Saffron Extract

Saffron extract contains crocin, safranal, and crocetin that provide powerful antidepressant, antioxidant, and anti-inflammatory benefits while supporting cognitive function, eye health, and mood enhancement through multiple mechanisms.

Alternative Names: Crocus sativus, Saffron Crocus, Kesar, Zafran, Safran, Azafrán, Koema Koema, Fan Hong Hua

Categories: Spice, Herbal Extract, Antioxidant

Primary Longevity Benefits


  • Antidepressant
  • Antioxidant
  • Anti-inflammatory

Secondary Benefits


  • Mood enhancement
  • Cognitive function support
  • Appetite regulation
  • Eye health protection
  • Premenstrual symptom relief
  • Sexual function improvement
  • Blood pressure regulation

Mechanism of Action


Saffron extract exerts its biological effects through multiple mechanisms primarily attributed to its bioactive compounds: crocin, crocetin, picrocrocin, and safranal. As an antidepressant, saffron acts by modulating neurotransmitter activity in the brain. It inhibits the reuptake of monoamines (serotonin, dopamine, and norepinephrine), similar to conventional antidepressants, thereby increasing their availability in the synaptic cleft. Studies have shown that saffron and its constituents can increase brain-derived neurotrophic factor (BDNF) levels, which plays a crucial role in neuronal health and mood regulation.

Saffron also inhibits the N-methyl-D-aspartate (NMDA) receptor, which may contribute to its antidepressant effects. The compound crocin has been shown to enhance the expression of cAMP response element-binding protein (CREB) in the hippocampus, a mechanism associated with improved mood and cognitive function. Saffron’s potent antioxidant properties stem from its ability to scavenge free radicals and reactive oxygen species (ROS). The carotenoid compounds in saffron, particularly crocin and crocetin, can neutralize various free radicals, including superoxide anions, hydroxyl radicals, and hydrogen peroxide.

These compounds also enhance the activity of endogenous antioxidant enzymes such as superoxide dismutase (SOD), catalase, and glutathione peroxidase. The anti-inflammatory effects of saffron involve inhibition of pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6). Saffron constituents also suppress the activity of cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS), thereby reducing the production of inflammatory mediators like prostaglandins and nitric oxide. For appetite regulation, saffron appears to modulate serotonergic pathways that influence satiety and reduce snacking behavior.

It may also affect the hypothalamic regulation of hunger and fullness signals. In terms of eye health, crocin and crocetin protect retinal cells from light-induced damage and oxidative stress, while also improving blood flow to ocular tissues. For sexual function, saffron has been shown to increase nitric oxide synthase activity in corpus cavernosum, enhancing blood flow to genital tissues. It also appears to have mild aphrodisiac properties through modulation of the hypothalamic-pituitary-gonadal axis.

Additionally, saffron exhibits neuroprotective effects by reducing oxidative damage to neurons, inhibiting amyloid-beta aggregation, and promoting neuronal growth and survival, which may explain its potential benefits for cognitive function and neurodegenerative conditions.

Optimal Dosage


Disclaimer: The following dosage information is for educational purposes only. Always consult with a healthcare provider before starting any supplement regimen, especially if you have pre-existing health conditions, are pregnant or nursing, or are taking medications.

The typical therapeutic dosage range for saffron extract is 20-30 mg per day of a standardized extract (containing approximately 2% safranal and 2-3% crocin). This dosage has been shown to be effective in most clinical studies while maintaining a good safety profile. For whole saffron stigmas, the equivalent would be approximately 80-100 mg daily. It’s generally recommended to divide the daily dose into two administrations for better absorption and sustained effects.

