Saffron (Crocus Sativus)
Saffron is a spice from the stigmas of Crocus sativus; human studies show improvements in mood, anxiety, sleep and sexual function.
We evaluated 263 human studies on Saffron (Crocus sativus), including 144 randomised controlled trials and 49 meta-analyses or systematic reviews; the controlled studies include 9,079 participants in total. As of 13 October 2026.
1. What Is Saffron (Crocus Sativus)? Occurrence, Origin and Forms
Saffron is a spice made from the dried stigmas of the flower of Crocus sativus, a species in the iris family (Iridaceae). It is used as a spice and colouring and is also part of the traditional medicine of many regions. In research, saffron is studied as an extract, powder or infusion, with the stigmas and their constituents such as crocin and safranal at the centre.
The plant grows and is cultivated in dry regions with mild winters. As a traded commodity, the dried stigmas reach the market as threads or as powder.
The stigmas are taken from the flowers by hand and dried; this yields the threads or the powder of the spice. Studies mainly examine extracts of the stigmas, sometimes standardised to crocin or safranal, as well as stigma powder, aqueous infusions and preparations made from the petals.
Forms and Preparations Studied
- Dried stigma threads (whole stigmas)
- Stigma powder
- Aqueous infusion (tea)
- Hydroalcoholic extract
- Extract standardised to crocin or safranal
- Preparation from the petals
Not covered on this page:
- Autumn crocus (Colchicum autumnale), which is confused with saffron because of the similar name and contains colchicine
- Safflower (Carthamus tinctorius), also called “false saffron”
- Turmeric (Curcuma longa), sometimes labelled “Indian saffron”
- Saffron flavouring and colourants that replace saffron in processed products
2. What Does Saffron (Crocus Sativus) Do? Results by Area
| Area | Result in controlled studies | Strength of evidence | Studies | Participants |
|---|---|---|---|---|
| Mood and Depressive Symptoms | mixed | high | 16 meta-analyses · 42 controlled · 25 other | 2,320 |
| Anxiety | mixed | high | 7 meta-analyses · 19 controlled · 9 other | 1,147 |
| Sleep | mostly improved | high | 4 meta-analyses · 15 controlled · 5 other | 1,270 |
| Sexual Function | mostly improved | high | 5 meta-analyses · 6 controlled · 3 other | 470 |
| Retina and Macula | mixed | high | 1 meta-analyses · 5 controlled · 16 other | 276 |
| Menstrual Cycle and Premenstrual Symptoms | mostly improved | moderate | 2 meta-analyses · 1 controlled · 3 other | 0 |
| Other investigations | mixed | high | 23 meta-analyses · 97 controlled · 47 other | 5,424 |
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
Saffron (Crocus Sativus), Mood and Depressive Symptoms: Human Studies
Depressive symptoms improved compared with placebo in several meta-analyses 3637384146; two others found the advantage only in the Beck Depression Inventory, not on the Hamilton scale 333. Randomized controlled trials confirmed this in adults with depressed mood 68164, in Parkinson's patients 66 and in adolescents' self-report 78. As an add-on to antidepressants, saffron improved the physician-rated but not the self-rated depression scale 57. Mood improved compared with placebo in adults with depressed mood without a diagnosis of depression 60110 and after waking in people with unsatisfactory sleep 63. In untrained young men during strength training, the happiness level rose more with saffron than with training alone 171. Compared with synthetic antidepressants such as fluoxetine or sertraline, saffron performed comparably in several meta-analyses, not better 3637394146; individual randomized controlled trials also found no difference compared with fluoxetine or sertraline in depressive symptoms 126145146176. Studies in opioid users after detoxification 85, after bypass surgery 174 and in schizophrenia patients taking risperidone 111 found no difference from placebo in depression scores. For response and remission, one meta-analysis found no difference 41, as did comparative studies against fluoxetine 145146176. The main forms studied were extracts standardized to crocin or safranal, as well as stigma powder, aqueous-alcoholic extracts, an aqueous infusion and petals. Combination preparations with curcumin, chamomile, Scutellaria baicalensis or several medicinal plants do not allow conclusions about saffron alone 6162.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 3 Mahmoudi et al. 2026 | meta-analysis · 1,769 participants | Saffron (Crocus sativus L.) supplementation; at least four weeks; vs. Placebo | BDI score: improved (WMD = -4.39, 95% CI: -6.64 to -2.15, p < 0.001); HDRS score: no difference |
