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AlternativeMed

Adaptogens

What the Word Means, What Research Shows & What to Check Before You Use.

Adaptogen is a traditional and Soviet-era idea, not a medical category. Explore each plant, root, mushroom and berry that is often called one: where it comes from, what studies in people have and have not found (and what was only in the lab), and what to check before you use it: stimulation and sleep, thyroid, autoimmune disease, pregnancy, blood thinners, blood pressure, diabetes medicines, liver and hormone-sensitive conditions.

Adaptogens library

Find the right adaptogens for you

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Explore all 56 adaptogens

Panax japonicus, Panax japonicus var. major, Panax japonicus var. bipinnatifidus

Rhizome

Human evidence: Mostly lab and animal research

  • Japanese ginseng as a traditional tonic
  • Japanese ginseng and fatigue or stress
  • Japanese ginseng and blood sugar
  • Inflammation and joint swelling (animal and cell studies)

More about Japanese Ginseng

Manchurian Aralia

Siberian and Russian adaptogens

Aralia elata, Aralia mandshurica

Root

Human evidence: Mostly traditional use

  • Aralia and fatigue (asthenia)
  • Aralia and mental and physical performance
  • Aralia and low blood pressure
  • Aralia and blood sugar or weight

More about Manchurian Aralia

Zamaniha

Siberian and Russian adaptogens

Oplopanax elatus, Echinopanax elatum

RootBarkStemLeaf

Human evidence: Mostly lab and animal research

  • Traditional use as a tonic
  • The adaptogen label
  • Added to antibiotics in children with dysentery
  • Inflammation (lab and animal)

More about Zamaniha

Black Ginger (Krachai Dum)

Andean and other roots

Kaempferia parviflora

Rhizome

Human evidence: Some human trials (small or short)

Studied in people for: exercise performance, heart and cholesterol, blood sugar, sexual function

  • Black ginger and exercise capacity
  • Black ginger and grip and leg strength
  • Black ginger and abdominal fat
  • Black ginger and sexual function

More about Black Ginger (Krachai Dum)

Cynomorium (Suo Yang)

Chinese tonics

Cynomorium songaricum, Cynomorium coccineum

Whole plant / above-ground

Human evidence: Mostly lab and animal research

  • Traditional use as a yang tonic and for male sexual function
  • Male sexual function and fertility
  • Blood sugar, weight and metabolic syndrome
  • Fatigue and anti-aging

More about Cynomorium (Suo Yang)

Shilajit

Ayurvedic rasayanas

Not a plant: mineral pitch (mineral-organic resin) from Himalayan rock

mineral

Human evidence: Very few human studies

Studied in people for: exercise performance

Heavy metals and qualityAllergy

  • Testosterone levels in men
  • Bone density after menopause
  • Healing after a broken shin bone (tibia)
  • Strength, fatigue and exercise

More about Shilajit

Chyawanprash

Ayurvedic rasayanas

Phyllanthus emblica (amla, main ingredient)

Berry / fruit

Human evidence: Human trials with mixed results

Diabetes medicinesHeavy metals and qualityPregnancy and breastfeeding

  • Immune support and general health
  • COVID-19 prevention
  • Children, students and adults: small studies
  • Longevity and stress resilience (roundworm study)

More about Chyawanprash

Goji Berry

Berries and fruits

Lycium barbarum, Lycium chinense

Berry / fruit

Human evidence: Some human trials (small or short)

Studied in people for: fatigue and stamina, sleep, immune and infections, blood sugar, heart and cholesterol

Blood thinners and bleedingAllergy

  • Blood fats and heart risk markers
  • Blood sugar
  • General well-being, fatigue and sleep ratings
  • Immune markers in older adults

More about Goji Berry

Panax ginseng C.A.Mey., Panax ginseng C.A. Meyer

Root

Human evidence: Human trials with mixed results

Studied in people for: fatigue and stamina, exercise performance, sexual function

Stimulating: insomnia, jittersAutoimmune conditionsPregnancy and breastfeedingBlood thinners and bleeding+4 more

  • Steaming and the ginsenoside profile
  • Traditional use for tiredness and weakness (red form)
  • Fatigue after COVID-19 (Korean trial)
  • Athletic performance (red ginseng trials)

More about Korean Red Ginseng

Bacopa monnieri

Ayurvedic rasayanas

Bacopa monnieri

Leaf

Human evidence: Some human trials (small or short)

Studied in people for: memory and thinking

  • Verbal memory (free recall)
  • Speed of attention
  • Working and short-term memory (compared with ginkgo)
  • Overall certainty for healthy adults

More about Bacopa monnieri

Ashwagandha

Ayurvedic rasayanas

Withania somnifera

RootLeaf

Human evidence: Some human trials (small or short)

Studied in people for: stress and anxiety, sleep

Liver disease or liver injury reportsPregnancy and breastfeedingThyroid disease or thyroid medicineAutoimmune conditions+7 more

What ashwagandha (Withania somnifera) is, what trials found for stress and sleep, and the liver, thyroid, pregnancy and medicine cautions to know before using it.

  • Stress and perceived stress
  • Sleep and insomnia
  • Anxiety
  • Cortisol levels

More about Ashwagandha

Amla

Berries and fruits

Phyllanthus emblica L., Emblica officinalis Gaertn.

Berry / fruit

Human evidence: Very few human studies

Studied in people for: heart and cholesterol

Blood thinners and bleedingBefore surgeryDiabetes medicines

Amla, or Indian gooseberry (Phyllanthus emblica), is an Ayurvedic fruit; this guide separates tradition from trial findings and covers blood-thinner and diabetes cautions.

  • Blood cholesterol and triglyceride markers
  • Blood sugar
  • Heart and blood-vessel health
  • Antioxidant activity in the laboratory

More about Amla

Maca

Andean and other roots

Lepidium meyenii, Lepidium peruvianum

Root

Human evidence: Some human trials (small or short)

Studied in people for: menopause symptoms, sexual function

Maca (Lepidium meyenii) is an Andean root eaten as food and sold as a supplement; this guide separates traditional use from trial results and covers safety questions.

  • Menopausal symptoms
  • Sexual function and desire
  • Symptoms of late-onset hypogonadism in men
  • Semen quality and male fertility

More about Maca

Rhodiola

Siberian and Russian adaptogens

Rhodiola rosea

RootRhizome

Human evidence: Human trials with mixed results

Studied in people for: stress and anxiety, fatigue and stamina, mood

Mood disorders (mania)Blood pressure and its medicinesPregnancy and breastfeedingStimulating: insomnia, jitters

What rhodiola (Rhodiola rosea) is, what trials found for fatigue, stress and mood, and cautions about antidepressants, other medicines, pregnancy and look-alike products.

  • Traditional use for stress-related fatigue
  • Fatigue and stress (human trials)
  • Mood and mild-to-moderate depression
  • Physical endurance and athletic performance

More about Rhodiola

Astragalus

Chinese tonics

Astragalus mongholicus, Astragalus membranaceus

Root

Human evidence: Some human trials (small or short)

Studied in people for: blood sugar, immune and infections

Autoimmune conditionsImmunosuppressant medicinesPregnancy and breastfeeding

Astragalus (Astragalus mongholicus, also sold as A. membranaceus) is a root used in Chinese medicine; this guide covers NIH's evidence summary and the immune-medicine caution.

  • Overall evidence for any health use
  • Traditional use as a tonic
  • Immune measures
  • Type 2 diabetes (add-on to metformin)

More about Astragalus

Gotu kola

Ayurvedic rasayanas

Centella asiatica (L.) Urb.

Whole plant / above-ground

Human evidence: Very few human studies

Studied in people for: memory and thinking, mood

Liver disease or liver injury reportsPregnancy and breastfeedingAllergy

Gotu kola (Centella asiatica): reports of liver injury, the EU skin-use monograph for minor wounds, small studies on memory and anxiety, and why "brahmi" can mean two plants.

  • Minor wound healing (skin use)
  • Traditional use (not proof)
  • Memory and mood in healthy older adults
  • Anxiety symptoms

More about Gotu kola

Licorice root

Other tonics

Glycyrrhiza glabra, Glycyrrhiza uralensis, Glycyrrhiza inflata

Root

Human evidence: Very few human studies

Blood pressure and its medicinesLow potassiumKidney diseasePregnancy and breastfeeding+3 more

Licorice root (Glycyrrhiza glabra): what research and EU and NIH sources say, why glycyrrhizin can raise blood pressure and lower potassium, medicine interactions, and how DGL differs.

