ANTIHYPERTENSIVE POTENTIAL OF Anredera cordifolia: A NARRATIVE REVIEW OF PRECLINICAL AND CLINICAL EVIDENCE
DOI:
https://doi.org/10.36423/pharmacoscript.v9i2.2954Keywords:
Anredera cordifolia, Antihypertensive activity, Blood pressure, Hypertension, PhytochemicalsAbstract
Hypertension is a condition that develops gradually but can suddenly lead to serious consequences, including death. The use of natural ingredients as adjunctive therapy continues to grow, including Anredera cordifolia, more commonly known as the binahong plant. Ethanol extracts of A. cordifolia leaves are known to contain vitexin (flavonoids), tannins, saponins, betalains, betanidin (alkaloids), phenols, terpenoids, and ursolic acid. A narrative review was conducted to identify relevant studies published in PubMed, Scopus, and Google Scholar databases between 2016 and 2026. The search terms related to “Anredera” AND “Hypertensive” found 625 articles. Following the screening of titles and abstracts and subsequent full-text assessment based on the predefined inclusion and exclusion criteria, 15 articles were considered eligible and included in the review. The articles consistently demonstrated that A. cordifolia leaves exhibit antihypertensive effects in vitro, ex vivo, in vivo, and through empirical use in humans. In humans, it lowers both systolic and diastolic blood pressure. These antihypertensive activities occur through several mechanisms, including inhibition of angiotensin-converting enzyme (ACE), vasodilatory effects via the nitric oxide (NO) pathway, inhibition of angiotensin type 1 receptors and adrenergic receptors, and as a (weak) diuretic. This presents an opportunity to develop traditional medicine as an adjunct to antihypertensive therapy. However, further clinical research is still needed to confirm its efficacy, safety, and optimal dosage for human use.
References
Al-Jeboory, A. A., AbdAllah, A. I., & Al-mgother, B. (2021). Vitexin A New Antihypertensive Drug (Isolated from Prosopis farcta [Iraq Endogenus] Plants). Journal Port Science Research, 4(1), 6–9. https://doi.org/10.36371/port/.2021.2
Asmarani, F.L. (2021). Kombinasi Puding Daun Binahong dan Acupressure Menurunkan Tekanan Darah pada Pasien Hipertensi di Wilayah Kerja Puskesmas Ngemplak Sleman Yogyakarta. Health Care: Jurnal Kesehatan, 10(1), 15-22. https://doi.org/10.36763/healthcare.v10i1.92
Chen, M., Long, Z., Wang, Y., Liu, J., Pian, H., Wang, L., et al. (2013). Protective Effects of Saponin on Hypertension Target Organs in Spontaneously Hypertensive Rats. Experimental and Therapeutic Medicine, 5(2), 429–432. https://doi.org/10.3892/etm.2012.856
Dewan Jaminan Sosial Nasional BPJS Kesehatan. (2022). Statistik JKN 2016–2021. Jakarta: Dewan Jaminan Sosial Nasional.
Duan, T., Li, M., Lin, Z., Meng, L., Li, M., Xia, T., et al. (2024). The Protective Effect of Vitexin on Hypertensive Nephropathy Rats. Kidney and Blood Pressure Research, 49(1), 753-762. https://doi.org/10.1159/000540618
Dwitiyanti, Harahap, Y., Elya, B., Bahtiar, A. (2019b). Study of Molecular Docking of Vitexin in Binahong (Anredera cordifolia [Ten.] Steenis) Leaves Extract on Glibenclamide–CYP3A4 Interaction. Pharmacognosy Journal, 11(6), 1471–1476. https://doi.org/10.5530/PJ.2019.11.227
Dwitiyanti., Harahap, Y., Elya, B., & Bahtiar, A. (2019a). Impact of Solvent on The Characteristics of Standardized Binahong Leaf (Anredera cordifolia (Ten.) Steenis). Pharmacognosy Journal, 11(6), 1463–1470. https://doi.org/10.5530/PJ.2019.11.226
Fickri, D.Z., Ningsih, A.W., Rohmah, M.K., Wahyuni, K.I., & Winarni, N.E. (2021). Comparison of Blood Pressure Reduction Between Treatments of Steeping Red Ginger Rhizome (Zingiber officinale R.) and Steeping Binahong Leaves (Anredera cordifolia (Ten.) Steenis) in Healthy People with Hypertension Risk. Farmasains: Jurnal Farmasi dan Ilmu Kesehatan, 6(1), 29-36. https://doi.org/10.22219/farmasains.v6i1.16304
Firdaus, M., & Rezeki, N.T. (2020). Pengaruh Mengkonsumsi Air Rebusan Daun Binahong (Anredera cordifolia) terhadap Penurunan Tekanan Darah Tinggi Pada Lansia di UPT PSTW Khusnul Khotimah Pekanbaru. Journal of STIKes Awal Bros Pekanbaru, 1(2), 29-37.
