Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/25/2025

L-Theanine for Relaxation and Stress Reduction

Safety and Efficacy

  • L-theanine should be held for 24 hours before surgery due to its potential to cause a dose-dependent decrease in blood pressure, as recommended by the Mayo Clinic Proceedings 1, 2
  • Individuals taking medications that affect blood pressure should consult with healthcare providers before use due to L-theanine's potential hypotensive effects, as noted by the Mayo Clinic Proceedings 2
  • Those with low blood pressure should monitor their response when beginning supplementation, according to the Mayo Clinic Proceedings 2
  • L-theanine does not cause dependence, tolerance, or cognitive impairment, unlike benzodiazepines and other conventional anxiolytics, as stated in the Journal of Clinical Sleep Medicine 3

Comparison to Other Interventions

  • Unlike many herbal supplements that require holding for 2 weeks before surgery, L-theanine only needs to be discontinued 24 hours prior due to its rapid metabolism, as reported by the Mayo Clinic Proceedings 1, 2
  • L-theanine offers the convenience of a supplement form compared to other relaxation therapies, such as progressive muscle relaxation, as mentioned in Ca-A Cancer Journal for Clinicians 4, 5