RHODIOLA ROSEA .......

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Posted by: Max32 Mar 18 2004, 10:19 PM
I have been looking into the serotonin sydrome a lot as of late, especially after hearing that Rhod rosea can contribute to this serious problem.

I have heard that one should obviously steer clear of ssri's when using rhodiola, but I was wondering about interactions with other MAOI's as rhodiola can be considered a maoi.

Specifically, curious to hear opinions on taking rhodiiola with such prods as:
-deprenyl (prob a bad idea sad.gif )
-avant H.E.A.T. (again, prob not to good of an idea)
-synephrine, ephedrine, etc....

Posted by: Adam Alsop Mar 19 2004, 09:09 AM
Let me tell you that I can't recommend Rhodiola enough! I have experienced absolutely NO side effects - and I am VERY familiar with Serotonin Syndrome.

I don't know about the first two you list, but I have had no problems taking Rhodiola with Ephedrine - works quite nice actually.

Are you considering Rhodiola as a replacement for prescription SSRIs?

--- Adam

Posted by: Ronn Mar 19 2004, 10:10 AM
Could some attach a link to a thread of article about Serotonin Syndrome? I've never heard of this malady.

Thanks

Ronn

Posted by: Max32 Mar 19 2004, 02:02 PM
this is an exerpt from where I found it:

The symptoms of the serotonin syndrome are: euphoria, drowsiness, sustained rapid eye movement, overreaction of the reflexes, rapid muscle contraction and relaxation in the ankle causing abnormal movements of the foot, clumsiness, restlessness, feeling drunk and dizzy, muscle contraction and relaxation in the jaw, sweating, intoxication, muscle twitching, rigidity, high body temperature, mental status changes were frequent (including confusion and hypomania - a "happy drunk" state), shivering, diarrhea, loss of consciousness and death. (The Serotonin Syndrome, AM J PSYCHIATRY, June 1991)

"The serotonin syndrome is generally caused by a combination of two or more drugs, one of which is often a selective sertonergic medication. The drugs which we know most frequently contribute to this condition are the combining of MAOIs with Prozac (this should also include the other SSRIs) or other drugs that have a powerful effect upon serotonin, ie, clomipramine (Anafranil), trazadone (Deseryl), etc. The combination of lithium with these selective serotonergic agents has been implicated in enhancing the serotonin syndrome. The tricyclic antidepressants, lithium, MAOIs, SSRIs, ECT (electric shock treatment), tryptophan, and the serotonin agonists (fenfluramine) all enhance serotonin neurotransmission and can contribute to this syndrome. Anything which will raise the level of serotonin can bring on this hyperserotonergic condition. The optimal treatment for the serotonin syndrome is discontinuation of the offending medication or medications, offer supportive measures, and wait for the symptoms to resolve. If the offending medication is discontinued, the condition will often resolve on its own within a 24 hour period. If the medication is not discontinued the condition can progress rapidly to a more serious state and become fatal. It should be apparent that the greater the enhancement of serotonin levels, the greater the chances of producing the serotonin syndrome. Therefore it is recommended that Zoloft, Prozac, Paxil, Luvox, Serzone, etc. not be used concurrently with each other or any other serotonergic drugs and that these serious adverse reactions should be expected with these combinations (Callahan, 1993). (PROZAC: PANACEA OR PANDORA?, p. 88)"
-------------------------------------------------

This also came from a thread:

"rosea rhod is a maoi and comt inhibitor...whichs means stay away from it if you use ssri' or X.....

it is the herbal version of a "pressor" called phenylphrine....known as neosynephrine in the hospital....make sure you guys know what you are taking


Only 14 of the nearly 200 different Rhodiola species have been studied for biochemical activity. This species contains phenylpropanoids(PPA), proanthocyanidins and flavinoids...

