Bitter Orange Extract

BotanicalstimulantModerate dose evidence

Also known as: Citrus aurantium, p-synephrine, synephrine, zhi shi, Advantra Z (branded extract)

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Bitter orange extract is made from the immature fruit or peel of Citrus aurantium and is standardized to p-synephrine, a protoalkaloid structurally related to ephedrine but with much weaker cardiovascular activity. It became a common weight-management and pre-workout ingredient after ephedra was banned. Systematic reviews and meta-analyses have examined both efficacy and safety, and adverse-event case reports, mostly involving multi-ingredient products, have been reviewed. Doses are usually expressed as milligrams of synephrine.

Research summary

p-Synephrine is studied for beta-3 adrenergic activity that may raise resting energy expenditure without large effects on heart rate.

Dosage

Daily amounts, of extract.

Lowest studiedTypical rangeHighest studiedUpper limit
200 mg200–500 mg

200 to 500 mg of a 6 to 10% extract supplies roughly 10 to 50 mg p-synephrine per day, the range used in most studies. Keep synephrine at or below 50 mg per day and total with caffeine sources. Not recommended during pregnancy or for people taking stimulant or MAO-inhibiting medications.

Standardization: 6–10% p-synephrine

Source material: immature fruit or peel extract

Format suitability

  • Capsule
  • Powder
  • Tablet
  • Softgel
  • Gummy
  • Liquid

Bitter; capsules preferred. Some sports bodies restrict synephrine.

Formulation notes

Stimulant; additive with caffeine. Some competitive-sport programs restrict synephrine, and it is prohibited in some countries.

  • Stimulant
  • Not for pregnancy
  • Notable drug interactions

Sources

  1. The Safety and Efficacy of Citrus aurantium (Bitter Orange) Extracts and p-Synephrine: A Systematic Review and Meta-Analysis. (Koncz D 2022)PubMed
  2. Review of Published Bitter Orange Extract and p-Synephrine Adverse Event Clinical Study Case Reports. (Stohs SJ 2020)PubMed

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