Saffron
The world's most expensive spice, studied for mood, anxiety, and sleep
Saffron is the dried stigma of the Crocus sativus flower, best known as the world's most expensive spice. It has a long history in Persian traditional medicine, including use for low mood, and its main bioactive compounds are crocins and safranal. Supplement research does not use cooking amounts: the trials used standardized stigma extracts at roughly 15–30mg per day.
Saffron has a more developed trial record for mood than most herbs. Meta-analyses report large improvements in depression and anxiety symptoms compared with placebo, and two newer trials found better self-reported sleep. The caveats are real, though: most trials are small and short, the authors of the 2013 meta-analysis called for larger trials from research teams outside Iran, and the 2019 meta-analysis found evidence of publication bias. Think of saffron as a promising, generally well-tolerated option to discuss with a clinician, not a replacement for care of depression.
Mood & Mild-to-Moderate Depression
Meta-analyses of randomized trials found saffron outperformed placebo for depressive symptoms, and in small trials its effect was similar to antidepressant comparators, including fluoxetine 20mg/day in a 40-person trial.
Anxiety Symptoms
A 2019 meta-analysis of 23 studies found a large effect on anxiety symptoms compared with placebo, with a warning about publication bias in the evidence.
Sleep Quality
Two randomized trials in adults with sleep complaints (63 and 66 participants) reported better self-reported sleep after 4 to 6 weeks. One added wrist actigraphy, which showed more time in bed.
Everyday Low Mood
In 128 adults with low mood but no depression diagnosis, 28mg/day of a standardized extract improved mood scores over 4 weeks. A 22mg/day dose did not.
- Match the studied dose: in one trial 28mg/day improved mood while 22mg/day did not
- Saffron is a frequent target of adulteration. Research has documented bulking agents such as stamens, safflower, turmeric, and gardenia, so buy from brands that publish third-party testing
- In a one-week safety trial, 400mg of saffron tablets lowered standing blood pressure and slightly changed some blood measures within normal ranges. Talk to your doctor if you have low blood pressure or take blood pressure medication
- If you take antidepressants, have bipolar disorder, or are pregnant, talk to your prescriber first. Saffron is not a substitute for treatment of depression
A 2019 systematic review and meta-analysis of 23 randomized trials found that saffron had a large positive effect compared with placebo for depressive symptoms (g = 0.99) and anxiety symptoms (g = 0.95). The authors also found evidence of publication bias and a lack of regional diversity in the trials, and concluded that further trials are required.
How Saffron Compares
| Ingredient | Best For | Key Difference |
|---|---|---|
| Saffron | Mood, Anxiety & Sleep | Standardized extract with several randomized trials; studies are small and short |
| St. John's Wort | Mild-to-Moderate Depression | Better known as an herbal antidepressant, but with well-documented drug interactions |
| SAMe | Depression & Joint Pain | Prescribed as a drug in Europe; carries serious safety considerations |
| Ashwagandha | Stress & Cortisol | Stress-focused adaptogen; root versus leaf matters when reading labels |
1. Marx W et al. (2019). Effect of saffron supplementation on symptoms of depression and anxiety: a systematic review and meta-analysis. Nutrition Reviews, 77(8), 557–571.
2. Hausenblas HA et al. (2013). Saffron (Crocus sativus L.) and major depressive disorder: a meta-analysis of randomized clinical trials. Journal of Integrative Medicine, 11(6), 377–383.
3. Lopresti AL & Drummond PD (2014). Saffron (Crocus sativus) for depression: a systematic review of clinical studies and examination of underlying antidepressant mechanisms of action. Human Psychopharmacology, 29(6), 517–527.
4. Akhondzadeh S et al. (2005). Crocus sativus L. in the treatment of mild to moderate depression: a double-blind, randomized and placebo-controlled trial. Phytotherapy Research, 19(2), 148–151.
5. Noorbala AA et al. (2005). Hydro-alcoholic extract of Crocus sativus L. versus fluoxetine in the treatment of mild to moderate depression: a double-blind, randomized pilot trial. Journal of Ethnopharmacology, 97(2), 281–284.
6. Kell G et al. (2017). affron® a novel saffron extract (Crocus sativus L.) improves mood in healthy adults over 4 weeks in a double-blind, parallel, randomized, placebo-controlled clinical trial. Complementary Therapies in Medicine, 33, 58–64.
7. Lopresti AL et al. (2020). Effects of saffron on sleep quality in healthy adults with self-reported poor sleep: a randomized, double-blind, placebo-controlled trial. Journal of Clinical Sleep Medicine, 16(6), 937–947.
8. Pachikian BD et al. (2021). Effects of saffron extract on sleep quality: a randomized double-blind controlled clinical trial. Nutrients, 13(5), 1473.
9. Modaghegh MH et al. (2008). Safety evaluation of saffron (Crocus sativus) tablets in healthy volunteers. Phytomedicine, 15(12), 1032–1037.
10. Petrakis EA et al. (2015). Evaluation of saffron (Crocus sativus L.) adulteration with plant adulterants by 1H NMR metabolite fingerprinting. Food Chemistry, 173, 890–896.
All references are peer-reviewed studies indexed in PubMed.
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