Tulsi: benefits, dosage, contraindications

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Tulsi, also known as holy basil, is an aromatic plant native to India and is also found in Australia, West Africa, and some countries in the Middle East. Tulsi is deeply rooted in Hindu and Ayurvedic traditions, where it is regarded as "The Queen of Herbs" for its many medicinal and spiritual virtues. Tulsi can reach 1 to 2 meters in height, with purple or green leaves depending on the variety, and produces small aromatic flowers whose scent is reminiscent of clove due to its eugenol content. Every part of the plant, including the leaves, stems, flowers, roots, and essential oil, is used for therapeutic purposes. The active components of the leaves and stems include saponins, flavonoids, triterpenoids, and tannins. Tulsi leaves in particular contain significant levels of ursolic acid (11%) and oleanolic acid, which are responsible for many medicinal activities. Tulsi oil contains many volatile monoterpenes and sesquiterpene hydrocarbons whose main constituents are phenolic compounds such as eugenol (up to 71%) and carvacrol (3%), as well as rosmarinic acid, which have antioxidant and anti-inflammatory properties. Traditionally, tulsi is used to treat a multitude of disorders, ranging from respiratory conditions such as asthma and bronchitis to digestive and inflammatory problems. It is also recognized for improving longevity and combating the effects of stress thanks to its adaptogenic properties.

Other name(s) 

holy basil

Scientific name(s)

Ocimum sanctum, Ocimum tenuiflorum

Family or group: 

Plants

Active ingredients:

Ursolic acid

Eugenol

Rosmarinic acid


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Improve adaptability, Stress
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Tulsi, recognized for its adaptogenic properties, has been studied for its ability to improve stress resilience and reduce fatigue. Clinically, a specific tulsi extract (OciBest, Natural Remedies), administered at doses of 400 mg in the morning and 800 mg in the evening for 6 weeks, significantly improved stress symptoms, including forgetfulness, sexual problems, and sleep problems in 150 people. Another study of 125 mg of tulsi twice daily for 8 weeks showed a modest improvement in stress scores, without a significant improvement in individual stress-related symptoms.

Posologie

posologieOral: leaf

posologie300 - 1200 mg


Metabolic syndrome
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In clinical studies, tulsi has shown some efficacy in reducing symptoms of metabolic syndrome, notably diabetes and obesity. A study in adults with type 2 diabetes observed a reduction in fasting and postprandial glucose levels of 18% after taking 2.5 g of dried tulsi leaf powder per day for 4 weeks, compared with 7% with a placebo. Another study showed that 250 mg of tulsi twice daily, combined with 5 mg of glyburide per day for 3 months, decreased fasting glucose by 16%, postprandial glucose by 13% and HbA1c levels by 18% compared with glyburide alone. Finally, in overweight or obese individuals, 250 mg of tulsi extract twice daily for 8 weeks slightly reduced body weight and improved triglyceride and LDL cholesterol levels, with no notable changes in liver enzymes compared with no treatment.

Posologie

posologieOral: leaf

posologie500 - 2000 mg


Anxiety
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In a small uncontrolled clinical study of patients with generalized anxiety disorder, taking 500 mg of tulsi leaf extract twice daily after meals for 60 days reduced anxiety and associated symptoms of stress and depression compared with baseline measures.

Posologie

posologieBy mouth: leaf

posologie1000 mg


Cognitive performance
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The Tulsi leaf extract appears to have potentially beneficial properties for improving certain cognitive functions in healthy adults, according to a placebo-controlled study. In this study, participants took 300 mg per day of an ethanolic extract of Tulsi leaves for 30 days. The results showed significant improvements in reaction time and error rate in the Sternberg memory and Stroop tests, compared with the placebo group. Additionally, the extract had a favorable effect on attention, as indicated by a reduction in latency, with no notable adverse effects reported.

Posologie

posologieBy mouth: leaf

posologie300 mg


Allergies
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Tulsi, or holy basil, has traditionally been used for its anti-allergic properties. Animal studies show that its leaf extracts, its volatile oil and its fixed oil can protect against asthma and pre-convulsive dyspnea. These effects are attributed to mast cell stabilization and inhibition of inflammatory mediators, supporting its use in managing allergic reactions.