  • Mouth ulcers (canker sores)
  • Sore throat after a breathing tube
  • Eczema and burns (topical gels)
  • Digestive symptoms

More about Licorice root

Schisandra

Siberian and Russian adaptogens

Schisandra chinensis, Schisandra sphenanthera

Berry / fruit

Human evidence: Very few human studies

Studied in people for: blood sugar, liver, menopause symptoms

Immunosuppressant medicines

What schisandra (Schisandra chinensis) is, where the adaptogen idea began, what little human research exists, and cautions about enzyme interactions and the tacrolimus findings.

  • Traditional tonic for fatigue, sleep and stamina
  • Adaptogen concept (Russian research)
  • Blood sugar markers (mixture trial)
  • Liver function (small studies)

More about Schisandra

Panax quinquefolius

Root

Human evidence: Some human trials (small or short)

Studied in people for: immune and infections, blood sugar, heart and cholesterol, fatigue and stamina

Blood thinners and bleedingDiabetes medicines

What American ginseng (Panax quinquefolius) is, how it differs from Asian ginseng, what trials found for colds and blood sugar, the warfarin finding, and wild-harvest concerns.

  • Possible shorter or fewer colds
  • Possible modest blood sugar lowering in type 2 diabetes
  • Cancer-related fatigue
  • Possible blood pressure and LDL changes

More about American ginseng

Eleuthero

Siberian and Russian adaptogens

Eleutherococcus senticosus, Acanthopanax senticosus (older name)

Root

Human evidence: Very few human studies

Studied in people for: fatigue and stamina, stress and anxiety

Stimulating: insomnia, jittersPregnancy and breastfeeding

What eleuthero (Siberian ginseng, Eleutherococcus senticosus) is, why it is not true ginseng, what trials and the EMA found, and cautions on adulteration, pregnancy and medicines.

  • Traditional use for loss of strength and energy (asthenia)
  • Chronic fatigue trial: no overall benefit
  • Stress-related fatigue trial: negligible added effect
  • Immune support and stamina (claimed uses)

More about Eleuthero

Panax ginseng

Root

Human evidence: Human trials with mixed results

Studied in people for: fatigue and stamina, memory and thinking, blood sugar, heart and cholesterol, sexual function, immune and infections

Diabetes medicinesBlood thinners and bleedingBefore surgeryStimulating: insomnia, jitters+5 more

What Asian ginseng (Panax ginseng) is, what research found for fatigue, thinking, blood sugar and more, and cautions about warfarin, diabetes medicines, insomnia and pregnancy.

  • Traditional use for tiredness and weakness
  • Fatigue
  • Thinking and attention
  • Blood sugar and cardiometabolic markers

More about Asian ginseng

Cistanche

Chinese tonics

Cistanche deserticola, Cistanche tubulosa

Whole plant / above-ground

Human evidence: Very few human studies

Studied in people for: exercise performance

Hormone-sensitive conditions

Cistanche (rou cong rong) is a parasitic plant used in Chinese medicine. What small trials found, why wild plants were protected, and what is not known about safety.

  • Overall evidence for any health use
  • Traditional use as a tonic
  • Muscle strength and exercise recovery
  • Walking ability in early age-related mobility decline

More about Cistanche

Codonopsis

Chinese tonics

Codonopsis pilosula, Codonopsis pilosula var. modesta, Codonopsis tangshen

Root

Human evidence: Mostly traditional use

Pregnancy and breastfeeding

Codonopsis (dang shen, Codonopsis pilosula) is a Chinese herbal root sometimes called an adaptogen; this guide shows what human evidence exists, which is limited, and the safety gaps.

  • Traditional qi tonic (Chinese medicine)
  • Dang shen formulae in COPD (lung function, quality of life)
  • Immune activity (laboratory findings)
  • Stomach and intestine protection (laboratory findings)

More about Codonopsis

Guduchi (giloy)

Ayurvedic rasayanas

Tinospora cordifolia

LeafRootBark

Human evidence: Mostly traditional use

Liver disease or liver injury reportsAutoimmune conditions

Guduchi, or giloy (Tinospora cordifolia), is an Ayurvedic climber linked to liver injury reports; this guide covers the debate over causes, look-alike species and autoimmune cautions.

  • Counter-argument: authentic plant said to be safe
  • Traditional Ayurvedic use
  • Promotion as an immune booster

More about Guduchi (giloy)

He shou wu

Chinese tonics

Reynoutria multiflora, Polygonum multiflorum

Root

Human evidence: Mostly traditional use

Liver disease or liver injury reports

He shou wu (fo-ti, Reynoutria multiflora) is a Chinese root linked to documented liver injury. What the sources found, why processing is discussed, and who should be most careful.

  • Traditional use in Chinese herbal medicine

More about He shou wu

Jiaogulan

Chinese tonics

Gynostemma pentaphyllum

Leaf

Human evidence: Some human trials (small or short)

Studied in people for: stress and anxiety, exercise performance, heart and cholesterol

Jiaogulan (Gynostemma pentaphyllum) is a Chinese vine used as tea and extract; this guide covers small human trials, a platelet case report, and unanswered safety questions.

  • Stress-related anxiety
  • Fatigue and exercise performance
  • Blood lipids
  • Traditional use (diabetes, liver fibrosis, high blood pressure, high lipids)

More about Jiaogulan

Panax notoginseng (Burkill) F.H.Chen ex C.H.Chow

Root

Human evidence: Some human trials (small or short)

Studied in people for: heart and cholesterol

Blood thinners and bleedingBefore surgery

Notoginseng (sanqi, Panax notoginseng) is a Chinese root used for bruising and bleeding. What trials of hospital preparations show, and why blood thinner cautions matter.

  • Traditional use for swelling, pain and bleeding
  • Added to standard care after a heart attack (injection)
  • Added to standard care for bleeding in the brain (injection)
  • Platelet activity markers

More about Panax notoginseng

Pine pollen

Other tonics

Pinus massoniana Lamb., Pinus radiata D.Don, Pinus spp.

Pollen

Human evidence: Mostly lab and animal research

Allergy

Pine pollen, collected from Pinus trees, is sold for energy and testosterone. We found no human trials, only animal and cell studies, plus allergy reports to check.

  • Testosterone or hormone effects
  • Bone and muscle loss after testes removal (rats)
  • Prostate enlargement markers (rats)
  • Antioxidant activity (laboratory)

More about Pine pollen

Rhaponticum (maral root)

Siberian and Russian adaptogens

Rhaponticum carthamoides, Leuzea carthamoides

Root

Human evidence: Mostly lab and animal research

Rhaponticum (maral root, Russian leuzea) is a Soviet-era adaptogen herb; this guide covers its ecdysteroids, the very limited human evidence and sports-supplement label problems.

  • Traditional adaptogen use
  • Ecdysteroids and muscle gain (ecdysterone products)
  • Blood sugar and blood vessel effects in mice
  • Antioxidant and immune effects in the lab

More about Rhaponticum (maral root)

Sea buckthorn

Berries and fruits

Hippophae rhamnoides

Berry / fruit

Human evidence: Some human trials (small or short)

Studied in people for: heart and cholesterol, menopause symptoms

Blood thinners and bleedingKidney disease

Sea buckthorn (Hippophae rhamnoides): what small trials found for cholesterol, vaginal dryness, dry eye and burns, how oil and cream studies differ, and what safety data we could not find.

  • Blood fats (cholesterol and triglycerides)
  • Vaginal dryness after menopause
  • Second-degree burns (topical cream)
  • Dry eye (oral oil)

More about Sea buckthorn

Tongkat ali

Andean and other roots

Eurycoma longifolia

Root

Human evidence: Human trials with mixed results

Studied in people for: sexual function

Heavy metals and quality

Tongkat ali (Eurycoma longifolia) is a Southeast Asian root sold for testosterone and vitality. What small trials found, what is unproven, and old reports of metal contamination.

  • Blood testosterone in men
  • Erectile function
  • Stress hormones and mood
  • Traditional use as an aphrodisiac and for fever

More about Tongkat ali

Holy basil (tulsi)

Ayurvedic rasayanas

Ocimum tenuiflorum, Ocimum sanctum (synonym)

Leaf

Human evidence: Some human trials (small or short)

Studied in people for: stress and anxiety, sleep, blood sugar

What holy basil or tulsi (Ocimum tenuiflorum) is, how it differs from sweet basil, what small trials found for stress and blood sugar, and the safety gaps that remain.