| 19 Shafiee et al. 2025 | meta-analysis | Saffron (extract/powder, not further specified); vs. Selective serotonin reuptake inhibitors (SSRIs) | Reduction of depressive symptoms (SMD): unclear (SMD = 0.10l 95% CI: -0.09 to 0.29) |
| 20 Fazilat et al. 2025 | systematic review | Saffron (Crocus sativus) as herbal medicine, form unspecified; vs. Imipramine, fluoxetine and other antidepressants | Efficacy in mild to severe depression: improved; Efficacy compared with antidepressants: unclear (equally efficacious) |
| 21 Han et al. 2024 | meta-analysis | Saffron or saffron extracts; 4 to 48 weeks; vs. Placebo or conventional drugs | Depression, pooled effect size: improved (-4.26 (95% CI: -5.76, -2.77)); Depression vs. conventional drugs: unclear (non-inferior) |
| 24 Saxena et al. 2023 | systematic review | Saffron (form not specified); vs. Placebo or control (not specified) | Efficacy for mood disorders: unclear |
| 26 Sánchez et al. 2023 | systematic review | Saffron (Crocus sativus) as adaptogen; vs. Placebo | efficacy on depression: improved (significantly better performance of adaptogens over placebo) |
| 28 Shamabadi et al. 2022 | systematic review | Saffron (Crocus sativus), form unspecified | Efficacy in depression: improved; Effect on postpartum depression: improved |
| 31 Lu et al. 2021 | systematic review | Saffron (Crocus sativus L.), various preparations; vs. Controls, mainly placebos | depression symptoms: improved |
Further studies in this area: 33 36 37 38 39 40 41 45 46 53 57 60 63 66 68 71 78 83 84 85 86 88 99 104 106 110 111 112 116 120 123 124 126 130 142 143 144 145 146 147 148 149 153 157 164 166 171 172 174 176 182 190 196 204 205 208 209 212 213 214 218 221 223 225 226 229 230 232 233 234 237 238 246 248 249
Saffron (Crocus Sativus) and Anxiety: Human Studies
For anxiety, numerous randomized controlled trials of saffron as an extract or powder are available, often standardized to crocin or safranal. One meta-analysis found fewer anxiety symptoms than with placebo 38; two others saw the advantage only in the Beck Anxiety Inventory, not on the Hamilton Anxiety Scale 333. Placebo-controlled studies found less anxiety in adults with anxiety and depression 106, in Parkinson's patients 66 and in adolescents' self-report 78. In healthy young men, a single dose of extract dampened stress and anxiety in a laboratory test 160. Studies in acute coronary syndrome 72, in opioid users after detoxification 85, in smokers 124 and after bypass surgery 174 found no difference from placebo. In obsessive-compulsive disorder, crocin performed similarly to fluoxetine on the anxiety scale 125, and a meta-analysis found no difference between saffron and SSRI antidepressants for anxiety 19. The data are extensive, but the included studies use different forms, standardizations and doses; many studies are small and short, and combination preparations do not allow conclusions about saffron alone.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 3 Mahmoudi et al. 2026 | meta-analysis · 1,769 participants | Saffron (Crocus sativus L.) supplementation; at least four weeks; vs. Placebo | BAI score: improved (WMD = -5.06, 95% CI: -8.44 to -1.68, p = 0.003); HARS score: no difference |
| 18 Alshdefat et al. 2026 | systematic review | Saffron (Crocus sativus), low-dose; approximately 250 mg daily; vs. no uniform comparison; dose-dependent effects | labor anxiety: improved |
| 19 Shafiee et al. 2025 | meta-analysis | Saffron (extract/powder, not further specified); vs. Selective serotonin reuptake inhibitors (SSRIs) | Reduction of anxiety symptoms (SMD): unclear (SMD = 0.04; 95% CI: -0.22 to 0.29) |
| 21 Han et al. 2024 | meta-analysis | Saffron or saffron extracts; 4 to 48 weeks; vs. Placebo or conventional drugs | Anxiety, pooled effect size: improved (-3.75 (95% CI: -5.83, -1.67)); Anxiety vs. conventional drugs: unclear (non-inferior) |
| 28 Shamabadi et al. 2022 | systematic review | Saffron (Crocus sativus), form unspecified | Effect on anxiety: improved |
