Holy Basil

Purported Benefits, Side Effects & More
Holy basil

Common Names

  • Tulasi
  • Tulsi

For Patients & Caregivers

Tell your healthcare providers about any dietary supplements you’re taking, such as herbs, vitamins, minerals, and natural or home remedies. This will help them manage your care and keep you safe.


Holy basil is an aromatic herb used in traditional Indian medicine (Ayurveda).

It comes in supplements as tablets, capsules, eye drops, and liquid extracts.

Holy basil is used to:

  • Lower stress 
  • Reduce anxiety (strong feelings of worry or fear) 
  • Treat insomnia (trouble falling asleep, staying asleep, or waking up too early) 
  • Manage diabetes 

Side effects from using holy basil may include:

  • Nausea
  • Headache
  • Feeling agitated

For Healthcare Professionals

Ocimum tenuiflorum, Ocimum sanctum L.

An aromatic plant native to southeast Asia, holy basil is commonly used in Ayurveda for a variety of conditions including anxiety, cough, asthma, diarrhea, fever, dysentery, arthritis, eye diseases, otalgia and indigestion. 

Preclinical findings indicate anti-stress, adaptogenic, antioxidant, analgesic, anti-asthmatic, anti-inflammatory, and anticancer properties (1) (2) (3) (4) (5).

Small clinical studies suggest holy basil may help lower stress and improve sleep quality  (6) (7), reduce anxiety  (8), enhance cognition (9), and improve oral (10) (11) and eye  (12) health.
Topical use of a formulation containing holy basil reduced oral mucositis in cancer patients undergoing chemo-radiation therapy  (13).

Further research is needed to substantiate these findings. 
Holy basil should not be confused with basil, which is widely used in south Asian cuisine.

  • Stress
  • Anxiety
  • Insomnia
  • Diabetes

The physiological effects of holy basil are attributed to its bioactive constituents that include eugenol, carvacrol, ursolic acid, β-caryophyllene, orientin, vicenin and rosmarinic acid.

The anti-stress property is thought to be via inhibition of cortisol release, blocking the corticotropin-releasing hormone receptor (CRHR 1), and inhibiting 11β-hydroxysteroid dehydrogenase type (11β-HSD1) and catechol-O-methyltransferase (COMT) activities (14). The anti-diabetic effects are likely via stimulatory effects on physiological pathways of insulin secretion (15).

Holy basil extracts also prevented chemical-induced cancers by modulating gene expression, inducing apoptosis, as well as by inhibiting angiogenesis and metastasis (16); and protected against radiation-induced lipid peroxidation likely via free radical scavenging (17). 

Nausea (18), headache and agitation (6) have been reported.