By Condition

Condition Dosage Notes
Depression and anxiety 30 mg of standardized extract daily, divided into two 15 mg doses Comparable efficacy to low-dose conventional antidepressants has been observed at this dosage in 6-8 week trials.
Premenstrual syndrome (PMS) 15-30 mg of standardized extract daily, starting 7-10 days before expected menstruation Most effective when started before symptom onset and continued through the menstrual period.
Appetite control and weight management 15 mg of standardized extract twice daily (30 mg total) Best taken 30 minutes before meals to help reduce snacking behavior and food cravings.
Sexual dysfunction 30 mg of standardized extract daily for men; 15 mg twice daily for women May take 3-4 weeks to observe significant improvements in sexual function.
Age-related macular degeneration and eye health 20 mg of standardized extract daily Long-term consistent use appears to provide the most benefit for eye health.
Cognitive function 20-30 mg of standardized extract daily May be more effective when combined with other cognitive-supporting nutrients.
Alzheimer’s disease (adjunctive therapy) 30 mg of standardized extract daily Should be used as a complementary approach alongside conventional treatment.

By Age Group

Age Group Dosage Notes
Adults (18-65 years) 20-30 mg of standardized extract daily Generally well-tolerated at this dosage range.
Seniors (65+ years) Start with 15 mg daily and gradually increase to 20-30 mg if needed Older adults may be more sensitive to effects and potential interactions with medications.
Adolescents (12-17 years) Not recommended without medical supervision Limited research on safety and efficacy in this age group.
Children (under 12 years) Not recommended Insufficient safety data for this age group.

Bioavailability


Absorption Rate

The bioavailability of saffron’s active compounds varies significantly. Crocin, one of the main bioactive carotenoids in saffron, has relatively low oral bioavailability (approximately 10-15%) due to its water-soluble nature and limited intestinal absorption. However, crocin is hydrolyzed in the intestinal tract to crocetin, which has higher bioavailability (approximately 30-40%) and can cross the blood-brain barrier. Safranal, being more lipophilic, demonstrates better absorption rates (estimated at 40-50%) and can readily cross the blood-brain barrier.

Picrocrocin has moderate bioavailability (approximately 20-30%) and contributes to saffron’s therapeutic effects.

Enhancement Methods

Taking saffron extract with a small amount of healthy fats (such as olive oil or nuts) can enhance the absorption of lipophilic compounds like safranal by 15-25%, Liposomal formulations of saffron extract can increase bioavailability of crocin and crocetin by up to 2-3 times compared to standard extracts, Micronized saffron powder formulations increase the surface area for absorption, potentially improving bioavailability by 20-30%, Standardized extracts with higher concentrations of active compounds (particularly those with >2% safranal and >3% crocin) provide more consistent and effective absorption, Combining saffron with black pepper extract (piperine) may inhibit first-pass metabolism and increase bioavailability of certain compounds, Sublingual administration (tinctures) bypasses first-pass metabolism, potentially increasing bioavailability of certain compounds by 30-40%

Timing Recommendations

For optimal absorption and effectiveness, saffron extract is best taken with meals, particularly those containing some healthy fats. This approach enhances the absorption of both water-soluble compounds (crocin) and fat-soluble compounds (safranal). For depression and mood disorders, dividing the daily dose into morning and evening administrations helps maintain more consistent blood levels of active compounds throughout the day. For appetite control, taking saffron extract 30 minutes before meals appears to maximize its effectiveness in reducing snacking behavior and food cravings.

For sleep enhancement, taking saffron extract approximately 1-2 hours before bedtime may be most beneficial. When used for premenstrual syndrome, starting supplementation 7-10 days before expected menstruation and continuing through the menstrual period provides the most significant symptom relief. For cognitive benefits, morning administration may be preferable to align with daily mental activities and cognitive demands.

