{"id":27748,"date":"2026-06-06T18:00:00","date_gmt":"2026-06-06T23:00:00","guid":{"rendered":"https:\/\/okdiario.com\/metabolic\/en\/?p=27748"},"modified":"2026-06-05T13:38:46","modified_gmt":"2026-06-05T18:38:46","slug":"this-plant-could-become-the-first-one-used-by-brazils-public-health-system-and-its-reopening-a-huge-debate","status":"publish","type":"post","link":"https:\/\/okdiario.com\/metabolic\/en\/health\/this-plant-could-become-the-first-one-used-by-brazils-public-health-system-and-its-reopening-a-huge-debate-27748\/","title":{"rendered":"This plant could become the first one used by Brazil\u2019s public health system, and it\u2019s reopening a huge debate"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A small, green plant long used in Brazilian homes for urinary problems is now moving into a stricter world, regulated public health medicine. On May 19, 2026, Fiocruz\/Farmanguinhos presented pilot batches of a herbal product made from<a href=\"https:\/\/powo.science.kew.org\/taxon\/urn%3Alsid%3Aipni.org%3Anames%3A194900-2\" target=\"_blank\" rel=\"noopener\"> Phyllanthus niruri<\/a>, better known in Brazil as quebra-pedra, or \u201cstone breaker.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The goal is to make it available through<a href=\"https:\/\/www.gov.br\/saude\/pt-br\/sus\" target=\"_blank\" rel=\"noopener\"> SUS<\/a>, Brazil\u2019s national public health system, after stability tests and review by Anvisa, the country\u2019s health regulator.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The medicine is not a miracle cure, and it is not ready for patients yet. Still, the step matters because it brings Indigenous peoples, traditional communities, and family farmers into the story of drug development instead of leaving them at the edge of it. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In practical terms, Brazil is trying to turn everyday plant knowledge into a standardized sachet that can be checked, dosed, and monitored like<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/metformin-has-been-used-for-decades-to-treat-type-2-diabetes-but-a-26-week-trial-conducted-in-adults-with-type-1-diabetes-suggests-that-the-goal-of-treatment-is-shifting-although-it-does-not-improve-27398\/\"> other medicines<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why \u201cstone breaker\u201d matters<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Quebra-pedra has been used for generations to help with urinary disorders, especially problems linked to stones in the urinary tract.<a href=\"https:\/\/www.niddk.nih.gov\/health-information\/urologic-diseases\/kidney-stones\/definition-facts\" target=\"_blank\" rel=\"noopener\"> <\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.niddk.nih.gov\/health-information\/urologic-diseases\/kidney-stones\/definition-facts\" target=\"_blank\" rel=\"noopener\">Urinary lithiasis<\/a> is the medical name for that condition, when hard mineral deposits form in places where urine passes through the body. Anyone who has had a kidney stone knows this is not a small problem.<\/p>\n\n\n\n<div class=\"gb-element-a00da4e5\">\n<div><div class=\"gb-looper-46613eed\">\n<div class=\"gb-loop-item gb-loop-item-a8390598 post-27748 post type-post status-publish format-standard has-post-thumbnail hentry category-health resize-featured-image\">\n<h3 class=\"gb-text gb-text-24a51617\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/this-plant-could-become-the-first-one-used-by-brazils-public-health-system-and-its-reopening-a-huge-debate-27748\/\">This plant could become the first one used by Brazil\u2019s public health system, and it\u2019s reopening a huge debate<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The plant\u2019s popular name makes a big promise, but scientists have to be more careful than folklore. Researchers are studying whether the plant can help reduce stone formation, help fragments break apart, and make it easier for the body to pass them. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That is the key difference between a tea made at home and a medicine meant for a public health system.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">From home remedy to controlled medicine<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The planned product will be produced as a sachet, a packet that can carry a measured dose. That may sound simple, but it changes almost everything. A standardized product has to show that the plant material is the right species, that useful compounds are present at reliable levels, and that the preparation remains stable over time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maria Behrens, the Farmanguinhos researcher responsible for the<a href=\"https:\/\/okdiario.com\/metabolic\/en\/cosmetics\/scientists-are-studying-a-plant-known-for-its-ability-to-recover-from-drought-and-have-discovered-signals-that-may-influence-cellular-energy-and-collagen-production-24981\/\"> plant studies<\/a>, has warned that homemade preparations can carry<a