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Salvia officinalis (Sage)

Culinary sage with cholinergic and anti-hyperhidrosis effects.

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Overview

Culinary sage with cholinergic and anti-hyperhidrosis effects.

Natural sources
  • 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
Common forms
  • 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.

Pathways
  • · Inhibits acetylcholinesterase
  • · modulates muscarinic receptors
  • · thujone reduces sweating

Effects on the body

Supports
cognition in mild AD
Decreases
menopausal hot flashes

Organ system effects

Brain & CNS

Salvia officinalis (Sage) acts on central nervous system targets implicated in attention, memory, and neuroprotection.

Evidence-based benefits

Improves cognition in mild AD

Moderate evidence

Reduces menopausal hot flashes

Moderate evidence

Potential side effects

Common
  • · GI upset
Rare
  • · Seizures with high thujone
Serious
  • · Avoid high doses in epilepsy/pregnancy

Drug interactions

Prescription medications (general)
Always disclose Salvia officinalis (Sage) use to your prescriber — additive, antagonistic, or pharmacokinetic interactions are possible.
minor

Safety & non-supplemental interactions

Educational summary — always confirm with your clinician or pharmacist before starting, stopping, or combining with prescription therapy.

Avoid if you are
  • ·Pregnant or breastfeeding (insufficient safety data)
  • ·Children under 18 (unless directed by a clinician)
Avoid with these conditions
  • ·Hormone-sensitive cancers (breast, prostate, ovarian, uterine)
Avoid / monitor with these medications
  • ·Hormonal contraceptives, HRT, tamoxifen, aromatase inhibitors

Supplement interactions

Pairs well with
  • Omega-3 (EPA/DHA)
    Membrane fluidity and neuronal signaling support.
  • Alpha-GPC or CDP-choline
    Provides choline substrate for acetylcholine synthesis.
Avoid combining with

No specific avoidances listed.

Dosing & bioavailability

Typical dose
300–600 mg extract
Best form
Most evidence is based on the standardized extract capsule form.
Timing
Consistent daily timing recommended; split larger doses if GI tolerance is a concern.
With food?
With food

Where to buy

Affiliate links — we may earn a commission at no extra cost to you. Amazon code supplementsch-20 is auto-applied at checkout. We don't endorse specific brands; verify third-party testing (USP, NSF, Informed Sport) before purchase.

Scientific evidence9Show studies
RCTJ Clin Pharm Ther · 2003

Salvia in mild-moderate AD

Akhondzadeh S, et al.

4-month DB-RCT in 42 AD patients.

Key findings

Improved cognitive scores vs placebo.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: Salvia officinalis (Sage) — Improves cognition in mild AD

Live PubMed search

Live results for "Salvia officinalis (Sage) Improves cognition in mild AD" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching Salvia officinalis (Sage) and "Improves cognition in mild AD". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: Salvia officinalis (Sage) — Reduces menopausal hot flashes

Live PubMed search

Live results for "Salvia officinalis (Sage) Reduces menopausal hot flashes" across the PubMed/MEDLINE peer-reviewed index.

Key findings

Opens current human and preclinical literature matching Salvia officinalis (Sage) and "Reduces menopausal hot flashes". Filter by RCT, meta-analysis, or year on the results page.

Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: Salvia officinalis (Sage) — randomized controlled trial

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Live results for "Salvia officinalis (Sage) randomized controlled trial" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: Salvia officinalis (Sage) — meta-analysis

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Live results for "Salvia officinalis (Sage) meta-analysis" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: Salvia officinalis (Sage) — pharmacokinetics

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Live results for "Salvia officinalis (Sage) pharmacokinetics" across the PubMed/MEDLINE peer-reviewed index.

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Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: Salvia officinalis (Sage) — safety adverse events

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Open study
Systematic reviewPubMed (NLM) · 1970

PubMed: Salvia officinalis (Sage) — dose response

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Live results for "Salvia officinalis (Sage) dose response" across the PubMed/MEDLINE peer-reviewed index.

Key findings

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Open study
Systematic reviewGoogle Scholar · 1970

Google Scholar: Salvia officinalis (Sage) — clinical evidence

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Cross-database citation index for Salvia officinalis (Sage) as it relates to "clinical evidence".

Key findings

Includes preprints, theses, and journal articles. Useful for tracking citation counts and follow-on work.

Open study
Educational use only. This profile is not medical advice. Consult a qualified healthcare professional before starting any supplement, especially if you take prescription medication or have a chronic condition.

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