It assists in the uptake of more intracellular calcium into the heart (a very vague statement)thus promoting a greater potential for heart muscle contraction. Rhodiola thus regulates the heart beat and counteracts heart arrhythmias.....

wow this is a huge jump in logic....anybody everhear of calcium channel blockers....so rosea is a positive ionotrope=makes the heart beat harder,,,which over a long time will lead to LVH

reputation for stimulating the nervous system, decreasing depression, enhancing work performance, eliminating fatigue, and preventing high altitude sickness
..so it is a stimulant

The adaptogenic, cardiopulmonary protective, and central nervous system activities of Rhodiola rosea have been attributed primarily to its ability to influence levels and activity of monoamines and opioid peptides such as beta-endorphins. so it is an adaptogen....it is cardiopulmonary protective....well you could call dobutamine an adaptogen then.....if you call all of the manifestations of chf a stress(Altern Med Rev 2001;6(3):293-302)

Rhodiola rosea has been intensively studied in Russia and Scandinavia for more than 35 years. Although the majority of this research on Rhodiola rosea is unavailable for review, available literature is supportive of its adaptogenic properties
...so most of the literature is not available...how convenient

Oral administration of a water extract of Rhodiola rosea to rats for 10 days modulated biogenic monoamines in the cerebral cortex, brain stem, and hypothalamus.

In the cerebral cortex and brain stem, levels of nor-epinephrine and dopamine decreased, while the amount of serotonin increased substantially.
In the hypothalamus, the results were reversed with a 3-fold increase in the amount of norepinephrine and dopamine, and a trend toward reduced serotonin levels.

It is believed these changes in monoamine levels are a result of Rhodiola rosea inhibiting the activity of the enzymes responsible for monoamine degradation, monoamine oxidase and catechol-O-methyltransferase.
...do you know how many contraindications MAOI's have....not to mention it blocks comt/moa...thus the breakdown of %20 catecholamine.......by the way...the sides of alpha agonists....anxiety, forceful heart beat, sever hypertension with extreme headache....and rebound nasal congestion

It is also believed Rhodiola rosea facilitates the transport of neurotransmitters within the brain.11

In addition to these central effects on monoamines, Rhodiola rosea has been reported to prevent both catecholamine release(hello it just said it raised catecholamines by MAOI COMTI, neg feedback induced inhibition of catecholamines....herbal man speak with forked tongue) and subsequent cAMP elevation in the myocardium, and the depletion of adrenal catecholamines induced by acute stress(most likely because they have already been released/negative feedback).12


so....this herb is like a natural dobutamine/phenylphrine..dobutamine is for the treatment of cardiac decompensation leading to acute congestive heart failure....phenylphrine is used in shock to increase map

also...anyone with hypertension or passed history HTN...dont take this...you will end up next to all the people that take ephedra on top of HTN...6 feet under from stroke, kidney failure and a billion other things critical htn will cause

also...if you take any ssri or serotonin modulating drug ie extacy....dont take this...there would be a great chance of life threatening serotonin syndrome'


Posted by: shpongled Mar 19 2004, 03:54 PM
Max, I can assure that that is very inaccurate information.

QUOTE
"rosea rhod is a maoi and comt inhibitor...whichs means stay away from it if you use ssri' or X.....


From my article:

"The mechanisms of action of Rhodiola rosea are many. These include antioxidant activity, propyl endopeptidase inhibition [2, 5], facilitation of monoaminergic activity, and opioid receptor activation. The enzyme propyl endopeptidase metabolizes various proline-containing neuropeptides including vasopressin, substance P, thyrotropin-releasing hormone, and alpha-melanocyte-stimulating hormone, all of which may play roles in learning and memory processes [5, 7]. Indeed, other propyl endopeptidase inhibitors improve spatial memory in animal models [7-8]. Rhodiola rosea may also inhibit monoamine oxidase (MAO) and catechol-O-methyltransferase (COMT) and facilitate the transport of neurotransmittors in the brain [1]. Another mechanism of action is the release of endorphins. Russian research indicates that Rhodiola rosea induces opioid peptide biosynthesis by activating opioid receptors in both the central and peripheral nervous system [1]."