| 33 Ghaderi et al. 2020 | meta-analysis | Saffron (Crocus sativus L.) supplementation; vs. Placebo or control | Beck Anxiety Inventory (BAI): improved (WMD: -5.29; 95 % CI: -8.27, -2.31); Hamilton Anxiety Rating Scale (HARS-A): no difference |
| 38 Marx et al. 2019 | meta-analysis | Saffron supplementation as monotherapy or adjunctive therapy; vs. Placebo or pharmacotherapy (antidepressants) | Anxiety symptoms vs. placebo: improved (g = 0.95, P < 0.006) |
| 40 Yeung et al. 2018 | systematic review | single-herb preparations, including saffron; vs. standard anxiolytics and antidepressants | anxiety symptoms: unclear (benefits comparable to standard anxiolytics and antidepressants) |
Further studies in this area: 53 60 64 66 72 78 85 86 106 116 123 124 125 144 160 165 166 172 174 189 190 205 214 218 226 232 237
Saffron (Crocus Sativus) and Sleep: Human Studies
In adults with sleep complaints, saffron improved sleep quality in several placebo-controlled studies 556398119. Similar results were seen in Parkinson's patients 66 and in sarcoidosis compared with a control group without placebo 79. Insomnia complaints also improved compared with placebo 556398, as did general sleep disturbance in sarcoidosis 79 and measured sleep onset latency in older adults 119. In another study, time in bed and sleep duration increased in the saffron group compared with baseline, but not in the placebo group 90; another found less sleep-related impairment than with placebo 68. A meta-analysis found better sleep quality and longer sleep duration than with placebo, but no confirmed difference in insomnia severity 9. In one study, evening melatonin also rose more than with placebo 63. In recreationally active adults, a controlled study found no difference from placebo, including in sleep quality 99. The forms investigated were predominantly extracts standardized to crocin or safranal 55639098 as well as stigma powder 66; a mixture of L-theanine, lemon balm, valerian and saffron extract did not improve sleep in a placebo-controlled study 9394. A meta-analysis rates the certainty of the sleep findings as very low to moderate 9. Forms, doses and comparison conditions differ considerably, and studies on whole stigma threads, infusions and long-term effects are still pending.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 9 Munirah et al. 2022 | meta-analysis · 431 participants | Crocus sativus (form not reported); vs. Placebo | Insomnia severity: no difference (SMD: 0.53; 95%CI: -0.05 to 1.11; p = 0.08); Sleep quality: improved (SMD 0.89, 95% CI 0.10 to 1.68; p = 0.03); Sleep duration: improved (SMD: 0.57; 95%CI: 0.21 to 0.93; p = 0.002) |
| 11 Sadat et al. 2023 | systematic review · 379 participants | Saffron, crocin, safranal; vs. Placebo | Sleep duration and quality: improved |
| 21 Han et al. 2024 | meta-analysis | Saffron or saffron extracts; 4 to 48 weeks; vs. Placebo or conventional drugs | Sleep disorders, pooled effect size: improved (-1.91 (95% CI: -2.88, -0.93)) |
| 28 Shamabadi et al. 2022 | systematic review | Saffron (Crocus sativus), form unspecified | Effect on sleep disorders: improved |
| 33 Ghaderi et al. 2020 | meta-analysis | Saffron (Crocus sativus L.) supplementation; vs. Placebo or control | Pittsburgh Sleep Quality Index (PSQI): improved (WMD: -2.22; 95 % CI: -2.73, -1.72) |
| 53 Dormal et al. 2025 | randomised controlled · 180 participants | saffron extract (SAFFR'ACTIV) alone or combined with scutellaria extract (SAFFR'UP); six weeks; vs. placebo | sleep quality: improved |
| 55 Schuster et al. 2025 | randomised controlled · 165 participants | standardized saffron extract (Safr'Inside™); 30 mg or 20 mg saffron extract; 4 weeks; vs. placebo | insomnia symptoms (AIS): improved (β = -0.95 [95 % CI: -1.79, -0.11], P < .05); sleep quality (SQS): improved (30 mg vs placebo: β = 0.82 [95 % CI: 0.22, 1.41], P = .004; 20 mg vs placebo: β = 1.02 [0.43, 1.62], P < .001) |
| 60 Kell et al. 2017 | randomised controlled · 128 participants | affron®, standardised stigma extract from Crocus sativus L.; 28 mg/day or 22 mg/day; 4 weeks; vs. placebo | Sleep quality (PSQI): no difference |
Further studies in this area: 63 66 68 79 88 90 98 99 110 116 119 164 205 232 237 238
Saffron (Crocus Sativus) and Sexual Function: Human Studies
