Natural Supplements For Anxiety
by Dr. Carlo Carandang, MD
What Are Some Herbal And Dietary Supplements To Treat Anxiety And Stress?
Chamomile
What is it:
(Learn more from the NIH U.S. National Center for Complementary and Integrative Health) photo credit: Small dark sweat bee on chamomile via photopin (license) |
What it does:Chamomile enhances GABA and serotonin neurotransmission.3 |
DosageThe optimal dose is 220mg once to five times daily.1 |
Considerations:Chamomile has the potential for mild side effects, including upset stomach.1 |
Other names:German chamomile, Matricaria recutita, Chamomilla recutita |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “Chamomile.” Retrieved from https://nccih.nih.gov/health/chamomile/ataglance.htm. National Center for Complementary and Integrative Health (NCCIH). 2012.
- A randomized, double-blind, placebo-controlled trial of oral Matricaria recutita (chamomile) extract therapy for generalized anxiety disorder. Amsterdam JD, Li Y, Soeller I, Rockwell K, Mao JJ, Shults J. J Clin Psychopharmacol. 2009 Aug;29(4):378-82.
Gaba
What is it:gamma-Aminobutyric acid (GABA) is an inhibitory neurotransmitter in the central nervous system (CNS). However, when it is taken orally as an amino acid, it does not cross the blood-brain barrier, so taking it orally does not reach the brain. Despite this, there is one study that shows it may have an effect on phobic anxiety.1-2 It comes in 250mg and 500mg capsules, and in various unmarked dosages from various manufacturers. (Learn more from the NIH U.S. National Library of Medicine) |
What it does:GABA is an inhibitory neurotransmitter in the brain, which reduces hyperactive fear circuits.1 |
DosageThe optimal dosage is 500mg twice or three times daily.1 |
Considerations:GABA has the potential for mild side effects, such as sedation.1 GABA should not be considered for anxiety treatment, as oral GABA does not cross the blood-brain barrier. |
Other names:4-aminobutanoic acid |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- Relaxation and immunity enhancement effects of gamma-aminobutyric acid (GABA) administration in humans. Abdou AM, Higashiguchi S, Horie K, Kim M, Hatta H, Yokogoshi H. Biofactors. 2006;26(3):201-8.
Galphimia
What is it:
(Learn more from the NIH U.S. National Library of Medicine) photo credit: Galphimia-gracilis_HaydenCampbell_Cutler_20151205_093734 via photopin (license) |
What it does:Galphimia glauca modulates the serotonergic system in the brain.2 |
DosageThe optimal dosage is 310mg daily.1 |
Considerations:Galphimia glauca has the potential for a few side effects, including fatigue, dry mouth, tearing in the eyes, poor concentration, confusion, weakness, bleeding, dizziness, nausea, and headache.1 |
Other names:Golden Thryallis |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- Therapeutic effectiveness of Galphimia glauca vs. lorazepam in generalized anxiety disorder. A controlled 15-week clinical trial. Herrera-Arellano A, Jiménez-Ferrer JE, Zamilpa A, García-Alonso G, Herrera-Alvarez S, Tortoriello J. Planta Med. 2012 Sep;78(14):1529-35.
Ginkgo Biloba
What is it:
(Learn more from the NIH U.S. National Center for Complementary and Integrative Health) |
What it does:Ginkgo inhibits stress-induced corticosteroid release.3 |
DosageThe optimal dose is 240mg to 480mg daily.1 |
Considerations:Ginkgo has the potential for a few side effects, including allergic skin reactions, pounding heartbeat, constipation, dizziness, headache, and upset stomach.1 |
Other names:Ginkgo, maidenhair tree |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “Ginkgo.” Retrieved from https://nccih.nih.gov/health/ginkgo/ataglance.htm. National Center for Complementary and Integrative Health (NCCIH). 2013.
- Effect of chronic administration of Ginkgo biloba extract or Ginkgolide on the hypothalamic-pituitary-adrenal axis in the rat. Marcilhac A, Dakine N, Bourhim N, Guillaume V, Grino M, Drieu K, Oliver C. Life Sci. 1998;62(25):2329-40.
