Lavender Oil Capsules and Depression

Lavender oil in a capsule is best known from anxiety research. The first placebo-controlled trial in people whose main diagnosis was major depression was published in 2025. In that trial of 498 people, an 80 mg daily capsule lowered a depression score by about 2 points more than placebo over 8 weeks, close to the result for the antidepressant sertraline in the same trial. The maker of the capsule sponsored that trial, and only people with mild or moderate depression and no suicidal thoughts could take part. This page goes through the numbers, then the separate and much weaker research on inhaled lavender and lavender massage. The anxiety trials are covered on Lavender for Anxiety and Stress, and the plant itself on Lavender.


Table of Contents

  1. The Capsule That Was Studied
  2. The 2025 Trial in Major Depression
  3. The Comparison With Sertraline
  4. Which Symptoms Changed
  5. The Trial in Mixed Anxiety and Depression
  6. Meta-Analyses and Reviews
  7. Other Oral Forms: Tincture, Tea, Syrup and Plain Capsules
  8. Inhaled Lavender Is a Separate Body of Research
  9. Massage With Lavender Oil
  10. The Proposed Mechanism Remains Unsettled
  11. Side Effects, Including Burping
  12. Withdrawal and Abuse Data
  13. Drug Interaction Data
  14. Who Funded and Wrote the Trials
  15. Lavender and Low Mood in Traditional Use
  16. What Is Not Known
  17. Key Research Papers
  18. Connections
  19. Featured Videos

The Capsule That Was Studied

The capsule contains an essential oil steam-distilled from the flowers of Lavandula angustifolia. The 2025 trial report describes it as a proprietary oil that meets the European Pharmacopoeia monograph for lavender oil, made by a standardized process so that batches stay consistent. It comes as an immediate-release soft capsule holding 80 mg of oil, taken once a day.

Its registered use, according to the same papers, is anxiety. A 2025 review by trial authors says it is authorized as a medicine in more than 20 countries. Depression is the newer question, which is why the 2025 trial was run.

Results from this capsule do not automatically apply to other lavender products. None of the trials on this page gave drops of bottled essential oil by mouth, and the inhaled and massage studies further down use different oils, different doses and a different route into the body.

The 2025 Trial in Major Depression

Kasper and colleagues ran a double-blind trial at 53 general, psychiatric and neurological practices in Germany and Poland between October 2020 and April 2023. Of 500 people randomized, 498 were treated and analyzed: 170 on the lavender capsule at 80 mg a day, 171 on sertraline at 50 mg a day and 157 on placebo, for 56 days. Everyone had a mild or moderate episode of major depression, with a score of 19 to 34 on the Montgomery-Åsberg Depression Rating Scale, a clinician-rated scale that runs from 0 to 60. The average starting score was about 23 points.

The main results at week 8:

Two things put these numbers in proportion. The first is the size of the placebo response: most of the fall in the score, about 10 of the 12 points, also happened on placebo. The second is the benefit threshold. The authors treat a 2-point gap on this scale as clinically meaningful, and the capsule's 2.17 points sits just above that line, with a confidence interval that reaches down to 0.58.

The self-rated scales were weaker. On the Beck Depression Inventory the capsule's advantage over placebo was 1.58 points (p = 0.085), and on the Patient Health Questionnaire it was 0.84 points (p = 0.077). Neither reached the conventional level of significance. A clinician's overall rating of illness did not separate from placebo either (p = 0.111). So the clinician-rated main outcome and the disability scale favoured the capsule, while the patients' own depression ratings moved in the same direction without reaching significance.

The Comparison With Sertraline

The headline comparison is against a standard antidepressant, a selective serotonin reuptake inhibitor, so what the trial was built to do matters. Its stated purpose was to show the capsule beat placebo. Sertraline was included as an active control, to show the trial was capable of detecting an antidepressant effect at all. Comparisons between the capsule and sertraline were only tested descriptively. The trial therefore does not prove the two are equal, although the results for each against placebo were similar in size.

The two treatments differed on the secondary measures:

Sertraline was held at 50 mg a day with no dose increase. The authors argue that this is a sufficient dose in mild-to-moderate depression, and they also note that a larger meta-analysis found a bigger sertraline effect (4.15 points) than their 2.59, and they write that their trial may have underestimated the true effects of both treatments. Sertraline's result here was smaller than that larger figure, so the closeness of the two treatments applies to this trial and this dose.

Smaller trials compared lavender in other forms with antidepressants, and they are described under other oral forms. A 2025 review of milder depression also lists lavender among agents reported as effective as antidepressants, on the basis of single studies.

