Sideritis scardica (Greek Mountain Tea)

Sideritis scardica
Evidence Level
Limited
7 Clinical Trials
6 Documented Benefits
2/5 Evidence Score

Sideritis scardica (ironwort, or Greek mountain tea) is a flowering herb from the mountains of the Balkans and Greece, brewed as a daily tea and traditionally taken for coughs, colds and upset stomachs. Its main plant compounds are flavonoid glycosides and phenylethanoid glycosides such as verbascoside. One randomized placebo-controlled trial in 155 healthy older adults compared a standardized extract with placebo and a ginkgo comparison and found fewer attention errors and lower state anxiety after a month, with more prefrontal blood flow during mental tasks on day one. The human evidence is this one small, maker-funded trial, not yet repeated. Laboratory and animal work points to monoamine reuptake and antioxidant actions. It is usually taken as a cup of tea or a few hundred milligrams of extract, and the traditional respiratory and digestive use is background, not proof.

Studied Dose The human trial used a standardized extract at 475 or 950 mg a day for 28 days, with the clearer effects at 950 mg. Traditionally it is drunk as a tea made from about 1 to 2 teaspoons of dried aerial parts per cup.
Active Compound Flavonoid glycosides (isoscutellarein and hypolaetin derivatives, apigenin) and phenylethanoid glycosides (verbascoside).

Benefits

Attention accuracy and speed in healthy older adults

In a randomized placebo-controlled trial in 155 adults aged 50 to 70, a standardized extract at 950 mg a day produced fewer false alarms on a rapid visual attention task after 28 days and helped hold picture-recognition accuracy steady, while speed of attention trended faster than a ginkgo comparison. The effects were specific and mostly at the higher dose.

Blood flow in the front of the brain during mental tasks

Using near-infrared spectroscopy in a subset of the same trial, both extract doses raised oxygenated hemoglobin and oxygen saturation in the prefrontal cortex while volunteers performed demanding tasks on the first day of use. This blood-flow change was seen acutely and was not found again after 28 days of daily use.

State anxiety and calm in healthy older adults

In the same trial, 950 mg a day of the extract lowered self-rated state anxiety after 28 days compared with both placebo and the ginkgo comparison. This was one outcome in one small trial that was funded by an extract maker, so it needs to be confirmed by independent groups before much is made of it.

Memory and learning in laboratory and animal studies

In aged mice and in mice bred to model amyloid build-up, daily oral extract improved memory and learning tests and reduced amyloid in brain tissue in a maker-linked study. These are animal findings used to explore how the herb might act and have not been shown as memory benefits in healthy people.

Antioxidant capacity and redox markers in healthy adults

In a 4-week randomized placebo-controlled trial in 28 healthy adults, a standardized extract raised total antioxidant capacity in blood and lowered a marker of lipid peroxidation. The researchers also recorded lower resting blood pressure and heart rate and small falls in two liver enzymes over the same period.

Traditional use as a mountain tea for everyday wellness

Across the Balkans and Greece the dried flowering tops have long been brewed as a daily tea and used in folk practice for coughs, colds and digestive upset. This is traditional and cultural use, recorded in ethnobotanical reviews rather than shown in controlled trials, and is offered here only as background.

Mechanism of action

1

Polyphenols that reach the bloodstream after drinking the tea

After people drink the tea, flavonoid and phenolic-acid breakdown products appear in urine, showing the polyphenols are absorbed, though only a small share is recovered. Metabolites of flavonoids such as isoscutellarein and apigenin dominate. This confirms the body is exposed to the compounds, not any specific brain effect.

2

Monoamine reuptake inhibition in laboratory tests

In test-tube studies using brain tissue preparations and human cells, alcohol and water extracts slowed the reuptake of serotonin, noradrenaline and dopamine, the messengers targeted by some mood medicines. This is a laboratory finding that offers a possible explanation for the mood signal but has not been measured in people.