A meta-analysis of five studies found an improvement in sexual dysfunction and its subdomains 14, and another found an advantage in erectile dysfunction 44. In fluoxetine-induced sexual dysfunction, saffron improved the total FSFI score in women compared with placebo, especially arousal, lubrication and pain 151, and erectile function in men 152. In women with sexual dysfunction, saffron was marginally superior to placebo, especially for desire, lubrication and satisfaction 169; a saffron gel improved erection in diabetics 178. In addition to vitamin E, saffron improved women's sexual function more than vitamin E alone 123. In a large open-label crossover study, however, saffron did not improve erection and was clearly inferior to sildenafil 48. For mixtures of saffron with Serenoa repens and Pinus massoniana bark extract 59 as well as with ginger, cinnamon, safflower and Tribulus terrestris 136, the findings do not apply to saffron alone; most studies are small and of short duration.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 2 Borrelli et al. 2018 | meta-analysis · 2,080 participants | Saffron as monopreparation (3 RCTs, n=397); vs. Placebo in placebo-controlled trials | Erectile function (IIEF): unclear (mixed results) |
| 14 Ranjbar et al. 2019 | meta-analysis · 173 participants | Saffron (Crocus sativus), form not reported; vs. Control groups of included studies | Sexual dysfunction (standardized mean difference): improved (Std diff in means=0.811; 95% CI, 0.356-1.265); Subscales of sexual dysfunction: improved (Std diff in means=0.493; 95% CI, 0.261-0.724) |
| 28 Shamabadi et al. 2022 | systematic review | Saffron (Crocus sativus), form unspecified | Effect on sexual dysfunction: improved |
| 31 Lu et al. 2021 | systematic review | Saffron (Crocus sativus L.), various preparations; vs. Controls, mainly placebos | sexual dysfunction: improved |
| 44 Maleki-Saghooni et al. 2018 | meta-analysis | Saffron (Crocus sativus) as medical treatment; vs. Placebo or control (not specified) | Erectile function (IIEF domain): improved (MD for Erectile function=5.36(p=0.00)); Orgasmic function (IIEF domain): improved (Orgasmic function=1.12 (p=0.007)); Overall satisfaction (IIEF domain): improved (Overall satisfaction=1.23 (p=0.005)) |
| 48 Safarinejad et al. 2010 | randomised controlled · 346 participants | saffron (Crocus sativus), 30 mg twice daily; 30 mg twice daily; 12 weeks, with 2-week washout between phases; vs. on-demand sildenafil (comparator arm, crossover) | IIEF sexual function domains: unclear (No significant improvements); IIEF-EF domain, mean change from baseline: unclear (+87.6% and +9.8%); partner version EDITS treatment satisfaction: unclear (72.4 vs 25.4, P=0.001) |
| 123 Izadi et al. 2024 | randomised controlled · 50 participants | Saffron capsule (Safrotin) and saffron+vitamin E capsule (Safradid); 15 mg saffron in the morning; 15 mg saffron + 50 mg vitamin E in the evening; 8-week intervention, follow-up 4 weeks later; vs. Saffron placebo in the morning and vitamin E 50 mg + saffron placebo in the evening | Overall sexual function score (FSFI): improved (AMD: 4.6; 95%CI: 3.1 to 6.1; p < 0.001); Libido, arousal, orgasm, satisfaction: improved (p < 0.001); Lubrication: improved (p = 0.004) |
| 151 Kashani et al. 2013 | randomised controlled · 38 participants | Saffron (Crocus sativus L.); 30 mg/day; 4 weeks; vs. Placebo, double-blind | FSFI total score: improved (p < 0.001); FSFI arousal domain: improved (p = 0.028); FSFI lubrication domain: improved (p = 0.035) |
Further studies in this area: 152 169 178 198 219 233
Saffron (Crocus Sativus), Retina and Macula: Human Studies
In a placebo-controlled study in mild to moderate age-related macular degeneration, visual acuity and mfERG latency improved slightly with saffron 65. In diabetic maculopathy, crocin improved visual acuity and central macular thickness compared with placebo at the higher dose 103; in early macular degeneration, saffron increased the flicker electroretinogram amplitude 158. In wet or dry macular degeneration, electroretinogram values increased more after three months than with placebo; in the wet form, the advantage was no longer confirmed after six months 107. In ABCA4-related Stargardt disease, the electroretinogram amplitude remained unchanged with saffron, while it tended to decrease with placebo; visual acuity remained unchanged 155. In a randomized controlled trial, a micronutrient supplement with saffron, lutein, zeaxanthin and other micronutrients improved visual acuity compared with anti-VEGF treatment alone, but this applies to the mixture and not to saffron alone 156. The findings are mixed: several controlled studies, but mostly small groups, short observation periods and different forms and preparations; long-term effects remain open, as does the question of which preparation and dose benefits which macular disease.