Outcome
    Limited

    Rhodiola Rosea for Shift Work Adaptation

    Rhodiola showed promise for shift-related fatigue in one small physician study.

    Overview

    Rhodiola showed promise for shift-related fatigue in one small physician study.

    Verdict

    Insufficient evidence

    How It Works

    Modulates monoamine turnover and stress hormone reactivity.

    Dosing & Protocol

    Typical dose

    Recommended dose
    200-400mg/day at shift start
    Expected timeframe
    2-4 weeks

    Protocol

    form
    Rhodiola rosea root extract standardised to 3% rosavins and 1% salidroside
    duration
    The Darbinyan trial ran 2 weeks with a 2-week washout crossover
    co factor
    Evidence is insufficient. Darbinyan and colleagues studied 56 physicians on night duty and found 170 mg/day improved a composite fatigue index covering associative thinking, short-term memory, calculation and concentration during the first two weeks, with the effect not sustained in the second period. This is the only directly relevant trial and it measured cognitive performance during night work, not circadian adaptation, sleep quality, shift tolerance or health outcomes. No trial has examined rotating shifts, sleep timing or the metabolic and cardiovascular risks associated with shift work.
    titration
    Not applicable - no dose-response has been established for shift work
    starting dose
    Not established. The relevant trial used 170 mg/day of SHR-5 extract in physicians on night duty

    Evidence

    What the studies say

    A small randomised trial in night-duty physicians reported reduced fatigue and improved cognitive performance. Replication is limited.

    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

    Rhodiola rosea for physical and mental fatigue: a systematic review of randomised clinical trials

    Score: 6/10
    2012
    systematic_review

    Ishaque S, Shamseer L, Bukutu C +1 more

    Trial quality was low and results inconsistent, so efficacy for fatigue could not be confirmed

    View source

    Rhodiola rosea for physical and mental fatigue: a systematic review of randomized clinical trials

    Score: 6/10
    2012
    systematic_review

    Ishaque S, Shamseer L, Bukutu C +1 more

    Trial quality was low and results inconsistent, so efficacy for fatigue could not be confirmed

    View source

    Safety

    Caveats

    Stimulating; do not take near intended sleep. Caution in bipolar disorder.

    Less likely to help if

    Anyone taking it near a planned sleep period, and those needing proper shift scheduling changes.

    Medical Disclaimer

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    Individual results may vary. The statements on this website have not been evaluated by the Food and Drug Administration. Products and information are not intended to diagnose, treat, cure, or prevent any disease.