  • Perceived stress and stress symptoms
  • Sleep quality in people under stress
  • Cortisol response to stress
  • Blood glucose in type 2 diabetes

More about Holy basil (tulsi)

Moringa

Other tonics

Moringa oleifera

Leaf

Human evidence: Human trials with mixed results

Studied in people for: blood sugar, heart and cholesterol

Pregnancy and breastfeedingDiabetes medicinesAllergy

Moringa leaf (Moringa oleifera): what small human trials and reviews found on blood sugar, blood pressure and breast milk, plus pregnancy, medicine and allergy cautions.

  • Blood sugar in prediabetes
  • Blood pressure
  • Breast milk supply
  • Cholesterol and blood fats

More about Moringa

Shatavari

Ayurvedic rasayanas

Asparagus racemosus

Root

Human evidence: Some human trials (small or short)

Studied in people for: menopause symptoms, sexual function

Hormone-sensitive conditionsPregnancy and breastfeeding

Shatavari root (Asparagus racemosus): what small trials and reviews show for lactation, menopause and women's health, and what is not yet known about safety.

  • Breast milk production after birth
  • Menopause symptoms
  • Low sexual desire in women
  • Polycystic ovary syndrome (PCOS)

More about Shatavari

Triphala

Ayurvedic rasayanas

Terminalia chebula, Terminalia bellirica, Phyllanthus emblica

Berry / fruit

Human evidence: Some human trials (small or short)

Studied in people for: heart and cholesterol, blood sugar

Diabetes medicinesPregnancy and breastfeedingBefore surgeryHeavy metals and quality

Triphala is an Ayurvedic blend of three fruits (haritaki, bibhitaki, amla); what trials found on mouthwash, cholesterol and bowels, plus medicine, pregnancy and metal-quality cautions.

  • Plaque and gum inflammation (mouthwash)
  • Cholesterol, blood sugar and weight
  • Cholesterol (guggulu plus triphala)
  • Laxative action and bowel symptoms

More about Triphala

Rehmannia

Chinese tonics

Rehmannia glutinosa

Root

Human evidence: Mostly lab and animal research

Studied in people for: menopause symptoms

Pregnancy and breastfeedingAllergy

Rehmannia root (Rehmannia glutinosa, di huang): raw versus prepared forms, what small and mixed-quality trials show, and honest safety gaps on medicines, pregnancy and digestion.

  • Menopause-like symptoms after breast cancer treatment
  • Diabetic eye disease (retinopathy), as part of a formula
  • Early diabetic kidney disease, as part of Liuwei Dihuang
  • Memory and thinking problems, as part of Liuwei Dihuang

More about Rehmannia

Ganoderma lucidum, Ganoderma lingzhi, Ganoderma sichuanense

Fruiting bodySporesMycelium

Human evidence: Human trials with mixed results

Studied in people for: fatigue and stamina, immune and infections, blood sugar, heart and cholesterol

Liver disease or liver injury reportsBlood thinners and bleedingImmunosuppressant medicinesAutoimmune conditions

Reishi (Ganoderma lucidum and related lingzhi species) in plain language. Liver injury reports and bleeding cautions first, then what trials found and the species naming dispute.

  • Immune markers (lab and small studies)
  • Adjunct in cancer care (not a treatment)
  • Fatigue in neurasthenia
  • Blood sugar, cholesterol and blood pressure (no benefit shown)

More about Reishi (lingzhi)

Lion's mane

Mushrooms

Hericium erinaceus

Fruiting bodyMycelium

Human evidence: Some human trials (small or short)

Studied in people for: memory and thinking

Allergy

Lion's mane (Hericium erinaceus) is a food mushroom also sold as a supplement. What small human trials found, what is only lab research, and the safety points to know.

  • Memory and thinking tests in small human trials
  • Nerve growth factor and nerve cell findings in the lab
  • As a food (nutrition)
  • Compounds reported in the mushroom (chemistry)

More about Lion's mane

Cordyceps

Mushrooms

Cordyceps militaris (cultivated), Ophiocordyceps sinensis (wild caterpillar fungus; older name Cordyceps sinensis)

Fruiting bodyMycelium

Human evidence: Human trials with mixed results

Studied in people for: immune and infections, exercise performance

Blood thinners and bleedingDiabetes medicinesHeavy metals and quality

Cordyceps explained: cultivated Cordyceps militaris versus wild caterpillar fungus (Ophiocordyceps sinensis), what small trials found, bleeding and blood sugar cautions, and conservation.

  • Immune markers in healthy adults (C. militaris)
  • Exercise capacity and stamina
  • As a food (nutrition)
  • Traditional tonic use

More about Cordyceps

Chaga

Mushrooms

Inonotus obliquus

Conk (woody body)

Human evidence: Mostly lab and animal research

Kidney diseaseBlood thinners and bleedingDiabetes medicines

Chaga (Inonotus obliquus) explained: kidney injury from oxalate reported with chaga powder, bleeding and blood sugar cautions, folk use, and why human trial evidence is missing.

  • Traditional folk remedy
  • Antioxidant, anti-inflammatory and immune effects in the lab
  • Blood-sugar lowering in lab and animal studies
  • Cancer-related uses

More about Chaga

Turkey tail

Mushrooms

Trametes versicolor, Coriolus versicolor (synonym)

Fruiting bodyMycelium

Human evidence: Some human trials (small or short)

Studied in people for: immune and infections

Pregnancy and breastfeeding

Turkey tail (Trametes versicolor) in plain language: how the Japanese cancer-care drug PSK differs from supplements, what trials found, and why the oncology team must know.

  • Adjunct to cancer treatment (PSK extract, Japan)
  • Side effects of chemotherapy
  • Gut bacteria (prebiotic-like changes)
  • Immune markers in breast cancer survivors

More about Turkey tail

Maitake

Mushrooms

Grifola frondosa (Dicks.) Gray

Fruiting body

Human evidence: Some human trials (small or short)

Studied in people for: immune and infections, memory and thinking

Blood thinners and bleedingDiabetes medicines

Maitake (Grifola frondosa, also called hen of the woods) as a food and supplement: blood sugar and warfarin cautions first, then what small trials found and what is still unknown.

  • As a food (nutrition)
  • Immune markers (immune modulation)
  • Side effects of chemoradiotherapy (D-fraction)
  • Thinking skills in older adults

More about Maitake

Tremella

Mushrooms

Tremella fuciformis

Fruiting body

Human evidence: Very few human studies

Studied in people for: memory and thinking

Tremella (snow fungus, Tremella fuciformis) is an edible fungus used in Asian cooking and medicine. One small memory trial exists; skin and drink claims rest mostly on lab work.

  • Subjective memory complaints
  • Skin hydration, ageing and wound healing (lab work)
  • Immune-modulating polysaccharides (lab work)
  • Antioxidant activity (lab work)

More about Tremella

Wolfiporia cocos, Poria cocos (synonym)

Sclerotium

Human evidence: Mostly traditional use

Heavy metals and quality

Poria, or fu ling, is the hardened body of the fungus Wolfiporia cocos, a long-standing Chinese medicine ingredient. See what trials show, why evidence is thin, and quality concerns.

  • Traditional Chinese medicine use
  • Blood sugar, as part of herbal formulas
  • Antioxidant and anti-inflammatory activity in the lab
  • Diuretic and kidney effects in animals

More about Poria (fu ling)

Suma (Brazilian ginseng)

Andean and other roots

Pfaffia paniculata, Hebanthe erianthos (accepted name per GBIF match)

Root

Human evidence: Mostly lab and animal research

Pregnancy and breastfeedingLiver disease or liver injury reportsKidney diseaseHormone-sensitive conditions

Suma, or Brazilian ginseng (Pfaffia paniculata): what we found on traditional use, the thin human evidence, the ecdysterone sports claims, and safety unknowns.

  • Energy, stress and general tonic claims
  • Muscle building and sports performance (ecdysterone)
  • Sickle cell red blood cells (laboratory)
  • Sex-hormone levels (mouse study)

More about Suma (Brazilian ginseng)

Mucuna pruriens

Seed

Human evidence: Some human trials (small or short)

Mood disorders (mania)Pregnancy and breastfeeding

Mucuna pruriens (velvet bean) seed is a natural source of levodopa. What Parkinson's trials show, and the medicine, psychiatric, seed-hair and fertility-claim cautions.

