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Supplement evidence

118 / 575Cardiometabolic

Hibiscus sabdariffa

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The short answer

Tea or extracts may modestly lower blood pressure in people with elevated readings.

Evidence and scope
Conditional or population-specific

This status does not grade the ingredient for every goal, outcome, or person.

Important limitation
Benefit depends on the population, formulation, baseline status, and objective; results should not be generalized.
Before deciding
Key concern: Blood-pressure or diabetes medicines, pregnancy, liver concerns, and surgery require review.

01 / PRACTICAL GUIDE

Dose, absorption, and combinations

These are indication-specific reference or studied ranges—not a personalized prescription. Start with the objective, then check the form, label, medicines, and health conditions.

Reference range by objective
Blood pressureTea made from about 1.25–10 g/day calyces or product-equivalent in trials

Reference or studied range—not a personalized prescription. The product label or a clinician may specify a different dose.

Dose source

More is not automatically better. A clinician or product label may specify a different amount.

Absorption / solubilityWater-soluble

Water-soluble or readily water-dispersible. This does not mean excess is always harmless.

How it is commonly taken

Prepare consistently; unsweetened tea avoids added sugar.

Do not combine casually

Blood-pressure or diabetes medicines, pregnancy, liver concerns, and surgery require review.

Dose and use source

Dose and use links lead to primary or official source material. Search links are discovery tools, not proof that every returned paper applies.

02 / EVIDENCE

What the research says

We keep supportive, mixed, negative, safety, and contextual findings together. The headline never replaces the underlying papers.

1research papers in this ledger
13unique primary studies represented
1,205unique participants represented

These are audited counts for this JIVANA collection, not search-result totals. Participants are counted once when multiple papers use the same cohort; review papers are not added again to participant totals.

Open the research timelineResearch timeline

Entries are ordered by publication year. A study period appears only when the source reports it.

2022
Mixed or qualifiedPMID 34694241

Hibiscus sabdariffa for mild-to-moderate hypertension

Hibiscus lowered blood pressure versus placebo by about 6.7/4.4 mmHg in pooled analysis, but not in the metabolic-syndrome subgroup and not more than active treatments. Long-term efficacy and cardiovascular outcomes remain unknown.

Study design and methods
Design
Systematic review and meta-analysis of 13 randomized trials
Population
1,205 adults with mild-to-moderate hypertension or hypertension with metabolic syndrome
Intervention
Hibiscus preparations versus placebo, antihypertensive drugs, or other herbal products
Outcome
Systolic and diastolic blood pressure

Funding or conflict note: One author reported a paid consultation relevant to the study concept; the others reported no conflicts.

Open research record
Unscreened discovery appendix—not evidence26 candidate publicationsSearch run: Aug 21, 2026

Complete for the displayed PubMed query at the search timestamp—not for all databases or every possible synonym. Candidates can be irrelevant, duplicate the same study, or report negative findings. They are never summed as evidence or participants until screened.

03 / SOURCES

Start with the source material

The live search is for discovery only. Search-result counts change and are not included in the audited totals above.

Recent PubMed discovery recordsDirect links to the first 12 records returned by the reproducible search. These are discovery candidates—not reviewed summaries or a count of supportive findings.
  1. The effect of Lippia Citriodora (LC) extract on cardiometabolic risk factors: a systematic review and meta-analysis.Xu S, Huang Z, Wang K et al. · 2026 · Nutrition & diabetes · PMID 42191680Open on PubMed
  2. Standardized Hibiscus-Inulin Shot Lowers Lipid-Glucose Indices in Adults with Overweight and Obesity: 8-Week Randomized Trial.Mendivil EJ, Rivera-Iñiguez I, Arellano-Gómez LP et al. · 2025 · Nutrients · PMID 41305605Open on PubMed
  3. Acute effects of Hibiscus sabdariffa on blood pressure and cognitive function.Ellis L, Aragón-Rojas S, Dye L et al. · 2025 · Nutritional neuroscience · PMID 40009760Open on PubMed
  4. Efficacy of Hibiscus sabdariffa L. extract on metabolic parameters in participants with abdominal obesity and mild metabolic syndrome in Bangkok, Thailand: A double-blind, randomized, placebo-controlled trial.Chaisungnern K, Rattananupong T, Klinhom R et al. · 2025 · Complementary therapies in medicine · PMID 40334927Open on PubMed
  5. Efficacy and safety of Hibiscus sabdariffa in cardiometabolic health: An overview of reviews and updated dose-response meta-analysis.Norouzzadeh M, Hasan Rashedi M, Azizi MH et al. · 2025 · Complementary therapies in medicine · PMID 39870328Open on PubMed
  6. Improvement on blood pressure and skin using roselle drink: A clinical trial.Chiu HF, Liao YR, Shen YC et al. · 2022 · Journal of food biochemistry · PMID 35758855Open on PubMed
  7. A systematic review and meta-analysis of the effects of Hibiscus sabdariffa on blood pressure and cardiometabolic markers.Ellis LR, Zulfiqar S, Holmes M et al. · 2022 · Nutrition reviews · PMID 34927694Open on PubMed
  8. Efficacy of Hibiscus sabdariffa on Reducing Blood Pressure in Patients With Mild-to-Moderate Hypertension: A Systematic Review and Meta-Analysis of Published Randomized Controlled Trials.Abdelmonem M, Ebada MA, Diab S et al. · 2022 · Journal of cardiovascular pharmacology · PMID 34694241Open on PubMed
  9. Roselle for hypertension in adults.Pattanittum P, Ngamjarus C, Buttramee F et al. · 2021 · The Cochrane database of systematic reviews · PMID 34837382Open on PubMed
  10. Phytonutrient supplements and metabolic biomarkers of cardiovascular disease: An umbrella review of meta-analyses of clinical trials.Hoang T, Kim J · 2021 · Phytotherapy research : PTR · PMID 33724587Open on PubMed
  11. A Randomized, Double-Blind, Placebo-Controlled Trial to Determine the Effectiveness of a Polyphenolic Extract (Hibiscus sabdariffa and Lippia citriodora) for Reducing Blood Pressure in Prehypertensive and Type 1 Hypertensive Subjects.Marhuenda J, Pérez-Piñero S, Arcusa R et al. · 2021 · Molecules (Basel, Switzerland) · PMID 33810049Open on PubMed
  12. Antihypertensive efficacy and safety of a standardized herbal medicinal product of Hibiscus sabdariffa and Olea europaea extracts (NW Roselle): A phase-II, randomized, double-blind, captopril-controlled clinical trial.Elkafrawy N, Younes K, Naguib A et al. · 2020 · Phytotherapy research : PTR · PMID 32725873Open on PubMed

04 / EXPERT CONTEXT

Expert context—not evidence

Expert positions are dated context—not scientific evidence. They never raise the evidence status or become consensus by repetition.

No direct, source-verified endorsement is currently recorded. Research authorship or discussion alone is not treated as endorsement.

Educational information only—not medical advice. Product quality, dose, medicines, pregnancy, and kidney or liver disease can materially change safety.