  1. Kamyab AA, Eshraghian A. Anti-Inflammatory, gastrointestinal and hepatoprotective effects of Ocimum sanctum Linn: an ancient remedy with new application. Inflamm Allergy Drug Targets. Dec 2013;12(6):378-84. doi:10.2174/1871528112666131125110017
  2. Cohen MM. Tulsi - Ocimum sanctum: A herb for all reasons. J Ayurveda Integr Med. Oct-Dec 2014;5(4):251-9. doi:10.4103/0975-9476.146554
  3. Kumar P, Patel D. Ocimum Sanctum: An All-Round Treatment for Cancer? Altern Ther Health Med. May 2023;29(4):253-257. 
  4. K AH, Harishkumar SD, Gowda PHS, et al. Evaluating the efficacy of Ocimum tenuiflorum as a therapeutic agent in colorectal cancer. Front Oncol. 2026;16:1867252. doi:10.3389/fonc.2026.1867252
  5. Siddiqui T, Mallick MN, Sharma V. Exploring the Therapeutic Potential of Ocimum sanctum and Phanera variegata in Breast Cancer Treatment: A Promising Natural Approach. Anticancer Agents Med Chem. 2026;26(3):239-253. doi:10.2174/0118715206375507250603074251
  6. Lopresti AL, Smith SJ, Metse AP, Drummond PD. A randomized, double-blind, placebo-controlled trial investigating the effects of an Ocimum tenuiflorum (Holy Basil) extract (Holixer(TM)) on stress, mood, and sleep in adults experiencing stress. Front Nutr. 2022;9:965130. doi:10.3389/fnut.2022.965130
  7. Saxena RC, Singh R, Kumar P, et al. Efficacy of an Extract of Ocimum tenuiflorum (OciBest) in the Management of General Stress: A Double-Blind, Placebo-Controlled Study. Evid Based Complement Alternat Med. 2012;2012:894509. doi:10.1155/2012/894509
  8. Bhattacharyya D, Sur TK, Jana U, Debnath PK. Controlled programmed trial of Ocimum sanctum leaf on generalized anxiety disorders. Nepal Med Coll J. Sep 2008;10(3):176-9. 
  9. Sampath S, Mahapatra SC, Padhi MM, Sharma R, Talwar A. Holy basil (Ocimum sanctum Linn.) leaf extract enhances specific cognitive parameters in healthy adult volunteers: A placebo controlled study. Indian J Physiol Pharmacol. Jan-Mar 2015;59(1):69-77. 
  10. Jain A, Singh V, Lukram A, Chatterjee S, Khan AM, Dawar G. Antibacterial efficacy of manuka honey, ocimum sanctum, curcuma longa and 0.2% chlorhexidine mouthwash on the level of streptococcus mutans and lactobacillus acidophilus - A randomized controlled trial. Indian J Dent Res. Apr-Jun 2022;33(2):169-173. doi:10.4103/ijdr.ijdr_159_22
  11. Megalaa N, Thirumurugan K, Kayalvizhi G, et al. A comparative evaluation of the anticaries efficacy of herbal extracts (Tulsi and Black myrobalans) and sodium fluoride as mouthrinses in children: A randomized controlled trial. Indian J Dent Res. Nov-Dec 2018;29(6):760-767. doi:10.4103/ijdr.IJDR_790_16
  12. Biswas NR, Gupta SK, Das GK, et al. Evaluation of Ophthacare eye drops—a herbal formulation in the management of various ophthalmic disorders. Phytother Res. Nov 2001;15(7):618-20. doi:10.1002/ptr.896
  13. Chaitanya N, Badam R, Aryasri AS, et al. Efficacy of Improvised Topical Zinc (1%) Ora-Base on Oral Mucositis during Cancer Chemo-Radiation-A Randomized Study. J Nutr Sci Vitaminol (Tokyo). 2020;66(2):93-97. doi:10.3177/jnsv.66.93
  14. Jothie Richard E, Illuri R, Bethapudi B, et al. Anti-stress Activity of Ocimum sanctum: Possible Effects on Hypothalamic-Pituitary-Adrenal Axis. Phytother Res. May 2016;30(5):805-14. doi:10.1002/ptr.5584
  15. Hannan JM, Marenah L, Ali L, Rokeya B, Flatt PR, Abdel-Wahab YH. Ocimum sanctum leaf extracts stimulate insulin secretion from perfused pancreas, isolated islets and clonal pancreatic beta-cells. J Endocrinol. Apr 2006;189(1):127-36. doi:10.1677/joe.1.06615
  16. Baliga MS, Jimmy R, Thilakchand KR, et al. Ocimum sanctum L (Holy Basil or Tulsi) and its phytochemicals in the prevention and treatment of cancer. Nutr Cancer. 2013;65 Suppl 1:26-35. doi:10.1080/01635581.2013.785010
  17. Uma Devi P, Ganasoundari A, Vrinda B, Srinivasan KK, Unnikrishnan MK. Radiation protection by the ocimum flavonoids orientin and vicenin: mechanisms of action. Radiat Res. Oct 2000;154(4):455-60. doi:10.1667/0033-7587(2000)154[0455:rpbtof]2.0.co;2
  18. Satapathy S, Das N, Bandyopadhyay D, Mahapatra SC, Sahu DS, Meda M. Effect of Tulsi (Ocimum sanctum Linn.) Supplementation on Metabolic Parameters and Liver Enzymes in Young Overweight and Obese Subjects. Indian J Clin Biochem. Jul 2017;32(3):357-363. doi:10.1007/s12291-016-0615-4
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