  • Parkinson's disease symptoms (natural levodopa source)
  • Faster or longer 'on' time versus standard levodopa
  • Male fertility and sperm quality
  • Claims for depression, Alzheimer's, cancer and blood pressure

More about Mucuna pruriens (velvet bean)

Polygonatum sibiricum, Polygonatum kingianum, Polygonatum cyrtonema

Rhizome

Human evidence: Very few human studies

Studied in people for: sleep

Allergy

Polygonatum rhizome (huang jing, Solomon's seal; Polygonatum sibiricum): used in Chinese medicine for centuries, with one small sleep trial and mostly lab research behind it.

  • Sleep in mild insomnia
  • Blood sugar (diabetes)
  • Antioxidant, immune, anti-fatigue and other lab findings
  • Traditional tonic use (fatigue, cough, appetite, joints)

More about Polygonatum (huang jing, Solomon's seal)

Dendrobium (shi hu)

Chinese tonics

Dendrobium officinale

Stem

Human evidence: Very few human studies

Dendrobium (shi hu, Dendrobium officinale) is an orchid stem used in Chinese medicine; human evidence is small, products are often mixed with other species, and wild plants are threatened.

  • Radiotherapy mouth sores
  • Dry mouth in Sjogren's syndrome
  • Blood sugar and blood fats
  • Dry eye and stomach lining

More about Dendrobium (shi hu)

Safed musli

Ayurvedic rasayanas

Chlorophytum borivilianum

Root

Human evidence: Very few human studies

Studied in people for: sexual function, exercise performance

Safed musli root (Chlorophytum borivilianum): Ayurvedic use for stamina and libido, the few small human trials, wild-stock decline, look-alike roots and what is not known about safety.

  • Sperm quality and testosterone
  • Physical performance and endurance
  • Sperm density in low sperm count (three-herb mix)
  • Growth hormone after exercise (two-ingredient blend)

More about Safed musli

Ophiocordyceps sinensis (Berk.) G.H.Sung et al., Cordyceps sinensis (older name), Hirsutella sinensis (asexual stage)

SclerotiumMycelium

Human evidence: Some human trials (small or short)

Studied in people for: immune and infections, exercise performance

Heavy metals and qualityBlood thinners and bleedingDiabetes medicines

The wild Tibetan caterpillar fungus (Ophiocordyceps sinensis, yartsa gunbu) is rare, costly and conservation-listed; what kidney and lung trials of fungus-based products show, why they mostly tested cultured mycelium, and the arsenic findings in the wild product.

  • Kidney disease: add-on trials of fungus products
  • Lung disease (COPD): one active-controlled trial
  • Immune markers in healthy adults (cultured P. hepiali mycelium)
  • Exercise capacity (Cs-4 pilot)

More about Caterpillar fungus

Cordyceps militaris (L.) Fr.

Fruiting bodyMycelium

Human evidence: Human trials with mixed results

Studied in people for: immune and infections, exercise performance, sleep

Blood thinners and bleedingDiabetes medicines

Cordyceps militaris, the orange cultivated cordyceps grown on grain or silkworm pupae: how it is made, what small human trials found (immune markers, exercise, runners' blood markers, a negative sleep trial), the safety data we could and could not find, and the lab numbers.

  • Immune markers in healthy adults
  • Exercise capacity and stamina
  • Blood markers in endurance runners
  • Sleep in people with depression (no benefit found)

More about Orange cordyceps (Cordyceps militaris)

Ashitaba

Other tonics

Angelica keiskei

LeafStem

Human evidence: Some human trials (small or short)

Studied in people for: heart and cholesterol, blood sugar, liver

Blood thinners and bleedingBefore surgeryPregnancy and breastfeedingAllergy

Ashitaba (Angelica keiskei): what EFSA and human trials say about the leaf, stem sap and chalcones, plus cautions on blood clotting, pregnancy, allergy and look-alike Angelica herbs.

  • Visceral fat and waist size
  • Liver blood tests in alcohol drinkers
  • Blood sugar
  • Antioxidant levels

More about Ashitaba

Lessertia frutescens, Sutherlandia frutescens

Leaf

Human evidence: Very few human studies

Sutherlandia (cancer bush, Lessertia frutescens): what small human trials and lab studies show, and why antiretroviral and tuberculosis-prevention medicine interactions matter.

  • Short-term safety in adults
  • Cancer (lab findings only)
  • HIV or AIDS treatment
  • Appetite

More about Sutherlandia (cancer bush)

"Adaptogen" is a traditional and Soviet-era idea, not a medical category, and European regulators judge each herb on its own evidence rather than on that word. "Studied for" means a study in people exists, not that the plant works: most trials are small, short and often paid for by makers. "Check before you use" lists cautions a source we read raised. It is not a complete list, so ask a pharmacist or clinician if you take medicines or have a health condition.

A link between a adaptogen and a topic means the body needs the adaptogen for that job, or that low intake is linked to it. It does not mean extra supplements help if your intake is already adequate. See each page’s evidence label.

Browse by adaptogen group

Ginsengs

Asian, American, Korean red, Japanese and Vietnamese ginseng and relatives: the roots that gave "adaptogen" much of its fame.

Siberian and Russian adaptogens

Rhodiola, eleuthero, schisandra, rhaponticum and other plants from the Soviet-era research that coined the word.

Mushrooms

Reishi, cordyceps, chaga, lion's mane and other mushrooms sometimes called adaptogens. Their full guides are in Mushrooms.

Berries and fruits

Amla, goji and sea buckthorn: fruit tonics.

Andean and other roots

Maca, suma, tongkat ali and black ginger: roots from South America and Southeast Asia.

Other tonics

Pine pollen, licorice, moringa, ashitaba and other plants marketed with the word adaptogen.

Related minerals, nutrients and supplements

Adaptogens work alongside other nutrients. Here is what our sources link to them.

  • Beta-carotene

    Vitamin A: The body can convert beta-carotene to vitamin A.

  • Vitamin E

    Vitamin A: Vitamin E and beta-carotene were tested together in the Finnish smoker trial.

  • Calcium

    Vitamin D: Vitamin D increases calcium absorption; both matter for bones, and treatment of rickets and osteomalacia includes both.

  • Phosphorus

    Vitamin D: NHS says vitamin D helps regulate calcium and phosphate.

  • Vitamin K

    Vitamin E: MedlinePlus says vitamin E helps the body use vitamin K; both affect blood clotting, which matters for people on blood thinners.

  • Selenium

    Vitamin E: Vitamin E and selenium were tested together and apart in the SELECT prostate cancer trial.

  • Vitamin C

    Vitamin E: Vitamin C and vitamin E were pooled with other antioxidants in the Cochrane mortality review.

  • Vitamin D

    Vitamin K: Vitamin D with K2 products exist; the site page does not claim an added benefit.

  • Folate

    Vitamin B1 (thiamin): The NHS page covers B vitamins together; MedlinePlus says doctors may recommend other vitamins alongside thiamin for beriberi.

  • Other B vitamins

    Vitamin B2: MedlinePlus says riboflavin works with the other B vitamins.

  • Tryptophan

    Vitamin B3 (niacin): Pellagra comes from too little niacin or tryptophan in the diet, so both matter for avoiding deficiency.

  • Biotin

    Vitamin B5: MedlinePlus covers pantothenic acid and biotin together; both are needed for growth and metabolism and for making fatty acids.

HerbsOmega fatty acidsAntioxidantsSupplement formulasCompare supplementsNatural Remedy Safety

What would you like help understanding?

Explore Adaptogens

Understanding Adaptogens(3)What the word means, where the idea came from, how researchers define it, and how to read claims about stress, cortisol and "adrenal support".
  • What Are Adaptogens?

    What "adaptogen" means, where the word came from, why regulators and researchers disagree about it, and how to read claims about stress, cortisol and "adrenal support".

  • "Adrenal Fatigue" & "Adrenal Support" Claims

    What the Endocrine Society and NIH say about "adrenal fatigue", how it differs from real adrenal disease such as Addison's, and how to read "adrenal support" supplement …

  • Explore Adaptogens

    An A to Z directory of every ingredient in the Adaptogens library, with scientific names, plant part, classification notes, a key caution and a link to each guide.

More Adaptogen Profiles and the Safety Checklist(9)Ginsengs, Siberian and Chinese tonics and other plants that are less well known, plus the situation-by-situation safety checklist behind the "Check before you use" filter.
Major Adaptogen Herbs(7)Ashwagandha, rhodiola, Asian and American ginseng, eleuthero, holy basil and schisandra: one guide each.
  • Ashwagandha

    What ashwagandha (Withania somnifera) is, what trials found for stress and sleep, and the liver, thyroid, pregnancy and medicine cautions to know before using it.

