Tulsi: benefits, dosage, contraindications

Updated on

Tulsi, also known as holy basil, is an aromatic plant native to India, also found in Australia, West Africa, and some Middle Eastern countries. Tulsi is deeply rooted in Hindu and Ayurvedic traditions, where it is considered the 'Queen of Herbs' for its numerous medicinal and spiritual virtues. Tulsi can grow up to 1 to 2 meters tall, with purple or green leaves depending on the variety, and produces small aromatic flowers whose scent resembles cloves 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 in the leaves and stems include saponins, flavonoids, triterpenoids, and tannins. Tulsi leaves specifically contain significant levels of ursolic acid (11%) and oleanolic acid, both responsible for many medicinal activities. Tulsi oil contains several 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 like asthma and bronchitis, to digestive and inflammatory issues. It is also known to enhance longevity and combat the effects of stress due 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

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Improve adaptation capacity, Stress
✪✪✪✪✪

Tulsi, recognized for its adaptogenic properties, has been studied for its ability to enhance 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, and sleep problems in 150 people. Another study with 125 mg of tulsi twice a day for 8 weeks showed modest improvement in stress scores, without significant improvement in individual stress-related symptoms.

Posologie

posologieOral: leaf

posologie300 - 1200 mg


Metabolic syndrome
✪✪✪✪✪

In clinical studies, tulsi has shown some efficacy in reducing the symptoms of metabolic syndrome, including diabetes and obesity. A study on adults with type 2 diabetes observed an 18% reduction in fasting and postprandial glucose levels after taking 2.5 g of dried tulsi leaf powder per day for 4 weeks, compared to 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 to 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, without notable changes in liver enzymes compared to no treatment.

Posologie

posologieOral: leaf

posologie500 - 2000 mg


Anxiety
✪✪✪✪✪

In a small uncontrolled clinical study involving 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 to baseline measurements.

Posologie

posologieOral: leaf

posologie1000 mg


Cognitive performance
✪✪✪✪✪

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 ethanolic extract of tulsi leaves for 30 days. Results showed significant improvements in reaction time and error rates in Sternberg and Stroop memory tests compared to the placebo group. Additionally, the extract had a favorable effect on attention, as indicated by reduced latency, with no notable side effects reported.

Posologie

posologieOral: leaf

posologie300 mg


Allergies
✪✪✪✪

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

Posologie

posologieOral: leaf

posologie300 mg


Healthy aging
✪✪✪✪

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

Posologie

posologieOral: leaf

posologie300 mg


Properties


Adaptogen

full-leaffull-leaffull-leafempty-leaf

Tulsi, recognized for its adaptogenic properties, helps regulate stress and fatigue. It works by normalizing physiological and biochemical changes related to stress, such as lipid peroxidation and lactic acid levels, thanks to active compounds like ocimumosides A and B. These compounds favorably influence monoaminergic systems by modulating the activity of neurotransmitters such as norepinephrine, adrenaline, dopamine, and serotonin, contributing to better stress and anxiety management. Studies show that tulsi can improve resistance 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 antistress and antioxidant drugs, demonstrating the potential efficacy of tulsi in various therapeutic contexts.

Usages associés

Improve adaptation capability

Anti-inflammatory

full-leaffull-leaffull-leafempty-leaf

Tulsi is recognized for its anti-inflammatory properties both in acute and chronic inflammation models in animals. 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 like eugenol and linoleic acid, which inhibit the arachidonate metabolic pathways involving cyclooxygenase and lipoxygenase enzymes. These components also reduce leukocyte migration and vascular permeability, comparable to the effects of non-steroidal anti-inflammatory drugs like ibuprofen and aspirin.

Usages associés

Allergies

Antioxidant

full-leaffull-leaffull-leafempty-leaf

The antioxidant properties of tulsi are mainly due to the presence of phenolic compounds, such as eugenol, luteolin, and apigenin. These antioxidants effectively combat 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 shown their ability to reduce oxidative damage in various stress models, thus supporting their protective role in the prevention of neurodegenerative and heart diseases. It is noteworthy that red tulsi has a higher antioxidant content than white tulsi.

