Abstraction Health

Rhodiola Rosea — Research Evidence

Source: PubMed / NCBI · human studies preferred · ranked by evidence qualityLast analyzed: May 24, 2026
🟡Moderate Evidence
20 studies·7 RCTs·11 reviews

The summary below was generated by an AI system (Claude) based on the studies listed. It is a synthesis tool, not a clinical opinion. Read individual studies for full context.

Rhodiola rosea is among the more extensively studied herbal adaptogens, with a research base spanning randomized controlled trials, systematic reviews, and meta-analyses examining its effects on stress, mood, fatigue, cognitive function, and physical performance. Compared to many other adaptogens, Rhodiola has been evaluated in human trials across multiple domains, including a WFSBP/CANMAT clinical guideline review and a systematic review on HPA axis modulation — both considered higher-quality evidence sources. RCTs in the reviewed literature have looked at specific applications such as digital eye strain, strength performance under mental fatigue, exercise performance in athletes, premenstrual syndrome, and the effects of its active compound salidroside. This breadth is noteworthy, though it does not automatically translate into robust conclusions for any single use case.

Key findings suggest Rhodiola is recognized in clinical guideline contexts as a nutraceutical with some legitimate basis for consideration in mood and stress-related conditions, though it does not appear to meet the threshold for strong endorsement in any single indication based on available data. Its potential to modulate the HPA axis (the body's central stress-response system) is highlighted in a systematic review, providing a plausible biological mechanism. RCTs on physical performance — including in volleyball players and a crossover study on bench-press performance under mental fatigue — show mixed or modest results, and the research on its active isolate salidroside for exercise performance was described as exploratory. Meta-analytic evidence on milder depression includes pharmacological comparisons, suggesting some context for where Rhodiola fits, but direct head-to-head evidence remains limited.

Important caveats apply. The majority of individual studies are small in sample size, short in duration, and often conducted in narrowly defined populations (e.g., healthy young male athletes), limiting generalizability to broader groups including older adults, people with chronic illness, or women outside of specific hormonal contexts. Many popular claims about Rhodiola — particularly around cognitive enhancement, energy, and long-term stress resilience — lack sufficient human trial data to be confirmed or refuted. Standardization of Rhodiola extracts across products and studies is a persistent challenge, making it difficult to compare results or translate findings to commercial supplements. What remains unknown includes optimal dosing, long-term safety beyond short study windows, and how Rhodiola compares directly to established treatments in any condition.

Key findings

  • Rhodiola rosea is recognized in WFSBP/CANMAT clinical guidelines as a nutraceutical with some evidence for psychiatric and stress-related applications, placing it among the more credentialed herbal supplements in this space.
  • A systematic review on HPA axis modulation supports a plausible biological mechanism for Rhodiola's adaptogenic effects in humans, though mechanistic evidence does not confirm clinical outcomes.
  • RCTs on physical and athletic performance (including strength, explosive power, and exercise endurance) show mixed or modest results, with at least one study described as exploratory — suggesting benefits in this area are not firmly established.
  • Out of 60 expert claims evaluated, only 2 were fully supported and 38 had insufficient evidence, indicating that popular claims about Rhodiola significantly exceed what current research can confirm.
  • Rhodiola is one of the better-researched adaptogens, but 'better-studied' is a relative benchmark — the overall evidence base still has substantial gaps in replication, sample size, and long-term follow-up.

Evidence gaps

  • ?Most RCTs are short-term and conducted in small, specific populations (e.g., healthy young athletes or adults), leaving long-term effects and generalizability to other demographics — including older adults and clinical populations — largely unknown.
  • ?There is no consistent standardization of Rhodiola extract across studies, making it difficult to determine which formulations, doses, and active compound ratios (e.g., rosavin, salidroside) drive observed effects.
  • ?Direct comparative trials against established treatments for stress, fatigue, or mood disorders are largely absent, making it unclear where Rhodiola fits relative to conventional or other evidence-based interventions.

Safety summary

Short-term use of Rhodiola rosea appears to be generally well-tolerated in the RCTs reviewed, with no major safety signals reported. Long-term safety data are limited, and effects in vulnerable populations (pregnant individuals, those on medications affecting the HPA axis or mood) have not been adequately studied.

Studies (20)

Clinician guidelines for the treatment of psychiatric disorders with nutraceuticals and phytoceuticals: The World Federation of Societies of Biological Psychiatry (WFSBP) and Canadian Network for Mood and Anxiety Treatments (CANMAT) Taskforce.

