Sweet Flag

Sweet flag (Acorus calamus) is a traditional herb used in Ayurveda and TCM for cognitive enhancement. DANGEROUS: Contains β-asarone, a KNOWN CARCINOGEN that causes intestinal tumors and organ damage in long-term studies. BANNED or restricted in many countries including the US (not allowed in food). NOT RECOMMENDED for supplementation due to cancer risk. Despite traditional use, the toxicity profile makes this herb unsuitable for modern use.

Quick Answer

What it is

Sweet flag (Acorus calamus) is a traditional herb used in Ayurveda and TCM for cognitive enhancement. DANGEROUS: Contains β-asarone, a KNOWN CARCINOGEN that causes intestinal tumors and organ damage in long-term studies.

Key findings

  • Grade C: Cancer Risk (β-Asarone Toxicity)
  • Grade D: Neuroprotection
  • Grade D: Antimicrobial Activity

Safety

  • NOT RECOMMENDED for supplementation due to cancer risk.
  • Despite traditional use, the toxicity profile makes this herb unsuitable for modern use.
  • 2026) document dose-dependent toxicity, including complete mortality at higher oral doses in mice.
ℹ️ Quick Facts: Sweet Flag

Quick Facts: Sweet Flag

  • Best Evidence:Grade D
  • Conditions Studied:2
  • Research Outcomes:8
  • Key Effect:Age-Associated Memory Impairment and Cognitive Decline (AAMCD)
Outcomes by grade:
A0
B0
C1
D7
2 conditions · 8 outcomes

Detailed Outcomes

|
C
Cancer Risk (β-Asarone Toxicity)
Multiple long-term animal studies confirm β-asarone, the dominant compound in Acorus calamus (up to 80.6% of rhizome essential oil), causes intestinal tumors and organ damage with chronic exposure. Reviews (Sharma et al. 2020, Middha et al. 2026) and ex vivo/in vivo studies (Parashar et al. 2026) document dose-dependent toxicity, including complete mortality at higher oral doses in mice. A 2025 Ames test (Anantha Narayana & Mukne) found no mutagenicity under acute conditions, but long-term carcinogenicity remains established. The herb is banned or restricted in food in the US and other countries due to this risk.
largeWorsens
D
Antimicrobial Activity
In vitro, Acorus calamus essential oil (dominated by β-asarone at 80.6%) showed bactericidal activity against Gram-positive, Gram-negative bacteria and fungi, with Micrococcus luteus most susceptible at MBC 0.032 mg/mL (Joshi 2016). Leaf extracts also demonstrated antibacterial zones against Pseudomonas aeruginosa and Staphylococcus aureus exceeding standard antibiotics in vitro (Haran et al. 2024).
smallImproves
D
Depressive Symptoms
In a rodent model of depression, Vacha administration prevented stress-induced behavioral deficits in ambulation and rearing, demonstrating antidepressant effects through a mechanism distinct from typical 5-HT1A receptor sensitization (Tripathi & Singh 2010). A 2020 review confirmed antidepressant properties among the documented neurological effects of Acorus calamus in preclinical models.
moderateImproves
D
Seizure Susceptibility
In an animal Maximal Electro Shock seizure model, both raw and traditionally processed (Shodhana) Vacha rhizomes significantly decreased the duration of the tonic extensor phase, with the processed form showing additional reductions in convulsion and stupor phases (Bhat et al. 2012). A comprehensive 2020 review corroborated anticonvulsant activity as a well-documented effect of the herb in preclinical literature.
moderateImproves
D
Blood Pressure
β-Asarone exhibited vasorelaxation in isolated rat mesenteric arteries at concentrations of 1-30 μg/mL through modulation of L-type voltage-dependent calcium channels (Parashar et al. 2026). A 2020 review also listed antihypertensive effects among the pharmacological properties documented in preclinical studies. However, dose-dependent toxicity limits translational potential.
smallImproves
D
Stress-Induced Immune Suppression
In a rat model, oral Vacha benzene extract (ED50 of 10 mg) administered for 4 weeks significantly prevented stress-induced reductions in total and differential leukocyte counts, immunoglobulin content, and bone marrow cellularity (p < 0.001), while also preventing structural involution of lymphoid organs (Sarjan et al. 2017).
moderateImproves
D
Neuroprotection
Two comprehensive reviews (Sharma et al. 2020; Middha et al. 2026) document neuroprotective effects of Acorus calamus active compounds through modulation of Nrf-2, NF-κB, PI3K/AKT, and Ras/MAPK signaling pathways in preclinical models, reducing oxidative stress associated with neurological dysfunction. Evidence remains limited to animal and in vitro studies with no direct human clinical trials on cognition.
smallImproves
D
Antioxidant Capacity
In vitro studies demonstrated that Acorus calamus leaf extract exhibited significant free radical scavenging activity comparable to ascorbic acid in DPPH and hydrogen peroxide assays, with dose-dependent ferric ion reduction in the FRAP assay (Haran et al. 2024). A 2020 review also noted antioxidative properties among the documented pharmacological effects.
smallImproves

Research Citations (12)

