The research behind saffron
36 peer-reviewed studies — randomised trials, meta-analyses and systematic reviews — each linked to its record in the US National Library of Medicine, so every one can be read in full rather than taken on our word.
Last reviewed
How to read the grades
- A — human randomised trials plus meta-analysis
- B — human randomised trials, limited in number or size
- C — mechanistic, animal or laboratory work. Interesting, and not evidence of an effect in people
The C-grade work is listed rather than left out. Showing only the strongest evidence would make a weaker case look like a settled one.
Stress & mood
8 studies
Mahmoudi R et al. · Nutritional Neuroscience, 2026
Grade AEffect of saffron on depression, anxiety and mood disorder: a GRADE assessed systematic review and meta-analysis of 34 randomized controlled trials
34 RCTs, 1,769 participants. Beck Anxiety Inventory WMD −5.06 (p=0.003). GRADE certainty: moderate.
PubMed 41693488Marx W et al. · Nutrition Reviews, 2019
Grade AEffect of saffron supplementation on symptoms of depression and anxiety: a systematic review and meta-analysis
23 RCTs. Anxiety Hedges' g = 0.95 (p<0.006); depression g = 0.99 (p<0.001).
PubMed 31135916Han S et al. · Phytotherapy Research, 2024
Grade ANew horizons for the study of saffron and its active ingredients in the management of neurological and psychiatric disorders
46 RCTs. Pooled anxiety effect −3.75 (95% CI −5.83 to −1.67). Non-inferior to conventional drugs.
PubMed 38424688Shafiee A et al. · Nutrition Reviews, 2025
Grade AEffect of Saffron Versus Selective Serotonin Reuptake Inhibitors (SSRIs) in Treatment of Depression and Anxiety: A Meta-analysis of RCTs
No significant difference vs SSRIs, with significantly fewer adverse events.
PubMed 38913392Mazidi M et al. · J Complementary & Integrative Medicine, 2016
Grade AA double-blind, randomized and placebo-controlled trial of Saffron (Crocus sativus L.) in the treatment of anxiety and depression
100 mg/day × 12 weeks. Significant BAI and BDI improvement vs placebo (p<0.001).
PubMed 27101556Jackson PA et al. · Frontiers in Nutrition, 2021
Grade AEffects of Saffron Extract Supplementation on Mood, Well-Being, and Response to a Psychosocial Stressor in Healthy Adults
30 mg/day × 8 wks in healthy adults. Attenuated stress-induced HRV drop; urinary crocetin rose.
PubMed 33598475Lopresti AL et al. · J Affective Disorders, 2018
Grade Aaffron®, a standardised saffron extract for the treatment of youth anxiety and depressive symptoms
Ages 12–16. Total internalising symptoms −33% vs −17% placebo (p=0.029).
PubMed 29510352Lopresti AL et al. · Journal of Nutrition, 2025
Grade AAn Examination into the Effects of a Saffron Extract (Affron) on Mood and General Wellbeing in Adults Experiencing Low Mood
n = 202 — largest saffron trial to date. 28 mg/day × 12 wks; 72.3% vs 54.3% clinically significant response.
PubMed 40414301
Vision
7 studies
Broadhead GK et al. · Graefe's Archive for Clinical & Experimental Ophthalmology, 2019
Grade A/BSaffron therapy for the treatment of mild/moderate age-related macular degeneration: a randomised clinical trial
n=100, double-blind crossover, 20 mg/day. BCVA +0.69 letters (p=0.001); benefit additional to AREDS supplements.
PubMed 30343354Broadhead GK et al. · BMJ Open Ophthalmology, 2024
Grade A/BSaffron therapy for the ongoing treatment of age-related macular degeneration
Long-term follow-up — supports sustained rather than short-term use.
PubMed 38485112Falsini B et al. · Investigative Ophthalmology & Visual Science, 2010
Grade A/BInfluence of saffron supplementation on retinal flicker sensitivity in early age-related macular degeneration
The landmark study (155 citations). fERG amplitude +0.25 log µV (p<0.01) at 20 mg/day.
PubMed 20688744Sepahi S et al. · American Journal of Ophthalmology, 2018
Grade A/BEffects of Crocin on Diabetic Maculopathy: A Placebo-Controlled Randomized Clinical Trial
15 mg/day crocin significantly improved BCVA, reduced macular thickness and HbA1c.
PubMed 29550187Piccardi M et al. · Nutrients, 2019
Grade A/BAntioxidant Saffron and Central Retinal Function in ABCA4-Related Stargardt Macular Dystrophy
Retinal function preserved on saffron; declined on placebo.
PubMed 31618812Sepahi S et al. · Current Neuropharmacology, 2021
Grade A/BPharmacological Effects of Saffron and its Constituents in Ocular Disorders from in vitro Studies to Clinical Trials: A Systematic Review
29 studies across AMD, glaucoma, diabetic maculopathy.
PubMed 32379589Shamabadi A et al. · Medical Hypothesis, Discovery & Innovation in Ophthalmology, 2024
Grade A/BCrocus sativus (saffron) and age-related macular degeneration
Effective dose range confirmed: 20–50 mg/day saffron or 5–15 mg/day crocin, 3–12 months. Safe and well tolerated.
PubMed 39507811
Monthly comfort
6 studies
Mohammadi MM et al. · Korean Journal of Family Medicine, 2026
Grade A/BEffect of saffron on premenstrual syndrome and dysmenorrhea: a systematic review and meta-analysis
PMS SMD −0.64 (95% CI −0.84 to −0.44); dysmenorrhea SMD −0.51. Your single best citation for this claim.