3

Antioxidant and amyloid-clearing actions in preclinical models

In cell and animal studies, Sideritis polyphenols scavenged free radicals and, in mouse models, were linked to clearance of amyloid protein through increased activity of the ADAM10 enzyme and immune cells in the brain. These mechanisms come from laboratory and animal work, not from people.

Clinical trials

1
Greek Mountain Tea Extract, Cognition and Mood: Randomized Controlled Trial
PubMed

Randomized, double-blind, placebo-controlled parallel-groups trial of a Sideritis scardica extract at 475 or 950 mg a day, with a 240 mg ginkgo comparison, tested after a single dose and after 28 days in healthy older adults; several authors were employees of the extract maker. (Wightman et al. 2018, Nutrients)

155 men and women aged 50 to 70; cognition measured in 140, mood in 142, blood pressure in 133 and cerebral blood flow in 57.

At 950 mg a day the extract gave fewer false alarms on a rapid visual attention task at day 28, lower state anxiety at day 28, and better held picture-recognition accuracy; speed of attention only trended faster. Both doses raised prefrontal blood-flow markers on day 1 but not at day 28. Primary outcomes were mixed and most effects appeared only at the higher dose.

2
SidTea+ Extract, Antioxidant Status and Physiology: Randomized Controlled Trial
PubMed

Randomized, double-blind, placebo-controlled trial of a standardized Sideritis scardica extract (SidTea+) at 1,500 mg a day for 4 weeks in healthy adults. (Papanikolaou et al. 2024, Molecules)

28 healthy adults.

The extract raised total antioxidant capacity and lowered a plasma lipid-peroxidation marker versus placebo, and was followed by lower resting systolic blood pressure, mean arterial pressure and heart rate and small falls in two liver enzymes. It did not measure cognition or mood. A small, short trial.

3
Mountain Tea and Drug-Metabolizing Enzymes in Healthy Volunteers
PubMed

Open-label human study measuring several Phase I and II drug-metabolizing enzymes before and after 6 days of Sideritis scardica tea, using caffeine and paracetamol marker ratios. (Begas et al. 2018, Food Chem Toxicol)

14 healthy volunteers.

Usual tea drinking did not meaningfully change most enzymes (CYP1A2, xanthine oxidase, NAT2, UGT1A1/1A6). CYP2A6 activity fell significantly in men only, hinting at a possible herb-drug interaction for that enzyme. There was no placebo group.

4
Polyphenols in Urine After a Cup of Mountain Tea
PubMed

Human feeding study measuring flavonoid and phenolic-acid metabolites in urine over 24 hours after drinking a characterized Sideritis scardica decoction. (Petreska Stanoeva and Stefova 2013, J Agric Food Chem)

10 healthy volunteers.

Many flavonoid and phenolic-acid metabolites appeared in urine, confirming the tea's polyphenols are absorbed; recovery in urine was about 5% of intake, with flavonoid metabolites making up most of it. A bioavailability study, not a health-outcome trial.

5
Sideritis Extracts and Memory in Aged and Alzheimer-Model Mice
PubMed

Controlled animal study of daily oral Sideritis euboea and Sideritis scardica extracts on cognition and brain amyloid in aged normal mice and in amyloid-model mice; two authors were from the extract maker. (Hofrichter et al. 2016, J Alzheimers Dis)

Aged normal mice and amyloid precursor protein transgenic mice (an animal study).

Daily extract improved memory and learning tests in both aged and amyloid-model mice, most strongly when the two species were combined, and lowered brain amyloid with signs of increased clearance. An animal study; it does not show a memory benefit in people.

6
Brain Electrical Activity Fingerprint of Sideritis in Rats
PubMed

Experimental study recording quantitative EEG from implanted electrodes in freely moving rats and matching the pattern of several herbal extracts against those of known drugs. (Dimpfel 2013, J Ethnopharmacol)

Freely moving rats (an animal study).

