Rock Rose (Cistus)
The rock rose is a Mediterranean shrub; human studies examined extracts, tea and mouth rinses, with indications of symptom relief in respiratory infections.
We evaluated 4 human studies on Rock rose (Cistus), including 3 randomised controlled trials and 0 meta-analyses or systematic reviews; the controlled studies include 280 participants in total. As of 3 October 2026.
1. What Is Rock Rose (Cistus)? Occurrence, Origin and Forms
Rock rose (Cistus) is a shrub of the Mediterranean region; for tea and supplements mainly Cistus incanus (also Cistus creticus) is used. The leaves and twigs are rich in polyphenols, and the plant secretes a fragrant resin, labdanum.
Rock roses grow on dry, sunny slopes around the Mediterranean, for example in Greece, on Crete and in Turkey. The leaves and young shoots are used.
Products include dried herb for tea, extracts, lozenges and mouth rinses.
Forms and Preparations Studied
- Tea from the leaves and shoots
- Extracts, for example as lozenges
- Mouth rinses
- Combination products with rock rose – the other ingredients are named in each case
Not covered on this page:
- Ecological and plant research on rock roses (wildfire, soil, germination)
2. What Does Rock Rose (Cistus) Do? Results by Area
| Area | Result in controlled studies | Strength of evidence | Studies | Participants |
|---|---|---|---|---|
| Mouth, teeth and gums | mostly no difference | low | 0 meta-analyses · 2 controlled · 0 other | 120 |
| Colds and respiratory tract | mostly improved | low | 0 meta-analyses · 1 controlled · 0 other | 160 |
| Immune defence and inflammation | mostly improved | low | 0 meta-analyses · 1 controlled · 0 other | 160 |
| Other outcomes | observational data only | unclear | 0 meta-analyses · 0 controlled · 1 other | 0 |
How to read the table: counted are human studies whose results concern the area. “High” means at least one meta-analysis and two controlled studies showing improvement, or at least three controlled studies of which three quarters show improvement, with at least 300 participants in total. “Moderate” means at least two controlled studies showing improvement, as a majority, or one meta-analysis alongside controlled studies. “Low” means one controlled study showing improvement. Where an area has no controlled study, the strength of evidence is at most “low” (result “reviews only” or “observational data only”). Everything else is “unclear”. A study counts as showing improvement when at least half of its outcomes in this area improved. Reviews of combination products do not count as meta-analyses; results that only describe side effects or shares of users do not count as an effect. The same study is counted only once.
3. What the Studies Show in Detail
Rock Rose (Cistus), Mouth, Teeth and Gums: Human Studies
For the mouth and gums, the picture is mixed: a combination product was better than placebo 2, a tea mouth rinse was not better than sage tea 3. A randomized controlled trial in adults with gingivitis found improvements in gum bleeding, gum inflammation, oral health, pain and disease severity for a chewing gum with extracts of Cistus × incanus and Scutellaria lateriflora compared with a placebo chewing gum 2; since the mixture contains two plants, the contribution of the rock rose cannot be separated. The strength of evidence is low: only two controlled studies with a total of 120 participants are available, no meta-analysis, and the forms studied are a combination product chewing gum and a mouth rinse made from tea, not tea as a drink. It remains open whether the rock rose alone – for example as tea from Cistus incanus or Cistus creticus – has a benefit for the mouth and gums.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 2 Di et al. 2024 | randomised controlled · 60 participants | Chewing gum with Cistus × incanus and Scutellaria lateriflora extracts; two chewing gums daily; 3 months; vs. placebo chewing gum | Quantitative Gingival Bleeding Index (QGBI): improved (β = 0.6 ± 0.1, t176 = 3.680, p < 0.001); Modified Gingival Index (MGI): improved (β = 0.87 ± 0.21, t115 = 4.263, p < 0.001); Oral Health 15 items (OH-15): improved (β = 5.3 ± 2.5, t172 = 2.086, p = 0.038) |
| 3 Ebert et al. 2021 | randomised controlled · 60 participants | Cystus® tea (Naturprodukte Dr. Pandalis) as mouthwash; daily mouthwash during therapy; vs. sage tea mouthwash | latency to mucositis grade 3: no difference (p = 0.75); frequency of mucositis grade 3: no difference (p = 0.85); self-assessment of oral mucosa: no difference |
Rock Rose (Cistus), Colds and Respiratory Tract: Human Studies
In a randomized controlled study with 160 patients with upper respiratory tract infections, symptoms decreased more clearly with an extract of rock rose than with placebo 1. The extract form was studied, for example as a lozenge. The evidence is low because only one controlled study is available; details on the species studied and the duration of use are open.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 1 Kalus et al. 2009 | randomised controlled · 160 participants | Cistus extract CYSTUS052; vs. Placebo | Score of subjective symptoms: improved (decreased significantly) |
Rock Rose (Cistus), Immune Defence and Inflammation: Human Studies
In a randomized controlled study of 160 patients with upper respiratory tract infections, C-reactive protein decreased in the group with Cistus extract; the summary does not mention a comparison with placebo 1. An extract of rock rose was studied, not the tea from leaves and shoots. The evidence is low because only this one controlled study is available; details on manufacturer funding are missing. Further controlled studies on immune defense and inflammation, including on other preparations such as tea or mouth rinses, are still pending.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 1 Kalus et al. 2009 | randomised controlled · 160 participants | Cistus extract CYSTUS052; vs. Placebo | C-reactive protein: improved (decreased significantly) |
Rock Rose (Cistus): Further Outcomes in Studies
For rock rose as a tea from leaves and shoots (Cistus incanus), a study in healthy adults found improvements in HDL cholesterol, triglycerides, malondialdehyde and advanced oxidation protein products 4. It was a pilot study without a control group with measurements before and after use 4. The evidence is therefore unclear because no controlled or randomized studies are available for these measurements. It remains open whether the observed changes can be confirmed in controlled studies.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 4 Kuchta et al. 2021 | study · 24 participants | Cistus incanus herbal tea (infusion); 12 weeks; vs. no control (pilot, before/after) | HDL cholesterol: improved (D4%, p = 0.033); triglycerides: improved (D14%, p = 0.013); malondialdehyde: improved (D16%, p < 0.01) |
4. How Is Rock Rose (Cistus) Dosed? Preparation, Dose and Duration in Studies
The studies examined a Cistus extract as a lozenge for respiratory infections 1, a chewing gum with extracts of Cistus × incanus and Scutellaria lateriflora for gingivitis 2, and a mouth rinse made from Cystus tea in patients with head and neck cancer undergoing radio(chemo)therapy 3. In a pilot study, tea made from leaves and shoots of Cistus incanus was tested as a drink 4. The doses and durations of use are shown in the table.
