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Ephedrine

Ephedrine is a stimulant compound from the ephedra plant that activates adrenaline-related receptors, which speeds the heart and raises how much energy the body burns. Studies found metabolic rate went up, and the evidence for that is moderate, though the five studies involved only 17 people in total. Evidence for lower body fat and appetite was limited, and limited research also found blood pressure got worse.

Sources: PMID 8384181; PMID 1310922

Best evidence
Grade B
Conditions studied
14
Outcomes
53
Graded outcomes
0162

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

14 conditions

General Athletic Performance: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Metabolic Rate

Moderate Increase

Improves (the measure goes up)Moderate effect5 studies17 people
Subjective Well-BeingImproves (the measure goes up)1 study8 people

Studies that measured subjective well-being

Power OutputImproves (the measure goes up)8 people
Obesity: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Appetite

Small Decrease

Improves (the measure goes down)Small effect1 study43 people
WeightImproves (the measure goes down)9 studies410 people
Metabolic RateImproves (the measure goes up)5 studies49 people
Heart RateImproves (the measure goes down)1 study163 people
Blood Pressure

Small Detriment

Worsens (the measure goes up)Small effect275 people
Skeletal Muscle AtrophyChanges; see studies10 people

Body Composition

  • Body Fat: improves
  • Weight: improves
Body Composition: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Body Fat

Moderate Decrease

Improves (the measure goes down)Moderate effect1 study57 people

Studies that measured body fat

WeightImproves (the measure goes down)9 studies1,514 people

Metabolic Health

  • Body Fat: improves
  • Weight: improves
  • Metabolic Rate: improves
Metabolic Health: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Body Fat

Moderate Decrease

Improves (the measure goes down)Moderate effect1 study57 people

Studies that measured body fat

WeightImproves (the measure goes down)9 studies57 people
Metabolic RateImproves (the measure goes up)5 studies24 people
High-density lipoprotein (HDL)Improves (the measure goes up)57 people
TriglyceridesImproves (the measure goes down)57 people

Digestive Health

  • Body Fat: improves
  • Weight: improves
  • Heart Rate: improves
Digestive Health: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Body Fat

Moderate Decrease

Improves (the measure goes down)Moderate effect1 study167 people

Studies that measured body fat

WeightImproves (the measure goes down)9 studies167 people
Heart RateImproves (the measure goes down)1 study167 people
High-density lipoprotein (HDL)Improves (the measure goes up)167 people
Low-density lipoprotein (LDL)Improves (the measure goes down)167 people

Upper Respiratory Tract Infection

  • Heart Rate: improves
  • Nasal Congestion: improves
Upper Respiratory Tract Infection: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Heart Rate

Small Increase

Improves (the measure goes down)Small effect1 study238 people
Nasal CongestionImproves (the measure goes up)1 study238 people

High Blood Pressure

  • Blood Pressure: worsens
  • Weight: improves
  • Body Fat: improves
High Blood Pressure: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

Small Detriment

Worsens (the measure goes up)Small effect279 people
WeightImproves (the measure goes down)9 studies279 people
Body FatImproves (the measure goes down)1 study167 people

Studies that measured body fat

Heart RateImproves (the measure goes down)1 study167 people
High-density lipoprotein (HDL)Improves (the measure goes up)167 people
Low-density lipoprotein (LDL)Improves (the measure goes down)167 people

Muscle Size Strength

  • Power Output
  • Subjective Well-Being: improves
Muscle Size Strength: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Power Output

No effect

NoneNo effect8 people
Subjective Well-BeingImproves (the measure goes up)1 study8 people

Studies that measured subjective well-being

Muscle Size & Strength

  • Power Output
  • Subjective Well-Being: improves
Muscle Size & Strength: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Power Output

No effect

NoneNo effect8 people
Subjective Well-BeingImproves (the measure goes up)1 study8 people

Studies that measured subjective well-being

Weight Loss & Maintenance

  • Weight: improves
  • Metabolic Rate: improves
  • Body Fat: improves
Weight Loss & Maintenance: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
WeightImproves (the measure goes down)9 studies331 people
Metabolic RateImproves (the measure goes up)5 studies5 people
Body FatImproves (the measure goes down)1 study224 people

Studies that measured body fat

Blood Pressure

Small Detriment

Worsens (the measure goes up)Small effect274 people
High-density lipoprotein (HDL)Improves (the measure goes up)224 people
Low-density lipoprotein (LDL)Improves (the measure goes down)167 people
TriglyceridesImproves (the measure goes down)57 people

Overweight

  • Weight: improves
  • Metabolic Rate: improves
  • Body Fat: improves
Overweight: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
WeightImproves (the measure goes down)9 studies179 people
Metabolic RateImproves (the measure goes up)5 studies12 people
Body FatImproves (the measure goes down)1 study67 people

