Exploring the Potential of Rhodiola Rosea: Insights from a Pharmacist

As a pharmacist, I am always fascinated by the potential of natural substances to contribute to health and wellness. One such substance that has piqued my interest recently is Rhodiola Rosea, a herb known for its adaptogenic properties. This post will delve into the potential benefits, interactions, and mechanisms of action of Rhodiola, based on recent scientific studies. 

What is Rhodiola Rosea? 

Rhodiola Rosea, often simply referred to as Rhodiola, is a plant that grows in the cold, mountainous regions of Europe and Asia. It has been used for centuries for a variety of ailments and to enhance well-being. Its roots are considered adaptogens, meaning they help the body adapt to stress, whether physical, chemical, or biological. This adaptogenic property has made Rhodiola a subject of interest in the field of natural health and wellness. In fact, the european medicine’s agency herbal monograph on Rhodiola rosea approved its traditional use as an adaptogen for the temporary relief of symptoms associated with stress, such as fatigue, exhaustion, and a general sensation of weakness. 

Potential Health Benefits of Rhodiola

Stress and Fatigue

Stress and fatigue can significantly affect a person’s daily activities. Rhodiola has been studied for its potential to alleviate stress and fatigue. Preliminary research suggests that Rhodiola extract may decrease fatigue in stressful situations, improve mental performance, and even enhance short-term memory under certain conditions. This makes it a potential candidate for managing chronic fatigue syndrome, stress, and similar conditions. However, as with any supplement, it’s important to consult with a healthcare provider before starting Rhodiola for fatigue and stress. 

Mechanism of Action of Rhodiola

Understanding the mechanism of action of a substance is crucial in determining its potential benefits and side effects. Rhodiola appears to have significant central nervous system activity. It is believed to improve mood by regulating the activity of serotonin, dopamine, and norepinephrine. These neurotransmitters play a crucial role in regulating mood and cognitive function. Rhodiola extracts also demonstrate potential for improving learning and memory. 

In terms of physical health, Rhodiola is theorized to improve adenosine triphosphate (ATP) turnover in muscle, which could potentially enhance physical performance and recovery. However, more research is needed to confirm these effects. 

Adverse Effects of Rhodiola

Rhodiola seems to generally be well tolerated. Some patients may experience dizziness and/or dry mouth.  

Rhodiola’s Interactions and Considerations 

As with any substance, it’s crucial to consider Rhodiola’s interactions with other substances and medical conditions. Rhodiola may theoretically lower glucose levels, which could increase the risk of hypoglycemia when combined with other herbs and supplements that also lower glucose levels.  

It might also have blood pressure lowering effects, which can be enhanced when combined with other herbs, supplements, and prescription medications that have blood pressure lowering effects. 

Furthermore, Rhodiola might exacerbate certain autoimmune diseases by stimulating disease activity. Therefore, it’s advised to use caution or avoid use in patients with autoimmune diseases such as multiple sclerosis (MS), systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), or others. 

Available Rhodiola Products

As is the case with many herbal supplements, there are not any standalone Rhodiola products that are NSF certified or USP certified. We have reached out to well-known manufacturers but have not received adequate information to confirm that their Rhodiola products are in fact reliable in terms of the quality and purity of the extract or root powder. Most manufacturers claim to follow cGMP (current good manufacturing practices) and claim to submit their products for testing, sometimes by independent labs, but are unwilling to provide a certificate of analysis. We will update this section if we receive this information and provide a recommendation on a reliable product.  

If you do purchase a Rhodiola product you will probably find that they are often standardized to rosavin and/or salidroside content, with the most common amounts being 3% rosavin and 1% salidroside.  

Managing Stress and Fatigue Without Rhodiola

When you’re constantly busy, taking breaks might seem counterintuitive. However, incorporating mindful movement breaks into your routine can provide instant stress relief and improve focus. Here’s how to incorporate them:

  1. Stretch and Breathe: Set a reminder on your phone or computer to take a brief break every hour. During these breaks, stand up, stretch your body, and take deep breaths. This simple act helps release tension, increase blood flow, and clear your mind.
  2. Desk Yoga: Perform simple yoga poses or stretches right at your desk. These can include neck rolls, shoulder stretches, seated twists, or forward folds. Not only does this help alleviate physical strain, but it also promotes mental relaxation.
  3. Walking Meditation: Take a mindful walk during your lunch break or whenever you need to clear your mind. Focus on the sensation of each step, your breathing, and the surrounding environment. This practice enhances mindfulness, reduces stress, and boosts overall well-being.

Conclusion

Rhodiola has been used for centuries to enhance well-being and manage a variety of ailments. As is the case with many herbal supplements, the scientific evidence to support its use is mixed and of low quality. There is limited evidence that it may help patients with stress, fatigue, and those looking to augment physical performance. However, as with all things, it’s important to approach natural supplements with a balanced perspective, understanding their benefits, potential risks, and how they fit into a holistic approach to health. Always consult with a healthcare provider before starting any new supplement regimen, especially if you have a pre-existing condition or are taking other medications. 

 

European Medicines Agency; Committee on Herbal Medicinal Products (HMPC).Assessment Report on Rhodiola rosea L., RhizomaEt Radix; Document Reference. EMA/HMPC/232100/2011; European Medicines Agency: Amsterdam, The Netherlands, 2011. 

Ivanova Stojcheva E, Quintela JC. The Effectiveness of Rhodiola rosea L. Preparations in Alleviating Various Aspects of Life-Stress Symptoms and Stress-Induced Conditions-Encouraging Clinical Evidence. Molecules. 2022 Jun 17;27(12):3902. doi: 10.3390/molecules27123902. PMID: 35745023; PMCID: PMC9228580. 

Disclaimer: The information provided in this blog post is for educational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. As a clinical pharmacist, I strive to provide accurate and up-to-date information, but the field of herbal supplements is constantly evolving. Individual responses to herbal supplements may vary, and it is important to consult with a qualified healthcare professional before starting any new herbal supplement regimen. Additionally, it is crucial to carefully read and follow the instructions, warnings, and precautions provided by the manufacturers of herbal supplements. The author and the website disclaim any liability for any adverse effects or consequences resulting from the use or misuse of the information contained in this blog post. 

Sunjeev Konduru, PharmD, MS, BCPS
Sunjeev Konduru, PharmD, MS, BCPShttp://supplementstruth.com
I am a clinical pharmacist and board certified pharmacotherapy specialist with a special interest in vitamins and herbal supplements. I have a B.S. in Biology and a M.S. in Forensic Molecular Biology from the University at Albany. I then went on to complete my doctorate in pharmacy from Albany College of Pharmacy and Health Sciences. Subsequently, I completed a 2 year pharmacy practice residency at Albany Medical Center. I currently work full time as a clinical pharmacy specialist in the Cardiac ICU at Albany Medical Center.

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