The Sideritis scardica extract, like Rhodiola, produced an EEG pattern resembling those of a psychostimulant and an antidepressant drug. This is an animal brain-activity signature used to classify extracts, not a measure of symptoms or behavior in people.

7
Triple Monoamine Reuptake Inhibition by Sideritis Extracts in the Laboratory
PubMed

Laboratory study of Sideritis scardica extracts on serotonin, noradrenaline and dopamine reuptake in rat brain synaptosomes and on serotonin reuptake in human cells. (Knorle 2012, J Neural Transm)

Rat brain synaptosomes and human JAR cells (a laboratory study).

All extracts slowed reuptake of all three monoamines, with alcohol extracts stronger than water extracts and the strongest effect on the human serotonin transporter. A test-tube mechanism the author linked to possible mood uses; no people were studied.

Side effects and drug interactions

Common Potential side effects

Human trials so far are small and short, so the full side-effect picture is not well mapped. In the 28-day cognition trial and the 4-week antioxidant trial the extract was generally well tolerated.
Because laboratory work shows the extract can slow serotonin reuptake, be cautious about combining it with prescription antidepressants or other serotonergic medicines, and ask a doctor first.
Sideritis is in the mint family (Lamiaceae); people allergic to related plants should be cautious.
Safety in pregnancy and breastfeeding has not been studied; avoid unless a doctor advises otherwise.
Coughs, colds and digestive complaints have medical causes; this tea is not a treatment for them, and symptoms that persist need a clinician.

Important Drug interactions

Antidepressants and other serotonergic drugs (SSRIs, SNRIs, MAO inhibitors): laboratory studies show Sideritis extracts can inhibit reuptake of serotonin, noradrenaline and dopamine, so in theory the herb could add to these medicines; this has not been tested in people, so tell your prescriber before combining them.
Medicines cleared by the CYP2A6 enzyme: in a small human study, 6 days of the tea lowered CYP2A6 activity in men only, which could in principle affect drugs handled by that enzyme; most other tested enzymes were unaffected.
Formal drug-interaction studies are lacking; if you take prescription medicines with a narrow safety margin, check with a pharmacist before regular use.

Frequently asked questions about Sideritis scardica (Greek Mountain Tea)

Is Greek mountain tea proven to improve memory?

Not proven. One small trial in healthy older adults found fewer attention errors and a little more blood flow to the front of the brain, but clear memory gains so far come mainly from studies in mice. The human trial was funded by an extract maker and has not been repeated, so treat the brain claims as early rather than settled.

How is it taken, as a tea or a capsule?

Both. Traditionally it is drunk as a tea made from the dried flowering tops, about one to two teaspoons per cup. The cognition trial used a concentrated extract at 475 or 950 mg a day, with the clearer effects at the higher dose over about a month.

Can it help with anxiety or mood?

The evidence is thin. In the same trial, the higher extract dose lowered self-rated state anxiety after four weeks, and laboratory studies suggest the herb can affect mood-related brain messengers. That is one outcome in one small trial, so it is not a treatment for anxiety or depression; see a doctor for those.

Is it safe to take with my medications?

Ask your doctor, especially if you take antidepressants, because laboratory work shows it can slow serotonin reuptake. A short human study also found it lowered one drug-processing enzyme in men. Formal interaction studies are missing, so caution makes sense alongside prescription drugs.

What is Sideritis scardica?

Sideritis scardica (ironwort, or Greek mountain tea) is a flowering herb from the mountains of the Balkans and Greece, brewed as a daily tea and traditionally taken for coughs, colds and upset stomachs. Its main plant compounds are flavonoid glycosides and phenylethanoid glycosides such as verbascoside.

What is Sideritis scardica used for?

Sideritis scardica is researched primarily for Cognitive and Mood & Mental Health. In a randomized placebo-controlled trial in 155 adults aged 50 to 70, a standardized extract at 950 mg a day produced fewer false alarms on a rapid visual attention task after 28 days and helped hold picture-recognition accuracy steady, whi…

What is the recommended dosage of Sideritis scardica?