Inositol (myo-Inositol)
What is it:Inositol is a naturally-occurring carbohydrate, tastes half as sweet as sugar (sucrose), and is found in fruits and lechitins. Inositol is used to treat panic disorder and obsessive compulsive disorder (OCD). It is classified as a dietary supplement.1 It comes in 250mg and 500mg capsules. (Learn more from the NIH U.S. National Library of Medicine) |
What it does:Inositol increases the serotonergic signal in the brain, and thought to have a similar effect as SSRIs (selective serotonin reuptake inhibitors).2 |
DosageThe dose range is 500mg to 1000mg twice or three times daily. The optimal dosage is 1500mg daily.1 |
Considerations:Inositol has the potential for a few side effects, including dizziness, fatigue, nausea, and headache.3 KalmPro has the right amount of inositol in it, and is effective for anxiety, as indicated in research studies. |
Other names:Cyclohexane-1,2,3,4,5,6-hexol, cyclohexanehexol |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- Controlled trials of inositol in psychiatry. Levine J. Eur Neuropsychopharmacol. 1997 May;7(2):147-55.
- “KalmPro Research.” Retrieved from https://www.kalmpro.com/research.php. Healthy Mind Research. 2015.
Kava (Piper methysticum)
What is it:
(Learn more from the NIH U.S. National Center for Complementary and Integrative Health) photo credit: Piper methysticum (kava): Shot hole via photopin (license) |
What it does:Kava modulates GABA activity3 and can take up to 2 months to work for anxiety. |
DosageThe maximum dose is 250mg kavalactones daily.1 |
Considerations:Kava has the potential for a few side effects, including liver failure, hepatitis, abnormal muscle spasms, scaly and yellowed skin, and drowsiness.2 Liver damage risk appears to be decreased at dosage levels below 250mg daily.1 Due to serious liver complications, kava is not recommended as a supplement for anxiety. |
Other names:Kava kava, kava pepper, awa |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “Kava.” Retrieved from https://nccih.nih.gov/health/kava. National Center for Complementary and Integrative Health (NCCIH). 2012.
- Kava: a comprehensive review of efficacy, safety, and psychopharmacology. Sarris J, LaPorte E, Schweitzer I. Aust N Z J Psychiatry. 2011 Jan;45(1):27-35.
Lavender (Lavandula angustifolia)
What is it:
(Learn more from the NIH U.S. National Center for Complementary and Integrative Health) |
What it does:Lavender has a similar mechanism of action as benzodiazepines, but without the sedative or addictive potential.3 |
DosageThe optimal dose is 80mg daily.1 |
Considerations:Lavender has the potential for a few side effects, including headache, constipation, and changes in appetite.2 Many manufacturers produce capsules which are excessively above the optimal dosage of 80mg daily. KalmPro has the right amount of lavender in it. |
Other names:Lavendula |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “Lavender.” Retrieved from https://nccih.nih.gov/health/lavender/ataglance.htm. National Center for Complementary and Integrative Health (NCCIH). 2012.
- Silexan, an essential oil from flowers of Lavandula angustifolia, is not recognized as benzodiazepine-like in rats trained to discriminate a diazepam cue. Silenieks LB, Koch E, Higgins GA. Phytomedicine. 2013 Jan 15;20(2):172-7.
Lemon balm (Melissa officinalis)
What is it:
(Learn more from the NIH U.S. National Library of Medicine) |
What it does:Lemon balm enhances GABA and decreases stress-induced corticosteroid levels.2 |
DosageThe optimal dosage is 80mg three times daily.1 |
Considerations:Lemon balm has the potential for mild side effects, such as wheezing, dizziness, stomach pain, nausea, and vomiting.1 Many formulations dose lemon balm too high for anxiety. KalmPro has the right amount of lemon balm in it to help for anxiety, as indicated in research studies. |
Other names:Melissa officinalis |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- Effects of Melissa officinalis L. (lemon balm) extract on neurogenesis associated with serum corticosterone and GABA in the mouse dentate gyrus. Yoo DY, Choi JH, Kim W, Yoo KY, Lee CH, Yoon YS, Won MH, Hwang IK. Neurochem Res. 2011 Feb;36(2):250-7.
