Herb Profile

Skullcap

Scutellaria lateriflora

Scutellaria lateriflora (American Skullcap) is an herb traditionally used for nervous tension, anxiety, and sleep support.

Last reviewed: 3 sources citedReport a correctionProfile-wide ·C Limited

Use extra caution Hepatotoxicity concerns (rare, unclear causality) Details

Evidence
Limited Evidence
Typical onset
Varies by prep
Safety rating
Moderate caution
Best for
Sleep, Stress, Cognitive function
Avoid / review if
Sedatives, Liver Disease
Skullcap monograph visual
Generated profile category visual

At a glance

From this profile's structured data
Evidence
Grade C
Safety
Hepatotoxicity concerns (rare, unclear causality)
Profile context
sleep, stress
Next steps

Continue reading

Safety

Safety & Cautions

Hepatotoxicity concerns (rare, unclear causality)

Elevated caution

Caution level: Elevated. One caution category applies — read it before use.

  • Liver-SensitiveLiver-related caution language appears in the profile.
Detailed safety fields

Pregnancy, breastfeeding, and contraindications

  • Sedatives
  • Liver Disease

Safety classifications

  • Liver-Sensitive: Liver-related caution language appears in the profile.

Full safety note

  • Hepatotoxicity concerns (rare, unclear causality)

Safety labels

  • Liver-Sensitive

Evidence-based safety

Caution when combined

Severity and certainty are shown separately. A high-priority caution can still be theoretical: these pairings are screened from shared contraindication mechanisms and are not automatically documented clinical interactions. Provenance identifies the source fields that produced each flag; it does not upgrade the certainty of the pairwise claim.

Evidence

Evidence Summary

Evidence lens

Read as directional context, not settled clinical proof.

LimitedLimited Evidence

Human clinical evidence: Not the primary signal

Mechanistic / preclinical: Mechanism mappedNeurotransmitter Modulation · Stress Response Modulation

Research maturity: Theoretical / mechanistic researchMechanistic or unresolved evidence is kept separate from established human outcomes.

Safety boundary: Safety note availableHepatotoxicity concerns (rare, unclear causality)

This profile cites 3 human studies.

How evidence grades work

Each grade reflects the strength and consistency of published human evidence — not marketing claims. Grades are based on study count, design quality, effect size, consistency, and recency.

Strong
Multiple RCTs, consistent direction, adequate effect size
Moderate
Some RCTs or consistent observational data in humans
Preliminary / Mixed
Animal or in-vitro only, or conflicting human data
Traditional / Theoretical
Traditional use only; no controlled human trials
Clinical Study Summaries (3)0 human evidence sources · 0 human trials · Participant totals not consistently reported · Consistency not yet classifiable

What the evidence actually shows

This table contains 3 structured sources, including 0 human evidence sources; 0 are human trials. A reliable participant total cannot be calculated because sample size is not consistently structured in the cited sources. Source-to-conclusion relationships are not classified in this structured set, so consistency is not yet classifiable.

Profile-wide evidence grade: see the profile grade above · Confidence: not separately assigned

What would change our conclusion?

Larger, well-controlled human trials using comparable populations, doses, preparations, and clinically meaningful outcomes could materially strengthen or weaken this conclusion. Replication in a different population or a high-quality synthesis resolving current disagreement could also materially change confidence.

StudyDesignNDoseDurationPopulationOutcomeResult & magnitudeSource

Herb-induced liver injury: Systematic review and meta-analysis

Ballotin VR et al. · World J Clin Cases · 2021

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

PubMed

Wogonin attenuates septic cardiomyopathy by suppressing ALOX15-mediated ferroptosis

Ye H et al. · Acta Pharmacol Sin · 2025

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

PubMed

Insights into skullcap herb-induced liver injury

Soldera J et al. · World J Hepatol · 2024

Background
Other / unclear

The study design is not yet classified clearly enough to infer its place in the evidence hierarchy.

PubMed

Dosing & Timing

Dose guidance
350 700 mg extract
How Skullcap works

Simplified mechanism pathway based on preclinical and pharmacological evidence. Does not confirm clinical efficacy.

Mechanism Pathway — How Skullcap Works

How Skullcap WorksSkullcap acts on biological target pathways via neurotransmitter (modulation), leading to sleep quality.SkullcapBiological TargetBiological pathwayNeurotransmitterModulationSleep Quality ↑Onset + depthHPA AxisModulation
CompoundTarget / ReceptorMechanismEffect / Outcome
Mechanisms & biological pathways

Preclinical pathways. Proposed mechanisms from in vitro and animal research; these do not confirm clinical outcomes in humans.

  • Neurotransmitter Modulation
  • Stress Response Modulation

Active Compounds

Key constituents studied in Skullcap, with full pharmacology and safety profiles.

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Explore botanicals with similar chemistry, effects, or safety considerations in the Botanical Activity Atlas.

Compare & Sourcing

Compare side-by-side tradeoffs or verify active marker guidelines.

Safety first · Harm reduction

This information is educational and not medical advice. Start low, avoid risky combinations, and consult a licensed clinician before making health decisions—especially if you use medications, have diagnosed conditions, or are pregnant/breastfeeding.

Learn how we evaluate confidence, safety, and intensity on the methodology page.

Editorial Review

Checked against primary sources, cited evidence, and contraindication language before publication. Evidence claims, safety language, and affiliate modules are reviewed independently. Not personal medical advice.

Editorial Standards →

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Botanical profile context

How to interpret Skullcap

Skullcap herb profile with evidence context, key research topics, source notes, safety context, and references presented in an evidence-first format. Use this herb profile as a starting point for evidence review, not as a recommendation to start a new supplement. Botanical products can vary by plant part, extract ratio, standardization, dose, and contaminant testing, so two labels with the same common name may not behave the same way.

When reviewing Skullcap, compare the traditional-use context against the human evidence, mechanism notes, and safety cautions. Pay special attention to pregnancy, breastfeeding, liver or kidney disease, blood-pressure effects, sedation, stimulation, anticoagulant use, antidepressants, and any prescription medication overlap.

For product decisions, prefer transparent labels, named extracts, clear serving sizes, and third-party quality testing. Avoid treating a long list of possible mechanisms as proof that an herb will solve a specific condition.