β-Asarone-induced vasorelaxation in isolated rat mesenteric artery: An efficacy vs toxicity paradox of Acorus calamus.
(2026)
PMID: 41519184
Phytochemical, Pharmacological, and Therapeutic Benefit of Acorus Calamus (Vacha): A Comprehensive Scientific Review.
(2026)
PMID: 41622999
Reporting negative Ames test results for Indian Acorus calamus L., rhizome, extracts, and beta asarone.
(2025)
PMID: 40844059
Free Radical Scavenging, Anti-inflammatory and Antibacterial Activity of Acorus calamus Leaves Extract Against Pseudomonas aeruginosa and Staphylococcus aureus.
(2024)
PMID: 38606241
Role of Vacha (Acorus calamus Linn.) in Neurological and Metabolic Disorders: Evidence from Ethnopharmacology, Phytochemistry, Pharmacology and Clinical Study.
(2020)
PMID: 32325895
The protective effect of the Vacha rhizome extract on chronic stress-induced immunodeficiency in rat.
(2017)
PMID: 28303736
Acorus calamus Linn.: phytoconstituents and bactericidal property.
(2016)
PMID: 27562598
Fate of β-asarone in Ayurvedic Sodhana process of Vacha.
(2013)
PMID: 23741157
Anticonvulsant activity of raw and classically processed Vacha (Acorus calamus Linn.) rhizomes.
(2012)
PMID: 23049196
Usage trends for memory and vitality-enhancing medicines: A pharmacoepidemiological study involving pharmacists of the Gujarat region.
(2010)
PMID: 21170204

Related Supplements

Salidrosides

2 shared conditions · 11 outcomes

Salidroside is a glucoside compound and one of the main bioactive constituents of Rhodiola rosea. Often standardized in Rhodiola extracts (typically 1-3%). Has neuroprotective and adaptogenic properties. Research shows anti-fatigue, anti-stress, and potential anti-depressant effects. Mechanism involves HPA axis modulation, AMPK activation, and antioxidant effects. Most clinical evidence is for the whole Rhodiola rosea extract rather than isolated salidroside. May be more effective as part of whole plant extract than in isolation.

Sage

2 shared conditions · 4 outcomes

Sage (Salvia officinalis) is an aromatic herb with traditional uses for memory, inflammation, and menopausal symptoms. Contains rosmarinic acid, carnosic acid, and ursolic acid. Some evidence for cognitive enhancement (acute studies) and menopausal hot flash reduction. Related species Salvia lavandulaefolia may have better cognitive evidence. Also has antimicrobial properties. Generally safe as culinary herb; essential oil is more concentrated. NOT the same as Salvia divinorum (hallucinogenic sage).

Red Berry Powder

2 shared conditions · 3 outcomes

Red Berry Powder is a concentrated blend of powdered red berries (raspberries, strawberries, goji berries, cranberries, etc.). Contains anthocyanins, polyphenols, and fiber. Marketed for antioxidant, cardiovascular, and general health benefits. Effects depend entirely on the specific berries included and their concentrations. No standardized formulation exists. Individual berries (blueberries, cranberries) have more research than mixed blends. Essentially a convenient way to consume berry polyphenols if whole berries aren't available.

Persicaria Minor

2 shared conditions · 5 outcomes

Persicaria minor (kesum) is a Malaysian herb in the Polygonaceae family, used traditionally in cooking and medicine. Contains flavonoids and volatile compounds. Limited research suggests potential antioxidant, antimicrobial, and blood pressure effects. NO GRADED OUTCOMES - research is very limited and mostly preclinical. Not widely available as a supplement outside Southeast Asia. Primarily used as a culinary herb (laksa leaf) rather than a supplement.

Muira puama

2 shared conditions · 6 outcomes

Muira puama is a Brazilian herb traditionally used as an aphrodisiac and nerve tonic. The nickname 'Potency Wood' reflects its traditional sexual health use, but human evidence for sexual benefits is weak. Interestingly, preliminary research suggests it may be effective as a COGNITIVE ENHANCER rather than an aphrodisiac. Contains lupeol and other triterpenoids. NO GRADED OUTCOMES - lacks quality human trials for either sexual or cognitive claims. The cognitive enhancement angle warrants more research.

Loquat

2 shared conditions · 7 outcomes

Eriobotrya japonica (Loquat) is a fruit-bearing tree whose leaves have been used in Traditional Chinese Medicine (TCM) for cough, sputum, and respiratory conditions. Rich in triterpenoids, particularly ursolic acid and related compounds. The fruit is consumed as food; the leaves and seeds are used medicinally. NO GRADED OUTCOMES - research is mostly preclinical. May have anti-inflammatory, antitussive (cough-suppressing), and glucose-regulating effects. The seeds have been added to alcoholic tonics for longevity. Safe as a fruit; medicinal leaf preparations have traditional use but limited modern research.

L-Threonate

2 shared conditions · 5 outcomes

L-Threonate is a metabolite of vitamin C currently researched primarily as a mineral chelating agent that enhances bioavailability, especially for magnesium. Magnesium L-threonate (Magtein) is marketed for cognitive function based on claims of enhanced brain magnesium delivery. NO GRADED OUTCOMES for L-threonate itself. The compound is most notable as part of magnesium L-threonate rather than as an isolated supplement. Research suggests it may help transport magnesium across the blood-brain barrier, but evidence remains limited. Isolated L-threonate supplementation is not common.

Haskap Berry

2 shared conditions · 8 outcomes

Haskap berries (blue honeysuckle) are antioxidant-rich berries native to northern regions, called 'fruit of longevity' in Japan. Rich in anthocyanins (particularly cyanidin-3-glucoside), vitamin C, and polyphenols. NO GRADED OUTCOMES - limited human research. Anthocyanin content exceeds blueberries. May have cardiovascular, anti-inflammatory, and cognitive benefits based on similar berry research, but haskap-specific studies are lacking. Safe as a food. Available fresh, frozen, or as supplements. Emerging berry gaining research interest due to high polyphenol content.