Abstract

In the Netherlands, (online) smart shops sell dried leaves and extracts of the herb Salvia divinorum. Products containing Salvia divinorum are used for their mind-altering and stimulant properties.

RIVM has assessed whether products containing Salvia divinorum are harmful to human health. This assessment has found that people using these products can suffer from hallucinations, restlessness, confusion, increased heart rate, increased blood pressure and psychosis. These health effects can even occur at the recommended quantity.

RIVM advises consumers not to use (herbal preparations containing) Salvia divinorum. The institute also advises the Ministry of Health, Welfare and Sport to consider restricting or banning the sale of (herbal preparations containing) Salvia divinorum.

Products containing Salvia divinorum offered for sale consist of (dried) leaves or herbal extracts. Most people smoke or vape these products. You can also chew the leaves or extract tea from them. The effects are caused by the active ingredient salvinorin A. It is not known how many people use these products.