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Anas Barbariae Hepatis et Cordis Extractum (homeopathic)

Homeopathic products (local classification)

ATC code: V03AX-OSCILLO(Oscillococcinum (homeopathic, local code))

Brand names: Oscillococcinum

Updated · Methodology

Marketing claims without evidence base

The drug is promoted for these uses outside international guidelines. Each entry below is analyzed against AEMPS, FDA, EMA, Cochrane and major RCTs.

D

Common cold

Not recommended

A homeopathic extract from duck liver and heart, promoted for the common cold and flu-like symptoms. Studies have not shown a convincing benefit for acute viral respiratory infection, and there is no solid evidence for this use. For a cold, rest, plenty of fluids, and proven remedies for fever or a runny nose ease the symptoms when needed. The substance itself does no harm in this role, but using it in place of treatment with proven benefit risks missing the care you actually need.

ICD-10: J00 · ICD-11: CA00

D

COVID-19

Not recommended

A homeopathic extract from duck liver and heart, marketed for cold and flu symptoms and sometimes for COVID-19. It has not shown convincing benefit against COVID-19, and there is no evidence base for this use. What actually helps with COVID-19 is vaccination, medicines with proven efficacy prescribed by a doctor in severe cases, and rest, fluids and symptom monitoring in mild ones. The remedy itself is inert and harmless, but do not take it instead of treatment with proven benefit, or you risk missing the care you need.

ICD-10: U07.1 · ICD-11: RA01.0

D

Influenza

Not recommended

Anas barbariae is a homeopathic extract of duck liver and heart, promoted to prevent and treat influenza and cold symptoms. No convincing benefit for this use has been shown: there is no solid evidence that it changes the course or outcome of the flu. What does help is vaccination, and for confirmed infection with a high risk of complications, antiviral medication prescribed by a doctor; otherwise rest, fluids, and fever reducers when needed. The product itself is inert and harmless, but do not take it instead of treatment with proven benefit, since that can mean missing the care you actually need.

ICD-10: J10-J11 · ICD-11: 1E32

How to read tiers A–F
  • AStrong evidence – first or second line in international guidelines
  • BRecommended in selected cases
  • CStudy data contradict each other
  • DBenefit not proven, no documented harm
  • FDocumented harm, or risk without benefit

Mechanism of action

A homeopathic product from Muscovy duck heart and liver extract at 200K dilution (mathematically equivalent to 1:10^400 – not a single molecule of original substance remains in a therapeutic dose). Invented by French physician Joseph Roy in 1917 during the 'Spanish flu' pandemic; Roy believed infected patients had 'oscillococci' in the blood, which he found in duck liver. No such pathogen exists in modern medicine.

Safety

Contraindications

  • Hypersensitivity to any component
  • Lactose intolerance, lactase deficiency, glucose-galactose malabsorption

Serious adverse effects

  • Direct serious adverse events are unlikely due to absence of active substance
  • Risk is delayed presentation for real care in influenza in older adults, pregnant women, and chronic disease patients

Common adverse effects

  • Allergic reactions (rare)

Pregnancy: can you take Anas Barbariae Hepatis et Cordis Extractum (homeopathic)?

Considered safe for physicochemical reasons (no active substance), but clinical benefit in flu or URI is not proven.

Breastfeeding: can you take Anas Barbariae Hepatis et Cordis Extractum (homeopathic)?

Same considerations as in pregnancy.

Reference information, not a clinical decision. Discuss feeding pauses or changes with your physician or an IBCLC.

Practical notes

Position on homeopathy

Oscillococcinum is among the best-selling OTC products in Europe. It is an interesting example of a gap between the actual medical view and retail sales. The US regularly issues warnings to the manufacturer for marketing violations: efficacy claims for influenza are classified as misleading.

Common myths

Myth: 'Oscillococcinum works if taken in the first hours of flu'. Fact: homeopathic products do not differ from placebo in RCTs. When a patient takes any 'medicine' and improves over 2–3 days, that reflects the natural course of a URI, not a drug effect.

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Frequently asked

What is Anas Barbariae Hepatis et Cordis Extractum (homeopathic) used for?

Anas Barbariae Hepatis et Cordis Extractum (homeopathic) is evaluated for the following indications with varying evidence strength: Common cold (evidence tier D), COVID-19 (evidence tier D), Influenza (evidence tier D). See the full indication matrix with dosing and citations above on this page.

What are the side effects of Anas Barbariae Hepatis et Cordis Extractum (homeopathic)?

Common side effects of Anas Barbariae Hepatis et Cordis Extractum (homeopathic) (≥ 1 in 100): Allergic reactions (rare). See the Safety section for uncommon and serious reactions.

Is Anas Barbariae Hepatis et Cordis Extractum (homeopathic) safe during pregnancy?

Considered safe for physicochemical reasons (no active substance), but clinical benefit in flu or URI is not proven.

Is Anas Barbariae Hepatis et Cordis Extractum (homeopathic) compatible with breastfeeding?

Same considerations as in pregnancy.

Who should not take Anas Barbariae Hepatis et Cordis Extractum (homeopathic)?

Anas Barbariae Hepatis et Cordis Extractum (homeopathic) is contraindicated in: Hypersensitivity to any component; Lactose intolerance, lactase deficiency, glucose-galactose malabsorption. Full list in the Safety section.

Oscillococcinum works if taken in the first hours of flu

homeopathic products do not differ from placebo in RCTs. When a patient takes any 'medicine' and improves over 2–3 days, that reflects the natural course of a URI, not a drug effect.

Official sources

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Other drugs in this group

Antibodies to S-100 brain-specific protein (homeopathic), Deproteinized hemoderivative from calf blood, Anaferon (anti-human interferon gamma antibodies in homeopathic dilutions), Cerebrolysin (porcine brain peptides), Deferasirox, Methylthioninium chloride (methylene blue), Cobicistat, Ergoferon (antibodies to γ-interferon, CD4, and histamine in homeopathic dilutions)