Overview
Culinary sage with cholinergic and anti-hyperhidrosis effects.
- Whole dried plant material (root, leaf, flower, or aerial parts depending on the species)
- Standardized hydroethanolic or aqueous extract (capsule, tincture, or tea)
- Powdered traditional preparation used in Ayurvedic, TCM, or Western herbal practice
- Standardized extract capsule
- Liquid tincture (alcohol or glycerin)
- Powdered whole herb
- Traditional decoction or tea
Mechanism of action
Inhibits acetylcholinesterase and modulates muscarinic receptors; thujone reduces sweating.
- · Inhibits acetylcholinesterase
- · modulates muscarinic receptors
- · thujone reduces sweating
Effects on the body
Organ system effects
Salvia officinalis (Sage) acts on central nervous system targets implicated in attention, memory, and neuroprotection.
Evidence-based benefits
Improves cognition in mild AD
Moderate evidenceReduces menopausal hot flashes
Moderate evidencePotential side effects
- · GI upset
- · Seizures with high thujone
- · Avoid high doses in epilepsy/pregnancy
Drug interactions
Safety & non-supplemental interactions
Educational summary — always confirm with your clinician or pharmacist before starting, stopping, or combining with prescription therapy.
- ·Pregnant or breastfeeding (insufficient safety data)
- ·Children under 18 (unless directed by a clinician)
- ·Hormone-sensitive cancers (breast, prostate, ovarian, uterine)
- ·Hormonal contraceptives, HRT, tamoxifen, aromatase inhibitors
Supplement interactions
- Omega-3 (EPA/DHA)Membrane fluidity and neuronal signaling support.
- Alpha-GPC or CDP-cholineProvides choline substrate for acetylcholine synthesis.
No specific avoidances listed.
Dosing & bioavailability
Where to buy
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Scientific evidence9Show studiesHide studies
Salvia in mild-moderate AD
Akhondzadeh S, et al.
4-month DB-RCT in 42 AD patients.
Improved cognitive scores vs placebo.
PubMed: Salvia officinalis (Sage) — Improves cognition in mild AD
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PubMed: Salvia officinalis (Sage) — Reduces menopausal hot flashes
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Google Scholar: Salvia officinalis (Sage) — clinical evidence
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