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 15 Ferrara et al. 2026 | systematic review | Saffron, crocin, crocetin (oral); Saffron 20-50 mg/day, crocin 5-15 mg/day, crocetin 7.5 mg/day; 6 weeks to 12 months | visual acuity, retinal electrophysiology, intra-ocular pressure, macular thickness: improved |
| 65 Broadhead et al. 2019 | randomised controlled · 100 participants | Oral saffron (stigma powder); 20 mg/day; 3 months, then crossover 3 months; vs. Placebo, double-blinded, crossover | Best-corrected visual acuity (BCVA): improved (0.69 letters (p = 0.001)); mfERG latency: improved (0.17 ms (p = 0.04)); BCVA among AREDS supplement users: improved (0.73 letters p = 0.006) |
| 103 Sepahi et al. 2018 | randomised controlled · 60 participants | Crocin tablets (main saffron constituent); 5 mg or 15 mg crocin daily; 3 months; vs. Placebo tablet daily | Central macular thickness (CMT): improved (P value = .005; 95% CI, 32.75-126.99); Best-corrected visual acuity (BCVA, logMAR): improved (P value = .012; 95% CI, 0.23-0.69) |
| 107 Lashay et al. 2016 | randomised controlled · 60 participants | oral saffron supplement, 30 mg/d; 30 mg/d; 6 months; vs. placebo | OCT results in dry AMD: no difference (P = 0.282); ERG results in dry AMD at 3 months: improved (P = 0.027); OCT results in wet AMD: unclear (P = 0.05) |
| 155 Piccardi et al. 2019 | randomised controlled · 31 participants | Oral saffron supplement (20 mg); 20 mg; 6 months, then crossover for further 6 months; vs. Placebo, randomized, double-blind | fERG amplitude: no difference (unchanged); fERG amplitude after placebo: unclear (-0.18 log µV, p < 0.05); fERG phase: no difference (unchanged) |
| 158 Falsini et al. 2010 | randomised controlled · 25 participants | Oral saffron supplement (carotenoids crocin/crocetin); 20 mg/d; 3 months, then 3-month crossover; vs. Placebo (crossover) | fERG amplitude: improved (mean change after saffron, 0.25 log μV; mean change after placebo, -0.003 log μV; P < 0.01); fERG threshold: improved (mean change after saffron, -0.26 log units; mean change after placebo, 0.0003 log units) |
| 187 Broadhead et al. 2024 | study · 93 participants | oral saffron supplementation; 20 mg/day; 12 months; vs. no placebo; open-label extension, some on AREDS supplements | mfERG response density (rings 1, 2, overall): improved (p<0.001 for all); mfERG latency: no difference (p>0.05 for all); best-corrected visual acuity (BCVA): worsened (1.6 letters worse (p<0.05)) |
| 188 Turski et al. 2025 | cohort study · 53 participants | Dietary antioxidant supplementation (lutein, zeaxanthin, saffron, N-acetylcysteine); mean observation 2 years (0.5–5.6) for takers, 4.5 years (1–10.3) for nontakers; vs. supplement takers vs. nontakers | Annual growth rate of decreased fundus autofluorescence area: no difference (0.61 ± 0.72 mm2/year for supplement takers and 0.49 ± 0.55 mm2/year for nontakers (p=0.9)) |
Further studies in this area: 193 194 197 206 215 218 220 226 229 233 239 240 241 247
Saffron (Crocus Sativus), Menstrual Cycle and Premenstrual Symptoms: Human Studies
A meta-analysis found fewer complaints in premenstrual syndrome and less pain in dysmenorrhea 16; an overview of reviews confirms the PMS finding 28. In primary dysmenorrhea, an extract of saffron, celery seed and anise relieved pain intensity and pain duration more than placebo and mefenamic acid; the finding applies to the mixture, not to saffron alone 54. A randomized controlled trial on a PMSoff dietary supplement with saffron and other ingredients reports improvements in symptom scores; this finding also applies to the mixture, not to saffron alone 50. A review reports improvements in dysmenorrhea and menstrual pain 219. A systematic review of Iranian medicinal plants names saffron among the plants that could alleviate PMS complaints 43. Because of the combination products and inconsistently stated preparations, the effect of saffron alone cannot be reliably distinguished; follow-up periods are predominantly short.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 16 Mohammadi et al. 2026 | meta-analysis | Saffron (preparation form not stated in abstract); vs. Placebo or control (in included RCTs) | PMS symptoms (SMD): improved (SMD, -0.64; 95% CI, -0.84 to -0.44); Dysmenorrhea (SMD): improved (SMD, -0.51; 95% CI, -1.01 to -0.01) |
