Daily supplementation with lemon verbena extract decreases subjective energy and parental reports of hyperactivity in children displaying sub-clinical attention deficit hyperactivity disorder-type behaviours: A randomised controlled trial

Philippa A. Jackson*, Ellen F. Smith, Joanne Forster, Jessica Greener, Anna Small, David O. Kennedy, Cynthia Suarez*, Andressa Blainski, Ivo Pischel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background:
Current treatment options for attention deficit hyperactivity disorder (ADHD) are limited by factors such as adherence and cost, whilst no treatment options are available for sub-clinical or undiagnosed ADHD. Herbal preparations may therefore offer an alternative approach to the management of symptoms; Aloysia citriodora Paláu (lemon verbena) is a promising candidate.

Aim:
To assess the behavioural, cognitive, psychological and physiological effects of 56 days of supplementation with lemon verbena extract (LVE) in children exhibiting symptoms of ADHD at the sub-clinical level.

Methods:
This exploratory study followed a randomised, double-blind parallel groups design wherein 120 healthy participants aged 8–17 years received 15 mg/kg bw/d LVE or matched placebo for 56 days. Behavioural, cognitive, mood and physiological measures were collected in the lab at baseline and 28 and 56 days post-dose. Parents also evaluated the child’s behaviour throughout the study.

Results:
Participants who received LVE reported greater subjective fatigue, defined as reduced energy levels according to the Profile of Mood States subscale, without impairments in cognitive performance across the 56-day intervention and lower depression symptoms on day 56, compared to placebo. The effect of LVE on parent ratings of hyperactive/impulsive behaviour also approached significance with fewer concerns being reported following the active treatment. Exploratory analyses showed further benefits to cognition and mood.

Conclusions:
This study revealed novel, beneficial effects of LVE supplementation in children exhibiting a high frequency of behaviours characteristic of ADHD. Overall, LVE was safe and well-tolerated by participants, with no unexpected safety events.
Original languageEnglish
Pages (from-to)825-835
Number of pages11
JournalJournal of Psychopharmacology
Volume39
Issue number8
Early online date18 Apr 2025
DOIs
Publication statusPublished - 1 Aug 2025

Keywords

  • lemon verbena
  • lippia citriodora
  • aloysia citriodora
  • ADHD
  • cognition

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