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Passionflower

Passionflower is a climbing vine whose leaves and flowers are used in herbal extracts, and it is thought to raise the activity of GABA, a calming chemical messenger in the brain. People mostly look at it for generalized anxiety, and across six studies anxiety symptoms improved, with a moderate-sized effect and moderate evidence overall. Those studies were small, together enrolling only 66 people, and some tested it alongside other medicines or in a dental-visit setting, so the results say little about long-term everyday use.

Sources: PMID 27918731; PMID 27928252

Best evidence
Grade B
Conditions studied
6
Outcomes
14
Graded outcomes
0320

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

6 conditions

Generalized Anxiety Disorder (GAD): outcomes studied for Passionflower
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect6 studies66 people
Reaction TimeImproves (the measure goes up)30 people

Surgical Recovery

  • Anxiety Symptoms: improves
  • Motor Control: improves
Surgical Recovery: outcomes studied for Passionflower
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect6 studies120 people
Motor ControlImproves (the measure goes up)60 people

Insomnia

  • Anxiety Symptoms: improves
  • Sleep Duration: improves
  • Depression Symptoms: improves
Insomnia: outcomes studied for Passionflower
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect6 studies110 people
Sleep DurationImproves (the measure goes up)1 study110 people
Depression SymptomsImproves (the measure goes down)110 people
Sleep EfficiencyImproves (the measure goes up)110 people
Sleep LatencyImproves (the measure goes down)110 people

Sleep Health

  • Anxiety Symptoms: improves
  • Sleep Quality: improves
  • Sleep Efficiency: improves
Sleep Health: outcomes studied for Passionflower
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect6 studies41 people
Sleep QualityImproves (the measure goes up)1 study41 people
Sleep EfficiencyImproves (the measure goes up)41 people

Opioid Use Disorder

  • Opioid dependence symptoms: improves
Opioid Use Disorder: outcomes studied for Passionflower
GradeOutcomeEffectSizeStudiesPeopleStudies list
Opioid dependence symptomsImproves (the measure goes down)1 study65 people

Studies that measured opioid dependence symptoms

Key findings

  • Anxiety SymptomsDental HealthImproves (the measure goes down)

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

  • Grade B

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Studies cited

9 studies from PubMed

  1. Herbal medicines as anxiolytics prior to third molar surgical extraction. A randomized controlled clinical trial.Clin Oral Investig · PMID 32951121
  2. Effects of passiflora incarnata and midazolam for control of anxiety in patients undergoing dental extraction.Med Oral Patol Oral Cir Bucal · PMID 27918731
  3. Effects of Passiflora incarnata Linnaeus on polysomnographic sleep parameters in subjects with insomnia disorder: a double-blind randomized placebo-controlled study.Int Clin Psychopharmacol · PMID 31714321
  4. Effects of Passion Flower Extract, as an Add-On Treatment to Sertraline, on Reaction Time in Patients ‎with Generalized Anxiety Disorder: A Double-Blind Placebo-Controlled Study.Iran J Psychiatry · PMID 27928252
  5. Passionflower in the treatment of generalized anxiety: a pilot double-blind randomized controlled trial with oxazepam.J Clin Pharm Ther · PMID 11679026
  6. Passiflora incarnata Linneaus as an anxiolytic before spinal anesthesia.J Anesth · PMID 22048283
  7. Preoperative oral Passiflora incarnata reduces anxiety in ambulatory surgery patients: a double-blind, placebo-controlled study.Anesth Analg · PMID 18499602
  8. A double-blind, placebo-controlled investigation of the effects of Passiflora incarnata (passionflower) herbal tea on subjective sleep quality.Phytother Res · PMID 21294203
  9. Passionflower in the treatment of opiates withdrawal: a double-blind randomized controlled trial.J Clin Pharm Ther · PMID 11679027