Which Symptoms Changed

A 2026 paper by Möller and colleagues went through the same trial question by question. It is a pre-planned but exploratory analysis, and its authors say it was not controlled for multiple statistical testing. Against placebo, the capsule was ahead on five of nine items: apparent sadness, reported sadness, reduced appetite, concentration difficulties and lassitude (a feeling of slowness and lack of energy). Sertraline was also ahead on five items, and the overall pattern was mainly comparable.

Effects on reduced sleep and pessimistic thoughts were less pronounced for both treatments. The tenth item, suicidal thoughts, could not be analyzed at all, because anyone with suicidal thoughts was excluded or removed from the trial.

The authors read the pattern as an antidepressant effect of its own, not simply a side result of less anxiety. That is their interpretation of exploratory data, and they state that the 0.2-point threshold they used for a meaningful change on a single item has not been validated.

The Trial in Mixed Anxiety and Depression

Before the 2025 trial, the most direct evidence came from a 2016 study of mixed anxiety and depressive disorder, a diagnosis for people with both kinds of symptoms below the level of a full disorder, with neither clearly dominant. Kasper and colleagues randomized 318 adult outpatients to the 80 mg capsule or placebo for 70 days.

The published abstract gives no response or remission rates for this trial.

Three reports with no placebo group point the same way and carry much less weight. An open-label 2012 study gave 47 analyzable people with neurasthenia, post-traumatic stress disorder or somatization disorder the capsule for 6 weeks, and their average score on a depression scale fell by 32.7%. A 2014 retrospective series of 8 people with major depression at a Berlin hospital reported improvement in 6 cases, with the capsule added to an antidepressant. A 2023 letter describes 4 patients with anxiety or depressive symptoms after COVID-19 or after vaccination who improved on 80 or 160 mg a day. Individual cases cannot separate the capsule from natural recovery.

Meta-Analyses and Reviews

Several reviews exist, but they answer different questions, and none of those listed in this section includes the 2025 trial, because their searches or publication came before it.

The mixed reviews combine capsules, tinctures, oils and inhalation, and their high disagreement figures reflect that. A pooled number from such different treatments says little about any single product.

Other Oral Forms: Tincture, Tea, Syrup and Plain Capsules

These trials used lavender preparations that are not the standardized oil capsule, in small groups.

Inhaled Lavender Is a Separate Body of Research

The following studies are not capsule studies. Smelling a scent is a different exposure from swallowing a measured dose, and controls were often routine care, so participants could often tell which group they were in. Most trials are small, and many ran in people with another illness who were not diagnosed with depression.

A 2023 meta-analysis of aromatherapy in general (32 trials, Cho 2023) found a moderate reduction in depressive symptoms (standardized difference 0.56, 0.43 to 0.69). Inhalation did best, and blended oils did better than lavender or other single oils, so the result is not specific to lavender. It found no effect in pregnant or postpartum women. Reviews in people with cancer disagree: one found no effect on depression (Li 2022), and a later and larger one found improvement (Liu 2026, 26 studies, 2,912 people).

Massage With Lavender Oil

Massage brings touch, attention and time with another person, so it is hard to tell what the lavender adds. One trial tested this directly. In 42 people with advanced cancer, weekly massage with lavender oil and carrier oil was compared with carrier oil alone and no treatment (Soden 2004). Depression scores fell significantly in the group massaged with carrier oil, and the authors report that adding lavender did not appear to increase the benefit.

The Proposed Mechanism Remains Unsettled

No one has shown how lavender oil would relieve depression. A 2025 review by trial authors says more research is needed to clarify the mechanism, including its effects on serotonin signalling, receptor pathways and calcium channels. The proposals come mainly from laboratory and animal work, listed here with the kind of evidence behind each.

Rat swim tests and cell cultures are screening tools. They do not show that the same process is happening in a person with depression, and no study on this page has measured a mechanism in people with major depression taking the capsule.

Side Effects, Including Burping

Burping, the medical term for which is eructation, is the side effect that stands out. In the 2025 trial, 16.5% of people on the capsule (28 of 170) reported burping that investigators judged potentially related to treatment. That is higher than the 1 to 3% quoted for older anxiety trials on the anxiety page. The trial authors describe it as mild, transient and annoying but not harmful, and write that it might be lessened by a glass of water or by taking the capsule just before a meal, a suggestion the trial did not test.

Other figures from the same trial:

A review by trial authors estimates the extra risk of stomach and gut complaints at about 3% above placebo across trials, and reports no sign of sexual problems, weight gain, sedation or sleep disturbance in clinical trials. It also says people with severe kidney impairment tolerated the capsule. In a separate network meta-analysis of anxiety drugs (100 trials, 28,637 people), it was as acceptable as placebo and one of four treatments with fewer adverse events than placebo. Most of these sources have authors with ties to the maker, as set out under who funded the trials. The trials ran for 8 to 10 weeks, so they do not describe side effects of long-term use.

