Butterfly Pea

Fabaceae

Clitoria ternatea

Also known as: Aparajita, Shankpushpi (in some traditions), Blue Pea

Pregnancy B3
Lactation B3

clinical_notes Clinical Summary

Butterfly Pea (Clitoria ternatea), known as Aparajita in Ayurveda, is a traditional Southeast Asian/Indian medhya (brain-tonic) herb whose striking blue flowers are rich in anthocyanins (ternatins), flavonoids, and cyclotides.

Preclinical evidence supports memory-enhancing, anxiolytic, anticonvulsant, antioxidant, and anticholinesterase activities — mechanisms include AChE inhibition and neuroprotection in chronic cerebral hypoperfusion models.

Large-scale human RCTs are lacking but traditional use is extensive and flowers are widely consumed as food coloring.

Pregnancy Safety

B3

Food amounts (tea from flowers) likely safe; medicinal doses of root/seed extract avoid due to insufficient data. Root traditionally considered emmenagogue in some sources.

Lactation Safety

B3

Limited safety data; food amounts likely safe, avoid concentrated extracts.

warning Contraindications

  • Pregnancy (caution)
    Theoretical
  • Anticoagulant or antiplatelet therapy (caution)
    Theoretical
  • Concurrent sedative medication (caution)
    Theoretical

vital_signs Clinical Profile

Primary Indications

  • check_circle anxiety
  • check_circle memory impairment
  • check_circle cognitive decline
  • check_circle insomnia
  • check_circle seizures
  • check_circle depression
  • check_circle diabetes
  • check_circle skin inflammation

Therapeutic Actions

nootropicanxiolyticantidepressantanticonvulsantantioxidantanti-inflammatoryanti-diabeticsedativeneuroprotective

System Affinities

  • check_circle nervous system
  • check_circle cognitive
  • check_circle skin

labs Active Constituents

ternatins

kaempferol glycosides

quercetin glycosides

myricetin glycosides

delphinidins

cyclotides

taraxerol

taraxerone

clitorin

finotin

history_edu Traditional Use

Traditional Chinese Medicine (TCM)

Chinese Name

蝶豆 (Dié Dòu (or Lán Hú Dié))

Properties

Nature: cool

sweetbitter
Meridians / Channels
HeartLiver
TCM Indications
  • Heat toxin
  • mild anxiety
  • inflammation
  • cooling tonic
Zang-Fu Organ Patterns
Heart FireLiver Heat
Notes

Not a classical TCM herb but has been adopted in some Southeast Asian and modern TCM practices for its cooling, detoxifying properties. Not featured in canonical materia medica.

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Traditional Uses Across Healing Systems

While many herbs lack controlled clinical trials, centuries of traditional practice across cultures provide valuable insight into their therapeutic applications.

Ayurveda Indian subcontinent
Classical Ayurvedic texts; >2000 years

Known as Aparajita (and sometimes confused with Shankhpushpi); used as Medhya Rasayana (brain tonic) for memory enhancement, anxiety, depression, insomnia, and neurological disorders. Roots for depression, seeds as laxative, flowers for eye health.

Categorized as a medhya (intellect-promoting) herb. Note: 'Shankhpushpi' is an Ayurvedic classification that may refer to this herb or to Convolvulus pluricaulis or Evolvulus alsinoides.

Unani Indian subcontinent, Middle East
Traditional Greco-Arabic medicine

Used as memory tonic and anxiolytic; for hair care and as hair dye.

Mukherjee notes extensive Unani use for neurological health.

Indigenous Southeast Asia
Long-standing cultural use

In Southeast Asia (Thailand, Malaysia, Indonesia), flowers used as natural food coloring for rice dishes, desserts, and beverages (butterfly pea tea); also for skin and hair care.

Pleasant-tasting blue tea turns purple with lemon (pH change).

Western Herbal North America, Europe (emerging)
21st century

Recently popularized globally as a nootropic and anti-aging ingredient in teas, cosmetics, and supplements; modern herbalists use for anxiety and cognitive support.

Featured in functional beverages and nootropic blends.

spa Parts Used

flower

Constituents
ternatin anthocyaninskaempferol glycosidesquercetin glycosidesdelphinidinscyclotides
Indications
  • anxiety
  • cognitive support
  • skin inflammation
  • eye health
Preparation

Dried blue flowers used as tea or food coloring; best brewed in cool-warm water to preserve anthocyanins.

root

Constituents
clitorienolactones Ataraxeroltaraxeroneflavonoids
Indications
  • memory enhancement
  • depression
  • insomnia
  • neurological disorders
Preparation

Main medhya part in Ayurveda; decocted or tinctured. Traditionally considered stronger for CNS effects than flowers.

seed

Constituents
finotincyclotidesfatty acids
Indications
  • constipation
  • skin conditions
Preparation

Seeds traditionally used as mild laxative; pulverized.

shield Safety

Contraindications — Evidence Basis

Pregnancy
caution Theoretical

Limited safety data; traditional use of root extracts as an abortifacient/emmenagogue in some sources warrants caution. Flowers used as food coloring are likely safe in food amounts.