Posologie

posologieOral: leaf

posologie300 mg


Aging well
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Tulsi, known for its antioxidant properties, may play a role in combating aging. Its extracts reduce oxidative stress and may thereby help prevent age-related cellular damage. Additionally, tulsi stimulates the production of detoxifying substances that protect organs against toxins, potentially contributing to improved longevity.

Posologie

posologieOral: leaf

posologie300 mg


Properties


Adaptogen

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Tulsi, known for its adaptogenic properties, helps regulate stress and fatigue. It acts by normalizing physiological and biochemical changes related to stress, such as lipid peroxidation and lactic acid levels, through active compounds like ocimumoside A and B. These compounds favorably influence monoaminergic systems by modulating the activity of neurotransmitters such as norepinephrine, epinephrine, dopamine, and serotonin, thereby contributing to better stress and anxiety management. Studies show that tulsi can improve resilience to chronic stress and fatigue by also adjusting immune responses and reducing oxidation while normalizing corticosterone levels. These effects are comparable to those of conventional anti-stress and antioxidant medications, demonstrating tulsi's potential effectiveness in varied therapeutic contexts.

Usages associés

Improve the ability to adapt

Anti-inflammatory

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Tulsi is recognized for its anti-inflammatory properties in both acute and chronic animal models of inflammation. Several forms of tulsi extract, such as fresh leaves, essential oil, and ethanolic extracts of leaf tissues, show significant anti-inflammatory effects. These effects are attributed to components such as eugenol and linoleic acid, which inhibit arachidonate metabolic pathways involving the cyclooxygenase and lipoxygenase enzymes. These components also reduce leukocyte migration and vascular permeability, comparable to the effects of nonsteroidal anti-inflammatory drugs such as ibuprofen and aspirin.

Usages associés

Allergies

Antioxidant

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The antioxidant properties of tulsi are mainly due to the presence of phenolic compounds, such as eugenol, luteolin and apigenin. These antioxidants effectively fight free radicals, protecting against lipid peroxidation and increasing internal antioxidant defenses such as glutathione and various enzymes like superoxide dismutase and catalase. Tulsi extracts have also been shown to reduce oxidative damage in various stress models, thereby supporting their protective role in the prevention of neurodegenerative and cardiac diseases. Note that red tulsi has a higher antioxidant content than white tulsi.

Usages associés

Healthy aging

Anxiolytic

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Tulsi is being studied for its anxiolytic effects comparable to those of conventional drugs, thanks to the ursolic acid present in its leaves. In animal models of depression, tulsi has shown antidepressant activities similar to imipramine, a standard antidepressant. Tulsi extracts also act on dopaminergic neurons, which could explain their ability to improve mood and reduce depression. A human study showed that administration of 500 mg of tulsi twice daily significantly reduced symptoms of generalized anxiety, as well as associated stress and depression, in psychiatric patients.

Usages associés

Anxiety

Hepatoprotective

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Extracts of tulsi have shown protective effects against various toxic substances in many in vitro and in vivo models. These hepatoprotective effects are mainly attributed to tulsi's antioxidant capacity. Aqueous tulsi extracts significantly reduce lipid peroxidation and modulate levels of enzymatic and non-enzymatic antioxidants affected by toxic compounds such as butyl paraben. Tulsi also helps restore endocrine and histopathological imbalances induced by common pesticides and protects against toxicity from various chemicals, including drugs such as acetaminophen. It enhances liver protection, particularly when used in combination with silymarin, another natural hepatoprotective agent.


