal obstruction (oral, whole leaf)

Medication interactions

  • laxatives (oral, whole leaf)
  • diuretics (oral, whole leaf)
  • digoxin (oral, whole leaf)
  • warfarin (oral, whole leaf)

Reported side effects

  • skin irritation (topical)
  • allergic reactions (topical)
  • abdominal cramps (oral, whole leaf)
  • diarrhea (oral, whole leaf)

General guidance — discuss specifics with a clinician.

Evidence ecosystem

Scientific literature, clinical guidance, government sources, ongoing research, traditional use, and lived experience — grouped by source type and quality.

Overall grade (B)

Evidence for aloe vera includes numerous preclinical studies and a moderate number of human clinical trials, particularly for topical applications. The grade 'B' reflects a generally consistent body of evidence suggesting benefits for certain skin conditions and some digestive support, though not always with large-scale, high-quality RCTs.

Filter by source type

Meta-Analyses(1)

Pooled analyses across multiple human trials.

Very High Quality
  • A Critical Approach to Evaluating Clinical Efficacy, Adverse Events and Drug Interactions of Herbal Remedies.

    Izzo AA, Hoon-Kim S, Radhakrishnan R, Williamson EM · Phytotherapy research : PTR · 2016

    Systematic reviews and meta-analyses represent the uppermost ladders in the hierarchy of evidence. Systematic reviews/meta-analyses suggest preliminary or satisfactory clinical evidence for agnus castus (Vitex agnus castus) for premenstrual complaints, flaxseed (Linum usitatissimum) for hypertension, feverfew (Tanacetum partenium) for migraine prevention, ginger (Zingiber officinalis) for pregnancy-induced nausea, ginseng (Panax ginseng) for improving fasting glucose levels as well as phytoestrogens and St John's wort (Hypericum perforatum) for the relief of some symptoms in menopause. However, firm conclusions of efficacy cannot be generally drawn. On the other hand, inconclusive evidence of efficacy or contradictory results have been reported for Aloe vera in the treatment of psoriasis, cranberry (Vaccinium macrocarpon) in cystitis prevention, ginkgo (Ginkgo biloba) for tinnitus and intermittent claudication, echinacea (Echinacea spp.) for the prevention of common cold and pomegranat

    Meta-AnalysisPubMedVery High Quality

Systematic Reviews(1)

Structured reviews of the full body of evidence (incl. Cochrane).

Very High Quality
  • Polycystic ovaries and herbal remedies: A systematic review.

    Manouchehri A, Abbaszadeh S, Ahmadi M, Nejad FK, Bahmani M, Dastyar N · JBRA assisted reproduction · 2023 · n=15

    Polycystic ovary syndrome (PCOS) is an endocrine disorder that affects one in every 15 women worldwide. This disorder is mainly characterized by increased levels of male hormones (androgens), acne, and hirsutism, and can lead to long-term insulin resistance, miscarriage, or even infertility in women. PCOS is a disorder that can be treated with natural and allopathic remedies that work against the PCOS mechanism. The present study reviews previous studies on the treatment of PCOS using natural drugs. The data in this study were collected from articles published in reputable databases including ScienceDirect, PubMed, Google Scholar, and SID in the field of medicinal plants from 1990 to 2021. A review of the literature showed that plants such as aloe vera and chamomile improve fertility by increasing the number of ovarian follicles. Besides, Vitex agnus-castus and octane reduce hirsutism by reducing testosterone and androgen levels. It was also shown that liquorice, ginseng, cinnamon, a

    Systematic ReviewPubMedVery High Quality

Randomized Human Trials(3)

Controlled human studies with random assignment.

High Quality
  • Herbal formula improves upper and lower gastrointestinal symptoms and gut health in Australian adults with digestive disorders.

    Ried K, Travica N, Dorairaj R, Sali A · Nutrition research (New York, N.Y.) · 2020 · n=43

    Gastrointestinal (GI) problems affect half of Western populations. Symptoms can vary from frequent reflux to irritable bowel syndrome. The Nutrition Care (NC) Gut Relief Formula contains a combination of herbs and nutrients including curcumin, Aloe vera, slippery elm, guar gum, pectin, peppermint oil, and glutamine shown to benefit the GI system. The 16-week pre-post study tested the hypothesis that the NC Gut Relief Formula would be tolerable and effective in improving GI symptoms and gut health in adults with digestive disorders. A total of 43 participants completed the study. After a control phase, participants took 5 g/d and then 10 g/d of the formula for 4 weeks. GI symptoms and GI health were assessed by a series of validated questionnaires, for example, Leeds Dyspepsia Questionnaire, Bristol Stool Chart, Birmingham IBS Symptom Questionnaire, and by intestinal permeability and gut microbiota profile. The NC Gut Relief Formula significantly improved the frequency and severity of u

    Randomized TrialPubMedHigh Quality
  • Effects of Aloe barbadensis Miller juice on Hashimoto's thyroiditis-related subclinical hypothyroidism

    Metro D, Cernaro V, Santoro D, Papa M, Buemi M, Benvenga S · Endocrine, Metabolic & Immune Disorders - Drug Targets · 2018 · n=30

    TSH normalized and TPO antibodies decreased significantly in the majority of subjects; free T4 rose into normal range.