Safety Profile


Safety Rating i

4High Safety

Side Effects

  • Dry mouth (reported in 3-5% of users)
  • Mild anxiety or nervousness (reported in 2-4% of users)
  • Headache (reported in 2-3% of users)
  • Nausea (reported in 1-3% of users)
  • Dizziness (reported in 1-2% of users)
  • Changes in appetite (reported in 1-2% of users)
  • Drowsiness (reported in 1-2% of users)
  • Allergic reactions (rare, <1% of users)

Contraindications

  • Pregnancy (due to potential uterine-stimulating effects at high doses)
  • Breastfeeding (insufficient safety data)
  • Bipolar disorder (may potentially trigger manic episodes when used as an antidepressant)
  • Hypotension (low blood pressure) as saffron may have hypotensive effects
  • Bleeding disorders (saffron may have mild anticoagulant properties)
  • Scheduled surgery (discontinue at least 2 weeks before due to potential effects on blood clotting)
  • Known allergy to plants in the Iridaceae family
  • Children under 12 years (insufficient safety data)

Drug Interactions

  • Antidepressants (SSRIs, SNRIs, MAOIs) – potential for serotonin syndrome when combined with saffron
  • Anticoagulants and antiplatelet drugs (e.g., warfarin, aspirin) – saffron may enhance blood-thinning effects
  • Antihypertensive medications – saffron may potentiate blood pressure-lowering effects
  • Sedatives and hypnotics – saffron may enhance sedative effects
  • Immunosuppressants – theoretical interaction due to saffron’s immunomodulatory properties
  • Medications metabolized by cytochrome P450 enzymes – potential for altered drug metabolism

Upper Limit

The therapeutic index of saffron is relatively wide, with standard doses (20-30 mg of extract daily) being well below toxic levels.

However , doses exceeding 5 grams of pure saffron per day (equivalent to approximately 200-250 mg of high-potency extract) may cause significant adverse effects including nausea, vomiting, diarrhea, bleeding, and in extreme cases, toxic effects on the central nervous system. The LD50 (lethal dose for 50% of the population) is estimated at 20 grams of saffron, making

it one of the safer herbal supplements

when used appropriately. For standardized extracts, doses above 100 mg per day are not recommended for extended periods without medical supervision.

Regulatory Status


Fda Status

In the United States, saffron is classified as Generally Recognized as Safe (GRAS) by the FDA for use as a spice, natural flavoring, and coloring agent (21 CFR 182.10, 182.20). As a dietary supplement, saffron extract falls under the Dietary Supplement Health and Education Act (DSHEA) of 1994, which means

it can be marketed without FDA pre-approval but cannot make specific disease treatment claims. Saffron is included in the FDA’s list of ‘Old Dietary Ingredients’ that were marketed prior to October 15, 1994. Supplement manufacturers must ensure product safety and are required to submit a New Dietary Ingredient (NDI) notification only if using novel extraction methods or concentrations significantly different from traditional use.

Efsa Status

The European Food Safety Authority (EFSA) recognizes saffron as a food flavoring and coloring agent. In the EU, saffron is listed in the European Union Register of Feed Additives pursuant to Regulation (EC) No 1831/2003. For medicinal purposes, saffron preparations may be regulated under the Traditional Herbal Medicinal Products Directive (2004/24/EC) in some EU countries. The European Medicines Agency (EMA) has not yet issued a specific monograph for saffron, though

it is included in several national pharmacopoeias within Europe.

International Status

In Iran, the world’s largest producer of saffron, it is recognized as both a food ingredient and a traditional medicine by the Iranian Food and Drug Administration. In India, saffron is recognized in the Ayurvedic Pharmacopoeia as a traditional medicinal ingredient and is regulated by the Ministry of AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy). Australia’s Therapeutic Goods Administration (TGA) includes saffron in the list of substances that may be used in listed medicines. In Canada, saffron is listed in the Natural Health Products Ingredients Database (NHPID) and is permitted for use in natural health products.

In Japan, saffron is classified as a food ingredient rather than a Kampo medicine. The World Health Organization (WHO) recognizes saffron in its monographs on medicinal plants, though it has not issued specific guidelines on its medicinal use.