Flack, J. M., Buhnerkempe, M. G., & Moore, K. T. (2024). Resistant Hypertension: Disease Burden and Emerging Treatment Options. Current Hypertension Reports, 26(5), 183–199. https://doi.org/10.1007/s11906-023-01282-0
Garmana, A.N., Sukandar, E.Y., & Fidrianny, I. (2016). Preliminary Study of Blood Pressure Lowering Effect of Anredera cordifolia (Ten) Steenis on Wistar Rats. International Journal of Pharmacognosy and Phytochemical Research, 8(2), 300-304.
Garmana, A.N., Sukandar, E.Y., & Fidrianny, I. (2017). Efek Vasodilatasi dan Inhibisi Angiotensin-Converting Enzyme dari Ekstrak Etanol dan Fraksi Daun Binahong (Anredera cordifolia (Ten.) V. Steenis). Acta Pharmaceutica Indonesia, 42(2), 51–59. https://doi.org/10.5614/api.v42i2.5648
Garmana, A.N., Sukandar, E.Y., & Fidrianny, I. (2018). Antihypertension Study of Anredera cordifolia (Ten). V. Steenis Extract and Its Fractions in Rats through Dexamethasone Induction and Nitric Oxide Release. Asian Journal of Pharmaceutical and Clinical Research, 11(1), 278-282. https://doi.org/10.22159/ajpcr.2018.v11i1.22312
Grönroos, R., Eggertsen, R., Bernhardsson, S., & Praetorius Björk, M. (2024). Effects of Beetroot Juice on Blood Pressure in Hypertension According to European Society of Hypertension Guidelines: A Systematic Review and Meta-Analysis. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 34(10), 2240–2256. https://doi.org/10.1016/j.numecd.2024.06.009
Grosso, G., Godos, J., Currenti, W., Micek, A., Falzone, L., Libra, M., et al. (2022). The Effect of Dietary Polyphenols on Vascular Health and Hypertension: Current Evidence and Mechanisms of Action. Nutrients, 14(3), 545. https://doi.org/10.3390/nu14030545
Hasbullah, U.H.A. (2016). Kandungan Senyawa Saponin Pada Daun, Batang dan Umbi Tanaman Binahong (Anredera cordifolia (Ten) Steenis). Planta Tropika: Journal of Agro Science, 4(1), 20–24. https://doi.org/10.18196/pt.2016.052.20-24
Herawati, I.E., Inayah, I., & Dewi, L.K. (2025). Kadar Fenolik Total, Flavonoid Total, dan Aktivitas Antioksidan Ekstrak Etanol Daun Binahong (Anredera cordifolia (Ten.) Steenis). Jurnal Ilmiah Farmasi Imelda, 9(1), 8-16. https://doi.org/10.52943/jifarmasi.v9i1.1916
Hossain, E., Thanuja, G. S., Das, K., Tripathi, G., Sable, P. D., Kumar, S., & Shinde, C. (2024). Plants and Secondary Metabolites. India : APRF Publisher.
