Does Lemon Balm Tea Lower Blood Pressure?

The herb Melissa officinalis, commonly known as lemon balm, has been used for centuries in traditional medicine, primarily for its calming properties. This perennial member of the mint family emits a distinct, pleasant lemon scent when its leaves are bruised, making it a popular ingredient in culinary applications and herbal teas. Drinking lemon balm tea has been associated with various health benefits, including relief from stress and promotion of sleep. This analysis investigates the specific claim regarding whether consuming lemon balm tea can effectively lower blood pressure, examining the scientific evidence that supports this traditional use.

The Science Behind Blood Pressure Effects

Multiple human studies have addressed whether lemon balm can lower blood pressure, yielding generally positive results, particularly for individuals with elevated blood pressure. A double-blind, randomized crossover clinical trial involving patients with essential hypertension found that consuming M. officinalis extract significantly decreased both systolic and diastolic blood pressure compared to a placebo group. Participants experienced a substantial reduction in their blood pressure measurements after a four-week intervention period.

Additional research, including a pooled analysis of randomized controlled trials, suggests a statistically significant reduction in systolic blood pressure following lemon balm supplementation. While this meta-analysis did not find a significant effect on diastolic blood pressure across all pooled studies, the consistent effect on the systolic reading indicates a measurable cardiovascular action. A more recent clinical trial focusing on patients with stage 1 hypertension noted that M. officinalis demonstrated superior efficacy in reducing both systolic and diastolic blood pressure compared to a control group.

Biological Mechanisms of Action

Lemon balm’s potential to influence blood pressure stems from several active compounds that engage distinct physiological pathways. One primary mechanism involves a direct effect on the vascular system due to phenolic compounds, such as rosmarinic acid. Rosmarinic acid promotes vasorelaxant effects on the endothelium, the inner lining of blood vessels.

This vasodilation, or widening of the blood vessels, is often linked to the activation of the nitric oxide (NO) pathway. NO is a signaling molecule that tells the smooth muscles in the vessel walls to relax. By reducing the resistance to blood flow within the arteries, this direct vascular action contributes to a decrease in overall blood pressure.

The other significant mechanism is indirect, capitalizing on the herb’s calming properties. Lemon balm contains compounds that interact with the central nervous system, particularly the gamma-aminobutyric acid (GABA) receptors, which reduce nerve excitability. By promoting an anxiolytic or anti-anxiety effect, lemon balm can mitigate the impact of stress-induced hypertension. The herb’s ability to dampen the nervous system response offers a valuable secondary pathway for blood pressure management.

Practical Usage, Preparation, and Dosage

To prepare a therapeutic cup of lemon balm tea, both fresh and dried leaves of Melissa officinalis can be used. When using dried leaf, steep approximately 1.5 to 4.5 grams of the herb in 150 milliliters of hot water. The optimal steeping time is generally between five and ten minutes to ensure the extraction of the active compounds.

It is important to use water that is near boiling temperature to maximize the release of beneficial elements, including the water-soluble rosmarinic acid. For those seeking an effect on cardiovascular health or stress, this preparation may be consumed several times throughout the day. Studies involving concentrated extracts have used dried leaf dosages generally ranging from 700 milligrams up to 4 grams per day.

Safety Considerations and Drug Interactions

Lemon balm is generally considered safe for most people, and side effects are typically mild, sometimes including nausea, dizziness, or increased sedation. However, individuals currently taking prescription medications, especially those related to cardiovascular or thyroid health, must exercise caution and consult a healthcare provider before consumption.

The herb’s blood pressure-lowering effect means it could potentially potentiate the action of prescribed antihypertensive drugs, leading to an excessive drop in blood pressure. Lemon balm may also interfere with thyroid function, potentially decreasing the effectiveness of thyroid hormone replacement therapy. Due to its sedative properties, combining lemon balm with other sedative medications, including those used for anxiety or sleep, could result in excessive drowsiness. Individuals undergoing surgery should cease use at least two weeks prior. Those with diabetes should monitor their blood sugar closely as lemon balm might also lower glucose levels.