| 28 Shamabadi et al. 2022 | systematic review | Saffron (Crocus sativus), form unspecified | Effect on premenstrual syndrome: improved |
| 43 Maleki-Saghooni et al. 2018 | systematic review | Iranian herbal medicines, including saffron | PMS symptoms: improved (might alleviate symptoms of PMS) |
| 182 Agha-Hosseini et al. 2008 | randomised controlled | Saffron capsule (stigma of Crocus sativus); 30 mg/day (15 mg twice daily); two menstrual cycles (cycles 3 and 4); vs. placebo capsule twice daily | Total Premenstrual Daily Symptoms score: improved (significant difference) |
| 192 Smith et al. 2026 | case series · 40 participants | Multinutrient supplement with saffron extract, chamomile extract, minerals, vitamins, omega-3; 3 consecutive menstrual cycles; vs. no control (single-arm, baseline vs. cycle 3) | Overall MSQ score: improved (P < 0.0001); Overall symptom severity score: improved (decreased by a mean 50.42%); Individual physical and psychological symptoms: improved (all P < 0.0001) |
| 219 Goyal et al. 2024 | review | Saffron extract; therapeutic range, exact dose not stated | Dysmenorrhoea and menstrual pain: improved |
Saffron (Crocus Sativus): Further Outcomes in Studies
Several controlled studies and review articles investigated saffron as stigma powder, extract or a preparation standardized to crocin, predominantly in type 2 diabetes and metabolic syndrome. Saffron lowered fasting blood glucose compared with placebo in type 2 diabetes 95115 and in schizophrenia patients taking olanzapine 92. Total and LDL cholesterol decreased compared with placebo in one diabetes study 95; triglycerides decreased in metabolic syndrome 133 and with crocin in diabetic nephropathy 138, while other studies found no difference in blood lipids 81129. CRP decreased compared with placebo in Parkinson's disease 66, multiple sclerosis 165 and smokers 124; one meta-analysis found no difference in CRP 33. The findings are mixed, and the studies differ greatly in form, dose and population; for aqueous infusion or petal preparations, only individual investigations are available.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 3 Mahmoudi et al. 2026 | meta-analysis · 1,769 participants | Saffron (Crocus sativus L.) supplementation; at least four weeks; vs. Placebo | POMS score: no difference |
| 4 Zamani et al. 2022 | meta-analysis · 1,674 participants | Saffron supplementation (form not specified); not reported (dose-response analysis); duration of saffron intake (linear with FBG); vs. control groups of included RCTs | Triglycerides: improved (WMD = -8.81 mg/dl, 95%CI: -14.33, -3.28; P = 0.002); Total cholesterol: improved (WMD = -6.87 mg/dl, 95%CI: -11.19, -2.56; P = 0.002); LDL cholesterol: improved (WMD = -6.71 mg/dl, 95%CI: -10.51, -2.91; P = 0.001) |
| 5 Zhang et al. 2025 | meta-analysis · 1,486 participants | Saffron supplementation (form not specified); vs. Placebo | Fasting blood glucose (FBG): improved (WMD: -6.67 mg/dL; 95% CI: -10.55, -2.78; p = 0.001); Glycosylated hemoglobin A1c (HbA1c): improved (WMD: -0.25%; 95% CI: -0.35, -0.14; p < 0.001); Total cholesterol (TC): improved (WMD: -4.77 mg/dL; 95% CI: -8.83, -0.71; p = 0.021) |
| 6 Karim et al. 2024 | meta-analysis · 869 participants | Saffron or saffron extract supplementation; vs. Placebo or no supplementation | Fasting blood sugar (FBS): improved (MD: - 8.75 mg/dL, 95% CI [- 14.75; - 2.76], P < 0.01); HbA1C: improved (MD: - 0.34%, 95% CI [- 0.39; - 0.9], P < 0.01); Triglycerides (TG): improved (MD: - 13.28 mg/dL, 95% CI [- 22.82; - 3.75], P < 0.01) |
| 7 Yan et al. 2024 | meta-analysis · 840 participants | Crocus sativus and crocin; vs. Placebo | HbA1c: improved (WMD: -0.31;95% CI [-0.44,-0.19]. P = 0.002); systolic blood pressure: improved (WMD:-7.49;95% CI [-11.67,-3.30]. P = 0.99); fasting blood glucose: improved (WMD:-7.25;95% CI [-11.82, -2.57]. P = 0.002) |