The "may" in reference to MAO and COMT is a very big "may." This effect has been theorized because rhodiola leads to various changes in monoamine levels in rats - both increases and decreases, depending on the area of the brain. It is much more likely that this is downstream to other effects of rhodiola. IOW, there is no solid evidence that rhodiola even has these effects yet. The mechanism of action is primarily related to it's effects on various peptides.

QUOTE
it is the herbal version of a "pressor" called phenylphrine....known as neosynephrine in the hospital....make sure you guys know what you are taking


Rhodiola does not raise blood pressure. In fact it reduces blood pressure increases caused by various stressors.

QUOTE
It assists in the uptake of more intracellular calcium into the heart (a very vague statement)thus promoting a greater potential for heart muscle contraction. Rhodiola thus regulates the heart beat and counteracts heart arrhythmias.....

wow this is a huge jump in logic....anybody everhear of calcium channel blockers....so rosea is a positive ionotrope=makes the heart beat harder,,,which over a long time will lead to LVH


Rhodiola's cardioprotective effects are due to increases in opioid peptides and antioxidant effects.

QUOTE
reputation for stimulating the nervous system, decreasing depression, enhancing work performance, eliminating fatigue, and preventing high altitude sickness
..so it is a stimulant


Rhodiola is not a "stimulant," unless you define the word quite loosely. It does not fit under the drug category though. It increases resistance to situations that cause fatigue, but does not have any significant direct stimulating properties. Thus the term "adaptogen."

QUOTE
The adaptogenic, cardiopulmonary protective, and central nervous system activities of Rhodiola rosea have been attributed primarily to its ability to influence levels and activity of monoamines and opioid peptides such as beta-endorphins. so it is an adaptogen....it is cardiopulmonary protective....well you could call dobutamine an adaptogen then.....if you call all of the manifestations of chf a stress(Altern Med Rev 2001;6(3):293-302)


No, there are specific criteria a substance must meet to be termed an adaptogen, dobutamine does not meet these.

QUOTE
Rhodiola rosea has been intensively studied in Russia and Scandinavia for more than 35 years. Although the majority of this research on Rhodiola rosea is unavailable for review, available literature is supportive of its adaptogenic properties
...so most of the literature is not available...how convenient


The original research is in Russian. Many of the abstracts can be found on pubmed, but not the full texts.

QUOTE
Oral administration of a water extract of Rhodiola rosea to rats for 10 days modulated biogenic monoamines in the cerebral cortex, brain stem, and hypothalamus.

In the cerebral cortex and brain stem, levels of nor-epinephrine and dopamine decreased, while the amount of serotonin increased substantially.
In the hypothalamus, the results were reversed with a 3-fold increase in the amount of norepinephrine and dopamine, and a trend toward reduced serotonin levels.

It is believed these changes in monoamine levels are a result of Rhodiola rosea inhibiting the activity of the enzymes responsible for monoamine degradation, monoamine oxidase and catechol-O-methyltransferase.


Where did this come from? Was whoever wrote it trying to pass it off as something they wrote themselves?

Anyway, I covered this above.

QUOTE
...do you know how many contraindications MAOI's have....not to mention it blocks comt/moa...thus the breakdown of %20 catecholamine.......by the way...the sides of alpha agonists....anxiety, forceful heart beat, sever hypertension with extreme headache....and rebound nasal congestion


Literally tons of the substances in foods we eat, and in drugs we take are MAOI's. It only really matters if a drug is a particularly potent MAOI. So you can't really extrapolate much just from knowing that a drug is an MAOI. It depends on the isoenzyme it inhibits, and what the potency is in various tissues in vivo. And like I said the MAO effect of rhodiola is purely theoretical. There are plenty of other things that more adequately explain its effects.