Anticancer

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The anticancer properties of tulsi are primarily attributed to its antioxidant effects and its ability to modulate detoxification enzymes. Studies have shown that tulsi can reduce the incidence of neoplasms and carcinomas in various animal models by increasing the activity of enzymes that detoxify carcinogens, such as cytochrome P450 and glutathione S-transferase. In addition, tulsi can reduce lipid peroxidation and raise glutathione levels, thereby contributing to protection against genetic damage and oxidation. Tulsi also acts by inhibiting proliferative activity and inducing apoptosis in cancer cells. Finally, in vitro studies have demonstrated that tulsi leaf extracts can reduce the formation of the DMBA-DNA adduct (the binding of a chemical compound to DNA) in rat hepatocytes, which is an indicator of reduced carcinogenic potential.


Hormone metabolism

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The tulsi leaf extract has shown effects on glycemic control, thyroid function, and androgen production. Preliminary studies in animals and humans suggest that tulsi leaf extract has hypoglycemic activity, improving beta cell function and stimulating the insulin secretion. Tulsi also appears to increase the activity of enzymes essential to carbohydrate metabolism. nnRegarding the thyroid, a high dose of this extract decreased thyroxine (T4) concentrations without affecting triiodothyronine (T3) levels or the T3/T4 ratio. nnAdditionally, animal research indicates that tulsi may reduce sperm count and motility, thus affecting fertility, although these parameters returned to normal two weeks after cessation of treatment.nn


Cardiovascular

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Tulsi exerts beneficial effects on cardiovascular health in several ways. Tulsi seed oil lengthens bleeding time, likely due to its inhibitory action on platelet aggregation. This activity is attributed to linolenic acid in the oil, which can be converted to eicosapentaenoic acid (EPA). EPA can inhibit thromboxane A2, thereby reducing platelet aggregation and potentially promoting better blood flow. In addition, tulsi seed oil may also have an antihypertensive effect, attributed to its vasodilatory effects observed in animal models. These properties suggest that tulsi could play a beneficial role in managing blood pressure and preventing cardiac complications associated with hypertension and excessive platelet aggregation.

Usages associés

Metabolic syndrome

Immunomodulatory

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Tulsi seed oil shows a notable ability to modulate both humoral and cellular immunity. In animals, it enhances immune responses by improving antibody production and reducing histamine release from mast cells, indicating a positive impact on humoral immune responses. The immunomodulatory effects of tulsi are also observed in humans. A controlled study showed that ethanolic tulsi leaf extract significantly increases levels of key cytokines such as interferon-γ and interleukin-4, as well as helper T cells and NK cells.


Cognitive function

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Tulsi, also known as holy basil, shows a notable ability to improve cognition. In rat models of Alzheimer's disease, it improves reference memory, working memory, spatial learning, and antioxidant activity. Tulsi extracts have also demonstrated beneficial effects on memory improvement in rats exposed to stress that induces memory deficits. They reduce acetylcholinesterase activity, which is beneficial for improving performance in passive memory tasks. In a mouse experiment, tulsi showed anti-amnesic effects, helping to attenuate the amnesic effects of scopolamine and age-related memory deficits.

Usages associés

Cognitive performance


Safe dosage

Adult: 300 mg - 1800 mg

- Preventive dosage: if fresh herbs are not available, use 300 to 600 mg of dried leaves per day. - Therapeutic dosage: to treat, use 600 to 1800 mg of dried leaves in divided doses. - Tulsi tea: tulsi can also be consumed regularly as a caffeine-free herbal tea, considered an instant energy provider, an endurance stimulant and a tonic for all ages. Tulsi is often recommended for prolonged periods, with increases in endurance and immune resilience taking up to a month to take effect.


Interactions

Médicaments

Antidiabetic: low interaction

Small clinical studies show that tulsi may reduce fasting blood glucose and other measures of glycemic control in patients with type 2 diabetes.


Precautions

Hypothyroidism: avoid

Theoretically, tulsi could lower thyroid hormone levels. Animal research shows that holy basil may lower thyroxine (T4) levels.


Contraindications

Pregnant women: prohibited

Tulsi can be dangerous when used in high doses during pregnancy or at conception. Avoid during breastfeeding; reliable information is lacking.

Breastfeeding: prohibited

Tulsi can be dangerous when used in high doses during pregnancy or at conception. Avoid during breastfeeding; reliable information is lacking.