| 8 Liu et al. 2024 | meta-analysis · 562 participants | Saffron supplementation; 5 mg/day to 1 g/day; vs. Placebo | Fasting plasma glucose (FPG): improved (WMD = -8.42 mg/dL; 95% CI: -13.37, -3.47; p = 0.001); HbA1c: improved (WMD = -0.22%; 95% CI: -0.33, -0.10; p < 0.001); Insulin levels: no difference |
| 10 Kianmehr et al. 2022 | meta-analysis · 421 participants | Crocus sativus and its ingredients (crocin); vs. Control group (placebo or usual care) | Total fat intake: no difference (-0.14; 95% CI: -0.49 to 0.20); Energy intake (crocin): no difference (0.94; 95% CI: -0.77 to 2.65); Carbohydrate intake (crocin): no difference (0.44; 95% CI: -0.74 to 1.62) |
| 12 Avgerinos et al. 2020 | systematic review · 325 participants | Orally administered saffron (Crocus sativus); vs. Placebo, donepezil or memantine | ADAS-cog or MMSE in MCI/AD: improved (significantly better when saffron was compared with placebo); ADAS-cog or MMSE in MCI/AD: no difference (did not differ significantly when saffron was compared with donepezil or memantine); Functional status in MCI/AD: no difference (similar with its effects on cognition) |
Further studies in this area: 13 17 18 19 20 21 22 23 25 27 28 29 30 31 32 33 34 35 36 41 42 44 47 49 51 53 55 57 58 66 67 68 69 70 71 73 74 75 76 77 79 80 81 82 83 85 86 87 88 89 91 92 95 96 97 99 100 101 102 103 104 105 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 127 128 129 130 131 132 133 134 135 137 138 139 140 141 142 143 144 145 150 153 154 159 160 161 162 163 165 166 167 168 170 171 172 173 174 175 177 179 180 181 183 184 185 186 189 191 195 196 199 200 201 202 203 207 210 211 212 214 216 217 218 222 224 226 227 228 229 231 233 235 236 237 238 242 243 244 245 246 249
4. How Is Saffron (Crocus Sativus) Dosed? Preparation, Dose and Duration in Studies
The main forms studied were extracts standardized to crocin or safranal 5563, as well as stigma powder 66 and aqueous-alcoholic extracts 95116. Various studies examined combination preparations with other plants or micronutrients; such findings do not apply to saffron alone 6162. The doses are shown in the table.
| Preparation or form | Dose | Duration | Study |
|---|---|---|---|
| saffron (Crocus sativus), 30 mg twice daily | 30 mg twice daily | 12 weeks, with 2-week washout between phases | 48 |
| saffron (Crocus sativus), 60 mg/day | 60 mg/day | 26 weeks | 49 |
| PMSoff supplement containing saffron and other ingredients | — | two months | 50 |
| 1 g saffron with three glasses of black tea | 1 g saffron daily | 8 weeks | 51 |
| saffron-honey syrup | maximum 150 ml, from 4 cm dilation, every 30-60 min | until end of active phase of first stage | 52 |
| saffron extract (SAFFR'ACTIV) alone or combined with scutellaria extract (SAFFR'UP) | — | six weeks | 53 |
| Highly purified saffron, celery seed, and anise (SCA) extracts | 500 mg three times a day for three days | 3 days per cycle, followed for 2–3 cycles | 54 |
| standardized saffron extract (Safr'Inside™) | 30 mg or 20 mg saffron extract | 4 weeks | 55 |
| Iranian regimen containing saffron and other ingredients | — | 5 days | 56 |
| affron® saffron extract | 14 mg twice daily | 8 weeks | 57 |
| crocin or saffron | — | three months | 58 |
| IDIProst® Gold: Serenoa repens, Pinus massoniana Bark Extract and Crocus sativus | one capsule q24 h | 3 months | 59 |
| affron®, standardised stigma extract from Crocus sativus L. | 28 mg/day or 22 mg/day | 4 weeks | 60 |
| Curcumin extract plus saffron (15 mg twice daily) | saffron 15 mg b.i.d., curcumin 250 or 500 mg b.i.d. | 12 weeks | 61 |
| herbal tea sachets with 1 mg saffron and 20 mg chamomile | 1 mg saffron per sachet, twice daily | one month | 62 |
5. Is Saffron (Crocus Sativus) Safe? Side Effects in Studies
In the studies recorded, saffron was mostly well tolerated 1721, and side effects did not occur more often than with placebo 36. The most common were mild, mostly self-limiting gastrointestinal complaints 17; nausea, dry mouth, loss of appetite and headache are also mentioned 31. At higher doses or with longer intake, a systematic review describes isolated significant side effects 17. For high doses and occupational exposure, uterine stimulation and an increased risk of miscarriage are noted 18. Details are shown in the table.