Approved Claims

May help support a healthy mood (structure/function claim allowed in the US), May help maintain normal vision (structure/function claim allowed in the US), Traditionally used to support emotional well-being (allowed in some EU countries under traditional herbal registration), Traditionally used for premenstrual comfort (allowed in some EU countries under traditional herbal registration), Contributes to normal psychological function (pending EFSA evaluation)

Prohibited Claims

Cannot claim to treat, cure, or prevent depression (all jurisdictions), Cannot make claims regarding treatment of macular degeneration or other eye diseases (all jurisdictions), Cannot make claims regarding treatment of Alzheimer’s disease or other neurodegenerative conditions (all jurisdictions), Cannot make claims regarding treatment of premenstrual syndrome as a disease (US), Cannot make claims regarding treatment of sexual dysfunction (all jurisdictions), Cannot make weight loss claims without adequate substantiation (all jurisdictions)

Synergistic Compounds


Compound Synergy Mechanism Evidence Rating
Curcumin Both saffron and curcumin have complementary antioxidant and anti-inflammatory mechanisms. While saffron works primarily through modulation of neurotransmitters and BDNF, curcumin acts through inhibition of NF-κB and inflammatory cytokines. Together, they provide more comprehensive neuroprotection and mood enhancement. 3
Omega-3 Fatty Acids (EPA/DHA) Omega-3 fatty acids enhance neuronal membrane fluidity and neurotransmitter receptor function, while saffron modulates neurotransmitter levels. This combination may provide synergistic effects for depression, cognitive function, and neuroinflammation. 3
Zinc Zinc is a cofactor for many enzymes involved in neurotransmitter synthesis and BDNF signaling. Saffron’s ability to modulate these same pathways may be enhanced when zinc levels are optimal, particularly for depression and cognitive function. 2
Vitamin D Vitamin D receptors are present throughout the brain and influence neurotransmitter synthesis. Combining vitamin D with saffron may enhance mood-regulating effects, particularly in individuals with suboptimal vitamin D levels. 2
Rhodiola Rosea Rhodiola acts as an adaptogen that helps regulate stress response through the HPA axis, while saffron primarily modulates neurotransmitter activity. This combination may provide more comprehensive support for stress-related mood disorders. 2
Lutein and Zeaxanthin These carotenoids concentrate in the macula of the eye and provide complementary antioxidant protection to saffron’s crocin and crocetin. The combination may offer enhanced protection against age-related macular degeneration and other eye conditions. 3
L-Theanine L-Theanine promotes alpha brain wave activity and GABA production, while saffron modulates serotonin and dopamine. This combination may provide balanced support for both relaxation and mood enhancement. 2
Piperine (Black Pepper Extract) Piperine inhibits certain drug-metabolizing enzymes and may enhance the bioavailability of saffron’s active compounds, particularly safranal and crocetin, by reducing first-pass metabolism. 2
Ginkgo Biloba Ginkgo improves cerebral blood flow and oxygen utilization, which may enhance the delivery and effectiveness of saffron’s active compounds in the brain, particularly for cognitive function and neuroprotection. 2
Magnesium Magnesium is essential for neurotransmitter function and NMDA receptor regulation. Combining magnesium with saffron may enhance mood-regulating effects, particularly in individuals with suboptimal magnesium levels. 2

Antagonistic Compounds


Compound Interaction Type Evidence Rating
Monoamine Oxidase Inhibitors (MAOIs) Saffron has mild MAOI properties. Combining with pharmaceutical MAOIs may increase the risk of serotonin syndrome, characterized by agitation, confusion, rapid heart rate, and potentially life-threatening symptoms. 3
Selective Serotonin Reuptake Inhibitors (SSRIs) While saffron has been studied as an alternative to SSRIs, combining them may theoretically increase the risk of serotonin syndrome due to saffron’s serotonergic effects. Caution is advised when using together. 2
Warfarin and other anticoagulants Saffron has mild anticoagulant properties that may potentiate the effects of pharmaceutical anticoagulants, potentially increasing bleeding risk. Monitoring of INR is recommended if used concurrently. 2
Antihypertensive medications Saffron may have hypotensive effects that could potentiate blood pressure-lowering medications, potentially causing excessive blood pressure reduction. 2
Sedatives and hypnotics Saffron may have mild sedative properties that could enhance the effects of pharmaceutical sedatives, potentially causing excessive sedation. 1
Stimulants (including caffeine) The anxiolytic and mood-stabilizing effects of saffron may be partially counteracted by stimulants, potentially reducing saffron’s effectiveness for anxiety and mood disorders. 1
Immunosuppressants Saffron has immunomodulatory properties that could theoretically interfere with immunosuppressant medications, although clinical evidence is limited. 1
Cytochrome P450 substrate medications Some compounds in saffron may affect cytochrome P450 enzyme activity, potentially altering the metabolism of medications that are substrates for these enzymes. 1