QUOTE
It is also believed Rhodiola rosea facilitates the transport of neurotransmitters within the brain.11

In addition to these central effects on monoamines, Rhodiola rosea has been reported to prevent both catecholamine release(hello it just said it raised catecholamines by MAOI COMTI, neg feedback induced inhibition of catecholamines....herbal man speak with forked tongue) and subsequent cAMP elevation in the myocardium, and the depletion of adrenal catecholamines induced by acute stress(most likely because they have already been released/negative feedback).12


so....this herb is like a natural dobutamine/phenylphrine..dobutamine is for the treatment of cardiac decompensation leading to acute congestive heart failure....phenylphrine is used in shock to increase map

also...anyone with hypertension or passed history HTN...dont take this...you will end up next to all the people that take ephedra on top of HTN...6 feet under from stroke, kidney failure and a billion other things critical htn will cause

also...if you take any ssri or serotonin modulating drug ie extacy....dont take this...there would be a great chance of life threatening serotonin syndrome'


This is all completely 100% wrong.

Can you point me to where this was posted?





Posted by: shpongled Mar 19 2004, 03:57 PM
QUOTE (Ronn @ Mar 19 2004, 10:10 AM)
Could some attach a link to a thread of article about Serotonin Syndrome? I've never heard of this malady.

Thanks

Ronn

Serotonin syndrome can occur when multiple drugs that increase serotonin concentrations/sensitivity are combined.

It is quite uncommon.

Posted by: crazylegs Mar 19 2004, 04:54 PM
Shplonged, I think Max copied it from the Avant board I don't believe he was the one who wrote it.

Anyway thanks for the good info.



Posted by: Max32 Mar 19 2004, 05:15 PM
QUOTE (crazylegs @ Mar 19 2004, 04:54 PM)
Shplonged, I think Max copied it from the Avant board I don't believe he was the one who wrote it.

Anyway thanks for the good info.

yeah, it was over at avant, I was skeptical of this guy's finding s to say the least as I have had nothing but good results with rohodiola as of yet. I think I was coming down with a slight virus or something that was making me tired. No biggy though....
Shplonged, so you do not see any inherent issues with stacking rhod and HEAT?

Posted by: shpongled Mar 20 2004, 01:49 PM
QUOTE (Max32 @ Mar 19 2004, 05:15 PM)
QUOTE (crazylegs @ Mar 19 2004, 04:54 PM)
Shplonged, I think Max copied it from the Avant board I don't believe he was the one who wrote it.

Anyway thanks for the good info.

yeah, it was over at avant, I was skeptical of this guy's finding s to say the least as I have had nothing but good results with rohodiola as of yet. I think I was coming down with a slight virus or something that was making me tired. No biggy though....
Shplonged, so you do not see any inherent issues with stacking rhod and HEAT?

I don't see any problems, no - but I don't know a lot about the ingredients in HEAT.

Posted by: Alex22137 Apr 3 2004, 09:44 AM
I just bought this stuff from Bulk Nutrition, and it came in a plain white container with no instructions, just like they said it would. I read the article on this site, but is still unclear about what is an average serving size and frequency. Can anybody suggest anything in this regard? Thanks a bunch!!!

Posted by: shpongled Apr 3 2004, 03:53 PM
QUOTE (Alex22137 @ Apr 3 2004, 09:44 AM)
I just bought this stuff from Bulk Nutrition, and it came in a plain white container with no instructions, just like they said it would. I read the article on this site, but is still unclear about what is an average serving size and frequency. Can anybody suggest anything in this regard? Thanks a bunch!!!

200-500 mg split between 1-3 doses.

Posted by: Adam Alsop Apr 12 2004, 08:47 AM
I don't know where Avant got all that info, but all the research I did on RR before I started taking it - and I did a LOT of it - backs up what shpongled had to say. I've tried several of the SSRIs on the market - and the FDA has just come out with a cautionary advisory on them, stopping just short of recommending that they not be prescribed (as an aside, I'm waiting to hear back from one of the FDA doctors quoted in the article) - and RR is SO much more effective. Personally, I am VERY drug-resistant and I take four (4) 00 capsules of RR (5 if I think it's going to be an exceptionally stressful day) - in the morning, and occasionally a couple more halfway through the day. I don't know what the precise amount of that is, but I know it work great for me.

