Outcome
    Limited

    Rhodiola Rosea for Mental Clarity

    Reported cognitive benefits of rhodiola come from low-quality fatigue trials, and objective performance measures have generally not improved.

    Overview

    Reported cognitive benefits of rhodiola come from low-quality fatigue trials, and objective performance measures have generally not improved.

    Verdict

    Insufficient evidence

    How It Works

    Salidroside is proposed to modulate serotonin, dopamine and norepinephrine turnover and blunt stress-induced cortisol effects on prefrontal function.

    Dosing & Protocol

    Typical dose

    Recommended dose
    Studied at 170-600 mg/day of standardised Rhodiola rosea extract; mental clarity has not been measured directly
    Expected timeframe
    Not established

    Protocol

    form
    Rhodiola rosea root extract standardised to 3% rosavins and 1% salidroside; adulteration with cheaper Rhodiola species is common
    duration
    Trials ran from single doses to 12 weeks
    co factor
    Take in the morning if used; evening doses are activating. Evidence is insufficient. Mental clarity is not a measurable construct and no trial has used it as an endpoint. The adjacent findings are real but narrow: Darbinyan found improved mental performance on a fatigue index in physicians working night duty at 170 mg/day, and Shevtsov found improved capacity for mental work in military cadets. Both studied performance under fatigue, not cognition in rested people. Trials in non-fatigued adults have not shown cognitive benefit, and the effect appears to be relief of fatigue-related impairment rather than enhancement.
    titration
    Not applicable - no dose-response for cognitive clarity has been established
    starting dose
    Not established for this outcome. Trials used 170-600 mg/day of extract standardised to 3% rosavins and 1% salidroside

    Evidence

    What the studies say

    Systematic reviews rate the fatigue and cognition trials as high risk of bias, with subjective improvements not matched by objective test results. No adequately powered independent trial supports a cognitive claim.

    The effectiveness and efficacy of Rhodiola rosea L.: a systematic review of randomized clinical trials

    Score: 8/10
    2011
    systematic_review

    Hung SK, Perry R, Ernst E

    R. rosea may have beneficial effects on physical performance, mental performance and certain mental health conditions.

    View source

    Rhodiola rosea for physical and mental fatigue: a systematic review

    Score: 9/10
    2012
    systematic_review

    Ishaque S, Shamseer L, Bukutu C +1 more

    Two of six trials examining physical fatigue in healthy populations report R. rosea to be effective as did three of five RCTs evaluating R. rosea for mental fatigue.

    View source

    The effects of Rhodiola rosea L. extract on anxiety, stress, cognition and other mood symptoms

    Score: 5/10
    2015
    rct
    n=80

    Cropley M, Banks AP, Boyle J

    Relative to the controls, the experimental group demonstrated a significant reduction in self-reported, anxiety, stress, anger, confusion and depression at 14 days.

    View source

    Safety

    Caveats

    Only three of five mental-fatigue RCTs were positive, and the 80-person Cropley trial found no difference in objective cognitive performance despite improved self-reported mood.

    Less likely to help if

    Well-rested people, in whom no cognitive benefit has been shown.

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