Studies that measured body fat

Blood Pressure

Small Detriment

Worsens (the measure goes up)Small effect112 people
TriglyceridesImproves (the measure goes down)67 people

High Cholesterol

  • Weight: improves
  • Body Fat: improves
  • Heart Rate: improves
High Cholesterol: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
WeightImproves (the measure goes down)9 studies167 people
Body FatImproves (the measure goes down)1 study167 people

Studies that measured body fat

Heart RateImproves (the measure goes down)1 study167 people
Blood Pressure

Small Detriment

Worsens (the measure goes up)Small effect167 people
High-density lipoprotein (HDL)Improves (the measure goes up)167 people
Low-density lipoprotein (LDL)Improves (the measure goes down)167 people

Common Cold

  • Nasal Congestion: improves
Common Cold: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nasal CongestionImproves (the measure goes up)1 study52 people

Surgical Recovery

  • Nausea Symptoms: improves
Surgical Recovery: outcomes studied for Ephedrine
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nausea SymptomsImproves (the measure goes down)1 study1 person

Key findings

  • Metabolic RateGeneral Athletic PerformanceImproves (the measure goes up)
  • AppetiteObesityImproves (the measure goes down)
  • Body FatBody CompositionImproves (the measure goes down)

Shop the evidence-backed picks

Third-party tested Ephedrine products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

20 studies from PubMed

  1. Randomised comparison of diets for maintaining obese subjects' weight after major weight loss: ad lib, low fat, high carbohydrate diet v fixed energy intakeBMJ · PMID 9001476
  2. Multinutrient supplement containing ephedra and caffeine causes weight loss and improves metabolic risk factors in obese women: a randomized controlled trialInt J Obes · PMID 16552410
  3. A randomized double-blind placebo-controlled clinical trial of a product containing ephedrine, caffeine, and other ingredients from herbal sources for treatment of overweight and obesity in the absence of lifestyle treatmentInt J Obes Relat Metab Disord · PMID 15356670
  4. Does ephedrine promote weight loss in low-energy-adapted obese womenInt J Obes · PMID 3301709
  5. Is an ephedrine caffeine treatment contraindicated in hypertensionInt J Obes Relat Metab Disord · PMID 15481766
  6. Effect of herbal Ephedra sinica and Evodia rutaecarpa on body composition and resting metabolic rate: a randomized, double-blind clinical trial in Korean premenopausal womenJ Acupunct Meridian Stud · PMID 20633465
  7. Effects of ephedrine and aminophylline on resting energy expenditure in obese adolescentsInt J Obes Relat Metab Disord · PMID 8384181
  8. Effects of chronic administration of ephedrine during very-low-calorie diets on energy expenditure, protein metabolism and hormone levels in obese subjectsClin Sci · PMID 1310922
  9. Effect of physical training on thermogenic responses to cold and ephedrine in obesityInt J Obes Relat Metab Disord · PMID 8395473
  10. Efficacy and safety of single and multiple doses of pseudoephedrine in the treatment of nasal congestion associated with common coldAm J Rhinol · PMID 15794071
  11. Herbal ephedra/caffeine for weight loss: a 6-month randomized safety and efficacy trialInt J Obes Relat Metab Disord · PMID 12032741
  12. Enhanced thermogenic responsiveness during chronic ephedrine treatment in manAm J Clin Nutr · PMID 4014068
  13. The effect of beta-adrenergic and peroxisome proliferator-activated receptor-gamma stimulation on target genes related to lipid metabolism in human subcutaneous adipose tissueDiabetes Care · PMID 17351280
  14. The effects of oral pseudoephedrine on nasal patency in the common cold: a double-blind single-dose placebo-controlled trialClin Otolaryngol Allied Sci · PMID 10196648
  15. Efficacy and safety of ephedra and ephedrine for weight loss and athletic performance: a meta-analysisJAMA · PMID 12672771
  16. The thermogenic properties of ephedrine/methylxanthine mixtures: human studiesInt J Obes · PMID 3804564
  17. An herbal supplement containing Ma Huang-Guarana for weight loss: a randomized, double-blind trialInt J Obes Relat Metab Disord · PMID 11319627
  18. The effect of ephedra and caffeine on maximal strength and power in resistance-trained athletesJ Strength Cond Res · PMID 18550961
  19. Contribution of BAT and skeletal muscle to thermogenesis induced by ephedrine in manAm J Physiol · PMID 3922230
  20. Use of ephedrine for the short-term treatment of postoperative nausea and vomiting: a case reportJ Perianesth Nurs · PMID 21939882