Last update Oct. 13, 2025

Garden Sage

Likely Compatibility

Fairly safe. Mild or unlikely adverse effects. Compatible under certain circumstances. Follow-up recommended. Read Commentary.

Salvia officinalis or common sage is one of the 900 species of plants that pertains to genus Salvia as well as Salvia hispanica or Chia (see specific information) but with totally different composition, properties and uses. This comment refers to Salvia officinalis, also called common sage or simply sage.

The leaves and flowering tops of this herbaceous specie which is native from Mediterranean Europe are used It contains thujone, camphor and 1,8 cineol (eucalyptol); phenolic acids, terpenes, flavonoids, tannins ... Thujone and camphor are neurotoxic and may induce seizures. Its concentration varies greatly depending on the season and region of origin (EMA 2016, Cvetkovikj 2015,Jug-Dujaković 2012, WHO 2010, Oniga 2010, Raal 2007).The highest concentration appears in the essential oil, whose consumption has caused severe cases of poisoning, especially in children (Lachenmeier 2012, Halicioglu 2011, Burkhard 1999, Millet 1981). Traditionally used but without scientific evidence for relief of dyspepsia, excess of sweating, swelling of the mouth, throat and skin.

Sage has been used to reduce milk production (Eid 2020, Eglash 2014, Amir 2011) and, in some countries, as a galactagogue (Kaygusuz 2021). There is no evidence for either of these properties. (Trimeloni 2016, Eglash 2014)

Breastfed infants of mothers who took eucalyptoldid not experience any significant clinical problems (Kirsch 2012)

A moderate consumption of leaf tea is devoid of toxicity (Amir 2011). It should be convenient to choose plants with low content of thujone and camphor. Essential oil consumption is not recommended during breastfeeding. For culinary purposes it does not pose any health risk if consumed as aromatic seasoning in usual amounts.


See below the information of this related product:

  • Chia (Safe product and/or breastfeeding is the best option.)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Garden Sage is also known as Sage. Here it is a list of alternative known names::


Garden Sage in other languages or writings:

Groups

Garden Sage belongs to these groups or families:

Tradenames

Main tradenames from several countries containing Garden Sage in its composition:

References

  1. Debong MW, Homm I, Gigl M, Lang R, Hofmann T, Buettner A, Dawid C, Loos HM. Curry-Odorants and Their Metabolites Transfer into Human Milk and Urine. Mol Nutr Food Res. 2024 Apr;68(8):e2300831. Abstract
  2. Kaygusuz M, Gümüştakım RŞ, Kuş C, İpek S, Tok A. TCM use in pregnant women and nursing mothers: A study from Turkey. Complement Ther Clin Pract. 2021 Feb;42:101300. Abstract
  3. Eid AM, Jaradat N. Public Knowledge, Attitude, and Practice on Herbal Remedies Used During Pregnancy and Lactation in West Bank Palestine. Front Pharmacol. 2020 Feb 14;11:46. Abstract Full text (link to original source)
  4. EMA. Salvia officinalis L., folium. European Union herbal monograph. 2016 Full text (in our servers)
  5. EMA. Public statement on Salvia officinalis L., aetheroleum. Committee on Herbal Medicinal Products. 2016 Full text (in our servers)
  6. Trimeloni L, Spencer J. Diagnosis and Management of Breast Milk Oversupply. J Am Board Fam Med. 2016 Abstract Full text (link to original source) Full text (in our servers)
  7. Cvetkovikj I, Stefkov G, Karapandzova M, Kulevanova S, Satović Z. Essential oils and chemical diversity of southeast European populations of Salvia officinalis L. Chem Biodivers. 2015 Abstract
  8. Eglash A. Treatment of maternal hypergalactia. Breastfeed Med. 2014 Abstract Full text (link to original source) Full text (in our servers)
  9. Kirsch F, Buettner A. Characterisation of the metabolites of 1,8-cineole transferred into human milk: concentrations and ratio of enantiomers. Metabolites. 2013 Jan 30;3(1):47-71. Abstract Full text (link to original source)
  10. Kirsch F, Beauchamp J, Buettner A. Time-dependent aroma changes in breast milk after oral intake of a pharmacological preparation containing 1,8-cineole. Clin Nutr. 2012 Abstract
  11. Jug-Dujaković M, Ristić M, Pljevljakušić D, Dajić-Stevanović Z, Liber Z, Hančević K, Radić T, Satović Z. High diversity of indigenous populations of dalmatian sage (Salvia officinalis L.) in essential-oil composition. Chem Biodivers. 2012 Abstract
  12. Lachenmeier DW, Walch SG. Epileptic seizures caused by accidental ingestion of sage (Salvia officinalis L.) oil in children: a rare, exceptional case or a threat to public health? Pediatr Neurol. 2012 Abstract
  13. Halicioglu O, Astarcioglu G, Yaprak I, Aydinlioglu H. Toxicity of Salvia officinalis in a newborn and a child: an alarming report. Pediatr Neurol. 2011 Oct;45(4):259-60. Abstract
  14. Amir LH, Pirotta MV, Raval M. Breastfeeding--evidence based guidelines for the use of medicines. Aust Fam Physician. 2011 Sep;40(9):684-90. Review. Abstract
  15. WHO. World Health Organization. WHO monographs on medicinal plants commonly used in the Newly Independent States (NIS). WHO monographs. 2010 Full text (in our servers)
  16. Oniga I, Oprean R, Toiu A, Benedec D. Chemical composition of the essential oil of Salvia officinalis L. from Romania. Rev Med Chir Soc Med Nat Iasi. 2010 Abstract
  17. Raal A, Orav A, Arak E. Composition of the essential oil of Salvia officinalis L. from various European countries. Nat Prod Res. 2007 Abstract
  18. Burkhard PR, Burkhardt K, Haenggeli CA, Landis T. Plant-induced seizures: reappearance of an old problem. J Neurol. 1999 Aug;246(8):667-70. Abstract
  19. Millet Y, Jouglard J, Steinmetz MD, Tognetti P, Joanny P, Arditti J. Toxicity of some essential plant oils. Clinical and experimental study. Clin Toxicol. 1981 Abstract

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