Pulmonary Arterial Hypertension
Natural Remedies

Natural Remedies for Pulmonary Arterial Hypertension (PAH)

| Modified on Jun 22, 2025
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Pulmonary Arterial Hypertension (PAH) is a rare and progressive condition that affects the blood vessels in the lungs, leading to increased pressure in the pulmonary arteries. While conventional treatments focus on lowering pressure and improving oxygenation, many individuals seek natural remedies to complement medical care and improve daily quality of life.

What is PAH?

PAH occurs when the small arteries in the lungs become narrowed or blocked, causing the heart to work harder to pump blood. Over time, this can lead to right heart failure. Symptoms include:

  • Shortness of breath
  • Fatigue
  • Chest pain
  • Dizziness or fainting
  • Swelling in the legs and ankles

Can Natural Remedies Help PAH?

While natural remedies cannot cure PAH, they may support cardiovascular function, reduce inflammation, and improve oxygen use. These should always be used alongside prescribed medications and under the guidance of a qualified healthcare provider.

Top Natural Remedies for Pulmonary Arterial Hypertension

1. Hawthorn Berry (Crataegus)

Hawthorn is widely used to support heart health and improve blood flow. It may help strengthen the heart’s pumping action and reduce arterial resistance.

  • Contains antioxidant flavonoids
  • May reduce shortness of breath and fatigue
  • Common dosage: 250–500 mg, 2–3x daily (standardized extract)

2. Coenzyme Q10 (CoQ10)

CoQ10 supports mitochondrial function and cellular energy production, especially in heart muscle cells.

  • Acts as a powerful antioxidant
  • May improve exercise tolerance and reduce fatigue
  • Suggested dose: 100–200 mg/day

3. L-Arginine

L-Arginine is an amino acid that helps the body produce nitric oxide, a vasodilator that relaxes blood vessels and reduces pulmonary pressure.

  • May support endothelial function
  • Can improve blood flow in pulmonary arteries
  • Start with 1,000 mg twice daily

4. Omega-3 Fatty Acids

Omega-3s from fish oil or flaxseed may reduce inflammation and support heart rhythm and function.

  • Anti-inflammatory properties
  • Supports circulation and reduces clotting risk
  • Typical dose: 1,000–3,000 mg EPA/DHA daily

5. Magnesium

Magnesium is essential for vascular relaxation and heart rhythm. Deficiency may worsen symptoms of PAH.

  • May reduce pulmonary artery pressure
  • Helps relieve fatigue and muscle cramps
  • Magnesium glycinate or citrate: 200–400 mg/day

6. Nattokinase

Nattokinase is a natural enzyme extracted from fermented soybeans (natto) that supports blood flow and prevents clotting.

  • Promotes healthy circulation
  • May reduce pulmonary vascular resistance
  • Typical dose: 2,000 FU once or twice daily

Helpful Lifestyle Changes

  • Low-sodium diet: Helps manage fluid retention and reduce blood pressure.
  • Gentle exercise: Supervised walking or yoga may improve stamina and oxygen use.
  • Breathing exercises: Diaphragmatic breathing or Buteyko method may ease breathlessness.
  • Sleep support: Elevating the head and avoiding sleep apnea triggers can reduce nighttime symptoms.
  • Stress reduction: Mindfulness, meditation, or forest bathing can lower sympathetic nervous system activation.

Precautions

Always consult a cardiologist or pulmonologist before beginning any new supplement or remedy. Natural compounds may interact with blood thinners, diuretics, or PAH-specific medications like prostacyclins or endothelin receptor antagonists.

Key Takeaway

Natural remedies can offer gentle support to those living with Pulmonary Arterial Hypertension, but they are not a substitute for conventional care. When used mindfully, they may improve energy, oxygen utilization, and overall quality of life.

Keep reading below to see which natural remedies have helped our readers find relief from chronic cough, and share your own experiences!


The comments below reflect the personal experiences and opinions of readers and do not represent medical advice or the views of this website. The information shared has not been evaluated by the FDA and is not intended to diagnose, treat, or prevent any disease or health condition. Always consult a qualified healthcare professional for medical concerns.

Melatonin


Posted by Art (California) on 06/22/2025 2527 posts
★★★★★

Previously animal studies and in vitro studies have suggested that melatonin may be useful for Pulmonary Arterial Hypertension (PAH). PAH is not to be confused with regular hypertension. PAH is hypertension in the lungs and is a very serious disease.

This recent human study suggests that melatonin may be useful in improving the quality of life (QOL), oxidative stress and cardiovascular function of people with PAH as discussed here :

https://pmc.ncbi.nlm.nih.gov/articles/PMC12177658/

Here are some relevant quotes from the full study link :

' Overall, oral melatonin treatment improved the plasma antioxidant capacity and the QoL in this pilot study. '

' A significant improvement was noticed in perception of dyspnea, palpitations, and fatigue in concordance with the QoL improvement in the physical domain after 6 months of melatonin. This was represented by a significant fall in the total score of the PAH-SYMPACT questionnaire. In addition, the baseline heart rate was lower at the T6 follow-up. '

' Another important finding of our study is the improved physical domain of the SYMPACT PAH questionnaire, which is in concordance with symptomatic improvement. This is relevant because it favors patients treatment adherence and QoL [53]. Even more, having a better physical perception, patients tend to improve their confidence to perform more activities. '

It is interesting to note that this study used a fairly low dose of melatonin at just 6 mg per day and reported benefit at 3 months and further benefit at 6 months of dosing . Other human studies have used 10 to 50 mg or more per day of melatonin for various health issues. No significant side effects were reported in this study. Melatonin has also shown to have a very good safety profile. It would have been interesting to see an even longer study duration, a higher dosing arm or both.

Art



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