Quercetin for Allergic Rhinitis

Verdict: Published with Warning

Across 7 PubMed studies, the evidence for Quercetin in Allergic Rhinitis grades Tier C — weak evidence. Effective, but with safety or population caveats.

C 🟠 C Weak Evidence Published with Warning

🔬Why this grade7-layer evidence engine

⚖️

Scoring transparency

All scores computed by a 7-layer evidence engine — fully auditable
Raw score 0.63
D
C
B
A
S
← counter-evidence / ineffectiveeffective / strong evidence →
Final grade
C · Published with Warning
Confidence
75%
Broadly consistent
Evidence level
E2
Multiple high-quality MAs (≥2 independent, consistent)

How strongly each layer supports this effect

lower = less supportive
L1 ExamineGlobal benchmark
0.50
L11 AI re-checkIndependent read
0.50
L5 Clinical bodiesAuthoritative stance
0.55
L3 MechanismPlausibility
0.65
L2 PubMedPrimary literature
0.75
Against Mixed Supports
View the full decision path (audit trail)
  1. compute_raw_score — 加權公式: L2×0.30 + L3×0.25 + L5×0.25 + L11×0.10 + L1×0.10 = 0.625
  2. tier_from_score — 依分數區間映射至 tier letter
  3. apply_hec_rules — 高品質 SR/MA 顯示 positive (1 篇 > 0 negative)
  4. tier_strict_requirement_check — Tier 條件達標,未降階
  5. detect_disputes — 偵測到 0 個 hard + 0 個 soft dispute
  6. decide_status — 依 tier + dispute 結果決定 status

📄PubMed studies (7)L2 · primary research & systematic reviews

Effect of enzymatically modified isoquercitrin, a flavonoid, on symptoms of Japanese cedar pollinosis
PMID: 19295240 2009 RCT (double-blind) n = 20
Finding: Total ocular score and ocular itching significantly lower in EMIQ group (p < 0.05); nasal symptoms and serum IgE/cytokines (IL-4, IL-5, IL-13) not significantly reduced.
🟠 Limited quality
View on PubMed
Preventative effect of a flavonoid, enzymatically modified isoquercitrin on ocular symptoms of Japanese cedar pollinosis
PMID: 19454839 2009 RCT (double-blind) n = 24
Finding: Ocular symptom + medication score and ocular congestion significantly lower weeks 5-6 (p < 0.05); nasal symptoms and IgE not significantly different between groups.
🟠 Limited quality
View on PubMed
Synergic Efficacy of a Multicomponent Nutraceutical Add-On Therapy in Seasonal Allergic Rhinitis in Children
PMID: 40094983 2025 RCT (open-label) n = 100
Finding: Significant improvement in nFeNO and eFeNO vs control (p < 0.001) and reduction in nasal eosinophils (p < 0.001) over 12 weeks; multicomponent formula confounds quercetin attribution.
🟠 Limited quality
View on PubMed
Effects of repeated oral intake of a quercetin-containing supplement on allergic reaction: a randomized, placebo-controlled, double-blind parallel-group study
PMID: 35776034 2022 RCT (double-blind) n = 66
Finding: Significantly improved JRQLQ scores vs placebo at 4 weeks across multiple symptom domains; specific p-values and effect sizes not reported in abstract.
View on PubMed
A multicomponent food supplement with quercetin Phytosome®, zinc and vitamin C may be favorable in managing children with seasonal allergic rhinitis: a pilot study
PMID: 40080068 2025 RCT (open-label)
Finding: Pilot study; no abstract available on PubMed — insufficient data for detailed extraction.
🟠 Limited quality
View on PubMed
The Efficacy of Quercetin in Attenuating Oxidative Stress and Clinical Symptoms in Allergic Rhinitis: A Systematic Review
PMID: 2025 系統性回顧 n = 18
— See PubMed for details
View on PubMed
Quercetin exhibits multi-target anti-allergic effects in animal models: a systematic review and meta-analysis of preclinical studies
PMID: 41357894 2025 系統性回顧 n = 13
Finding: Pooled preclinical SMD: IgE = −4.28 (95% CI −6.07 to −2.48); eosinophils = −4.22; IL-4 = −4.80; large effect sizes in animal models but no human clinical evidence pooled.
Government Effect size: SMD IgE = −4.28; eosinophils = −4.22; IL-4 = −4.80 (all preclinical only)
View on PubMed

🏛️Regulatory & authoritative positionsL4/L5 · FDA / EMA / NIH ODS / Cochrane / Mayo …

L4a US FDA
Cautious
FDA has no questions; some uses may require a color additive listing source↗
L4b EU EFSA
Against
L4d TW TFDA / 衛福部
Neutral
洋蔥萃取物原料係由洋蔥(Allium cepa)之鱗莖,經萃取製得。前點製得之洋蔥萃取物原料,其每日食用限量,以槲皮素(quercetin)計為1000毫克。 source↗
L5a NIH Office of Dietary Supplements
Cautious
L5c Cleveland Clinic
Neutral
L5e Specialty Society (condition-mapped)
Not addressed
PMID 100% verifiedevery citation checked via NCBI Entrez
🔬7 PubMed studiesindependently re-checked by multiple sub-agents
engine_version: v1.0 claim_id: CLM-COND-allergic-rhinitis-INT-quercetin-001 繁體中文版 →