Anticoagulant or antiplatelet therapy
caution Theoretical

Flavonoid and anthocyanin content may inhibit platelet aggregation; theoretical risk of increased bleeding.

Concurrent sedative medication
caution Theoretical

Has demonstrated sedative and anxiolytic effects; may potentiate CNS depressants.

Toxicity

Toxic Dose

Safety studies show up to 200 mg/kg root extract is safe in rats with no observed adverse effects; whole flower as food/tea is GRAS.

Symptoms

Nausea, diarrhea (at very high doses of root extract).

Management

Discontinue; symptomatic care.

Adverse Effects

GI discomfort (rare)mild sedationallergic reaction (rare)

CYP Metabolism

Limited clinical data; flavonoids may mildly modulate CYP1A2 and CYP3A4 in vitro.

swap_horiz Interactions

Glibenclamide (Glyburide)

Synergistic moderate

Class: Sulfonylurea antidiabetic

Mechanism

Clitoria ternatea flower extract exerted antidiabetic effects in streptozotocin-induced diabetic rats via antioxidant, anti-inflammatory, and GSK-3β-modulating actions, enhancing the hypoglycemic effect of glibenclamide.

Clinical Guidance

Monitor blood glucose regularly, especially when starting or discontinuing butterfly pea. Dose reduction of sulfonylurea may be required.

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Evidence Source Nair V, et al. Butterfly pea flower extract displayed antidiabetic effect through antioxidant, anti-inflammatory, lower hepatic GSK-3β, and pancreatic glycogen. J Saudi Chem Soc. 2023 View source open_in_new

Aspirin

Synergistic low

Class: NSAID / antiplatelet

Mechanism

Butterfly pea flavonoids (kaempferol, quercetin) have demonstrated anti-inflammatory activity with reported 65-82% inhibition of carrageenan-induced paw edema and 75-76% writhing inhibition in mice, suggesting additive anti-inflammatory effect with NSAIDs.

Clinical Guidance

Effect is generally additive and mild. Monitor for GI upset with long-term concurrent use.

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Evidence Source Ahmed N, et al. Clitoria ternatea L. (Butterfly Pea) Flower Against Endometrial Pain. Life 2024;14(11):1473 View source open_in_new

Isoniazid

Synergistic low

Class: Antitubercular agent

Mechanism

In a clinical trial, adjuvant butterfly pea flower therapy with anti-TB treatment increased pro-inflammatory IFN-γ expression compared to anti-TB therapy alone, and improved leukocyte and platelet parameters as well as clinical symptoms.

Clinical Guidance

Appears safe and complementary in tuberculosis treatment; monitor for normal TB treatment response and liver enzymes (both agents can affect hepatic function).

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Evidence Source Jassanti J, Darmawati S, Rakhmawatie MD. Effectiveness of butterfly pea (Clitoria ternatea) flower extract as adjuvant therapy for pulmonary tuberculosis. J Herbmed Pharmacol. 2025;14(2):241-249 View source open_in_new

Warfarin

Increased Effect low

Class: Vitamin K antagonist anticoagulant

Mechanism

Butterfly pea anthocyanins and flavonoids have mild antiplatelet activity in vitro. Additive bleeding risk is theoretical but possible at high supplemental doses.

Clinical Guidance

Monitor INR if consuming large quantities (e.g., concentrated extract). Typical food/tea use is unlikely to cause clinically relevant changes.

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Evidence Source Jeyaraj EJ, et al. Extraction methods of butterfly pea (Clitoria ternatea) flower and biological activities of its phytochemicals. J Food Sci Technol. 2021;58(6):2054-2067 View source open_in_new

Fluoxetine

Synergistic low

Class: Selective serotonin reuptake inhibitor (SSRI)

Mechanism

Traditional Ayurvedic use of Clitoria ternatea for cognitive enhancement and mood support is paralleled by flavonoid activity on SRC/ESR1/PI3K pathways; potential for mild additive serotonergic/antidepressant-type effects.

Clinical Guidance

Effect is mild and unlikely to cause serotonin syndrome. Routine monitoring of mood and efficacy of SSRI is sufficient.

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Evidence Source Oguis GK, et al. Butterfly Pea (Clitoria ternatea), a Cyclotide-Bearing Plant With Applications in Agriculture and Medicine. Front Plant Sci. 2019;10:645 View source open_in_new

Atorvastatin

Synergistic low

Class: HMG-CoA reductase inhibitor (statin)

Mechanism

Butterfly pea flower extract reduced lipid profile and improved atherosclerosis biomarker profiles in obese rats, offering additive lipid-lowering to statin therapy.