href=\"https:\/\/okdiario.com\/metabolic\/en\/nutrition\/the-healthy-fiber-supplement-that-millions-of-people-take-to-support-their-gut-health-and-which-according-to-a-new-study-is-linked-to-the-progression-of-fatty-liver-disease-27341\/\"> real risks<\/a>. <\/p>\n\n\n\n<div class=\"gb-element-5de7b7f0\">\n<div><div class=\"gb-looper-9a2879a5\">\n<div class=\"gb-loop-item gb-loop-item-6c547e9e post-27693 post type-post status-publish format-standard has-post-thumbnail hentry category-health resize-featured-image\">\n<h3 class=\"gb-text gb-text-6bd4ae2f\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/this-news-is-shaking-up-the-political-landscape-and-leaving-one-uncomfortable-question-in-the-air-27693\/\">This news is shaking up the political landscape and leaving one uncomfortable question in the air<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">A plant may be switched, diluted, contaminated, or prepared with too little of the useful compounds. A regulated product does not erase all uncertainty, but it makes quality control part of the process.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Who is building the project<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The work brings together the<a href=\"https:\/\/www.undp.org\/pt\/brazil\/news\/brasil-tera-fitoterapico-inovador-com-quebra-pedra\" target=\"_blank\" rel=\"noopener\"> United Nations Development Programme<\/a>, Brazil\u2019s Ministry of <a href=\"https:\/\/www.gov.br\/mma\/pt-br\/noticias\/mma-e-fiocruz-apresentam-fitoterapico-para-disturbios-urinarios\" target=\"_blank\" rel=\"noopener\">Environment and Climate Change<\/a>, Fiocruz, Farmanguinhos, Anvisa, SUS, and the Global Environment Facility. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is backed by about $477,000, money which is being used for equipment, infrastructure, supplies, technical visits, lab studies, and stability testing before regulatory submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Carina Pimenta, Brazil\u2019s national secretary for bioeconomy, said the project treats traditional knowledge as technology when access is based on prior informed consent and benefit sharing. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Priscila Ferraz, Fiocruz\u2019s vice president for health production and innovation, framed it as a way to widen safe access while supporting biodiversity and domestic production. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gabriel F\u00e1vero, a technical adviser with the United Nations program, said the agreement can strengthen the national production chain and set a precedent for benefit-sharing partnerships.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1800\" height=\"1013\" src=\"https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/06\/phyllanthus-niruri-quebra-pedra-medicinal-plant-brazil.jpg\" alt=\"Phyllanthus niruri plant, known as quebra-pedra, growing naturally with its distinctive green leaves\" class=\"wp-image-27751\" title=\"\" srcset=\"https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/06\/phyllanthus-niruri-quebra-pedra-medicinal-plant-brazil.jpg 1800w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/06\/phyllanthus-niruri-quebra-pedra-medicinal-plant-brazil-300x169.jpg 300w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/06\/phyllanthus-niruri-quebra-pedra-medicinal-plant-brazil-768x432.jpg 768w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/06\/phyllanthus-niruri-quebra-pedra-medicinal-plant-brazil-1536x864.jpg 1536w, https:\/\/okdiario.com\/metabolic\/en\/wp-content\/uploads\/2026\/06\/phyllanthus-niruri-quebra-pedra-medicinal-plant-brazil-150x84.jpg 150w\" sizes=\"auto, (max-width: 1800px) 100vw, 1800px\" \/><figcaption class=\"wp-element-caption\">Phyllanthus niruri, commonly called quebra-pedra or \u201cstone breaker,\u201d is a medicinal plant traditionally used for urinary health and now being evaluated for broader use in Brazil\u2019s public healthcare system.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">The science is promising but cautious<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There is a scientific reason officials are moving carefully. A<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6092661\/\" target=\"_blank\" rel=\"noopener\"> 2018 clinical study<\/a> followed 56 people with kidney stones smaller than 0.4 inches and found that Phyllanthus niruri tea was safe in that group and changed some urinary markers linked to stone formation. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32333735\/\" target=\"_blank\" rel=\"noopener\"> 2020 review<\/a> reached a more cautious conclusion, saying clinical evidence suggests modest benefit, but<a href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/a-very-common-vitamin-has-surprised-scientists-and-is-forcing-them-to-rethink-how-to-manage-inflammation-in-crohns-disease-and-colitis-24871\/\"> more study<\/a> is still needed.