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.
Content last updated . This page has not been medically reviewed.
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Study amounts are not advice
This page lists amounts that were given in named trials or listed in official herbal monographs. It is not a guide to what you should take. A trial amount tells you what one extract did in one group of people over one period. A pharmacist or clinician decides what is right for a person, taking their medicines and health into account.Before the details, three safety points. NIH says ashwagandha should be avoided during pregnancy and not used while breastfeeding. [1] NIH says ashwagandha may interact with medicines for diabetes and high blood pressure, immunosuppressants, sedatives, anti-seizure medicines and thyroid hormone medicines. [1] Tell your surgical team about any supplement. See How Interactions Work.
What the sources say about "the right amount"
A 2026 systematic review of 22 ashwagandha trials found a link between amount and stress scores, but its authors say better trials are still needed to establish the most effective dosages and durations. [2] A review of rhodiola trials in healthy adults reported that unclear results likely stem from variable dosing and inconsistent durations. [3] In plain terms, the research does not yet show a best amount.Amounts used in trials (human studies)
Strength of evidence is our label for the whole row: small single trials are "promising but limited" at best.| Plant, part, extract | Amount as reported | Duration | People studied | What was measured | Strength |
|---|---|---|---|---|---|
| Ashwagandha (Withania somnifera) root, high-concentration full-spectrum extract | 300 mg per capsule, one capsule twice a day [4] | 60 days | 64 adults with a history of chronic stress | Stress questionnaires and serum cortisol fell more than with placebo [4] | Promising but limited |
| Ashwagandha, standardized extract | 240 mg once daily [5] | 60 days | 60 healthy adults reporting high stress | Anxiety scale improved versus placebo; a combined depression, anxiety and stress scale change was near significant [5] | Promising but limited |
| Ashwagandha root extract standardized for 2.5% withanolides, with piperine | 500 mg extract plus 5 mg piperine once daily, at night [6] | 60 days | 54 randomized adults with mild to moderate stress and anxiety | Perceived stress and anxiety scores improved versus placebo [6] | Promising but limited |
| Ashwagandha, full-spectrum root extract | 300 mg capsule twice daily with milk or water [7] | 10 weeks | 60 people with insomnia and anxiety | Sleep onset time was shorter than with placebo [7] | Promising but limited |
| Rhodiola (Rhodiola rosea) root, standardized extract | Four tablets a day, 576 mg of extract per day [8] | 28 days | 60 adults aged 20 to 55 with stress-related fatigue | A burnout scale and attention measures improved versus placebo [8] | Promising but limited |
| Rhodiola rhizome, standardized extract | One tablet daily (amount not given in the abstract) [9] | Two weeks | 56 young physicians on night duty | A mental fatigue index improved in the first period [9] | Promising but limited |
Trial funding is not stated in the abstracts we read, so we cannot say who paid for these studies.
Official monograph amounts (traditional use)
The European Medicines Agency's herbal committee (HMPC) publishes monographs for traditional herbal medicines. They are based on long use, not on proof of benefit. The monograph states that these products are for use "exclusively based upon long-standing use". [10] They apply to registered products, not to every supplement.| Plant and preparation | Amount in the monograph | Limits stated | Body, year |
|---|---|---|---|
| Rhodiola rosea rhizome and root, dry extract (ratio 1.5-5:1, ethanol 67-70%) | Single dose 144-200 mg, 1-2 times daily, daily dose 144-400 mg [11] | Not recommended under 18; see a clinician if symptoms last over 2 weeks [11] | EMA HMPC, EU, 2024 |
| Panax ginseng root, powdered herbal substance | Daily dose 600-2000 mg [10] | Use up to 3 months; see a clinician if symptoms last over 2 weeks [10] | EMA HMPC, EU, 2024 |
| Panax ginseng root, one listed dry extract (ratio 3-7:1, 4% ginsenosides) | Daily dose 40-200 mg [10] | Same as above | EMA HMPC, EU, 2024 |
| Eleutherococcus senticosus root, powdered herbal substance | Daily dose 0.75-3 g [12] | Not more than 2 months; not recommended under 12 [12] | EMA HMPC, EU, monograph version of 2014 |
For astragalus, NIH says taking up to 60 grams per day for as long as 4 months does not seem to cause adverse effects, but that a thorough safety evaluation has not been done. [13] That is a safety statement about what was observed, not a recommended amount. We found no European monograph amount for ashwagandha in the sources we read.
Plant names above were checked against GBIF. [14][15]
Why "milligrams on the label" cannot be compared
Two ashwagandha extracts can contain the same total withanolides yet reach very different blood levels. In a 16-person crossover study under fasting conditions, four extracts were each standardized to deliver 185 mg of total withanolides, and the one rich in withanolide glycosides had significantly higher bioavailability. [16] It was a single dose in healthy adults, so it shows that extract type matters, not what to take. See Standardized Extracts, Extract Ratios and Root vs Leaf Ashwagandha.Limits
Most trials above are small and short. A systematic review of rhodiola trials noted a lack of independent replication of the single studies. [17] NIH describes the rhodiola evidence as not enough to say whether it is useful for any health purpose. [18]Frequently asked questions
What is the usual dose of ashwagandha?