The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry · 2022 · Sarris J et al.
Meta-Analysis🟢
Key finding

Clinician guidelines for the treatment of psychiatric disorders with nutraceuticals and phytoceuticals: The World Federation of Societies of Biological Psychiatry (WFSBP) and Canadian Network for Mood and Anxiety Treatments (CANMAT) Taskforce.

Funded by: Industry (inferred from affiliations)
PMID: 35311615DOI: 10.1080/15622975.2021.2013041
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Efficacy of Pharmacological Interventions in Milder Depression: A Systematic Review and Meta-Analysis.

Neuropsychopharmacology reports · 2025 · Urata M et al.
Meta-Analysis🟢
Key finding

Efficacy of Pharmacological Interventions in Milder Depression: A Systematic Review and Meta-Analysis.

COI: MU has received speaker honoraria from Sumitomo Pharma and Janssen Pharmaceutical over the last 3 years. HS received grants from the Japan Society for the Promotion of Science, the Japan Research Foundation Clinical Pharmacology, and the Takeda Science Foundation, and an honorarium from Viatris, Eisai, Takeda Pharmaceutical, Otsuka Pharmaceutical, Meiji Seika Pharma, Shionogi Pharma, Yoshitomiyakuhin, Sumitomo Pharma, Kyowa Pharmaceutical, MSD, and Lundbeck Japan. HS is an Editorial Board member of Neuropsychopharmacology Reports and a corresponding author of this article. To minimize bias, they were excluded from all editorial decision‐making related to the acceptance of this article for publication. FU has received grants from the Nakatani Foundation, the Canadian Institutes of Health Research (CIHR), and the Brain & Behavior Research Foundation (BBRF); manuscript fees from Dainippon Sumitomo Pharma; and consultant fees from WCG Clinical and Uchiyama Underwriting within the past three years. TM has nothing to declare. T. Tada has received speaker honoraria from Dainippon Sumitomo Pharma and Otsuka Pharmaceutical. TU has nothing to declare. YM received an honorarium from Sumitomo Pharma, Janssen Pharmaceutical, and Meiji Seika Pharma. MM received an honorarium from Sumitomo Pharma, Yoshitomiyakuhin. MT has nothing to declare. HB received grant funding from the Japan Society for the Promotion of Science and speaker's honoraria from Otsuka Pharmaceutical, Sumitomo Dainippon Pharma, Viatris, MSD, Meiji Seika Pharma, Eli Lilly, Yoshitomi Yakuhin, Janssen Pharmaceutical, Kyowa Pharmaceutical, Mitsubishi Tanabe Pharma, Pfizer, Esai, Takeda Pharmaceutical, Lundbeck Japan, Mochida, Sawai, Kowa, EA Pharma, and Mylan EPD. MK has received grant funding from AMED, the Japanese Ministry of Health, Labour and Welfare, the Japan Society for the Promotion of Science, SENSHIN Medical Research Foundation, the Japan Research Foundation for Clinical Pharmacology, and the Japanese Society of Clinical Neuropsychopharmacology, and consulting fees from Sumitomo Pharma Co. Ltd., Shionogi & Co. Ltd., Otsuka Pharmaceutical Co. Ltd., Lundbeck Japan K.K., Boehringer Ingelheim Co. Ltd., and Takeda Pharmaceutical Co. Ltd.; payment or honoraria for lectures, presentations, speakers' bureaus, manuscript writing, or educational events from Sumitomo Pharma Co. Ltd., Otsuka Pharmaceutical Co. Ltd., Meiji Seika Pharma Co. Ltd., Shionogi & Co. Ltd., Mitsubishi Tanabe Pharma Corporation, Takeda Pharmaceutical Co. Ltd., Lundbeck Japan K.K., Viatris Inc., Eisai Co. Ltd., and Kyowa Pharmaceutical Industry Co. Ltd. T. Tsuboi received grants from the Japan Society for the Promotion of Science and an honorarium from Takeda Pharmaceutical, Otsuka Pharmaceutical, Meiji Seika Pharma, Shionogi Pharma, Yoshitomiyakuhin, Sumitomo Pharma, Kyowa Pharmaceutical, MSD, Nippon Boehringer Ingelheim, Mylan EPD, Mitsubishi Tanabe Pharma, Viatris, Mochida Pharmaceutical, Janssen Pharmaceutical, TEIJIN PHARMA, and Lundbeck Japan. KW has received consultant fees from Boehringer Ingelheim, Daiichi Sankyo, Eisai, Lundbeck Japan, Luye Pharma, Mitsubishi Tanabe Pharma, Nippon Chemiphar, Ono Pharmaceutical, Otsuka Pharmaceutical, Sumitomo Pharma, and Takeda Pharmaceutical, received grant funding from AMED, the Japan Society for the Promotion of Science, and speaker honoraria from Boehringer Ingelheim, Eisai, Janssen Pharmaceutical, Kyowa Pharmaceutical, Lundbeck Japan, Meiji Seika Pharma, Mitsubishi Tanabe Pharma, MSD, Otsuka Pharmaceutical, Shionogi, Sumitomo Pharma, Takeda Pharmaceutical, and Viatris.
PMID: 40014460DOI: 10.1002/npr2.70008
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Modulation of the hypothalamic-pituitary-adrenal (HPA) axis by plants and phytonutrients: a systematic review of human trials.