The clinically studied dose is The human trial used a standardized extract at 475 or 950 mg a day for 28 days, with the clearer effects at 950 mg. Traditionally it is drunk as a tea made from about 1 to 2 teaspoons of dried aerial parts per cup. Always follow the product label and check with a healthcare provider for personal advice.

Is Sideritis scardica safe, and does it have side effects?

For most healthy adults, Sideritis scardica is well tolerated at studied doses. Reported effects can include: Human trials so far are small and short, so the full side-effect picture is not well mapped. In the 28-day cognition trial and the 4-week antioxidant trial the extract was generally well tolerated. It may also interact with some medications. Sideritis scardica is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Sideritis scardica interact with any medications?

Possible interactions include: Antidepressants and other serotonergic drugs (SSRIs, SNRIs, MAO inhibitors): laboratory studies show Sideritis extracts can inhibit reuptake of serotonin, noradrenaline and dopamine, so in theory the herb could add to these medicines; this has not been tested in people, so tell y… If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Sideritis scardica?

NutraSmarts rates the evidence for Sideritis scardica as Limited (2 out of 5). It is backed by 7 clinical trials and 9 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(9 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Wightman EL, Jackson PA, Khan J, Forster J, Heiner F, Feistel B, Suarez CG, Pischel I, Kennedy DO. The Acute and Chronic Cognitive and Cerebral Blood Flow Effects of a Sideritis scardica (Greek Mountain Tea) Extract: A Double Blind, Randomized, Placebo Controlled, Parallel Groups Study in Healthy Humans. Nutrients. 2018;10(8):955. doi: 10.3390/nu10080955.PubMedUsed to support: Randomized, double-blind, placebo-controlled trial in 155 healthy adults aged 50 to 70, funded by the extract maker Finzelberg: a Sideritis scardica extract at 950 mg a day gave fewer false alarms on a rapid visual attention task and lower state anxiety after 28 days versus placebo and a ginkgo comparison, helped maintain picture-recognition accuracy, and raised prefrontal blood-flow markers acutely on day 1. Most effects were limited to the higher dose and primary outcomes were mixed.
  2. Papanikolaou K, Kouloridas K, Rosvoglou A, Gatsas A, Georgakouli K, Deli CK, Draganidis D, Argyropoulou A, Michailidis D, Fatouros IG, Jamurtas AZ. Characterization of the Sideritis scardica Extract SidTea+(TM) and Its Effect on Physiological Profile, Metabolic Health and Redox Biomarkers in Healthy Adults: A Randomized, Double-Blind, Placebo-Controlled Study. Molecules. 2024;29(5):1113. doi: 10.3390/molecules29051113.PubMedUsed to support: Randomized, double-blind, placebo-controlled 4-week trial in 28 healthy adults: a standardized Sideritis scardica extract (SidTea+) at 1,500 mg a day raised total antioxidant capacity and lowered plasma lipid peroxidation versus placebo, and was followed by lower resting blood pressure and heart rate and small reductions in two liver enzymes. Cognition and mood were not assessed.
  3. Begas E, Kilindris T, Kouvaras E, Tsioutsioumi A, Kouretas D, Asprodini EK. Dietary effects of Sideritis scardica "mountain tea" on human in vivo activities of xenobiotic metabolizing enzymes in healthy subjects. Food Chem Toxicol. 2018;122:38-48. doi: 10.1016/j.fct.2018.09.056.PubMedUsed to support: Open-label human study in 14 healthy volunteers: 6 days of Sideritis scardica decoction did not meaningfully change CYP1A2, xanthine oxidase, NAT2 or UGT1A1/1A6 activity measured by caffeine and paracetamol marker ratios, but CYP2A6 activity fell significantly in men only, suggesting usual tea use is unlikely to cause most herb-drug interactions apart from a possible CYP2A6 effect in men.