Ibrahim, I., Dewi, R.I.S., & Utami, D.P. (2019). Pengaruh Daun Binahong (Anredera cordifolia) terhadap Tekanan Darah pada Penderita Hipertensi di Wilayah Kerja Puskesmas Lubuk Buaya. Jurnal Abdimas Saintika, 1(1):93-103. http://dx.doi.org/10.30633/jas.v1i1.475
Ilmiyah, S.Z., Permana, S., Widodo, E., Norahmawati, E., Permatasari, H.K., Kawamoto, Y., et al. (2025). Exploring The Anti-Cancer Potential of Anredera cordifolia (Ten.) Steenis Leaf Compounds Against MMP-2 Receptor in Breast Cancer: An in Silico Approach. Journal of Pharmacy and Pharmacognosy Research, 13(Suppl 1), S67–S82. https://doi.org/10.56499/jppres24.2129_13.s1.s67
Iqbal, A.M., & Jamal, S.F. (2023). Essential Hypertension. Treasure Island (FL): StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539859/
Jones, D.W., Ferdinand, K.C., Taler, S.J., Johnson, H.M., Shimbo, D., Abdalla, M., et al. (2025). 2025 AHA/ACC/AANP/AAPA/ABC/ACCP/ACPM/AGS/AMA/ASPC/NMA/PCNA/SGIM Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology, 86(18), 1567–1678. https://doi.org/10.1161/CIR.0000000000001356
Kementerian Kesehatan RI. (2023). Survei Kesehatan Indonesia (SKI) 2023. Badan Kebijakan Pembangunan Kesehatan.
Lesmana, I.W.L., Setiawan, E.P., & Pranitasari, N.P.O.R. (2022). Uji Toksisitas Akut dan Subkronik Ekstrak Daun Binahong (Anredera Cordifolia) pada Mencit Balb/c Betina. Intisari Sains Medis, 13(1), 301–306. https://doi.org/10.15562/ism.v13i1.1248
Liu, J.C., Hsu, F.L., Tsai, J.C., Chan, P., Liu, J.Y.H., Thomas, G.N., et al. (2003). Antihypertensive Effects of Tannins Isolated from Traditional Chinese Herbs as Non-Specific Inhibitors of Angiotensin-Converting Enzyme. Life Sciences, 73(12), 1543–1555. https://doi.org/10.1016/s0024-3205(03)00481-8
McEvoy, J.W., McCarthy, C. P., Bruno, R. M., Brouwers, S., Canavan, M. D., Ceconi, C., et al. (2024). 2024 ESC Guidelines for the Management of Elevated Blood Pressure and Hypertension. European Heart Journal, 45(38), 3912–4018. https://doi.org/10.1093/eurheartj/ehae178
McInnes GT. (2007). Chapter 84: Vasodilators. Comprehensive Hypertension. Missouri : Mosby.
Nair, A. B., & Jacob, S. (2016). A Simple Practice Guide for Dose Conversion between Animals and Human. Journal of Basic and Clinical Pharmacy, 7(2), 27–31. https://doi.org/10.4103/0976-0105.177703
National Heart, Lung, and Blood Institute. (April 30th, 2024). High Blood Pressure: Causes. Available from: https://www.nhlbi.nih.gov/health/high-blood-pressure/causes. [Accessed February 25th 2025].