  • Rhodiola

    What rhodiola (Rhodiola rosea) is, what trials found for fatigue, stress and mood, and cautions about antidepressants, other medicines, pregnancy and look-alike products.

  • Asian Ginseng

    What Asian ginseng (Panax ginseng) is, what research found for fatigue, thinking, blood sugar and more, and cautions about warfarin, diabetes medicines, insomnia and pre…

  • American Ginseng

    What American ginseng (Panax quinquefolius) is, how it differs from Asian ginseng, what trials found for colds and blood sugar, the warfarin finding, and wild-harvest co…

  • Eleuthero (Siberian Ginseng)

    What eleuthero (Siberian ginseng, Eleutherococcus senticosus) is, why it is not true ginseng, what trials and the EMA found, and cautions on adulteration, pregnancy and …

  • Holy Basil (Tulsi)

    What holy basil or tulsi (Ocimum tenuiflorum) is, how it differs from sweet basil, what small trials found for stress and blood sugar, and the safety gaps that remain.

  • Schisandra

    What schisandra (Schisandra chinensis) is, where the adaptogen idea began, what little human research exists, and cautions about enzyme interactions and the tacrolimus f…

Other Herbs, Roots & Berries(13)Maca, astragalus, amla, codonopsis, jiaogulan and other plants sometimes called adaptogens, with classification questions noted.
Ashwagandha in Depth(11)The most searched adaptogen: stress and sleep evidence, root versus leaf, thyroid, liver reports, pregnancy and interactions.
Rhodiola, Ginseng, Holy Basil & Maca in Depth(10)Evidence, side effects and cautions for the next most-searched adaptogens.
Mushroom Adaptogens (Cross-Reference)(4)Reishi, cordyceps, chaga and lion's mane are covered in Mushrooms; these pages explain the adaptogen claims and link to the guides.
Adaptogens by Wellness Goal(12)What research shows for stress, energy, sleep, focus, exercise, burnout, menopause, thyroid and blood sugar. Evidence, not promises.
Supplement Forms & Products(10)Capsules, powders, extracts, tinctures, teas, gummies, drinks and blends: what each format means.
  • Adaptogen Supplements & Product Forms

    What adaptogen capsules, powders, extracts, tinctures, teas, gummies, drinks and blends are, what a US label must show, and why a format alone says little about quality.

  • Adaptogen Capsules and Tablets: What a Label Can Tell You

    What an adaptogen capsule or tablet label can and cannot tell you: plant part, powder or extract, amount per serving, blends, and what lab studies found in real products.

  • Herbal Powders

    What adaptogen powders are, how a whole-herb root or leaf powder differs from an extract, and what the sources say about identity, plant part, metals and testing.

  • Standardized Extracts

    What "standardized" means on adaptogen labels, which marker compounds are named (withanolides, rosavins, salidroside, ginsenosides), and what a marker number does and do…

  • Adaptogen Tinctures and Liquid Extracts

    What adaptogen tinctures and liquid extracts are, why the solvent (often alcohol) matters, what regulators and the FDA labeling guide say, and cautions for pregnancy and…

  • Teas & Infusions

    What an adaptogen tea or infusion is, what human research has and has not tested in tea form, and the cautions that still apply when the herb is in a cup.

  • Adaptogen Gummies: Sugar, Amounts and What Labels Show

    What the research and the label rules say about adaptogen gummies, including ashwagandha gummies: studied amounts, sugar information, label accuracy and child safety.

  • Functional Drinks & Coffee Alternatives

    Adaptogen drinks, lattes and coffee alternatives checked: how much caffeine is typical, what a drink label may hide, and the few studies that tested an adaptogen drink.

  • Single Adaptogens vs Adaptogen Blends

    Single adaptogens versus blends compared on what is documented: label rules, how blends hide amounts, what trials tested, and why cautions add up with every ingredient.

  • Adaptogens in Foods, Chocolate and Skincare: What Is and Is Not Known

    What is and is not known about adaptogens added to chocolate, snacks and skincare: the few human studies, what they tested, and where proper evidence was not found.

Ingredients, Extracts & Quality(10)Species, plant parts, standardization, extract ratios, labels, testing and adulteration.
  • Ingredients, Extracts & Quality

    What the research says about species mix-ups, plant parts, extracts, marker compounds, contamination and labels in adaptogen products, and what testing can and cannot sh…

  • Plant Species & Ingredient Identification

    Why the scientific name on an adaptogen label matters, which look-alike names cause confusion, and what DNA and chemical tests of products have found.

  • Roots, Leaves, Berries & Other Plant Parts

    Why root, leaf and other plant parts are not interchangeable in adaptogen products, with what testing of ashwagandha, ginseng and other products found.

  • Whole-Herb Powders vs. Extracts

    How whole-herb powders and extracts of adaptogens differ on labels and in studies, with what official monographs and tests show, and why results do not transfer.

  • Standardization & Marker Compounds

    What standardization and marker compounds such as withanolides, ginsenosides, rosavins and salidroside mean on adaptogen labels, and what tests of products found.

  • Extract Ratios Explained

    What a ratio such as 10:1 on an adaptogen extract label means, why a bigger number is not automatically a stronger product, and what the ratio cannot tell you.

  • Reading Supplement Labels

    How to read the Supplement Facts panel on an adaptogen product: plant part, extract weight, serving size, blends and claims, and what a label cannot tell you.

  • Proprietary Blends

    Why one total weight for an adaptogen blend hides how much of each ingredient you get, what US label rules require, and how to judge a blend against study amounts.

  • Independent Testing & Certificates of Analysis

    What independent testing and a certificate of analysis can and cannot show about an adaptogen supplement, which tests exist, and why the method and the batch matter.

  • Contamination, Substitution & Adulteration

    What published studies found about wrong species, fillers, heavy metals and hidden drugs in herbal and adaptogen products, with the limits of each study and what to ask …

Use & Practical Questions(9)Studied amounts, how long studies lasted, timing, food, combining and cycling: what is known and what is not.
  • Use & Practical Questions

    What research and official herbal monographs say about amounts, length of use, timing, food, combining and cycling for adaptogens, and where the sources say nothing. No …

  • What Clinical Studies Say About Dosage

    Amounts used in published adaptogen trials and listed in European herbal monographs, with the extract, duration and people studied. These are study amounts, not advice.

  • How Long Different Ingredients Have Been Studied

    How long human trials and official monographs have covered ashwagandha, rhodiola, ginseng, eleuthero and astragalus, and why a short study cannot show long-term safety o…

  • Timing: Morning vs. Evening

    Whether adaptogens work better in the morning or evening is not tested in the sources we read. This page shows the schedules trials and monographs used, and the side eff…

  • Taking Supplements with Food

    Whether adaptogens should be taken with or without food is not settled in the sources we read. What trials did with meals, what absorption studies measured, and what to …

  • Combining Multiple Adaptogens

    Whether taking more than one adaptogen at a time has been studied, what the official sources say about blends and medicines, and why each herb's own cautions still apply.

  • Cycling Adaptogens: Evidence vs. Marketing

    What "cycling" adaptogens means in marketing, what the official sources say about time limits and long-term safety, and why no study of on-and-off schedules was found.

  • Tracking Benefits and Side Effects: A Simple Method to Discuss With a Clinician

    A simple note-keeping method for anyone using an adaptogen supplement, built around what official sources suggest you tell a clinician, with warning signs to flag early.

  • When to Stop & Seek Advice

    Warning signs after taking an adaptogen supplement, which need emergency care, which need a call to a clinician, and how to report a problem, using FDA and NIH sources.