| Study | Reported side effects |
|---|---|
| 1 Long et al. 2023 | Adding polyphenols did not increase adverse events |
| 2 Borrelli et al. 2018 | Recorded in 19 of 24 trials, no significant differences vs placebo |
| 4 Zamani et al. 2022 | not reported |
| 11 Sadat et al. 2023 | Saffron reported as safe |
| 12 Avgerinos et al. 2020 | No difference in side effect incidence vs placebo or drugs |
| 15 Ferrara et al. 2026 | exceptional safety profiles |
| 17 Hasheminasab et al. 2026 | Mostly gastrointestinal, minor and self-limiting; estimated incidence 17.5% |
| 18 Alshdefat et al. 2026 | higher doses or occupational exposure: uterine stimulation, increased miscarriage risk |
| 19 Shafiee et al. 2025 | Fewer adverse events with saffron than with SSRIs |
| 20 Fazilat et al. 2025 | No discernible differences in reported adverse effects |
| 21 Han et al. 2024 | well tolerated, few side effects |
| 23 Golsorkhi et al. 2023 | Herbal medicines overall relatively safe |
6. What Remains Open: Limits of the Evidence
- Many studies are small and short, and the preparations differ in form, standardization to crocin or safranal, and dose 2831.
- Combination preparations with curcumin, chamomile, Scutellaria baicalensis or several medicinal plants do not allow conclusions about saffron alone 536162.
- For children and adolescents, larger studies are still pending; a placebo-controlled study in adolescents found improvements mainly in self-report 78.
7. Bottom Line: What Is Established About Saffron (Crocus Sativus)
Mood and depressive mood are the best studied: several controlled studies and meta-analyses found improvements compared with placebo 313841666878. Compared with synthetic antidepressants, saffron performed comparably, not better 3637414546; one meta-analysis 39 and individual studies 85174 found no confirmed difference from placebo.
In type 2 diabetes and metabolic syndrome, saffron lowered fasting blood glucose in several placebo-controlled studies, while findings for blood lipids were inconsistent 9295115129133. For the retina and macula, findings are mixed, with small groups and short follow-up 65107158. Combination preparations consistently do not allow conclusions about saffron alone 6162. Overall, saffron in the preparations studied is mostly well tolerated 1721; however, many studies are small and short 31.
Frequently Asked Questions
How well has Saffron (Crocus sativus) been studied in humans?
We evaluated 263 human studies on Saffron (Crocus sativus), including 144 randomised controlled trials and 49 meta-analyses or systematic reviews; the controlled studies include 9,079 participants in total. As of 13 October 2026.
Does Saffron (Crocus sativus) help with mood and Depressive Symptoms? What the studies show
Does Saffron (Crocus sativus) help with anxiety? What the studies show
Does Saffron (Crocus sativus) help with sleep? What the studies show
Does Saffron (Crocus sativus) help with sexual Function? What the studies show
Does Saffron (Crocus sativus) help with retina and Macula? What the studies show
Does Saffron (Crocus sativus) help with menstrual Cycle and Premenstrual Symptoms? What the studies show
What is saffron and which plant parts are used?
Do human studies show an effect on mood?
Yes, several meta-analyses and placebo-controlled studies found fewer depressive symptoms than with placebo 384168164; on the Hamilton scale, there was sometimes no difference 333. Compared with synthetic antidepressants such as fluoxetine or sertraline, saffron performed comparably, not better 3637394546. Many studies are small and short; larger studies outside Iran are still pending 46.
Are there findings on anxiety and sleep?
For anxiety, one meta-analysis and several placebo-controlled studies found improvements on anxiety scales, sometimes with extracts, sometimes with stigma powder 386678106. However, several controlled studies found no difference from placebo, for example in patients with acute coronary syndrome, in opioid users after detoxification, or after bypass surgery 7285174. For sleep complaints, sleep quality and insomnia complaints improved in several placebo-controlled studies 556398119; in recreationally active adults, there was no difference 99.
How well tolerated is saffron in the studies?
In the studies recorded, saffron was mostly well tolerated 1721, and side effects did not occur more often than with placebo 36. The most common were mild, mostly self-limiting gastrointestinal complaints 17; nausea, dry mouth, loss of appetite and headache are also mentioned 31. At higher doses or with longer intake, a systematic review describes isolated significant side effects 17. For high doses and occupational exposure, uterine stimulation and an increased risk of miscarriage are noted 18.
What should be considered with combination preparations?
Several studies examined saffron only as a component of a mixture, for example with curcumin, chamomile or Scutellaria baicalensis 536162. Such findings apply to the mixture and do not allow conclusions about saffron alone. For statements about the effect of saffron, studies that examine saffron as the only active ingredient are therefore decisive, for example with stigma powder or extract standardized to crocin or safranal 5566.
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