Cost Efficiency


Average Market Price

Raw Saffron Stigmas: $5-15 per gram ($5,000-15,000 per kilogram)

Standardized Extract Capsules: $20-40 for 30 capsules (30 mg standardized extract per capsule)

Saffron Powder: $3-8 per gram

Saffron Tincture: $15-30 for 30 ml bottle

Cost Effectiveness Rating

3

Price Trends

Saffron prices have remained relatively stable over the past decade, with occasional fluctuations due to harvest conditions in major producing countries, particularly Iran. Climate change and water scarcity in key growing regions may put upward pressure on prices in the coming years. The growing scientific evidence for saffron’s health benefits has increased demand for standardized extracts, leading to economies of scale in extraction and slight price decreases for some supplement formulations. Counterfeit and adulterated products remain a significant concern, with price points significantly below market averages often indicating potential quality issues.

The development of more efficient cultivation methods, including tissue culture propagation and mechanized harvesting techniques, may help reduce production costs in the long term, though these technologies are still in early stages of implementation.

Value Analysis

For depression and mood disorders, saffron extract offers good value compared to conventional antidepressants, with comparable efficacy to low-dose SSRIs in clinical trials but fewer side effects. A typical monthly supply of standardized extract (30 mg daily) costs $20-40, which is comparable to many generic antidepressants but without the need for prescription or medical monitoring. For eye health, particularly age-related macular degeneration, saffron extract represents moderate value. While the monthly cost is higher than some other carotenoid supplements (like lutein/zeaxanthin), the unique mechanisms of action and clinical evidence for visual function improvement may justify the premium for certain individuals.

For premenstrual syndrome, saffron extract offers excellent value compared to conventional treatments, with a monthly cost typically lower than many over-the-counter and prescription options, and with a better side effect profile. For appetite control and weight management, the value proposition is moderate. While clinical evidence supports efficacy for reducing snacking behavior, the cost is higher than many other appetite suppressants, though the additional mood benefits may provide added value for some users. For cognitive function and neuroprotection, the value is currently moderate, with promising research but still-emerging clinical evidence relative to the cost.

Cost Saving Tips

Purchase standardized extracts rather than raw saffron for supplemental purposes, as the active compound concentration is more consistent and the overall cost per therapeutic dose is lower, Look for supplements standardized to contain at least 2% safranal and 2-3% crocin to ensure potency, Subscribe to auto-ship options from reputable supplement companies, which often provide 10-15% discounts, Purchase larger quantities when possible, as the price per capsule is typically lower, For culinary use with some health benefits, Spanish saffron often provides better value than Iranian saffron, though the latter may have slightly higher crocin content, Avoid products with suspiciously low prices, as they are likely adulterated or of poor quality, Store properly to maintain potency and extend shelf life, reducing waste and replacement costs, Consider combination products that include saffron with synergistic ingredients (like curcumin or omega-3s) for specific health goals, which may provide better overall value than purchasing supplements separately

Stability Information


Shelf Life

Properly stored whole saffron stigmas can maintain potency for 2-3 years. Powdered saffron has a shorter shelf life of approximately 1-2 years due to increased surface area exposure. Standardized extracts in capsule or tablet form typically have a shelf life of 2-3 years when stored properly. Liquid extracts and tinctures generally remain stable for 1-2 years.