Adaptogen Safety & Interactions(13)Side effects, medicines, pregnancy, children, thyroid, immune, liver, blood pressure and sugar, surgery and when to get help.
  • Adaptogen Safety & Interactions

    Plain-language safety overview for adaptogen herbs: urgent warning signs, medicine interactions, pregnancy, children, surgery, liver and thyroid cautions, and quality, f…

  • Side Effects by Ingredient

    A table of side effects reported for ashwagandha, ginseng types, rhodiola, eleuthero, schisandra, astragalus, licorice, maca and others, with the NIH, EMA or LiverTox so…

  • Adaptogen Medicine Interactions: Documented vs Theoretical

    Which adaptogen and medicine combinations are reported in people, which come only from lab or animal studies, and which are theoretical, with the source and strength for…

  • Adaptogens in Pregnancy and Breastfeeding

    What NIH, the European Medicines Agency, LactMed and published reviews say about adaptogen herbs in pregnancy and breastfeeding, ingredient by ingredient, and where evid…

  • Adaptogens for Children and Teenagers

    What EMA monographs, NIH and case reports say about adaptogen herbs for children and teenagers, why adult studies do not transfer, and what one small ashwagandha trial i…

  • Thyroid Conditions

    Ingredient-specific thyroid cautions for adaptogens. Ashwagandha has NIH warnings and small trial results; for other adaptogens, thyroid evidence was not found in the so…

  • Autoimmune Conditions & Immunosuppressant Medicines

    What NIH, Memorial Sloan Kettering and published reviews say about ashwagandha, astragalus, ginseng and other adaptogens in autoimmune disease and with immunosuppressant…

  • Liver & Kidney Conditions

    What the sources say about adaptogen herbs and the liver or kidneys: ashwagandha and he shou wu liver reports, licorice and astragalus kidney cautions, and when to ask f…

  • Blood Pressure & Blood Sugar Considerations

    Documented and possible cautions when adaptogen herbs meet blood pressure or diabetes medicines, covering licorice, ginseng, eleuthero, rhodiola and ashwagandha, with ev…

  • Surgery & Anesthesia

    Why surgical teams ask about adaptogen herbs: what NCCIH and a JAMA review say about bleeding, blood sugar and anesthesia, and what is and is not known for each plant.

  • Combining Supplements

    Why taking several supplements together is not automatically safer: what NCCIH, the National Kidney Foundation and liver case reports say about interactions and hidden a…

  • When to Seek Medical Help

    Warning signs after taking an adaptogen and who to contact: 911, Poison Help, 988, a clinician or pharmacist, plus how to report a problem to the FDA. Information, not m…

  • Adaptogens and Mental Health Conditions: Bipolar Disorder, Anxiety Disorders and Antidepressants

    What the sources say about rhodiola, ginseng and ashwagandha with bipolar disorder, anxiety disorders and antidepressants, and why adaptogens never replace treatment. 98…

Life Stages & Special Situations(6)Women, men, older adults, teens, athletes, shift workers and people taking many medicines.
Science, History & Policy(12)The Soviet-era origins, active compounds, how trials measure stress, regulation and conservation.
Adaptogen Comparisons(13)Side-by-side comparisons that answer one question each. No rankings and no universal winners.
  • Comparisons & Choosing Products

    Index of side-by-side adaptogen guides, such as ashwagandha vs rhodiola and Asian vs American ginseng, plus a documented at-a-glance table. No rankings, no winners.

  • Asian Ginseng vs. American Ginseng

    Asian ginseng (Panax ginseng) and American ginseng (Panax quinquefolius) are related but different plants. What sources say about each, and why results do not transfer.

  • Ashwagandha vs. Rhodiola

    Ashwagandha (Withania somnifera) and rhodiola (Rhodiola rosea) side by side: what health agencies say, how uneven the research is, and how their cautions differ. No winn…

  • Ashwagandha vs. Ginseng

    Ashwagandha (Withania somnifera) is sometimes called Indian ginseng but is not a ginseng. A side-by-side look at documented evidence and cautions for ashwagandha and Pan…

  • Ashwagandha vs Holy Basil

    Ashwagandha (Withania somnifera) and holy basil or tulsi (Ocimum tenuiflorum) compared: how much research exists, what reviews say, and where safety information is thin.

  • Ginseng vs Eleuthero: Same Name, Different Plants

    Eleuthero is called Siberian ginseng but is not a true ginseng. Compare Panax ginseng with Eleutherococcus senticosus: names, research, and cautions.

  • Maca vs Ginseng vs Ashwagandha

    Maca (Lepidium meyenii), Panax ginseng and ashwagandha compared on energy, libido, fertility and hormone claims: documented evidence, cautions, and lab-test effects.

  • Herbal Adaptogens vs. Mushroom Products

    How herbal adaptogens such as ashwagandha differ from mushroom products such as reishi and cordyceps, what the sources compare, and where no head-to-head evidence exists.

  • Powders vs. Standardized Extracts

    How a whole-herb adaptogen powder differs from a standardized extract on the label, what quality studies found, and why trial results cannot be carried from one form to …

  • How to Compare Adaptogen Supplements

    A checklist for comparing adaptogen supplements by what the label and the research actually support, with no brand names and no rankings, and the safety questions to set…

  • Adaptogens vs Caffeine and Other Stimulants

    Whether adaptogens work like caffeine and other stimulants, what the sources say about each, and why sleep problems and caffeine-containing blends deserve care.

  • Adaptogens vs Prescription Treatments for Anxiety and Depression

    What the research says about adaptogens such as ashwagandha and rhodiola next to prescription treatment for anxiety and depression, and why no one should switch or stop …

  • Ashwagandha vs Magnesium, Melatonin and L-Theanine for Stress and Sleep

    A side-by-side look at what systematic reviews and NIH say about ashwagandha, magnesium, melatonin, L-theanine and kava for stress and sleep, with the cautions for each …

Glossary & Quick Reference(4)Terms, an ingredient table, frequently asked questions and a safety quick reference.

Search adaptogens: popular adaptogens, A to Z, search with filters, more ways

Health benefits of adaptogens

Adaptogens have been used for health in many cultures for centuries. A traditional use tells you what people have done, not that it works. Here every adaptogen is listed under the goals, body systems and actions its guide connects it to, and each link carries the strength of the evidence behind it.

Strongest

0 adaptogens

Clinical trials support a benefit

Promising

9 adaptogens

Early or mixed human evidence

Early science

3 adaptogens

Lab or animal research only

Unknown

0 adaptogens

Too little evidence to say

Each adaptogen is counted once, at the strongest level its guide documents for any use. A strong label for one use says nothing about its other uses or its safety. "Traditional use" alone is not one of these labels: where a guide only reports history, the link is rated "Too little evidence to say". Read the guide on traditional use and research evidence.

Adaptogens by wellness goal

Each card shows how many adaptogens are linked to a goal and how strong the evidence is. Green means clinical trials support a benefit; grey means too little evidence. These are links the guides document, not recommendations. For the wider picture, see the Wellness Goals section.

Circulation, heart and blood pressure

1adaptogens

1 promising

Best-studied

See all 1 adaptogens by strength of evidence

Early or mixed human evidence (1)

Goal pages: Cholesterol Balance

Liver and bones

1adaptogens

1 promising

Best-studied

See all 1 adaptogens by strength of evidence

Early or mixed human evidence (1)

Goal pages: Bone Health

Adaptogens by body system, body part and action

The same links, organized the way anatomy and physiology textbooks do. "Action" describes what an adaptogen is said to do (for example calming or digestive support); it names the claim, not the proof.

Body systems · 8 groups
Blood Sugar Support · 3 adaptogens

Early or mixed human evidence (2)

Lab or animal research only (1)

Metabolism & Weight · 2 adaptogens

Early or mixed human evidence (1)

Lab or animal research only (1)

Reproductive Health · 2 adaptogens

Early or mixed human evidence (1)

Lab or animal research only (1)

Immune Support · 2 adaptogens

Early or mixed human evidence (1)

Lab or animal research only (1)

Cardiovascular System · 1 adaptogens

Early or mixed human evidence (1)

Energy & Fatigue · 1 adaptogens

Early or mixed human evidence (1)

Bones, Joints & Muscles · 1 adaptogens

Early or mixed human evidence (1)

Musculoskeletal System · 1 adaptogens

Early or mixed human evidence (1)

Body parts · 7 groups
Reproductive Organs · 1 adaptogens

Lab or animal research only (1)

Muscles · 1 adaptogens

Early or mixed human evidence (1)

Bones · 1 adaptogens

Early or mixed human evidence (1)

Heart · 1 adaptogens

Lab or animal research only (1)

Kidneys · 1 adaptogens

Lab or animal research only (1)

Stomach · 1 adaptogens

Lab or animal research only (1)

Pancreas · 1 adaptogens

Lab or animal research only (1)

Functional actions · 10 groups
Anti-Inflammatory · 4 adaptogens

Lab or animal research only (4)

Antioxidant · 4 adaptogens

Lab or animal research only (4)

Blood Sugar Regulation · 3 adaptogens

Early or mixed human evidence (2)

Lab or animal research only (1)

Immune Modulation · 3 adaptogens

Lab or animal research only (3)

Neuroprotective · 2 adaptogens

Lab or animal research only (2)

Cardiovascular Support · 2 adaptogens

Early or mixed human evidence (1)

Lab or animal research only (1)

Liver Support · 2 adaptogens

Lab or animal research only (2)

Hormone Balance · 1 adaptogens

Lab or animal research only (1)

Anti-Aging · 1 adaptogens

Lab or animal research only (1)

Adaptogenic · 1 adaptogens

Lab or animal research only (1)

Compare related adaptogens

Side-by-side guides for adaptogens that people confuse or choose between. They explain differences; they do not rank the adaptogens.