| Preparation or form | Dose | Duration | Study |
|---|---|---|---|
| Chewing gum with Cistus × incanus and Scutellaria lateriflora extracts | two chewing gums daily | 3 months | 2 |
| Cystus® tea (Naturprodukte Dr. Pandalis) as mouthwash | — | daily mouthwash during therapy | 3 |
5. Is Rock Rose (Cistus) Safe? Side Effects in Studies
In the study with the mouth rinse made from Cystus tea, the tea was well tolerated, without significant differences from the comparison rinse 3. In the study on the chewing gum with Cistus × incanus and Scutellaria lateriflora, tolerability was examined but not reported 2. Details on reported side effects are shown in the table.
| Study | Reported side effects |
|---|---|
| 2 Di et al. 2024 | tolerability assessed but not reported |
| 3 Ebert et al. 2021 | tea tolerability without significant differences, well tolerated |
6. What Remains Open: Limits of the Evidence
- For the lozenge, chewing gum and mouth rinse, only one controlled study each is available; for tea as a drink, none.
- The contribution of the rock rose in combination products cannot be separated from the other ingredients.
- Information on the species studied and the duration of use is missing in several studies.
- Information on manufacturer funding is missing.
- For blood lipids and oxidation markers, there is only one pilot study without a control group.
7. Bottom Line: What Is Established About Rock Rose (Cistus)
The rock rose is studied as tea, extract, mouth rinse and in combination products. In humans, a randomized controlled trial in upper respiratory tract infections shows an improvement in the symptom score and a decrease in C-reactive protein with an extract as a lozenge 1. In gum inflammation, a chewing gum with rock rose and Scutellaria lateriflora was better than placebo in a randomized controlled trial, but the share of the rock rose remains open 2. A mouth rinse made from Cystus tea showed no difference from sage tea mouth rinse for mucositis, oral mucosa and tolerability 3.
The strength of evidence is consistently low: there is no meta-analysis, and most results come from individual controlled studies with small groups.
Frequently Asked Questions
How well has Rock rose (Cistus) been studied in humans?
We evaluated 4 human studies on Rock rose (Cistus), including 3 randomised controlled trials and 0 meta-analyses or systematic reviews; the controlled studies include 280 participants in total. As of 3 October 2026.
Does Rock rose (Cistus) help with mouth, teeth and gums? What the studies show
Does Rock rose (Cistus) help with colds and respiratory tract? What the studies show
We evaluated one controlled study; the controlled studies include 160 participants in total. Result of the controlled studies: mostly improved. Strength of evidence under our published rules: low. Sources: 1
Does Rock rose (Cistus) help with immune defence and inflammation? What the studies show
We evaluated one controlled study; the controlled studies include 160 participants in total. Result of the controlled studies: mostly improved. Strength of evidence under our published rules: low. Sources: 1
Against what was the rock rose studied in human studies?
Upper respiratory tract infections, gingivitis and the oral mucosa in patients with head and neck cancer undergoing radio(chemo)therapy were studied. A randomized controlled trial found an improvement in the symptom score and a decrease in C-reactive protein with an extract as a lozenge 1.
How strong is the strength of evidence of the studies on rock rose?
The strength of evidence is low. Only individual controlled studies with small groups are available, and there is no meta-analysis. Controlled studies are missing for several forms and outcome measures.
Which preparations were used in the studies?
What is known about tolerability?
In the study with the mouth rinse made from Cystus tea, the tea was well tolerated, without significant differences from the comparison rinse 3. In the study on the chewing gum with Cistus × incanus and Scutellaria lateriflora, tolerability was examined but not reported 2. Details are shown in the table.
Can a benefit of the rock rose alone be derived from the studies?
For the extract as a lozenge in upper respiratory tract infections, a randomized controlled trial reports improvements 1. For the chewing gum with Cistus × incanus and Scutellaria lateriflora, the contribution of the rock rose cannot be separated from that of the second plant 2. Whether the rock rose alone – for example as tea – has a benefit remains open.
Sources
- 1Kalus U, Grigorov A, Kadecki O, Jansen JP, Kiesewetter H, Radtke H · 2009
- 2Di Minno A, Ullah H, De Lellis LF, Buccato DG, Baldi A, Cuomo P et al. · 2024
- 3Ebert N, Kensche A, Löck S, Hadiwikarta WW, Hänsch A, Dörr W et al. · 2021
- 4Kuchta A, Konopacka A, Waleron K, Viapiana A, Wesołowski M, Dąbkowski K et al. · 2021
Every statement on this page carries its evidence tier — proven, plausible or hypothesis — and leads to the original work. The decision in the individual case rests with the practitioner; we provide the connections.