  4. Petreska Stanoeva J, Stefova M. Assay of urinary excretion of polyphenols after ingestion of a cup of mountain tea (Sideritis scardica) measured by HPLC-DAD-ESI-MS/MS. J Agric Food Chem. 2013;61(44):10488-97. doi: 10.1021/jf403052w.PubMedUsed to support: Human feeding study in 10 volunteers: after drinking a characterized Sideritis scardica decoction, many flavonoid and phenolic-acid metabolites were measured in urine over 24 hours, confirming absorption of the tea's polyphenols; urinary recovery was about 5% of intake and flavonoid metabolites predominated. A bioavailability study, not a health-outcome trial.
  5. Hofrichter J, Krohn M, Schumacher T, Lange C, Feistel B, Walbroel B, Pahnke J. Sideritis spp. Extracts Enhance Memory and Learning in Alzheimer's β-Amyloidosis Mouse Models and Aged C57Bl/6 Mice. J Alzheimers Dis. 2016;53(3):967-80. doi: 10.3233/JAD-160301.PubMedUsed to support: Controlled animal study, with two authors from the extract maker: daily oral Sideritis euboea and Sideritis scardica extracts improved memory and learning in aged normal mice and in amyloid precursor protein transgenic mice, most strongly in combination, and reduced brain amyloid with signs of increased clearance via ADAM10 and microglia. Animal evidence only.
  6. Dimpfel W. Pharmacological classification of herbal extracts by means of comparison to spectral EEG signatures induced by synthetic drugs in the freely moving rat. J Ethnopharmacol. 2013;149(2):583-9. doi: 10.1016/j.jep.2013.07.029.PubMedUsed to support: Experimental quantitative-EEG study in freely moving rats with implanted electrodes: the Sideritis scardica extract, like Rhodiola, produced a brain electrical pattern resembling those of a psychostimulant and an antidepressant drug when matched against signatures of known drugs. An animal brain-activity classification, not a behavioral or clinical outcome.
  7. Knörle R. Extracts of Sideritis scardica as triple monoamine reuptake inhibitors. J Neural Transm (Vienna). 2012;119(12):1477-82. doi: 10.1007/s00702-012-0824-9.PubMedUsed to support: Laboratory study: Sideritis scardica extracts inhibited reuptake of serotonin, noradrenaline and dopamine in rat brain synaptosomes and serotonin reuptake in human JAR cells, with alcohol extracts more potent than water extracts and the strongest effect on the human serotonin transporter. An in vitro mechanism the author linked to possible mood uses; no human data.
  8. Todorova M, Trendafilova A. Sideritis scardica Griseb., an endemic species of Balkan peninsula: traditional uses, cultivation, chemical composition, biological activity. J Ethnopharmacol. 2014;152(2):256-65. doi: 10.1016/j.jep.2014.01.022.PubMedUsed to support: Review of Sideritis scardica: summarizes its traditional Balkan use as a tea for bronchitis, colds, coughs, inflammation and gastrointestinal complaints, catalogues its chemistry (flavonoids, phenylethanoids, diterpenoids and essential oils), and notes that most reported activities are from in vitro work and that clinical trials, standardization and toxicity data are still needed.
  9. Çitaku GK, Harasym J. Bioactive Compounds of Sideritis Species in Inflammation, Neuroprotection and Cardiometabolic Health: A Review. Int J Mol Sci. 2026;27(14):6217. doi: 10.3390/ijms27146217.PubMedUsed to support: Review of Sideritis species: describes the main bioactives as phenylethanoid glycosides (notably verbascoside), flavonoids, phenolic acids and terpenoids, and their proposed mechanisms, including anti-inflammatory NF-kB and NLRP3 modulation, amyloid clearance via ADAM10 in mouse models, in vitro triple monoamine reuptake inhibition, and antioxidant actions, noting that supporting clinical trials are small and that bioavailability and toxicology data remain limited.