Storage Recommendations

Store saffron and saffron extracts in airtight, opaque containers away from direct sunlight, heat, and moisture. Ideal storage temperature is between 15-25°C (59-77°F). For whole stigmas, glass containers are preferable to plastic to prevent static electricity that can damage delicate stigmas. Refrigeration can extend shelf life but may introduce moisture if containers are not properly sealed.

Freezing is not recommended as freeze-thaw cycles can damage the cellular structure and active compounds. Vacuum-sealed packaging can significantly extend shelf life by reducing oxidation. Once opened, saffron products should be used within 6-12 months for optimal potency.

Degradation Factors

Light exposure (particularly UV light) accelerates the degradation of crocin and other carotenoid compounds, Oxygen exposure causes oxidation of active compounds, particularly safranal and crocin, Heat accelerates chemical degradation and volatile compound loss, Moisture promotes microbial growth and enzymatic degradation, pH extremes can affect the stability of glycosidic bonds in crocin and picrocrocin, Metal ions (particularly iron and copper) can catalyze oxidation reactions, Microbial contamination can lead to both safety issues and degradation of active compounds

Sourcing


Synthesis Methods

  • Saffron’s active compounds cannot be economically synthesized; all commercial saffron is harvested from natural sources
  • Extraction methods include aqueous extraction, ethanol extraction, and supercritical CO2 extraction
  • Standardization typically focuses on crocin, picrocrocin, and safranal content

Natural Sources

  • Crocus sativus L. flower stigmas (primary source)
  • Each flower produces only three stigmas, requiring approximately 150,000-170,000 flowers to produce 1 kilogram of dried saffron

Quality Considerations

Saffron is the most expensive spice in the world due to its labor-intensive harvesting process, with prices ranging from $1,000 to $5,000 per kilogram for high-quality product. The International Organization for Standardization (ISO 3632) categorizes saffron into four quality categories based on crocin content (responsible for color), picrocrocin content (responsible for taste), and safranal content (responsible for aroma). Category I represents the highest quality with crocin absorbance >190, picrocrocin absorbance >70, and safranal absorbance between 20-50. High-quality saffron should have a deep red color with minimal yellow styles attached, a distinctive aroma, and bitter taste. The primary growing regions include Iran (which produces approximately 90% of the world’s saffron), Spain, Kashmir (India), Greece, Morocco, and Afghanistan. Iranian saffron, particularly from the Khorasan province, is generally considered the highest quality. Spanish saffron (particularly from La Mancha) is also highly regarded. Adulteration is common due to the high price, with common adulterants including safflower (Carthamus tinctorius), calendula (Calendula officinalis), turmeric, paprika, dyed corn silk, and artificial colorants. Authentication methods include HPLC analysis, DNA barcoding, and microscopic examination. For supplement purposes, standardized extracts with specified levels of active compounds (particularly crocin and safranal) are preferred over raw saffron powder. Organic certification ensures the saffron is grown without synthetic pesticides or fertilizers, which is particularly important given saffron’s concentrated nature. Sustainable harvesting practices are becoming increasingly important as demand grows, with fair trade certification helping ensure ethical labor practices in this labor-intensive crop.

Historical Usage


Saffron has one of the most extensive and well-documented histories of medicinal use, spanning over 3,500 years across multiple civilizations. The earliest documented use of saffron dates back to Ancient Persia (modern-day Iran) around 1500 BCE, where it was used as a mood enhancer, medicine, ritual offering, and dye. Ancient Egyptian medical papyri mention saffron as a treatment for various ailments, and it was used in embalming practices. Cleopatra reportedly used saffron in her bathing rituals for its skin-enhancing properties.

In Ancient Greece, Hippocrates (460-370 BCE) prescribed saffron for coughs, colds, insomnia, and as a pain reliever during childbirth. Greek physicians Dioscorides and Galen documented saffron’s use for depression, menstrual disorders, and as a digestive aid. The Roman physician Celsus recommended saffron for wounds, ulcers, and inflammatory conditions. In Ancient India, Ayurvedic texts from as early as 500 BCE describe saffron (known as ‘Kesar’) as a treatment for melancholy, inflammation, and as an aphrodisiac.