Usages associés

Age well

Anxiolytic

full-leaffull-leafempty-leafempty-leaf

Tulsi is 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 demonstrated antidepressant activities similar to imipramine, a reference in antidepressants. Tulsi extracts also act on dopaminergic neurons, which might explain their ability to improve mood and reduce depression. A study in humans showed that administering 500 mg of tulsi twice a day significantly alleviated symptoms of general anxiety, as well as associated stress and depression, in psychiatric patients.

Usages associés

Anxiety

Hepato-protective

full-leaffull-leafempty-leafempty-leaf

Tulsi extracts show protective effects against various toxic substances in numerous in vitro and in vivo models. These hepatoprotective effects are mainly attributed to tulsi's antioxidant capacity. Aqueous extracts of tulsi significantly reduce lipid peroxidation and modulate levels of enzymatic and non-enzymatic antioxidants affected by toxic compounds like butylparaben. Tulsi also helps restore endocrine and histopathological imbalances induced by common pesticides and protects against the toxicity of various chemicals, including drugs like paracetamol. It enhances liver protection, notably when used in combination with silymarin, another natural hepatoprotective agent.


Anticancer

full-leaffull-leafempty-leafempty-leaf

Tulsi's anticancer properties are mainly 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. Furthermore, tulsi can reduce lipid peroxidation and elevate glutathione levels, thus contributing to the 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 DMBA-DNA adduct (chemical compound binding to DNA) in rat hepatocytes, which is an indicator of reduced carcinogenic potential.


Hormonal metabolism

full-leaffull-leafempty-leafempty-leaf

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 possesses hypoglycemic activity, improving beta-cell function and stimulating insulin secretion. It also appears that tulsi increases the activity of enzymes essential to carbohydrate metabolism. Regarding the thyroid, a high dose of this extract decreased thyroxine (T4) concentrations without affecting triiodothyronine (T3) levels or the T3/T4 ratio. Additionally, research on animals indicates that tulsi could reduce sperm quantity and motility, influencing fertility, although these parameters return to normal two weeks after stopping the treatment.


Cardiovascular

full-leaffull-leafempty-leafempty-leaf

Tulsi exerts beneficial effects on cardiovascular health in various ways. Tulsi seed oil prolongs bleeding time, likely due to its inhibitory action on platelet aggregation. This activity is attributed to the linolenic acid in the oil, which can be converted into eicosapentaenoic acid (EPA). EPA has the capacity to inhibit thromboxane A2, thereby reducing platelet aggregation and potentially promoting better blood fluidity. Furthermore, tulsi seed oil may also have a blood pressure-lowering 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

Immuno-modulator

full-leaffull-leafempty-leafempty-leaf

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 demonstrated that ethanolic extract of tulsi leaves significantly increases important cytokine levels such as interferon-γ and interleukin-4, as well as helper T cells and NK cells.a0


Cognitive function

full-leaffull-leafempty-leafempty-leaf

Tulsi, also known as holy basil, shows a notable ability to improve cognition. In Alzheimer's disease models in rats, it enhances reference memory, working memory, spatial learning, and antioxidant activity. Tulsi extracts have also demonstrated beneficial effects on memory improvement in stressed rats that exhibit memory deficits. They reduce acetylcholinesterase activity, which is beneficial for enhancing passive memory tasks. In a mouse experiment, tulsi showed anti-amnesiac effects, helping to mitigate the amnesic effects of scopolamine and memory deficits induced by aging.

Usages associés

Cognitive performance


Safety dosage

Adult: 300 mg - 1800 mg

- Preventive dosage: if fresh herbs are unavailable, use 300 to 600 mg of dried leaves per day. - Therapeutic dosage: for treatment, use 600 to 1800 mg of dried leaves in divided doses. - Tulsi tea: tulsi can also be regularly consumed as a caffeine-free herbal tea, considered an instant energy provider, endurance stimulant, and tonic for all ages. Tulsi is often recommended for prolonged periods, with an increase in endurance and immunological resistance taking up to a month to take effect.


Interactions

Médicaments

Antidiabetic: weak interaction

Small clinical studies show that tulsi may reduce fasting blood sugar 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: forbidden

Tulsi can be dangerous when used in high doses during pregnancy or at conception. Avoid during breastfeeding, lack of reliable information.

Breastfeeding women: forbidden

Tulsi can be dangerous when used in high doses during pregnancy or at conception. Avoid during breastfeeding, lack of reliable information.