Clinical Guidance

Generally beneficial combination. Monitor lipid panel as clinically appropriate.

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Evidence Source Ugusman A, Irmayani I. Impact of butterfly pea flower extract on atherosclerosis biomarker profiles in obese rats. J Biomed Transl Res. 2024;10(1):7-14 View source open_in_new

hub Combinations

info

Synergistic pairings can enhance therapeutic outcomes, while knowing suitable substitutes helps when specific herbs are unavailable or contraindicated.

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Synergistic Combinations

4
Ashwagandha
Traditional Use
Rationale

Adaptogen + medhya synergy for stress-related cognitive dysfunction.

Clinical Evidence

Common in modern Ayurvedic nootropic formulas.

link Integrative Ayurvedic practice
Bacopa
Traditional Use
Rationale

Both are Ayurvedic Medhya Rasayana for cognition and anxiety; complementary cholinergic and antioxidant actions.

Clinical Evidence

Traditional Ayurvedic combination for mental clarity.

link Classical Ayurvedic Medhya Rasayana formulas
Gotu Kola
Traditional Use
Rationale

Both promote cerebral circulation and cognition; commonly combined for memory and concentration.

Clinical Evidence

Traditional Ayurvedic pairing for cognitive enhancement.

link Ayurvedic Pharmacopoeia
Lemon Balm
Traditional Use
Rationale

Both calm nervous system and mildly enhance cognition; pleasant combination for anxiety with cognitive complaints.

Clinical Evidence

Complementary calming herbs.

link Modern Western herbalism

science Studies

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Clitoria ternatea Flower Extract Attenuates Postprandial Lipemia and Increases Plasma Antioxidant Status Responses to a High-Fat Meal Challenge in Overweight and Obese Participants

RCT
2021 |Authors. Nutrients. 2021; PMID:34681074

This randomized trial enrolled 16 overweight or obese men (mean age 23.5, BMI 25.7) who consumed a high-fat meal alone or with 1 g or 2 g of Clitoria ternatea flower extract (CTE). Postprandial plasma glucose, triglycerides, free fatty acids, and pro-inflammatory markers were measured alongside antioxidant status (FRAP). CTE at 2 g significantly reduced postprandial serum triglycerides and free fatty acids compared to the high-fat meal alone, and both doses improved plasma antioxidant capacity (FRAP and thiol levels). CTE also attenuated high-fat meal-induced increases in MDA (lipid peroxidation marker). These findings suggest CTE has beneficial effects on postprandial lipid metabolism and oxidative stress in overweight individuals, relevant to cardiovascular risk reduction.

Diabetes Support
antioxidantlipase inhibitionhypolipidemicanti-inflammatory
View source open_in_new

The nootropic and anticholinesterase activities of Clitoria ternatea Linn. root extract: Potential treatment for cognitive decline

In Vivo
2020 |Damodaran T, Cheah PS, Murugaiyah V, Hassan Z. Neurochem Int. 2020;139:104785.

This in vivo study in a chronic cerebral hypoperfusion (CCH) rat model investigated the effects of Clitoria ternatea root extract (CT) on memory deficits and cholinergic function, with chronic oral administration of 100, 200, and 300 mg/kg for 28 days alongside a 28-day toxicity assessment. CT root extract at 200 and 300 mg/kg significantly restored CCH-induced memory impairments and reduced neuronal damage in the CA1 hippocampal region. The high dose (300 mg/kg) significantly inhibited elevated acetylcholinesterase (AChE) activity in the frontal cortex and hippocampus. Repeated doses were found safe in this 28-day protocol. These results provide scientific evidence supporting CT root extract as a potential therapeutic strategy for vascular dementia-related cholinergic abnormalities and cognitive decline.

Cognitive Decline
neuroprotectiveacetylcholinesterase inhibitionnootropicantioxidant
View source open_in_new

medication Dosing

tea

Dose Range

5–10 dried flowers (1–2 g) per cup

Frequency

1–3x/day

Notes

Brew 5 minutes; pleasant blue color; add lemon for pH-change color demo.

capsule

Dose Range

300–500 mg standardized flower extract

Frequency

1–2x/day

Notes

Modern supplement form for nootropic use.

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Reference Manufacturer supplement standards

powder

Dose Range

1–3 g dried flower or root powder

Frequency

1–2x/day

Notes

Traditional Ayurvedic usage; root powder for memory enhancement.

tincture

Dose Range

2–5 mL (1:5 tincture of root or aerial parts)

Frequency

2–3x/day

Notes

Modern Western herbal application.

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Reference Mills & Bone, Principles and Practice of Phytotherapy
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Disclaimer: This information is largely AI-generated and reviewed by human experts at Evara Health. It is intended for educational and clinical reference purposes only and should not replace professional medical advice.

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