I really think that this is going to be a tremendously popular herbal in the next few years, once people start learning of it and what it can do for you. I wouldn't be surprised to find that it could replace the need for SSRIs entirely. Let's face it, the intent of SSRIs is to raise the level of free seratonin in the brain, they do that be INHIBITING (ie, depressing) certain seratonin re-uptake receptors. The problem is, the inhibiting of those receptors also has MANY undesireable side-effects, as those receptors are not ONLY for seratonin re-uptake. Thinking "logically" then, what is the only other way to raise seratonin levels? How about directly??? Currently, aside from those herbals that indirectly raise seratonin levels (5-HTP, St John's Wort, & RR), there is only one seratonin supplement - Serotab (www.serotab.com) - and surprisingly, it's marketed mainly as a weight-loss supplement. While I like Serotab, I noticed that it does still tend to make me just a bit drowsy during the day (so I take that at night, before bed). RR, on the other hand, actually sharpens and focuses my attention.

I really can't say enough good things about RR - believe me, I was a completely different person before I started taking it daily.

--- Adam

Posted by: Warren22578 Apr 17 2004, 03:13 PM
can this product be mixed with water or what could i mix it with instead using caps?

Posted by: dafatguy Nov 6 2004, 10:09 PM
What if you use a beno like xanax every day?Would RR be safe?

Posted by: lancelot Nov 7 2004, 04:37 AM
QUOTE (Adam Alsop @ Apr 12 2004, 08:47 AM)


I really think that this is going to be a tremendously popular herbal in the next few years, once people start learning of it and what it can do for you. I wouldn't be surprised to find that it could replace the need for SSRIs entirely.
--- Adam

Unfortunately, if RR does become popular enough to somewhat replace SSRI's, the pharm industry will have the FDA ban it as a "dangerous" supplement.

Posted by: Luo Han Guo Nov 7 2004, 08:31 PM
How much is usually taken?
Rhodiola has a more stimulating effect at lower amounts, and a more sedating effect at higher amounts. In medical treatment, the usual amounts taken are 200 to 600 mg per day of a standardized extract to at least 3% rosavins and 0.8 to 1% salidroside.3 The nonstandardized amount would be 1 gram three times daily of the root, the amount for the alcoholic extract (40% alcohol) is 5 to 40 drops two to three times per day (with a weight to volume ratio of 1:1 to 1:5 ). Rhodiola is usually taken before meals.



Are there any side effects or interactions?
The safety of rhodiola has not been firmly established. However, rhodiola has a history of centuries of folk use and has been the subject of many clinical studies. No side effects or interactions have been reported. Animal studies indicate that rhodiola has a low level of toxicity, and that there is a huge margin of safety at the typical recommended intake amounts.4 There is no information available about the safety of rhodiola in pregnancy or lactation.

At the time of writing, there were no well-known drug interactions with Rhodiola.


quoted from: http://www.ec51.com/en/web/productinfo.php?pid=30268

Posted by: poison Nov 8 2004, 03:23 PM
Fascinating stuff. It sounds like something I've experienced in the past occasionally: incessant muscle twitches (eyelid, arm, shoulder, or thigh) for several days; a feeling of restlessness, like I can't sit still or I will crawl out of my skin; a feeling, usually just after going to bed, of one of my legs being posessed, nervous, or jumpy that is almost unbearable. No pain involved in any of that, just a weird feeling of needing to move or do something that is specific to one body part and out of my control.

I've also had an occasional heart flutter, which is not painful, but just feels like it is, well, fluttering. It only lasts about 3-5 second, and happens once every couple months or more.

I understand it is normal.

The other stuff is freaky. It sounds funny, and kind of is, but it is severly annoying.

I've never taken RR, 5-HTP, or anything similar drug-wise.

Nate

Posted by: WardrobeMalfunction Nov 8 2004, 07:09 PM
I currently take an SSNRI (Cymbalta) and use Scorch (has Rhodiola) . No side effects noticed.