It was also used in religious ceremonies and as a coloring agent for royal garments. Traditional Chinese Medicine has used saffron (known as ‘Fan Hong Hua’) since at least the 7th century CE for depression, menstrual disorders, and to ‘invigorate blood circulation.’ During the Middle Ages in Europe, saffron was highly valued for its medicinal properties and was used to treat plague, smallpox, and melancholy (depression). The 16th-century herbalist Nicholas Culpeper described saffron as beneficial for ‘strengthening the heart, reviving the spirits, and making them more lively.’ In Persian traditional medicine, saffron has been used for centuries as an antidepressant, aphrodisiac, and for its cardioprotective effects. The 10th-century Persian physician Avicenna documented saffron’s use for melancholy, insomnia, and respiratory conditions in his influential ‘Canon of Medicine.’ In Islamic medicine, saffron was recommended for mental health, as a cardiotonic, and for eye diseases.

In North African traditional medicine, particularly in Morocco, saffron has been used to treat depression, menstrual problems, and as a digestive aid. Throughout history, saffron has been consistently used across cultures for mood disorders (particularly depression), menstrual issues, sexual dysfunction, and eye conditions—applications that align remarkably well with modern research findings. This cross-cultural consistency in traditional uses over millennia provides compelling historical evidence for saffron’s medicinal properties, many of which are now being validated by contemporary scientific research.

Scientific Evidence


Evidence Rating i

4Evidence Rating: High Evidence – Multiple well-designed studies with consistent results

Key Studies

Study Title: Comparison of Crocus sativus L. and imipramine in the treatment of mild to moderate depression: A pilot double-blind randomized trial
Authors: Akhondzadeh S, Fallah-Pour H, Afkham K, Jamshidi AH, Khalighi-Cigaroudi F
Publication: BMC Complementary and Alternative Medicine
Year: 2004
Doi: 10.1186/1472-6882-4-12
Url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC517724/
Study Type: Randomized controlled trial
Population: 40 adults with mild to moderate depression
Findings: Saffron extract (30 mg/day) was as effective as imipramine (100 mg/day) in treating mild to moderate depression after 6 weeks, with fewer adverse effects.
Limitations: Small sample size; short duration; single-center study.

Study Title: Saffron (Crocus sativus L.) and major depressive disorder: a meta-analysis of randomized clinical trials
Authors: Hausenblas HA, Saha D, Dubyak PJ, Anton SD
Publication: Journal of Integrative Medicine
Year: 2013
Doi: 10.3736/jintegrmed2013056
Url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4643654/
Study Type: Meta-analysis
Population: 5 randomized controlled trials with 177 participants
Findings: Saffron supplementation significantly reduced depression symptoms compared to placebo, with an effect comparable to antidepressant medications.
Limitations: Limited number of included studies; heterogeneity in depression assessment tools.

Study Title: Effect of saffron on PMS: A placebo-controlled study
Authors: Agha-Hosseini M, Kashani L, Aleyaseen A, Ghoreishi A, Rahmanpour H, Zarrinara AR, Akhondzadeh S
Publication: International Journal of Gynecology & Obstetrics
Year: 2008
Doi: 10.1016/j.ijgo.2007.09.015
Url: https://pubmed.ncbi.nlm.nih.gov/18272179/
Study Type: Randomized controlled trial
Population: 50 women with premenstrual syndrome
Findings: Saffron extract (30 mg/day) significantly reduced PMS symptoms compared to placebo after two menstrual cycles.
Limitations: Moderate sample size; self-reported outcomes.

Study Title: Satiereal, a Crocus sativus L extract, reduces snacking and increases satiety in a randomized placebo-controlled study of mildly overweight, healthy women
Authors: Gout B, Bourges C, Paineau-Dubreuil S
Publication: Nutrition Research
Year: 2010
Doi: 10.1016/j.nutres.2010.03.009
Url: https://pubmed.ncbi.nlm.nih.gov/20579522/
Study Type: Randomized controlled trial
Population: 60 mildly overweight women
Findings: Satiereal® (176.5 mg extract per day) reduced snacking frequency and promoted weight loss compared to placebo over an 8-week period.
Limitations: Female-only population; proprietary extract formulation.