No usual dose is established in the sources we read. Trials used different extracts, for example 240 mg once daily or 300 mg twice daily, and cannot be treated as a recommendation. [5][4] Ask a pharmacist or clinician.
How much rhodiola did studies use?
One trial gave 576 mg of a standardized root extract per day for 28 days. [8] The 2024 European monograph lists a daily dose of 144-400 mg of a particular dry extract for traditional use. [11]
Does more of an adaptogen work better?
Proper evidence not found. We looked at an ashwagandha dose-response review and a rhodiola review, and both call for better trials on dosing. [2][3]
Are the European monograph amounts the safe amounts?
No. They describe amounts for registered traditional herbal medicines, with the limits listed, and are based on long use. [10] They are not a clearance for supplements of unknown strength. See Quality Testing and Certifications.
Where can I read about the length of studies?
See How Long Adaptogens Have Been Studied and the overview, Using Adaptogens.
References
- National Center for Complementary and Integrative Health (NIH). Ashwagandha: Usefulness and Safety. Page last updated March 2023. Read 2026-10-23.
- Effects of ashwagandha (Withania somnifera) on mental health in adults: a systematic review and dose-response meta-analysis of randomized controlled trials. Complement Ther Med. 2026. PMID 41644067 (abstract read 2026-10-23).
- Antioxidant but not ergogenic or altitude-protective: a meta-analysis of Rhodiola species in healthy adults. Front Physiol. 2026. PMID 42908635 (abstract read 2026-10-23).
- Chandrasekhar K, Kapoor J, Anishetty S. A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults. Indian J Psychol Med. 2012. PMID 23439798 (abstract read 2026-10-23).
- Lopresti AL, Smith SJ, Malvi H, Kodgule R. An investigation into the stress-relieving and pharmacological actions of an ashwagandha extract: a randomized, double-blind, placebo-controlled study. Medicine (Baltimore). 2019. PMID 31517876 (abstract read 2026-10-23).
- A standardized Ashwagandha root extract alleviates stress, anxiety, and improves quality of life in healthy adults by modulating stress hormones: results from a randomized, double-blind, placebo-controlled study. Medicine (Baltimore). 2023. PMID 37832082 (abstract read 2026-10-23).
- Langade D, Kanchi S, Salve J, Debnath K, Ambegaokar D. Efficacy and safety of ashwagandha (Withania somnifera) root extract in insomnia and anxiety: a double-blind, randomized, placebo-controlled study. Cureus. 2019. PMID 31728244 (abstract read 2026-10-23).
- Olsson EM, von Scheele B, Panossian AG. A randomised, double-blind, placebo-controlled, parallel-group study of the standardised extract of the roots of Rhodiola rosea in the treatment of subjects with stress-related fatigue. Planta Med. 2009. PMID 19016404 (abstract read 2026-10-23).
- Darbinyan V, Kteyan A, Panossian A, et al. Rhodiola rosea in stress induced fatigue: a double blind cross-over study of a standardized extract with a repeated low-dose regimen on the mental performance of healthy physicians during night duty. Phytomedicine. 2000. PMID 11081987 (abstract read 2026-10-23).
- European Medicines Agency, Committee on Herbal Medicinal Products (HMPC). European Union herbal monograph on Panax ginseng C.A.Mey., radix, Revision 1 (EMA/HMPC/27744/2023), adopted 29 May 2024. Read 2026-10-23.
- European Medicines Agency, Committee on Herbal Medicinal Products (HMPC). European Union herbal monograph on Rhodiola rosea L., rhizoma et radix, Final, Revision 1 (EMA/HMPC/24177/2023), adopted 20 March 2024. Read 2026-10-23.
- European Medicines Agency, Committee on Herbal Medicinal Products (HMPC). Community herbal monograph on Eleutherococcus senticosus (Rupr. et Maxim.) Maxim., radix (EMA/HMPC/680618/2013), version of 25 March 2014. Read 2026-10-23.
- National Center for Complementary and Integrative Health (NIH). Astragalus: Usefulness and Safety. Page last updated May 2025. Read 2026-10-23.
- GBIF Secretariat. Withania somnifera (L.) Dunal, GBIF Backbone Taxonomy, accepted name, family Solanaceae. Read 2026-10-23.
- GBIF Secretariat. Rhodiola rosea L., GBIF Backbone Taxonomy, accepted name, family Crassulaceae. Read 2026-10-23.
- Randomized, double-blind, crossover study comparing the bioavailability of 4 ashwagandha (Withania somnifera) extracts in healthy adults under fasting condition. Curr Ther Res Clin Exp. 2025. PMID 40792075 (abstract read 2026-10-23).
- Hung SK, Perry R, Ernst E. The effectiveness and efficacy of Rhodiola rosea L.: a systematic review of randomized clinical trials. Phytomedicine. 2011. PMID 21036578 (abstract read 2026-10-23).
- National Center for Complementary and Integrative Health (NIH). Rhodiola: Usefulness and Safety. Page last updated April 2025. Read 2026-10-23.