What research shows, by health concern

Each guide below looks at one concern, from sleep to skin, and separates adaptogens that were tested in people from adaptogens that are only traditional or lab-tested.

Herbs by wellness goal: the full guide

Traditional uses of adaptogens

People have used adaptogens for health for many centuries. A traditional use tells you what people have done, not that it works. For what research found, see the Health Benefits and Scientific Evidence tabs.

Traditional adaptogen medicine

Ayurveda, Traditional Chinese Medicine and other traditions each use natural remedies in their own systems. The adaptogens below are the ones whose guide mentions the tradition in its own text. That a tradition uses an adaptogen is history, not clinical evidence. Each guide says separately what trials found.

Ayurveda · 3 adaptogens mention it
Traditional Chinese Medicine · 3 adaptogens mention it
Kampo (Japanese) · 1 adaptogens mention it
Tibetan medicine · 1 adaptogens mention it
European adaptogenal tradition · 1 adaptogens mention it

Read more: Therapies & Traditions.

Safety and side effects of adaptogens

Adaptogens are active substances. Some interact with prescription medicines, some are unsafe in pregnancy or with certain conditions, and some have been linked to serious harm. This tab brings together what the individual adaptogen guides document, plus the general rules. Medicine interactions have their own tab.

If someone may have been poisoned or is seriously unwell

  • Collapse, seizure, trouble breathing, swelling of the face or throat, chest pain or a fast irregular heartbeat: call your local emergency number now (911 in the United States and Canada, 999 in the UK, 112 in the European Union).
  • Swallowed too much of an adaptogen, or a child or pet got into a product, and the person seems well: in the United States call Poison Help, 1-800-222-1222 (free, 24 hours). Elsewhere, call your national poison centre or local emergency number.
  • Yellow skin or eyes, dark urine, severe belly pain, or a new rash after starting an adaptogen: stop it and contact a clinician the same day.

Have the product bottle with you when you call. Poisoning: What to Do First · Poison Help by Country · Emergency Quick Reference: Whom to Call (911, 988, Poison Help)

Check before you use an adaptogen

  • Each ingredient has its own risks. Ashwagandha, ginseng, rhodiola, licorice root, astragalus and he shou wu all have documented cautions.
  • Tell your pharmacist or clinician about every supplement, especially if you take medicine for diabetes, blood pressure, thyroid conditions, depression or seizures, take blood thinners or immune-suppressing medicine, are pregnant or breastfeeding, or are having surgery.
  • Many adaptogens have not been tested in pregnant women, nursing mothers or children.
  • Stop and call a clinician or pharmacist about yellow skin or eyes, dark urine, a rash or any new reaction. In the US, Poison Help is 1-800-222-1222; call 911 for collapse, seizure, trouble breathing or swelling of the face or throat. For a mental health crisis in the US, call or text 988.
Read who should be careful, by situation

General adaptogen safety principles

  1. "Natural" does not mean safe. Natural products can contain strong substances; some are harmful. Natural Does Not Mean Safe
  2. Tell your pharmacist and clinician about every adaptogen product you use, and ask before combining one with prescription or over-the-counter medicines.
  3. Be extra careful with narrow-margin medicines such as warfarin, antidepressants, immunosuppressants, diabetes and blood pressure medicines.
  4. Tell the surgical team about every adaptogen before an operation. Many teams ask people to stop adaptogen products ahead of surgery; ask yours how long.
  5. Pregnancy, breastfeeding, children and older adults are groups where good safety data are often missing, so official sources usually advise asking first.
  6. Start one product at a time, at the label amount, so a reaction can be traced. Stop and get advice if you feel unwell.
  7. Products vary. Contamination, substitution and mislabelling are documented problems; third-party testing can reduce but not remove the risk.
  8. Report a bad reaction to your national system (in the US, FDA MedWatch). Side Effects, Allergic Reactions & Reporting

Safety guides by topic

Natural Remedy Safety: the full department  · 

Documented risks and interactions, by concern

Each line comes from an adaptogen's own guide, where it is backed by cited sources: 39 documented risks across 12 of the 12 adaptogens. A adaptogen missing from a list is not proven safe: it may simply not have been studied. Open the adaptogen's guide for the full wording and sources.

Pregnancy and breastfeeding · 4 adaptogens
Children and teenagers · 2 adaptogens
Liver · 2 adaptogens
AdaptogenWhat its guide documents
Goji BerryOther medicines processed by liver enzymes. In lab work lycium extract may induce CYP3A4 and juice and extracts inhibited CYP2C9 and CYP2C19; the clinical relevance is unkno…
Goji BerryPregnancy, breastfeeding, children, liver and kidney: no data read. The sources we read do not address pregnancy, breastfeeding, children, liver or kidney safety for goji.
Korean Red GinsengLiver damage and autoimmune conditions. NCCIH lists severe rash, liver damage and severe allergic reactions as uncommon reports, and says ginseng may worsen autoimmune d…
Kidneys · 1 adaptogens
AdaptogenWhat its guide documents
Goji BerryPregnancy, breastfeeding, children, liver and kidney: no data read. The sources we read do not address pregnancy, breastfeeding, children, liver or kidney safety for goji.
Blood pressure and heart · 1 adaptogens
AdaptogenWhat its guide documents
ShilajitHigh blood pressure with low potassium in pregnancy (mumijo case). One pregnant woman developed a licorice-like high blood pressure syndrome after months of a supplement called mumijo. We did not …
Allergy and skin reactions · 5 adaptogens
Common side effects · 1 adaptogens
Toxicity, poisoning and legal restrictions · 1 adaptogens
Product quality, contamination and substitution · 7 adaptogens
Limited safety data · 4 adaptogens
Other adaptogen-specific cautions · 7 adaptogens
AdaptogenWhat its guide documents
Black Ginger (Krachai Dum)Short-term tolerability. A 4-week trial in 52 healthy adults found no related adverse events; a systematic review reported none at 1.35 g/day. Long-term s…
Black Ginger (Krachai Dum)Safety gaps. Pregnancy, breastfeeding, children, liver, kidney, blood thinners and surgery are not described in the sources we read.
ChyawanprashBrand and recipe variability. Manufacturers differ in composition and preparation, a review noted no uniform standards, and cookies, granules, fruit-flavored a…
Japanese GinsengHuman safety data are missing. We found no human safety or interaction study for Japanese ginseng; an animal study of a lab-grown cell culture of the plant foun…
Manchurian AraliaAlcohol in tinctures. Aralia is discussed in the form of an alcohol tincture; people avoiding alcohol, children, pregnant people and those on interacti…
ShilajitSafety gaps. Pregnancy, breastfeeding, children, liver and kidney disease, surgery and medicine interactions are not studied in the sources we…
Vietnamese Ginseng (Ngoc Linh)No human safety data. The sources we read report no human safety data for this plant. NCCIH cautions for Asian ginseng (insomnia, possible blood clotti…
Vietnamese Ginseng (Ngoc Linh)Threatened wild plants. Wild populations are described as threatened by overharvesting; cultivation is being studied.
Withania Coagulans (Indian Cheesemaker)Gaps in safety information. Pregnancy, breastfeeding, children, liver, thyroid, blood thinners and surgery are not described for this plant in the sources re…

Adaptogen and medicine interactions

Some adaptogens change how a medicine works, or add to its effect. This matters most for narrow-margin medicines such as blood thinners, antidepressants, immunosuppressants, and diabetes and blood pressure medicines. Always tell your pharmacist and clinician about every adaptogen you take. Ask before starting, stopping or combining anything.

Interaction and surgery guides

 ·  Medication interactions in Natural Remedy Safety

Documented interactions, by concern

Each line comes from an adaptogen's own guide and its cited sources. A adaptogen missing from a list is not proven free of interactions: it may simply not have been studied. Open the adaptogen's guide for the full wording.