Ngai, A. W., Baig, A., Zia, M., Arca-Contreras, K., Haque, N. U., Livetsky, V., et al. (2025). Comparative Evaluation of ARB Monotherapy and SGLT2/ACE Inhibitor Combination Therapy in the Renal Function of Diabetes Mellitus Patients: A Retrospective, Longitudinal Cohort Study. International Journal of Molecular Sciences, 26(15), 7412. https://doi.org/10.3390/ijms26157412
Niu, Y., Chen, X., Xiao, L., Li, W., Feng, L., & Aierken, A. (2025). The Relationship Between Dietary Flavonoid Intake and Hypertension: A Cross-sectional Study from NHANES. Frontiers in Cardiovascular Medicine, 12, 1518549. https://doi.org/10.3389/fcvm.2025.1518549
Rafiee, P., Rasaei, N., Amini, M. R., Rabiee, R., Kalantar, Z., Sheikhhossein, F., Gholizadeh, M., & Hekmatdoost, A. (2024). The Effects of Ursolic Acid on Cardiometabolic Risk Factors: A Systematic Review and Meta-Analysis. Future Cardiology, 20(3), 151–161. https://doi.org/10.1080/14796678.2024.2349476
Sari, T.M. (2022). Effectiveness of Giving Water Boiled from Binahong Leaves (Anredera cordifolia) with Hypertension in The Elderly in Dusun II Helvetia Village Medan, 2015. Journal Analytica Islamica, 11(2), 458-464. http://jurnal.uinsu.ac.id/index.php/analytica
Sevrioukova, I. F., & Poulos, T. L. (2013). Understanding the Mechanism of Cytochrome P450 3A4: Recent Advances and Remaining Problems. Dalton Transactions. 42(9), 3116–3126. https://doi.org/10.1039/c2dt31833d
Sidhartha, E., Yang, J.J., Dimara, R.S.N., Rahmawati, F., & Purba, S.W.D. (2024). Phytochemical Screening, Antioxidant and Antifungal Activity Test of Binahong Leaf Extract (Anredera cordifolia (Ten.) Steenis). European Journal of Advanced Chemistry Research, 5(1), 1–8. https://doi.org/10.24018/ejchem.2024.5.1.151
Sukandar, E.Y., Garmana. A.N., Aidasari, A.U., & Crystalia, A.A. (2019). Antihypertensive Activity of Ethanol Extract Combination of Anredera cordifolia (Ten.) V. Steenis and Sonchus arvensis L. Leaves on Angiotensin II-Induced Male Wistar Rat. Journal of Research in Pharmacy, 23(6), 1090-1097. https://doi.org/10.35333/jrp.2019.73
Sukandar, E.Y., Kurniati. N.F., & Fitria, V. (2014). Evaluation Of Teratogenicity Effects of Ethanolic Extracts of Binahong Leaves (Anredera cordifolia [Ten.] Steenis) in Wistar Rats. International Journal of Pharmacy and Pharmaceutical Science, 6(11), 422-426. https://journals.innovareacademics.in/index.php/ijpps/article/view/3151
Sukandar, E.Y., Mauludin, R., Suliska, N., & Rahmah, S.A. (2023). Antihypertensive Effect of Combination Extract of Anredera cordifolia (Ten.) Steenis and Sonchus arvensis L. on Dexamethasone-Induced Hypertensive Male Wistar Rats. International Journal of Cardiovascular Medicine, 2(4), 1-5. https://doi.org/10.31579/2834-796X/039
Sukandar, E.Y., Ridwan, A., & Sukmawan, Y.P. (2016). Vasodilatation Effect of Ethanolic Extract of Anredera cordifolia, Sonchus arvensis L, and Ursolic Acid on Isolated Rabbit Aortic and Frog Heart. International Journal of Pharmacy and Pharmaceutical Sciences, 8(2), 145-9. https://journals.innovareacademics.in/index.php/ijpps/article/view/9653.