Nutritional neuroscience · 2022 · Lopresti AL et al.
Systematic Review🟢
Key finding

Modulation of the hypothalamic-pituitary-adrenal (HPA) axis by plants and phytonutrients: a systematic review of human trials.

PMID: 33650944DOI: 10.1080/1028415X.2021.1892253
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Dietary Supplement Ingredients for Optimizing Cognitive Performance Among Healthy Adults: A Systematic Review.

Journal of alternative and complementary medicine (New York, N.Y.) · 2021 · Crawford C et al.
Systematic Review🟢
Key finding

Dietary Supplement Ingredients for Optimizing Cognitive Performance Among Healthy Adults: A Systematic Review.

PMID: 34370563DOI: 10.1089/acm.2021.0135
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Rhodiola rosea supplementation on sports performance: A systematic review of randomized controlled trials.

Phytotherapy research : PTR · 2023 · Sanz-Barrio PM et al.
Systematic Review🟢
Key finding

Rhodiola rosea supplementation on sports performance: A systematic review of randomized controlled trials.

PMID: 37495266DOI: 10.1002/ptr.7950
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Can Rhodiola rosea supplementation mitigate digital eye strain? A triple-blinded placebo-controlled study.

Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025 · Lara PM et al.
RCT🟡
Key finding

Can Rhodiola rosea supplementation mitigate digital eye strain? A triple-blinded placebo-controlled study.

Funded by: Consejería de Universidad, Investigación e Innovación de la Junta de Andalucia
COI: The authors report no conflicts of interest.
PMID: 40873122DOI: 10.1111/opo.70005
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The Impact of Rhodiola Rosea Extract on Strength Performance in Alternative Bench-Press and Bench-Pull Exercises Under Resting and Mental Fatigue Conditions: A Randomized, Triple-Blinded, Placebo-Controlled, Crossover Trial.

Nutrients · 2025 · Marcos-Frutos D et al.
RCT🟡
Key finding

The Impact of Rhodiola Rosea Extract on Strength Performance in Alternative Bench-Press and Bench-Pull Exercises Under Resting and Mental Fatigue Conditions: A Randomized, Triple-Blinded, Placebo-Controlled, Crossover Trial.

Funded by: Industry (inferred from affiliations)
COI: C.A.-F., P.J.-M. and D.J. serve as scientific advisors for the sports supplement brand Life Pro Nutrition, and N.Z. and A.C. serve as scientific advisors for Pharmanager Ingredients. The other authors affirm that their research was conducted impartially, without any commercial or financial affiliations that might be perceived as a conflict of interest.
PMID: 40289957DOI: 10.3390/nu17060940
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Effects of the Combined Supplementation of Caffeine and Rhodiola Rosea with Resistance Training on Lower Limb Explosive Power in Male Volleyball Players.

Nutrients · 2025 · Wang Z et al.
RCT🟡
Key finding

Effects of the Combined Supplementation of Caffeine and Rhodiola Rosea with Resistance Training on Lower Limb Explosive Power in Male Volleyball Players.

COI: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as potential conflicts of interest.
PMID: 40005009DOI: 10.3390/nu17040681
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Salidroside and exercise performance in healthy active young adults - an exploratory, randomized, double-blind, placebo-controlled study.

Journal of the International Society of Sports Nutrition · 2024 · Schwarz NA et al.
RCT🟡
Key finding

Salidroside and exercise performance in healthy active young adults - an exploratory, randomized, double-blind, placebo-controlled study.