Study Title: Short-term Outcomes of Saffron Supplementation in Patients with Age-related Macular Degeneration: A Double-blind, Placebo-controlled, Randomized Trial
Authors: Piccardi M, Marangoni D, Minnella AM, Savastano MC, Valentini P, Ambrosio L, Capoluongo E, Maccarone R, Bisti S, Falsini B
Publication: Evidence-Based Complementary and Alternative Medicine
Year: 2012
Doi: 10.1155/2012/429124
Url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3362038/
Study Type: Randomized controlled trial
Population: 29 patients with early age-related macular degeneration
Findings: Saffron supplementation (20 mg/day) significantly improved retinal function and visual acuity after 3 months compared to placebo.
Limitations: Small sample size; short duration; single-center study.

Study Title: The effect of saffron (Crocus sativus) extract for treatment of mild-to-moderate Alzheimer’s disease: a 16-week, randomized and placebo-controlled trial
Authors: Akhondzadeh S, Sabet MS, Harirchian MH, Togha M, Cheraghmakani H, Razeghi S, Hejazi SS, Yousefi MH, Alimardani R, Jamshidi A, Zare F, Moradi A
Publication: Psychopharmacology
Year: 2010
Doi: 10.1007/s00213-009-1706-1
Url: https://pubmed.ncbi.nlm.nih.gov/19838862/
Study Type: Randomized controlled trial
Population: 46 patients with mild to moderate Alzheimer’s disease
Findings: Saffron extract (30 mg/day) produced significantly better cognitive outcomes than placebo after 16 weeks, with effects comparable to conventional treatments.
Limitations: Moderate sample size; relatively short duration for a neurodegenerative condition.

Meta Analyses

Title: Saffron (Crocus sativus L.) and major depressive disorder: a meta-analysis of randomized clinical trials
Authors: Hausenblas HA, Saha D, Dubyak PJ, Anton SD
Publication: Journal of Integrative Medicine
Year: 2013
Findings: Analysis of 5 RCTs showed saffron significantly reduced depression symptoms compared to placebo and had effects comparable to antidepressant medications.

Title: Saffron for depression and anxiety: A systematic review and meta-analysis of randomised clinical trials
Authors: Khaksarian M, Behzadifar M, Behzadifar M, Alipour M, Jahanpanah F, Re TS, Firenzuoli F, Zerbetto R, Bragazzi NL
Publication: Complementary Therapies in Medicine
Year: 2019
Findings: Analysis of 23 studies confirmed saffron’s effectiveness for depression and anxiety, with effects comparable to synthetic antidepressants but fewer side effects.

Title: The Effects of Saffron Supplementation on Metabolic Profiles and Oxidative Stress: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Authors: Asbaghi O, Soltani S, Norouzi N, Milajerdi A, Choobkar S, Asemi Z
Publication: Complementary Therapies in Medicine
Year: 2020
Findings: Analysis of 12 RCTs showed saffron supplementation significantly improved glycemic indices, lipid profiles, and markers of oxidative stress.

Ongoing Trials

Saffron Extract for Mild Cognitive Impairment (Phase II clinical trial, estimated completion 2024), Saffron vs. SSRIs for Treatment-Resistant Depression (Phase III clinical trial, estimated completion 2023), Saffron Extract for Diabetic Retinopathy (Phase II clinical trial, ongoing), Saffron Supplementation for Attention Deficit Hyperactivity Disorder in Children (Phase II clinical trial, recruiting), Saffron Extract for Menopausal Symptoms (Phase II clinical trial, estimated completion 2023)

Disclaimer: The information provided is for educational purposes only and is not intended as medical advice. Always consult with a healthcare professional before starting any supplement regimen, especially if you have pre-existing health conditions or are taking medications.

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