L-lysine and L-arginine
What is it:L-lysine and l-arginine are amino acids, and classified as dietary supplements. L-lysine and l-arginine are found in red meat, fish, poultry, and dairy products. They are used in combination to treat non-clinical anxiety.1-2 Both come in 1000mg capsules and various other unmarked dosages from various manufacturers. (Learn more from the NIH U.S. National Library of Medicine) |
What it does:L-lysine and l-arginine work by acting as a partial serotonin antagonist and a partial benzodiazepine agonist.3 |
DosageThe optimal dose is 2.64 grams of each daily.1 |
Considerations:L-lysine and l-arginine have the potential for a few side effects. Lysine can cause stomach pain, diarrhea, nausea, high cholesterol, and gallstones. Arginine can cause cramps, diarrhea, nausea, asthma, allergies, low blood pressure, and changes to blood glucose.1 |
Other names:2,6-Diaminohexanoic acid (lysine), 2-Amino-5-guanidinopentanoic acid (arginine) |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “L-arginine.” Retrieved from https://www.nlm.nih.gov/medlineplus/druginfo/natural/875.html. U.S. National Library of Medicine. 2015.
- Oral treatment with L-lysine and L-arginine reduces anxiety and basal cortisol levels in healthy humans. Smriga M, Ando T, Akutsu M, Furukawa Y, Miwa K, Morinaga Y. Biomed Res. 2007 Apr;28(2):85-90.
L-theanine
What is it:L-theanine is an amino acid, and is found in green tea. L-theanine is used to treat non-clinical anxiety, and is classified as a dietary supplement.1-2 It comes in 100mg and 200mg capsules, and various other unmarked dosages from various manufacturers. (Learn more from the NIH U.S. National Library of Medicine) |
What it does:L-theanine enhances GABA and serotonin in the brain.3 |
DosageThe dose range is 100mg to 200mg once or twice daily.1 |
Considerations:L-theanine has the potential for mild side effects, including gastrointestinal symptoms, headache, and dizziness.1 Many formulations do not have the right amount of l-theanine to be effective for anxiety. KalmPro has the right amount of l-theanine to be effective for anxiety. |
Other names:L-γ-glutamylethylamide, N5-ethyl-L-glutamine |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- The acute effects of L-theanine in comparison with alprazolam on anticipatory anxiety in humans. Lu K, Gray MA, Oliver C, Liley DT, Harrison BJ, Bartholomeusz CF, Phan KL, Nathan PJ. Hum Psychopharmacol. 2004 Oct;19(7):457-65.
- “KalmPro Research.” Retrieved from https://www.kalmpro.com/research.php. Healthy Mind Research. 2015.
Melatonin
What is it:Melatonin is a hormone that we naturally make in our bodies. It is used in non-clinical anxiety, and is classified as a dietary supplement.1-2 It comes in 1mg, 3mg, 5mg, and 10mg tablets, and various other unmarked dosages from various manufacturers. (Learn more from the NIH U.S. National Library of Medicine) |
What it does:Melatonin modulates GABA, and is protective against sleep deprivation-induced anxiety.3 |
DosageThe optimal dose is 3mg to 6mg daily.1 |
Considerations:Melatonin has the potential for a few side effects, including sedation.1 |
Other names:N-acetyl-5-methoxytryptamine |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “Melatonin.” Retrieved from https://www.nlm.nih.gov/medlineplus/druginfo/natural/940.html. U.S. National Library of Medicine. 2015.
- Possible involvement of GABAergic mechanism in protective effect of melatonin against sleep deprivation-induced behaviour modification and oxidative damage in mice. Kumar A, Singh A. Fundam Clin Pharmacol. 2009 Aug;23(4):439-48.
Omega 3 fatty acids
What is it:Omega 3 fatty acids are polyunsaturated fatty acids found in both plant and animal sources. It is used for non-clinical anxiety and is classified as a dietary supplement.1-2 It comes in various dosages from various manufacturers. (Learn more from the NIH U.S. National Library of Medicine) |
What it does:Omega 3 fatty acids appear to inhibit the HPA axis and hence reduces anxiety.3 |
DosageThe optimal dose is 2.5 grams (2085 mg eicosapentaenoic acid (EPA) and 348 mg docosahexanoic acid (DHA)) daily.1 |
Considerations:Omega 3 fatty acids has the potential for mild side effects, including nosebleeds, rash, loose stools, nausea, heartburn, bad breath, and belching.1 |
Other names:ω-3 fatty acids |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial. Kiecolt-Glaser JK, Belury MA, Andridge R, Malarkey WB, Glaser R. Brain Behav Immun. 2011 Nov;25(8):1725-34.
