In healthy adults, standardised Bacopa monnieri extracts taken for about 12 weeks improved performance on some memory tests, particularly free recall, and on some tests of attention speed, with little consistent evidence for other cognitive domains.
Low certainty
Further research is likely to change this.Who this is about
healthy adults without dementia or significant cognitive impairment
Practical note
Graded low: a 2012 systematic review (6 trials) found improvement on 9 of 17 free-recall tests and little in other domains; a 2014 meta-analysis (9 trials, 518 participants, low risk of bias) found faster attention measures; a 2026 network meta-analysis (29 trials, 2107 participants) found memory benefits but no significant differences in attention or processing speed. Downgraded for inconsistency across domains and reviews and for imprecision from small trials using different extracts. Trials in the 2012 review used 300-450 mg of extract a day; the network meta-analysis grouped 600 mg a day or more as high-dose.
Safety note
Gastrointestinal side effects were reported in trials; a 2025 review notes possible interactions with certain medications and contraindications such as hyperthyroidism, and limited safety data in pregnancy and breastfeeding.
Sources
- Supports “This meta-analysis suggests that Bacopa monnieri has the potential to improve cognition, particularly speed of attention” (Abstract, conclusion) Kongkeaw C, Dilokthornsakul P, Thanarangsarit P, Limpeanchob N, Norman Scholfield C. 2014. Journal of Ethnopharmacology. Meta-analysis of randomized controlled trials on cognitive effects of Bacopa monnieri extract. publisher copyright; metadata and short quotes only; Courtesy of the U.S. National Library of Medicine
- Supports “Brahmi, particularly in high-dose formulations, shows promise as a cognitive enhancer compared to Ginkgo in healthy adults. However, the lack of direct comparisons may limit the strength of this evidence.” (Abstract, conclusion) Tiemtad P, Ingkaninan K, Temkitthawon P, Thimkorn P, Rattanachaisit N, Teaktong T, Dhippayom T. 2026. Phytomedicine. Comparative effects of Bacopa monnieri and Ginkgo biloba on cognitive functions: A systematic review and network meta-analysis. publisher copyright; metadata and short quotes only; Courtesy of the U.S. National Library of Medicine
- Supports “Across studies, Bacopa improved performance on 9 of 17 tests in the domain of memory free recall. There was little evidence of enhancement in any other cognitive domains.” (Abstract, results) Pase MP, Kean J, Sarris J, Neale C, Scholey AB, Stough C. 2012. Journal of Alternative and Complementary Medicine. The cognitive-enhancing effects of Bacopa monnieri: a systematic review of randomized, controlled human clinical trials. publisher copyright; metadata and short quotes only; Courtesy of the U.S. National Library of Medicine
- Context “No significant differences were observed in sustained attention, selective attention, or processing speed.” (Abstract, results) Tiemtad P, Ingkaninan K, Temkitthawon P, Thimkorn P, Rattanachaisit N, Teaktong T, Dhippayom T. 2026. Phytomedicine. Comparative effects of Bacopa monnieri and Ginkgo biloba on cognitive functions: A systematic review and network meta-analysis. publisher copyright; metadata and short quotes only; Courtesy of the U.S. National Library of Medicine