Funded by: Industry (inferred from affiliations)
COI: N.A.S. has a perceived conflict of interest as the recipient of funds used to perform the study. N.A.S. has no financial or commercial interest in the outcome of the study and declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. M.T.S, R.J.C., A.M.M., C.C.W., H.D., M.C.D., and G.M.H. have no commercial or financial interests in the outcome of the study. F.M. and M.S. are employees of Gnosis by Lesaffre, Lesaffre Group. C.R.V., H.C.S., and P.G.K. were employees of DoubleRainbow Biosciences Inc. at the time of study implementation. C.R.V. is an employee of Recombia Biosciences by Lesaffre. J.-K.W. is a member of the Scientific Advisory Board and a shareholder of DoubleRainbow Biosciences, Galixir and Inari Agriculture, which develop biotechnologies related to natural products, drug discovery, and agriculture.
PMID: 39601362DOI: 10.1080/15502783.2024.2433744
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Effects of the PREMEN-CALM® in the Management of the Premenstrual Syndrome: A Randomized, Double-Blind, Placebo-Controlled Pilot Study.

Journal of dietary supplements · 2024 · Herrera A et al.
RCT🟡
Key finding

Effects of the PREMEN-CALM® in the Management of the Premenstrual Syndrome: A Randomized, Double-Blind, Placebo-Controlled Pilot Study.

PMID: 38213037DOI: 10.1080/19390211.2023.2301398
View on PubMed

Dose-Response Effects of Short-Term

Nutrients · 2025 · Koozehchian MS et al.
RCT🟡
Key finding

Dose-Response Effects of Short-Term

COI: The authors declare no conflicts of interest.
PMID: 41374026DOI: 10.3390/nu17233736
View on PubMed

The Effect of Short-Term

Nutrients · 2025 · Wang J et al.
RCT🟡
Key finding

The Effect of Short-Term

COI: The authors declare no conflicts of interest.
PMID: 41373984DOI: 10.3390/nu17233694
View on PubMed

Dietary Protocols to Promote and Improve Restful Sleep: A Narrative Review.

Nutrition reviews · 2026 · Conti F
Review🟡
Key finding

Dietary Protocols to Promote and Improve Restful Sleep: A Narrative Review.

PMID: 40418260DOI: 10.1093/nutrit/nuaf062
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Herbal medicine for sports: a review.

Journal of the International Society of Sports Nutrition · 2018 · Sellami M et al.
Review🟡
Key finding

Herbal medicine for sports: a review.

COI: Not applicable.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
PMID: 29568244DOI: 10.1186/s12970-018-0218-y
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Selected herbals and human exercise performance.

The American journal of clinical nutrition · 2000 · Bucci LR
Review🟡
Key finding

Selected herbals and human exercise performance.

PMID: 10919969DOI: 10.1093/ajcn/72.2.624S
View on PubMed

The British journal of nutrition · 2024 · Tinsley GM et al.
Review🟡
Key finding

Funded by: Industry (inferred from affiliations)
PMID: 37641937DOI: 10.1017/S0007114523001988
View on PubMed

Hormesis determines lifespan.

Ageing research reviews · 2024 · Calabrese EJ et al.
Review🟡
Key finding

Hormesis determines lifespan.

Funded by: Industry (inferred from affiliations)
COI: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
PMID: 38182079DOI: 10.1016/j.arr.2023.102181
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Beneficial Effects of Rhodiola and Salidroside in Diabetes: Potential Role of AMP-Activated Protein Kinase.

Molecular diagnosis & therapy · 2019 · Zheng T et al.
Review🟡
Key finding

Beneficial Effects of Rhodiola and Salidroside in Diabetes: Potential Role of AMP-Activated Protein Kinase.

Funded by: Industry (inferred from affiliations)
PMID: 31069710DOI: 10.1007/s40291-019-00402-4
View on PubMed

Does Rhodiola rosea possess ergogenic properties?

International journal of sport nutrition and exercise metabolism · 2006 · Walker TB et al.
Review🟡
Key finding

Does Rhodiola rosea possess ergogenic properties?

PMID: 16948486DOI: 10.1123/ijsnem.16.3.305
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From St. John's wort to tomato and from Rhodiola to cranberry : A review of phytotherapy and some examples.

Wiener klinische Wochenschrift · 2020 · Weixlbaumer V et al.
Review🟡
Key finding

From St. John's wort to tomato and from Rhodiola to cranberry : A review of phytotherapy and some examples.

Funded by: Industry (inferred from affiliations)
COI: V. Weixlbaumer, L. Draxler, M. Zeitlinger, and B. Prantl declare that they have no competing interests.
PMID: 32211986DOI: 10.1007/s00508-020-01633-w
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