- Omega-3 polyunsaturated fatty acids and anxiety disorders. Ross BM. Prostaglandins Leukot Essent Fatty Acids. 2009 Nov-Dec;81(5-6):309-12.
Passionflower (Passiflora incarnate)
What is it:
(Learn more from the NIH U.S. National Center for Complementary and Integrative Health) photo credit: “Passiflora caerulea” via photopin (license) |
What it does:Passionflower enhances GABA by blocking the reuptake of GABA.3 |
DosageThe optimal dose is 90mg daily.1 |
Considerations:Passionflower has the potential for a few side effects, including dizziness, confusion, and sedation.2 Many manufacturers produce capsules which are excessively above the optimal dosage of 90mg daily. KalmPro has the right amount of passionflower in it. |
Other names:Passiflora, passion flower, Maypop |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “Passionflower.” Retrieved from https://nccih.nih.gov/health/passionflower. National Center for Complementary and Integrative Health (NCCIH). 2014.
- Modulation of the γ-aminobutyric acid (GABA) system by Passiflora incarnata L. Appel K, Rose T, Fiebich B, Kammler T, Hoffmann C, Weiss G. Phytother Res. 2011 Jun;25(6):838-43.
Tryptophan
What is it:Tryptophan is an essential amino acid, and is found in most protein-based foods. It is used for social anxiety disorder and is classified as a dietary supplement.1-2 It comes in 500mg, 1000mg, and 1500mg capsules, and various other unmarked dosages from various manufacturers. (Learn more from the NIH U.S. National Library of Medicine) |
What it does:Tryptophan is a precursor to serotonin. |
DosageThe optimal dose is 250mg daily.1 |
Considerations:Tryptophan has the potential for mild side effects, such as sedation. However, pharmaceutical-grade tryptophan is associated with a serious side effect, eosinophilia myalgia syndrome (EMS). But when tryptophan is given as an intact protein (such as in deoiled gourd seed), the risk of EMS is almost zero. When intact protein tryptophan is given with a high glycemic carbohydrate, it is effective for anxiety.1 |
Other names:2-Amino-3-(1H-indol-3-yl)propanoic acid |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- Protein-source tryptophan as an efficacious treatment for social anxiety disorder: a pilot study. Hudson C, Hudson S, MacKenzie J. Can J Physiol Pharmacol. 2007 Sep;85(9):928-32.
Scullcap (Scutellaria lateriflora)
What is it:
(Learn more from the NIH U.S. National Library of Medicine) |
What it does:Scullcap enhances GABA activity, and is a GABA receptor agonist.2 |
DosageThe optimal dose is 1 gram to 2 grams three times daily.1 |
Considerations:Scullcap has the potential for a few side effects, including sedation.1 |
Other names:Skullcap, helmetflower |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- Dietary and botanical anxiolytics. Alramadhan E, Hanna MS, Hanna MS, Goldstein TA, Avila SM, Weeks BS. Med Sci Monit. 2012 Apr;18(4):RA40-8. Review.
Valerian (Valeriana officinalis)
What is it:
(Learn more from the NIH U.S. National Center for Complementary and Integrative Health) |
What it does:Valerian enhances GABA activity.3 |
DosageThe optimal dose is 765mg daily.1 |
Considerations:Valerian has the potential for mild side effects, including drowsiness, headaches, dizziness, and stomach upset.2 |
Other names:Garden heliotrope, all-heal |
- “Chapter 14- Natural Supplements for Anxiety Disorders.” Anxiety Protocol. Carandang C. 2014. Healthy Mind Research Corporation.
- “Valerian.” Retrieved from https://nccih.nih.gov/health/valerian. National Center for Complementary and Integrative Health (NCCIH). 2012.
- The anxiolytic effects of a Valerian extract is based on valerenic acid. Becker A, Felgentreff F, Schröder H, Meier B, Brattström A. BMC Complement Altern Med. 2014 Jul 28;14:267.