Suliska, N., Insanu, M., & Sukandar, E.Y. (2021). Antihypertensive Activity of Combination of Anredera Cordifolia (Ten.) V. Steenis and Sonchus Arvensis L. Leaves on Epinephrine Induced Male Wistar Rat. Journal of Advanced Pharmaceutical Technology & Research, 12(4), 384-388. https://doi.org/10.4103/japtr.japtr_91_21
Suryawati, S., Seurunie, N., Kirana, D.D., Mulia, V.D., & Suardi, H.N. (2022). Acute Toxicity Evaluation of Ethanolic Extract of The Leaves of Anredera cordifolia in Wistar Rats (Rattus norvegicus). Jurnal Natural, 22(2),124–129. https://doi.org/10.24815/jn.v22i2.22285
Tandi, J., Ondja, D., Putri, W.A., Maryani., Handayani, T.W., Susanto, Y., et al. (2023). Hepatoprotective Activity of Binahong (Anredera cordifolia (Ten.) Steenis) Leaf Extract in Diabetes Mellitus Rats. Indonesian Journal of Pharmaceutical Science and Technology, 5(2), 215-220. http://jurnal.unpad.ac.id/ijpst/
Wahyudi, D.S., Sartika, D., & Harahap, A.A. (2023). The Effect of Binahong Leaf Extract on Cardiac Function in Rats Fed A High-Fat Diet. Jurnal Prima Medika Sains, 5(2),238-247. https://doi.org/10.34012/jpms.v5i2.4067
Wan, Y., Ma, D., Shang, Q., & Xu, H. (2024). Association Between Dietary Flavonoid Intake and Hypertension among U.S. Adults. Frontiers in immunology, 3(15), 1380493. https://doi.org/10.3389/fimmu.2024.1380493
Wijayanti, D., Kurnianto, E., & Setiatin, E.T. (2019). Toxicity Effect by Binahong (Anredera cordifolia) Leaf Extract in Histopathology and Liver Weight of Guinea Pigs (Cavia Cobaya). Buletin Peternakan, 43(2), 103-108. https://doi.org/10.21059/buletinpeternak.v43i2.39487
Wijayanti, E.S., & Kurniawan, W.E. (2023). Pengaruh Pemberian Air Rebusan Daun Binahong (Anredera cordifolia) terhadap Tekanan Darah pada Penderita Hipertensi di Wilayah Desa Jetis Kecamatan Nusawungu. SENTRI: Jurnal Riset Ilmiah, 2(3), 671-681. https://doi.org/10.55681/sentri.v2i3.617
Wijayati, L., Fiyanti, W.N., Twistiandayani, R., & Basri, A.H. (2024). Pengaruh Kombinasi Air Rebusan Daun Binahong dan Madu Multiflora terhadap Tekanan Darah Lansia. Complementary Health Care Journal, 1(2), 97–103. https://journal.univgresik.ac.id/index.php/chc/article/view/373
World Health Organization. (2023). Global Report on Hypertension : The Race Against a Silent Killer. Available from : https://www.who.int/publications/i/item/9789240081062 [Aaccessed September 19th 2026]
World Health Organization. (2025b). Global Report on Hypertension 2025: High Stakes—Turning Evidence into Action. Available from : https://www.who.int/publications/i/item/9789240115569. [Accessed February 23th 2026].
World Health Organization: WHO. (2025a, September 25th). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension. [Accessed February 20th 2026].
Xue, H.F., Ying, Z.M., Zhang, W.J., Meng, Y.H., Ying, X.X., & Kang, T.G. (2014). Hepatic, Gastric, and Intestinal First-Pass Effects of Vitexin in Rats. Pharmaceutical Biology, 52(8), 967-971. https://doi.org/10.3109/13880209.2013.874464
Yu, M., Kim, H. J., Heo, H., Kim, M., Jeon, Y., Lee, H., & Lee, J. (2022). Comparison of the Antihypertensive Activity of Phenolic Acids. Molecules (Basel, Switzerland), 27(19), 6185. https://doi.org/10.3390/molecules27196185
Yuniarti, N., & Yulizar, Y. (2023). Chitosan Nanoparticles Modified by Anredera cordifolia (Ten.) Steenis Leaf Extract for Enhancement of Azithromycin Encapsulation Efficiency and Loading Capacity: In vitro Drug Release Study. Journal of Pharmaceutical Sciences, 112(12), 3164–3174. https://doi.org/10.1016/j.xphs.2023.07.021
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Utami Putri Sagita, Sumiwi Sri Adi, Susilawati Elis, Levita Jutti

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication, with the work [SPECIFY PERIOD OF TIME] after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).