<\/p>\n\n\n\n<div class=\"gb-element-cf608bc2\">\n<div><div class=\"gb-looper-67273c62\">\n<div class=\"gb-loop-item gb-loop-item-571aedad post-27674 post type-post status-publish format-standard has-post-thumbnail hentry category-nutrition resize-featured-image\">\n<h3 class=\"gb-text gb-text-f53e7a5d\">Read More: <a href=\"https:\/\/okdiario.com\/metabolic\/en\/nutrition\/blending-potato-peels-with-baking-soda-sounds-bizarre-but-more-and-more-people-are-doing-it-for-a-reason-27674\/\">Blending potato peels with baking soda sounds bizarre, but more and more people are doing it for a reason<\/a><\/h3>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">That caution is important. The current Anvisa indication described by officials is as an aid to increase urinary flow and as an added therapy for mild urinary complaints, while studies continue on a possible indication for urinary stones. In other words, the plant may be promising, but the label must follow the evidence.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why this could go beyond one plant<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">At the end of the day, this is also a test of how Brazil handles its biodiversity.<a href=\"https:\/\/www.gov.br\/anvisa\/pt-br\/assuntos\/noticias-anvisa\/2025\/anvisa-aprova-novo-marco-para-medicamentos-fitoterapicos-no-brasil\" target=\"_blank\" rel=\"noopener\"> Anvisa<\/a> said in December 2025 that the country has about 350 regularized herbal medicines, compared with about 3,000 in the United Kingdom and 10,000 in Germany, while only about 15% of Brazilian plant species have been studied for medicinal use. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That is a huge gap for a country with so much biological knowledge on the ground.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The project also follows Brazil\u2019s model for access and benefit sharing, which is meant to recognize communities that hold traditional knowledge. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That matters because plant-based innovation has often moved in one direction: from local knowledge to commercial products, without much return for the people who kept that knowledge alive. This time, officials say the chain is supposed to work differently.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What happens next<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The pilot batches are only the beginning. After them come stability studies, submission to Anvisa, and then the possible supply of the product through SUS. Earlier official materials estimated that this stage could take up to two years, so patients should not expect an immediate rollout.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Careful wording matters here, too. The correction in the source material makes clear that this is the first time quebra-pedra is being used to produce this kind of herbal product for inclusion among SUS offerings, not the first medicinal plant ever connected to the public system.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The official press release has been published by<a href=\"https:\/\/www.far.fiocruz.br\/2026\/05\/saberes-tradicionais-e-cientificos-se-unem-em-fitoterapico-para-disturbios-urinarios\/\" target=\"_blank\" rel=\"noopener\"> <\/a><em><a href=\"https:\/\/www.far.fiocruz.br\/2026\/05\/saberes-tradicionais-e-cientificos-se-unem-em-fitoterapico-para-disturbios-urinarios\/\" target=\"_blank\" rel=\"noopener\">Fiocruz\/Farmanguinhos<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A small, green plant long used in Brazilian homes for urinary problems is now moving into a stricter world, regulated &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"This plant could become the first one used by Brazil\u2019s public health system, and it\u2019s reopening a huge debate\" class=\"read-more button\" href=\"https:\/\/okdiario.com\/metabolic\/en\/health\/this-plant-could-become-the-first-one-used-by-brazils-public-health-system-and-its-reopening-a-huge-debate-27748\/#more-27748\" aria-label=\"Read more about This plant could become the first one used by Brazil\u2019s public health system, and it\u2019s reopening a huge debate\">Read more<\/a><\/p>\n","protected":false},"author":21,"featured_media":27750,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-27748","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","resize-featured-image"],"_links":{"self":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/27748","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/comments?post=27748"}],"version-history":[{"count":3,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/27748\/revisions"}],"predecessor-version":[{"id":27753,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/posts\/27748\/revisions\/27753"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media\/27750"}],"wp:attachment":[{"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/media?parent=27748"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/categories?post=27748"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/okdiario.com\/metabolic\/en\/wp-json\/wp\/v2\/tags?post=27748"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}