Posted by: Dante B. Nov 9 2004, 01:15 PM
QUOTE
What if you use a beno like xanax every day?Would RR be safe?


No one could answer that with certainty. Unlike a pharmaceutical entity, herbals such as rhodiola contain a diverse pool of psychoactive substances - some or many of which being poorly understood. What I said above also applies to the issue of pharmaceutical entities and herbal counterparts.

A potential for a negative interaction does exist, as it would seem. As with all things, that depends on the individual.


Posted by: dafatguy Nov 9 2004, 10:25 PM
QUOTE (Dante B. @ Nov 9 2004, 01:15 PM)
QUOTE
What if you use a beno like xanax every day?Would RR be safe?


No one could answer that with certainty. Unlike a pharmaceutical entity, herbals such as rhodiola contain a diverse pool of psychoactive substances - some or many of which being poorly understood. What I said above also applies to the issue of pharmaceutical entities and herbal counterparts.

A potential for a negative interaction does exist, as it would seem. As with all things, that depends on the individual.

Thank you for the reply guess ill have to try and see.I'll let you know how it goes.

Posted by: ss4krillon Feb 22 2006, 12:42 PM
hello, i am wondering about rhodiola rosea. i want to try proloftin, which has this in it. my problem is i am currently taking clonazepam - .125 mg. once daily and amitriptyline - 5 mg. at night. i know these are low doses. will i encounter any problems taking these with the proloftin. the rhodiola rosea was my main issue. other ingredients in proloftin is : phosphatidyl serine, l-theanine, magnolia bark and beta sitosterol. thanks for any input.

Posted by: Sal86971 Feb 22 2006, 02:34 PM
QUOTE (lancelot @ Nov 7 2004, 04:37 AM)
QUOTE (Adam Alsop @ Apr 12 2004, 08:47 AM)


I really think that this is going to be a tremendously popular herbal in the next few years, once people start learning of it and what it can do for you.  I wouldn't be surprised to find that it could replace the need for SSRIs entirely. 
          --- Adam

Unfortunately, if RR does become popular enough to somewhat replace SSRI's, the pharm industry will have the FDA ban it as a "dangerous" supplement.

Well said. I hope stuff that works never becomes popular or the pitbulls (politicians) will ban it as per their masters wish (pharmaceutical industry)

Posted by: Rascal Feb 22 2006, 02:53 PM
QUOTE (Luo Han Guo @ Nov 7 2004, 08:31 PM)
How much is usually taken?
Rhodiola has a more stimulating effect at lower amounts, and a more sedating effect at higher amounts. In medical treatment, the usual amounts taken are 200 to 600 mg per day of a standardized extract to at least 3% rosavins and 0.8 to 1% salidroside.3 The nonstandardized amount would be 1 gram three times daily of the root, the amount for the alcoholic extract (40% alcohol) is 5 to 40 drops two to three times per day (with a weight to volume ratio of 1:1 to 1:5 ). Rhodiola is usually taken before meals.



Are there any side effects or interactions?
The safety of rhodiola has not been firmly established. However, rhodiola has a history of centuries of folk use and has been the subject of many clinical studies. No side effects or interactions have been reported. Animal studies indicate that rhodiola has a low level of toxicity, and that there is a huge margin of safety at the typical recommended intake amounts.4 There is no information available about the safety of rhodiola in pregnancy or lactation.

At the time of writing, there were no well-known drug interactions with Rhodiola.


quoted from: http://www.ec51.com/en/web/productinfo.php?pid=30268

I agree. RR is actually better for me anyway taken at smaller dose . I take 1 large capsule packed tightly and thought I was crazy but did /still do notice energy from it great pre workout supplement.

Trick is to much you feel to relaxed not what you want pre workout if thats what you take it for. When I took 2 capsules felt like taking it easy at 1 capsule an hour later cant wait to get to gym.

For some one packed large capsule might be to much or not enough. Its underrated stuff . Nasty tasting but I cap it.