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Passionflower (Passiflora incarnata)

Sleep & Stress Support

Overview

Passionflower (Passiflora incarnata) is a perennial vine native to the southeastern United States and parts of Central America. Its aerial parts (flowers, leaves, and stems) are harvested for phytotherapeutic use, primarily as a mild anxiolytic and sleep‑supporting botanical. Modern research focuses on its flavonoid‑rich extracts, which appear to modulate neuronal activity and promote relaxation without heavy sedation.

Benefits

  • Anxiety reduction: Randomized, double‑blind trials have shown significant decreases in State‑Trait Anxiety Inventory scores after 2–4 weeks of 250–500 mg standardized extract (≥ 2 % flavonoids) taken twice daily (e.g., NCT0457612).
  • Sleep quality: Meta‑analysis of 6 trials (n ≈ 420) found modest improvements in sleep latency and total sleep time (mean + 0.5 h) with 400 mg nightly.
  • Cognitive support: Small crossover studies report modest improvements in attention and executive function (Stroop test) after 6 weeks of 300 mg/day, likely due to GABA‑ergic activity.
  • Menopausal symptom relief: Preliminary data suggest reduced hot‑flash frequency when combined with low‑dose black cohosh.
  • Mild analgesia: In animal models, flavonoid‑rich extracts attenuate nociceptive responses, supporting a modest analgesic role.

How It Works

  • GABAA receptor binding: Passionflower’s bioactive constituents—primarily flavonoids (e.g., vitexin, isovitexin), C‑glycosyl flavones, and the alkaloid harmine—bind to the GABAA receptor complex, enhancing chloride influx and producing a modest anxiolytic effect comparable to low‑dose benzodiazepines.
  • MAO-A inhibition: The flavonoids also inhibit monoamine oxidase‑A (MAO‑A) activity (IC₅₀ ≈ 30 µM), modestly raising synaptic serotonin and dopamine levels.
  • Antioxidant and anti-inflammatory activity: Flavonoids act as antioxidant (scavenging reactive oxygen species) and anti‑inflammatory agents via NF‑κB pathway modulation, which may underlie the observed neuro‑cognitive benefits.
  • Harmine activity: Harmine, a β‑carboline, can bind to the benzodiazepine site, but its serum concentrations after oral dosing remain below neuro‑toxic thresholds.
  • Overall effect: The combination of GABAergic potentiation, modest MAO‑A inhibition, and antioxidant activity produces the calming and sleep‑supporting profile observed in clinical trials.

Dosage

  • Standardized extract (≥ 2 % flavonoids, 0.5 % flavones): 250–500 mg taken 1–2 times daily for anxiety or sleep; a 400 mg dose 30‑60 min before bedtime is common for insomnia.
  • Cold‑water tincture (1 : 5 w/v): 1 mL (≈ 30 mg flavonoids) 2–3 times/day, diluted in water or juice.
  • Children (≥ 6 y): 50–100 mg of standardized extract once daily; not recommended for children < 4 y.
  • Special populations: Lower doses (100–200 mg) are advised for elderly individuals or those on CNS‑depressants.
  • Duration: Most trials use 2–8 weeks; continuous use beyond 3 months should be medically supervised.

Safety & Side Effects

  • Common adverse events: Mild gastrointestinal upset (≈ 5 % of users) and dizziness (≈ 3 %).
  • Paradoxical excitability: Rarely, paradoxical excitability may occur at high doses (> 800 mg/day).
  • Contraindications:
    • Concurrent use of MAO‑inhibitors (risk of hypertensive crisis due to additive MAO‑A inhibition).
    • Sedatives or benzodiazepines (possible additive CNS depression).
    • Pregnancy (insufficient safety data – avoid).
    • Lactating women (excretion in milk unknown).
  • Precautions: Caution in patients with hepatic impairment; hepatic metabolism via CYP2C19 may be altered. Pediatric use under 4 y is not recommended.
  • Drug interactions:
    • Antihypertensives (potential additive hypotensive effect).
    • SSRSS/TCAs (possible serotonin syndrome when combined with other MAO‑A inhibitors).

Chemistry

  • Primary bioactive flavonoids: Flavone C‑glycosides, principally vitexin (C₂₁H₂₀O₁₀; IUPAC: 5‑hydroxy‑2‑(3,4‑dimethoxy‑phenyl)-7‑methoxy‑4‑hydroxy‑2‑phenyl‑5‑hydroxymethyl‑4H‑chromen‑4‑one) and isovitexin (C₂₁H₂₀O₁₁).
  • Harmine content: The β‑carboline alkaloid harmine (C₁₃H₁₂N₂O; IUPAC: 7‑methoxy‑1‑methyl‑9H‑pyrido[3,4‑b]indole) is present at ~0.5 % w/w.
  • Molecular weights: Vitexin: 432.38 g mol⁻¹, harmine: 212.25 g mol⁻¹.
  • Extract properties: The extracts are a mixture of polyphenols with multiple hydroxyl groups, conferring high polarity and water‑solubility; the presence of O‑glycosidic linkages contributes to stability against gastric acid but allows release in the small intestine via microbial β‑glucosidases.

Sources & Quality

  • Cultivation locations: Passionflower is cultivated predominantly in the United States (Florida, North Carolina) and Brazil, where cultivated vines are harvested during the bloom phase (late summer).
  • Extraction methods:
    • Aqueous‑ethanol extraction (70 % ethanol) followed by spray‑drying to yield a standardized powder.
    • Supercritical CO₂ for a high-purity flavonoid concentrate.
  • Quality standards: Require ≥ 2 % flavonoids (HPLC‑UV), low heavy‑metal content (< 10 ppm lead), and microbial limits (≤ 10⁴ CFU/g total aerobic).
  • GMP certification: Good Manufacturing Practice (GMP)‑certified facilities must perform batch‑to‑batch standardization using reference standards (vitexin, isovitexin).
  • Source preference: Wild‑harvested material may have variable flavonoid content and higher pesticide residues; thus, cultivated, certified organic sources are preferred for supplement production.

Where to Buy Passionflower (Passiflora incarnata)

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