PubMed 41151539Hasheminasab FS et al. · Phytotherapy Research, 2024
Grade A/BTherapeutic effects of saffron (Crocus sativus L) on female reproductive system disorders: A systematic review
Broad systematic review across PMS, dysmenorrhea and related disorders.
PubMed 38558480Agha-Hosseini M et al. · BJOG: An International Journal of Obstetrics & Gynaecology, 2008
Grade A/BCrocus sativus L. (saffron) in the treatment of premenstrual syndrome: a double-blind, randomised and placebo-controlled trial
233 citations — the foundational trial. 30 mg/day × 2 cycles; significant vs placebo. Published in a top-tier obstetrics journal.
PubMed 18271889Nahid K et al. · Journal of Midwifery & Women's Health, 2009
Grade A/BThe effect of an Iranian herbal drug on primary dysmenorrhea: a clinical controlled trial
n=180. Saffron-containing extract reduced pain more than mefenamic acid.
PubMed 19720342Rajabi F et al. · Advanced Biomedical Research, 2020
Grade A/BSaffron for the Management of Premenstrual Dysphoric Disorder: A Randomized Controlled Trial
n=120 vs fluoxetine vs placebo. Superior to placebo; fewer adverse effects than fluoxetine.
PubMed 33457343Fukui H et al. · Phytomedicine, 2011
Grade A/BPsychological and neuroendocrinological effects of odor of saffron (Crocus sativus)
Reduced cortisol and STAI anxiety in both follicular and luteal phases.
PubMed 21242071
Sleep & liver
5 studies
Pachikian BD et al. · Nutrients, 2021
Grade BEffects of Saffron Extract on Sleep Quality: A Randomized Double-Blind Controlled Clinical Trial
n=66. Only 15.5 mg/day — a dose 15 strands can plausibly reach. Actigraphy-confirmed improvement in sleep latency, duration and PSQI global score.
PubMed 33925432Tajaddini A et al. · International Journal of Clinical Practice, 2021
Grade BSaffron improves life and sleep quality, glycaemic status, lipid profile and liver function in diabetic patients
Human RCT covering both sleep quality and liver function — supports either replacement claim.
PubMed 33960081Rezaee-Khorasany A et al. · Journal of Ethnopharmacology, 2019
Grade BEffect of saffron aqueous extract on ethanol toxicity in rats
Animal. Protected liver and kidney against ethanol-induced oxidative stress and inflammation.
PubMed 30926569Shoja M et al. · Journal of Pharmacopuncture, 2018
Grade BThe Prophylactic and Therapeutic Effects of Saffron Extract and Crocin on Ethanol Withdrawal Syndrome in Mice
Animal. Comparable to diazepam on withdrawal measures.
PubMed 30652054Azizi M et al. · Journal of Inflammation Research, 2019
Grade BCrocus sativus L. petal hydroalcoholic extract on inflammatory and enzymatic indices resulting from alcohol use
Animal. Dose-dependent reduction in hepatic and renal enzymes after alcohol exposure.
PubMed 31632125
Skin
5 studies
Bahari H et al. · Phytotherapy Research, 2025
Grade C/BCrocin Supplementation on Inflammation and Oxidative Stress: A Systematic Review and Meta-Analysis
13 human RCTs. Oral crocin significantly CRP, TNF-α, IL-6 and total antioxidant capacity. This is your strongest human evidence for the skin claim.
PubMed 39632602Rigi H et al. · Current Pharmaceutical Design, 2021
Grade C/BDermoprotective Effects of Saffron: A Mini Review
Antioxidant, antimicrobial, depigmenting and skin-repairing activity; basis for cosmetic formulation.
PubMed 34544335Fagot D et al. · International Journal of Cosmetic Science, 2018
Grade C/BCrocin, a natural molecule with potentially beneficial effects against skin ageing
In human keratinocytes and dermal fibroblasts: protects squalene against UVA peroxidation, blocks inflammatory mediators.
PubMed 29893408Acero N et al. · Antioxidants (Basel), 2024
Grade C/BEffects of Crocus sativus L. Floral Bio-Residues Related to Skin Protection
Recent peer-reviewed skin-protection data.
PubMed 38539891Mafi A et al. · Nutrition Reviews, 2025
Grade C/BEffect of Saffron (Crocus sativus) Supplementation on Oxidative Stress, Inflammatory Indices, and Renal and Liver Function
Human meta-analysis — systemic antioxidant/anti-inflammatory effect.
PubMed 39657222
Foundation reviews
5 studies
Butnariu M et al. · Oxidative Medicine and Cellular Longevity, 2022
Grade BThe Pharmacological Activities of Crocus sativus L
PubMed 35198096Cerdá-Bernad D et al. · Critical Reviews in Food Science and Nutrition, 2022
Grade BSaffron bioactives crocin, crocetin and safranal: effect on oxidative stress and mechanisms of action
PubMed 33356506Anaeigoudari F et al. · Physiological Reports, 2023
Grade BA review of therapeutic impacts of saffron (Crocus sativus L.) and its constituents
PubMed 37537722Khazdair MR et al. · Avicenna Journal of Phytomedicine, 2015
Grade BThe effects of Crocus sativus (saffron) and its constituents on nervous system: A review
PubMed 26468457Goyal A et al. · Annals of Medicine & Surgery, 2024
Grade BSaffron extract as an emerging novel therapeutic option in reproduction and sexual health
PubMed 38694315
This page summarises published research. It is not medical advice. Saffron is a food, not a treatment for any condition, and the doses used in these trials are supplements taken under supervision rather than amounts used in cooking. If you are pregnant, breastfeeding, taking prescribed medication or managing a health condition, speak to a doctor first.
Reading further: what the research shows · Saffron Stories