Medicine interactions (prescription and over the counter) · 5 adaptogens
AdaptogenWhat its guide documents
Black Ginger (Krachai Dum)Possible interaction with sildenafil. In rats, black ginger extract lowered sildenafil blood levels by 95% on the first day of co-use. No human data were found.
Goji BerryWarfarin and blood thinners. Case reports describe a very high INR and bleeding after goji juice (71-year-old woman, 4 days), after goji berry wine (65-year-o…
Goji BerryOther medicines processed by liver enzymes. In lab work lycium extract may induce CYP3A4 and juice and extracts inhibited CYP2C9 and CYP2C19; the clinical relevance is unkno…
Korean Red GinsengWarfarin and blood clotting. A small double-blind crossover trial of 25 people on warfarin found no significant INR difference with Korean red ginseng versus …
Korean Red GinsengBlood sugar lowering: risk with diabetes medicines. NCCIH says Asian ginseng may lower blood sugar, so people with diabetes should talk with a provider first.
Withania Coagulans (Indian Cheesemaker)Possible added effect with diabetes medicines. In rats, the fruit extract lowered blood sugar (also in normal rats) and added to the effect of glipizide. No human interaction s…
ZamanihaPossible interaction with medicines. A mouse study found one extract lowered CYP2E1 and CYP3A11 activity. No interaction study in people was found.
Bleeding, surgery and anesthesia · 1 adaptogens
AdaptogenWhat its guide documents
Goji BerryWarfarin and blood thinners. Case reports describe a very high INR and bleeding after goji juice (71-year-old woman, 4 days), after goji berry wine (65-year-o…
Blood sugar and diabetes medicines · 3 adaptogens
AdaptogenWhat its guide documents
ChyawanprashSugar, honey and ghee content and diabetes. The classical product contains sugar, honey and ghee, and reviewers say it is generally considered contraindicated in diabetes or…
Korean Red GinsengBlood sugar lowering: risk with diabetes medicines. NCCIH says Asian ginseng may lower blood sugar, so people with diabetes should talk with a provider first.
Withania Coagulans (Indian Cheesemaker)Possible added effect with diabetes medicines. In rats, the fruit extract lowered blood sugar (also in normal rats) and added to the effect of glipizide. No human interaction s…

Scientific evidence and research on adaptogens

For most adaptogens, good human evidence is limited. Every outcome in our adaptogen guides is rated for how strong the evidence is, and the rating is shown next to it. Across the 12 guides, 12 adaptogens have no outcome rated "clinical trials support a benefit".

What the evidence ratings add up to

  • 0Clinical trials support a benefitTrials in people support a defined effect, usually a narrow one.
  • 28Early or mixed human evidenceSmall, short or disagreeing studies. Positive and negative findings both count here.
  • 35Lab or animal research onlySeen in cells or animals. This does not show a benefit in people.
  • 24Too little evidence to sayPopular claims for which we found no usable human trials.
  • 39Documented risksSafety findings, shown in the Safety tab.

How to read adaptogen research

  • Lab, animal and human studies answer different questions. A chemical that kills cells in a dish, or helps mice, may do nothing in people.
  • A mechanism is not proof of benefit. Knowing which compounds an adaptogen contains, or which pathway they touch, explains how an effect might happen, not that it does.
  • A study that mentions an adaptogen does not show the adaptogen works. Many records only name the adaptogen, test it in animals, or find no effect.
  • Product and form matter. A result for one extract, dose or tea does not carry over to another product.
  • Look at size, length and who paid. Small, short or industry-funded trials are more likely to overstate effects; a single trial is rarely enough.

Evidence by adaptogen and outcome

How many outcomes each guide rates in each evidence group. Open a guide for the individual outcomes, what was found (including negative results) and the sources.

Show the evidence table for all 12 adaptogens

Where the evidence comes from

The guides cite 130 distinct sources. These are the ones cited most often, and the main places to check any adaptogen claim yourself.

Most-cited sources in the guides

  1. alternativemed.com: Shilajit (site page) (2026) · cited 11×
  2. NCCIH: Asian Ginseng (different species; general ginseng safety context) (2025) · cited 9×
  3. Memorial Sloan Kettering: Lycium (About Herbs) (2021) · cited 9×
  4. PubMed / Europe PMC: Shikov et al. Aralia elata var. mandshurica: an overview of pharmacological studies (Phytomedicine) (2016) · cited 9×
  5. PubMed Central: Hu et al. Chemistry, pharmacology and analysis of Pseudostellaria heterophylla: a mini-review (Chin Med) (2019) · cited 8×
  6. PubMed Central: Sharma et al. Golden Ager Chyawanprash with Meager Evidential Base from Human Clinical Trials (Evid Based Complement Alternat Med) (2022) · cited 6×
  7. PubMed / Europe PMC: Chen et al. Panax japonicus C.A. Meyer: a comprehensive review (Chin Med) (2023) · cited 5×
  8. PubMed / Europe PMC: Saokaew et al. Clinical effects of Krachaidum (Kaempferia parviflora): a systematic review (J Evid Based Complementary Altern Med) (2017) · cited 5×
  9. PubMed / Europe PMC: Ngau et al. Panax vietnamensis review (J Environ Pathol Toxicol Oncol) (2025) · cited 4×
  10. PubMed / Europe PMC: Shikov et al. Oplopanax elatus (Nakai) Nakai: chemistry, traditional use and pharmacology (Chin J Nat Med) (2014) · cited 4×
  11. PubMed / Europe PMC: Gao et al. Polysaccharides of Pseudostellaria heterophylla: review (Int J Biol Macromol) (2025) · cited 3×
  12. EMA / HMPC: Ginseng radix: herbal medicinal product summary (2024) · cited 3×

Limits of the research and gaps

  • Many adaptogen trials are small, short, and test a specific extract that is not what most people buy.
  • Natural products vary with source, growing or mining conditions and processing, so two products with the same name can differ in what they contain.
  • Safety is studied less than benefit: long-term use, children, pregnancy and combinations with medicines are often unstudied.
  • Positive trials are published more often than negative ones, and many reviews pool trials of very different quality.

Adaptogen forms, preparations and quality

The same material can be sold as a powder, capsule, liquid or concentrated extract, and these are not interchangeable. A study of one preparation does not tell you what another does. This tab shows which forms each guide describes, and how to judge product quality.

Parts used

Different parts can contain different compounds, so the part named on the label matters.

Root · 5 adaptogens
Rhizome · 3 adaptogens
Berry / fruit · 3 adaptogens
Bark · 1 adaptogens
Stem · 1 adaptogens
Leaf · 1 adaptogens
Whole plant / above-ground · 1 adaptogens

Teas, tinctures, capsules, powders and topical products

For each kind of preparation, the adaptogens whose guides describe it. The guides say which form was actually studied. Detailed preparation instructions are in Herbal Teas & Extracts, so they are not repeated here.

Whole adaptogen, standardized extract, and what the numbers mean

A whole adaptogen (fresh, dried or powdered) contains everything in the raw material, in amounts that vary. A standardized extract is made to contain a stated amount of one or more marker compounds, which makes batches more consistent but is not the same as the whole adaptogen.

An extraction ratio such as 4:1 says how much raw material was used per unit of extract. It does not by itself say how much active compound a capsule holds or whether the product works. A marker compound is something measured for quality control; it is not always the compound that causes any effect.

Amounts and duration. We do not give universal dose recommendations. Where a source reports the amount and length of use tested for a named preparation, the adaptogen's guide gives it in that context; an amount studied in one product does not carry over to another, or to food-level use.

Absorption. Some active constituents are poorly absorbed, which is why concentrated or specially formulated products exist (curcumin is the best-known case). Better absorption can also raise the risk of side effects.

Comparison guides

Identification, labels and product quality

A good label names the species by its scientific name, says which part is used, and states the amount and form. Third-party testing can check identity, strength and contamination, but a seal is not a guarantee of safety or benefit.

Forms & preparations: the full guide  ·  Herbal Teas & Extracts

Frequently asked questions

What are adaptogens?

A term for substances theorized to raise resistance to stress. NIH describes astragalus, for example, as "considered an adaptogen, which is a natural substance theorized to stimulate the body's resistance to physical, environmental, and emotional stress." [1] See What are adaptogens.

Do adaptogens work?

Evidence is limited and mixed, and varies by ingredient. See Research and Benefits.

Are adaptogens safe?

Not automatically. See Safety.

Is adrenal fatigue real?

It is not a recognized medical diagnosis. See Adrenal fatigue claims. [2]

References

  1. National Center for Complementary and Integrative Health (NIH). Astragalus: Usefulness and Safety. Page dated May 2025.
  2. Endocrine Society. Adrenal Fatigue. Patient resource, January 25, 2022.

Complete See every adaptogen with filters

Content last updated . The tabs from Health Benefits onward are compiled automatically from the evidence ratings and sources in each adaptogen's guide (last data update November 12, 2026). This section has not been medically reviewed.

Education, not medical advice. This section is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe.