The Complete Guide to Triple Monoamine Reuptake Inhibition, Carvacrol-Rich CO₂ Extracts, BDNF Neuroplasticity & Mood Modulation Evidence
Oregano leaf extract standardised to 50-80% carvacrol demonstrates triple monoamine reuptake inhibition (serotonin IC₅₀=1.7-3.2μg/ml, dopamine IC₅₀=6.7μg/ml, noradrenaline IC₅₀=9.5μg/ml) plus reversible MAO-A inhibition. Animal studies show antidepressant and anxiolytic effects with increased BDNF expression. Human evidence remains limited to EEG changes—no validated cognitive trials exist yet. Typical research doses range from 30-120mg twice daily.
So what exactly separates oregano leaf extract from the dried herb you sprinkle on pizza? The answer lies in extraction method and standardisation. A specific CO₂-extracted, carvacrol-rich oregano extract (containing 50-80% carvacrol) shows pharmacological activity that culinary oregano simply can't match. This isn't your kitchen spice—it's a concentrated phytochemical preparation with measurable effects on neurotransmitter systems. Understanding standardised extracts is key to knowing why this difference matters.
Why does extraction method matter so much? CO₂ extraction preserves volatile compounds that traditional steam distillation or alcohol extraction can degrade. The resulting extract maintains the full spectrum of bioactive terpenes including carvacrol, thymol, γ-terpinene, and p-cymene in their natural ratios. These compounds work together—carvacrol and thymoquinone together enhanced serotonin transporter inhibition beyond either alone, suggesting proper whole-extract formulations outperform isolated compounds. Check our products page for standardised options.
What makes this extract interesting for brain health? Oregano leaf extract demonstrates triple monoamine reuptake inhibition—it affects serotonin, dopamine, and noradrenaline transporters simultaneously. This profile resembles some pharmaceutical antidepressants, though the human evidence base is nowhere near as robust. The extract also contains rosmarinic acid, which provides acetylcholinesterase inhibition (85.8% at 1.0mg/ml) with strong receptor binding. Compare this to other herbal cognition boosters for context.
| Property | CO₂ Extract (50-80% Carvacrol) | Culinary Dried Oregano |
|---|---|---|
| Carvacrol Content | 50-80% | 0.5-5% (variable) |
| SERT Inhibition | IC₅₀ = 1.7-3.2 μg/ml | Not characterised |
| Standardisation | Yes (defined ranges) | No (batch variable) |
| Research Evidence | Mechanistic studies | Minimal |
Can any oregano product deliver these effects? No—and this is important. Modern chemotyping shows that Origanum vulgare subspecies differ markedly. Some are carvacrol/γ-terpinene/p-cymene dominant (more neuromodulatory), while others are "sabinyl/cymyl" types richer in terpinen-4-ol with entirely different pharmacology. The oregano growing in your garden might belong to a chemotype with minimal carvacrol content. Without standardisation to specific carvacrol levels, you can't assume any oregano product will produce the effects described in research studies. Learn how to read supplement labels to verify standardisation claims.
What does "triple reuptake inhibition" actually mean? When neurons release neurotransmitters like serotonin, dopamine, or noradrenaline, transporter proteins hoover them back up—limiting how long they stay active in the synapse. Oregano leaf extract blocks all three of these transporters, allowing more neurotransmitter to remain available. This is the same basic mechanism used by various antidepressant medications, though pharmaceutical versions typically target just one or two transporters. Understanding mechanisms of action helps contextualise these effects.
How potent is oregano extract's reuptake inhibition? The IC₅₀ values tell the story: serotonin transporter (SERT) inhibition at 1.7-3.2 μg/ml, dopamine transporter (DAT) at 6.7 μg/ml, and noradrenaline transporter (NET) at 9.5 μg/ml. For context, lower IC₅₀ means stronger inhibition at lower concentrations. The serotonin effect is strongest, which aligns with oregano's observed antidepressant-like effects in animal models. Plus, there's reversible MAO-A inhibition at IC₅₀ of 2.6 μg/ml—reversible being crucial here, as it avoids the dangerous tyramine interactions seen with older irreversible MAOIs.
Does this translate to measurable brain changes? In vivo microdialysis confirmed that oregano extract (10-60mg/kg i.p.) elevated extracellular serotonin levels in rat hippocampus. Seven consecutive days of carvacrol (12.5mg/kg orally) increased dopamine and serotonin in prefrontal cortex and hippocampus. That's actual neurotransmitter elevation in brain tissue, not just transporter binding in a test tube. Worth noting though—these are rodent studies, and human pharmacokinetics may differ substantially. For mood-specific support, see our mood nootropics stack guide.
Strongest inhibition
Moderate inhibition
Mild inhibition
Strong but reversible
Lower IC₅₀ = stronger effect. Oregano's SERT inhibition is notably potent—comparable to some pharmaceutical compounds in vitro.
Is isolated carvacrol as effective as whole extract? Research suggests not. Carvacrol and thymoquinone together enhanced SERT inhibition beyond either compound alone. This supports using standardised whole extracts rather than isolated carvacrol supplements—the various terpenes and phenolic compounds appear to work synergistically. Rosmarinic acid in oregano leaf extract adds acetylcholinesterase inhibition, which may support cholinergic cognitive function alongside the monoamine effects. Similar synergy is seen in rosemary compounds for memory. For more on synergistic botanicals, see our nootropic products.
What's a chemotype and why should you care? A chemotype describes the dominant chemical profile within a plant species—same plant, different chemistry. Origanum vulgare subspecies show markedly different profiles: some are carvacrol/γ-terpinene/p-cymene dominant (the neuromodulatory type), while others are "sabinyl/cymyl" types rich in terpinen-4-ol with entirely different pharmacological effects. The oregano sitting in your spice rack? Could be either type, or something in between.
How much does carvacrol content actually vary? Wildly—that's the honest answer. Culinary dried oregano might contain anywhere from 0.5% to 5% carvacrol depending on subspecies, growing conditions, harvest timing, and storage. The CO₂-extracted oregano leaf extract used in research contains 50-80% carvacrol. That's roughly a 10-100x concentration difference. Using kitchen oregano and expecting pharmaceutical-grade effects is a bit like expecting grape juice to get you tipsy.
Why does carvacrol specifically matter for brain effects? Carvacrol is the primary constituent responsible for the triple reuptake inhibition profile. It's a small molecule (150 Da) and lipophilic, which means it can cross the blood-brain barrier effectively. Studies confirmed dose-dependent brain tissue levels following sub-chronic oral dosing in rodents. Other oregano compounds like thymol have overlapping but distinct effects—thymol is more antimicrobial while carvacrol leans more neuromodulatory. Choosing the right chemotype matters.
| Chemotype | Dominant Compounds | Primary Effects | Neuromodulatory? |
|---|---|---|---|
| Carvacrol-type | Carvacrol, γ-terpinene, p-cymene | Monoamine modulation, BDNF | Yes - Strong |
| Thymol-type | Thymol, p-cymene, γ-terpinene | Antimicrobial, antioxidant | Moderate |
| Sabinyl/cymyl-type | Terpinen-4-ol, sabinene, cymene | Different pharmacology | Minimal |
| Mixed/variable | Variable ratios | Unpredictable | Unknown |
What is BDNF and why does it matter for brain health? Brain-Derived Neurotrophic Factor is basically fertiliser for neurons—it supports the growth, survival, and plasticity of brain cells. Low BDNF levels are associated with depression, cognitive decline, and reduced stress resilience. Anything that reliably increases BDNF expression is potentially valuable for both mood and cognitive function. Oregano leaf extract appears to do exactly this, at least in animal models. Other compounds with BDNF effects include Lion's Mane mushroom.
How strong is oregano's effect on BDNF? Pretty impressive in rodent studies. Oregano extract (400mg/kg orally for 14 days) significantly increased BDNF gene expression in both hippocampus and prefrontal cortex of rats subjected to chronic unpredictable stress. There was parallel upregulation of TrkB receptor—that's the receptor BDNF binds to. This suggests oregano doesn't just increase BDNF production, it may also enhance BDNF signalling pathways. The stressed rats showed improved behavioural outcomes alongside these molecular changes.
Does neuroinflammation play a role here? Yes—there's an interesting inflammation-BDNF-monoamine axis at work. Oregano essential oil reduced depressive-like behaviour in chronically stressed rats and simultaneously downregulated TLR2/TLR4 expression in hippocampus and prefrontal cortex. TLR2 and TLR4 are toll-like receptors involved in inflammatory signalling. Reducing neuroinflammation may enhance BDNF signalling, which in turn supports monoaminergic neurotransmission. It's a bit of a virtuous cycle—assuming the effects translate to humans, which isn't yet proven. For stress resilience strategies, see our Rhodiola rosea guide.
Small (150 Da), lipophilic molecule crosses blood-brain barrier
Triple reuptake inhibition + MAO-A inhibition increases neurotransmitters
Increased BDNF + TrkB enhances neuroplasticity and stress resilience
Can you increase BDNF through other means? Absolutely—exercise is the gold standard, and various other nootropic compounds show BDNF-promoting effects. Oregano leaf extract's advantage is that it may work through multiple pathways simultaneously: direct monoamine modulation, anti-inflammatory effects, and BDNF upregulation. Whether this triple-action translates to clinically meaningful human benefits remains an open question, but the mechanistic foundation is solid.
What do animal studies actually show for oregano leaf extract? The same CO₂-extracted oregano that inhibited SERT/NET/DAT and MAO-A also produced clear behavioural effects in rodents. It reduced immobility in the forced swim test—a standard measure of antidepressant-like activity. It also decreased marble-burying behaviour, which models anxiety-like behaviour in rodents. These effects are consistent with what you'd expect from a compound that elevates brain monoamines.
Are carvacrol-specific studies equally positive? Yes, and they add mechanistic detail. Carvacrol reduced immobility and increased active behaviours in both forced swim and tail suspension tests. It decreased anxiety-like behaviour in elevated plus maze and open-field tests. Researchers linked these effects to increased cortical and hippocampal monoamines combined with anti-inflammatory and antioxidant actions. The compound appears to work through multiple pathways rather than a single mechanism. For more on nootropics for anxiety, see our UK guide.
How strong is the preclinical evidence for rosemary/rosmarinic acid on cognition? A 2022 meta-analysis of Rosmarinus officinalis (another major rosmarinic acid source, which oregano also contains) examined 15 rodent studies with 22 comparisons. The findings were notable:
Should we trust animal mood studies? This is a fair question. Rodent behavioural models have limitations—forced swim tests don't really measure "depression" in any human sense. What they do measure is behavioural despair and response to monoamine-modulating compounds. The fact that oregano extract produces positive signals across multiple different behavioural paradigms strengthens confidence that there's a real effect. But translating effect sizes from rodent tests to human clinical outcomes is notoriously unreliable.
What about cognitive tests specifically? This is where oregano leaf extract evidence gets thinner. Most animal studies focused on mood-like endpoints rather than learning and memory tasks. The rosmarinic acid meta-analysis provides indirect support for cognitive benefits, but oregano-specific cognitive data in animals is limited. For now, the case for oregano as a mood modulator is stronger than its case as a cognitive enhancer. For proven memory support, check our Bacopa for memory guide. Explore other evidence-based nootropic options for comparison.
There are NO controlled human trials of oregano extract with standardised cognitive test batteries (memory, attention, executive function). All human oregano data are surrogate endpoints (EEG, mood-like scales, or non-cognitive measures).
What human evidence does exist for oregano leaf extract? One study examined EEG changes with oréVida™ oregano extract (30-120mg twice daily for 5 days) in 20 healthy men. The extract increased alpha-1 brainwaves (associated with relaxation, learning, concentration) and beta-1 brainwaves (alertness, cognitive processing). That sounds promising—but here's the catch: no validated cognitive testing was performed. EEG changes don't automatically translate to better thinking.
Can EEG changes predict cognitive benefits? Sometimes, but not reliably. Rodent electropharmacogram data showed the same oregano extract produced EEG changes resembling known antidepressants and neuroprotective agents. This supports central nervous system activity, but it's indirect evidence at best. Many compounds alter EEG patterns without producing clinically meaningful cognitive improvements. Without proper cognitive testing, we simply can't say whether oregano extract enhances human brain function.
What about rosmarinic acid human trials? There's actually better data here. A recent RCT of Melissa officinalis extract containing 500mg/day rosmarinic acid followed 323 older adults without dementia for 96 weeks plus 24-week washout. The RA-rich extract attenuated decline in several cognitive measures compared with placebo. Effect sizes were modest and some domains benefitted more than others, but this is actual cognitive testing in humans. Oregano contains rosmarinic acid too—though at lower levels than the Melissa extract studied. For compounds with stronger human evidence, see our supplements for memory guide.
| Evidence Domain | Quality |
|---|---|
| Mechanism (reuptake, MAO-A) | HIGH |
| Animal mood/cognition | MODERATE |
| Human neurophysiology (EEG) | LOW |
| Human mood/cognition (validated) | VERY LOW |
Dose-finding and PK/PD studies relating oral doses to plasma and ideally CSF or PET-implied transporter occupancy
RCTs with validated mood and cognitive endpoints in healthy stressed adults and mild depression/anxiety populations
Long-term safety studies at nootropic doses in people taking anticoagulants or psychotropics
Head-to-head chemotype studies comparing subspecies and extraction methods for cognitive effects
What doses have actually been studied? For oregano extract standardised to 50-80% carvacrol, human EEG studies used 30-120mg twice daily. For rosmarinic acid specifically, the cognitive RCT used 500mg/day. These are the ranges where some human data exists—though as we've discussed, the oregano data are surrogate endpoints only. There's no validated "optimal dose" for cognitive or mood benefits because the necessary trials haven't been done. Check our nootropic dosage guide for general principles.
Does carvacrol actually reach the brain at oral doses? In rodents, yes—dose-dependent brain tissue levels were confirmed following sub-chronic oral dosing. Carvacrol is small (150 Da) and lipophilic, properties that favour blood-brain barrier penetration. The catch? Brain levels after typical oral doses in humans are unknown. Extrapolating rodent IC₅₀-level occupancy to human supplemental doses remains speculative. We simply don't know if standard supplement doses achieve pharmacologically relevant brain concentrations in people.
What about rosmarinic acid penetration? This is actually a limitation. Rosmarinic acid has low native BBB penetration (~1% intestinal permeability) and is poorly absorbed as an intact molecule. CNS effects likely involve both limited brain penetration of RA and its metabolites plus peripheral actions on oxidative stress, inflammation, MAO-B gene expression, and dopaminergic signalling. Don't assume all oregano compounds act directly in the brain—some effects may be mediated peripherally. Learn more about nootropic dosing principles.
Choose standardised extract (50-80% carvacrol)
Start low: 30mg twice daily
Take with food to reduce GI upset
Assess tolerance over 1-2 weeks
Increase to 60-120mg if well tolerated
| Form | Standardisation | GI Tolerance | Recommendation |
|---|---|---|---|
| CO₂ Extract Capsules | 50-80% carvacrol | Good | Preferred |
| Essential Oil (diluted) | Variable | Poor if undiluted | Caution |
| Tea/Dried Herb | 0.5-5% (variable) | Good | Not for effects |
Unstandardised essential oils or teas cannot reproduce the triple-reuptake/MAO-A profile of specified extracts used in research. See our products page for standardised options. Also check our quality supplier directory.
A case report documented INR rising from 2-3 to 6.42 after just one week of oregano tea in a warfarin patient. This represents a dangerous bleeding risk. Oregano inhibits CYP2C9 and CYP3A4 enzymes that metabolise warfarin.
Warfarin users should avoid oregano concentrates or closely monitor INR with medical supervision.
What other drug interactions should concern you? Oregano's CYP2C9 and CYP3A4 inhibition creates theoretical interactions with many medications. These enzymes metabolise statins, certain antidepressants, antiepileptics, some DOACs (direct oral anticoagulants), and numerous other drugs. If you're on multiple medications, this is a bigger deal than most herb labels acknowledge. Talk to a pharmacist who can check your specific drug list. For more detail, see our nootropic side effects guide.
Should people on CNS medications be especially careful? Yes—this is worth emphasising. Oregano leaf extract is a putative triple reuptake inhibitor plus MAO-A inhibitor. Even though the MAO-A inhibition is reversible (which is safer than irreversible MAOIs), combining it with SSRIs, SNRIs, MAOIs, or stimulants creates theoretical risk of serotonin or catecholamine toxicity. The word "theoretical" matters here—there aren't case reports of this happening with oregano specifically—but the mechanism warrants caution. Also review 5-HTP safety for serotonin-related cautions.
What about organ toxicity at higher doses? High-dose oregano oil and carvacrol have shown both cytotoxic and nephroprotective effects in rodent models, depending on dose and context. This implies a narrower therapeutic window at pharmacological doses than at culinary exposure levels. The dose that shows benefits isn't necessarily far from doses that might cause problems—another reason to stick to studied dose ranges rather than megadosing.
Warfarin, NSAIDs, some antidiabetics
Statins, some antidepressants, immunosuppressants
| Drug Class | Examples | Mechanism | Risk Level |
|---|---|---|---|
| Anticoagulants | Warfarin, some DOACs | CYP2C9/3A4 inhibition | High |
| SSRIs/SNRIs | Sertraline, venlafaxine | Additive serotonin effects | Moderate |
| MAOIs | Phenelzine, selegiline | Additive MAO inhibition | High |
| Statins | Atorvastatin, simvastatin | CYP3A4 inhibition | Moderate |
| Antiepileptics | Phenytoin, carbamazepine | CYP3A4/2C9 inhibition | Moderate |
Oregano leaf extract is best considered an experimental mood-modulating phytochemical with strong mechanistic and animal support but insufficient human evidence to justify explicit cognitive or antidepressant claims. The triple reuptake inhibition profile is mechanistically compelling, but human pharmacokinetic data are lacking, no validated cognitive trials exist, and safety interactions with common medications are significant. Read our beginner nootropics guide for safer starting options.
CO₂-extracted oregano (50-80% carvacrol) vs common antidepressant mechanisms
Triple + MAO-A
Single target
Dual target
Irreversible!
Width represents evidence strength • Colour indicates quality grade
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Oregano leaf extract shows promising mechanisms but limited human evidence. Discover our full range of researched compounds for cognitive and mood support.