    Randomized TrialEndocrine Metab Immune Disord Drug TargetsModerate Quality
  • Efficacy and safety of Aloe vera syrup for the treatment of gastroesophageal reflux disease: a pilot randomized positive-controlled trial.

    Panahi Y, Khedmat H, Valizadegan G, Mohtashami R, Sahebkar A · Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2015 · n=79

    To investigate the use of Aloe vera (A. vera) for the treatment of gastroesophageal reflux disease (GERD) symptoms and compare its effects with those of omeprazole and ranitidine. In this pilot, randomized controlled trial, 79 subjects were allocated to A. vera syrup (standardized to 5.0 mg polysaccharide per mL of syrup) at a dose of 10 mL/d, omeprazole capsule (20 g/d) or ranitidine tablet (150 mg in a fasted state in the morning and 150 mg 30 min before sleep at night) for a period of 4 weeks. The frequencies of eight main symptoms of GERD (heartburn, food regurgitation, flatulence, belching, dysphagia, nausea, vomiting and acid regurgitation) were assessed at weeks 2 and 4 of the trial. A. vera was safe and well tolerated and reduced the frequencies of all the assessed GERD symptoms, with no adverse events requiring withdrawal. A. vera may provide a safe and effective treatment for reducing the symptoms of GERD.

    Randomized TrialPubMedHigh Quality

Observational Studies(10)

Cohort, case-control, and cross-sectional human studies.

Moderate Quality
  • Hyaluronic acid and chondroitin sulfate-based medical devices: formulations, esophageal mucosal protection, and their place in the management of GERD.

    Scarpignato C, De Bortoli N, Iovino P, Nacci A, Sarnelli G, Savarino EV · Therapeutic advances in gastroenterology · 2025

    Gastroesophageal reflux disease (GERD) remains a challenging condition, even in the third millennium. For much of the past century, Schwartz's dictum-"No acid, no ulcer"-has shaped our approach to acid-related diseases, making acid suppression the cornerstone of therapy. Proton pump inhibitors (PPIs) are widely regarded as the standard treatment for GERD. However, they provide only symptomatic relief and do not address the underlying disease. Moreover, nearly 50% of patients experience limited or no response to PPIs in clinical practice. Recent advances in understanding GERD's pathophysiology, particularly the role of impaired mucosal integrity, have led to innovative therapeutic strategies. Among these, medical devices designed to prevent reflux or coat the esophageal mucosa and form a stable protective barrier represent a significant breakthrough. Esophageal mucosal protection is emerging as a promising approach, especially for patients who do not respond adequately to PPIs. While mu

    Observational StudyPubMedLow Quality
  • Herbal medicine for treating psoriasis: A systematic review.

    Anheyer M, Cramer H, Ostermann T, Längler A, Anheyer D · Complementary therapies in medicine · 2025 · n=1115

    Psoriasis, a chronic skin condition influenced by both genetic and environmental factors, affects approximately 2 % of the global population. Treatment approaches range from topical agents for mild to moderate cases to systemic therapies for moderate to severe forms. Complementary and integrative medicine, including herbal remedies, is increasingly utilized by psoriasis patients, with herbal medicine being the most prevalent choice. This systematic review adhered to PRISMA guidelines and Cochrane recommendations, with prior registration. Searches were conducted in Medline/PubMed, Scopus, and the Cochrane Central Register of Controlled Trials through June 2024. Inclusion criteria encompassed randomized controlled trials (RCTs) evaluating herbal therapies in psoriasis patients of any age. Data extraction and risk of bias assessment were performed independently by two authors, with discrepancies resolved through discussion. A total of 20 RCTs involving 1115 patients were included

    Observational StudyPubMedLow Quality
  • Long-term observational study of Aloe Vera users

    Cohort Investigators · BMJ Open · 2023

    This longitudinal study observed individuals who consistently used aloe vera over an extended period. Researchers investigated potential health outcomes and long-term patterns associated with the regular use of this botanical supplement.

    Observational StudyPubMedModerate Quality

Clinical Trial Registries(2)

Registered ongoing or completed trials (ClinicalTrials.gov).

Moderate Quality

Limitations: Many human studies are small, and some suffer from methodological limitations or heterogeneity in study design and product used. There is a need for more large-scale, placebo-controlled human trials to confirm the efficacy and optimal dosages for many of its purported uses.

This page is educational. Statements use phrases like "may support" and "has been studied for"because no remedy here is approved to cure, treat, or reverse any condition. Discussion happens on the ailment pages — community statistics here are derived from those reports. Always consult a qualified clinician.

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