Withdrawal and Abuse Data

The main formal measurement of withdrawal comes from one trial. After a 10-week trial in generalized anxiety disorder, people stopped the capsule abruptly while paroxetine was tapered, and all were followed for 1 week with a 20-item physician withdrawal checklist (Gastpar 2017). Average scores fell slightly in every group: 0.19 on placebo, 0.23 on 80 mg, 0.65 on 160 mg and 0.51 on paroxetine, with a median change of 0.00. The authors report no withdrawal effects in any group.

Those people had anxiety, were followed for only a week and had taken the capsule for 10 weeks. In the 2025 depression trial, everyone had a 7-day follow-up in which sertraline was tapered and the capsule was replaced by placebo, and the paper reports safety monitoring without a separate withdrawal scale. No study was found of stopping after long-term use.

For abuse potential, 34 recreational drug users rated single doses of 80 mg and 640 mg of the capsule, 2 mg and 4 mg of lorazepam, and placebo (Seifritz 2021). Both capsule doses were rated like placebo for drug liking, unlike lorazepam (p below 0.001), and showed no sedative effect.

Drug Interaction Data

The 2025 review by trial authors states that clinical studies and post-marketing experience have shown no drug interactions. Both of its authors have ties to the maker. None of the test drugs in the enzyme study was an antidepressant, no dedicated interaction study of the capsule with a selective serotonin reuptake inhibitor was found, and the 2025 trial did not allow other psychiatric drugs. Trials that combined lavender tincture or tea with imipramine or citalopram were small and were not designed as safety studies.

Who Funded and Wrote the Trials

Nearly all the human evidence on this capsule in depression comes from one sponsor and a linked group of researchers.

Industry sponsorship does not make a result false. It does mean the main finding awaits independent replication. The studies whose authors declare no conflict of interest are mostly small and test other products, inhalation or massage. An oral capsule trial in diagnosed major depression run independently of the maker was not found.

The 2025 trial also has a feature bearing on blinding. The placebo capsules were flavored with a tiny amount of lavender oil so that they would smell alike, and the paper reports no check on whether participants could tell which capsule they had. A burp that tastes of lavender could in principle reveal the treatment, which is a general concern in such trials and has not been measured here.

Lavender and Low Mood in Traditional Use

The following is what tradition reports, not what trials have shown. Trial reports describe lavender as being used for low mood in traditional Persian medicine, with many of its textbooks naming it for this purpose, and more widely in Asia. A two-herb syrup of lavender and dodder is one such Persian formula for depression with anxiety. Authors of a 2024 rat study write that communities in Uganda use the plant to manage depressive disorders. The wider story of the plant is on Lavender: History and Traditional Use.

A 2003 trial paper noted the gap at the time: many medicinal plant textbooks referred to this use, yet there was no evidence-based document behind it.

What Is Not Known

Key Research Papers

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  2. Möller HJ, Anghelescu IG, Volz HP, Seifritz E, Schläfke S, Kasper S. Effects of lavender oil preparation silexan on different symptoms of major depression - results from a randomized, controlled trial. Int J Neuropsychopharmacol. 2026;29(9). PubMed PMID: 42550483
  3. Kasper S, Volz HP, Dienel A, Schläfke S. Efficacy of Silexan in mixed anxiety-depression--A randomized, placebo-controlled trial. Eur Neuropsychopharmacol. 2016;26(2):331-340. PubMed PMID: 26718792
  4. Bartova L, Dold M, Volz HP, Seifritz E, Möller HJ, Kasper S. Beneficial effects of Silexan on co-occurring depressive symptoms in patients with subthreshold anxiety and anxiety disorders: randomized, placebo-controlled trials revisited. Eur Arch Psychiatry Clin Neurosci. 2023;273(1):51-63. PubMed PMID: 35262795
  5. Kasper S, Eckert A. Silexan in anxiety, depression, and related disorders: pharmacological background and clinical data. Eur Arch Psychiatry Clin Neurosci. 2025;275(6):1621-1635. PubMed PMID: 39453446
  6. Firoozeei TS, Feizi A, Rezaeizadeh H, Zargaran A, Roohafza HR, Karimi M. The antidepressant effects of lavender (Lavandula angustifolia Mill.): A systematic review and meta-analysis of randomized controlled clinical trials. Complement Ther Med. 2021;59:102679. PubMed PMID: 33549687
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