Does Ashwagandha KSM-66 Really Help Insomnia by Lowering Cortisol?

By Sina Hartung, MMSC-BMI, Harvard Medical SchoolReviewed by Eureka Health Medical Group
Published: June 25, 2025Updated: June 25, 2025

Summary

Early clinical trials show that 300–600 mg of KSM-66 Ashwagandha taken for 6–8 weeks can cut waking cortisol by up to 27 % and shorten the time it takes to fall asleep by about 35 %. Results vary, but people with stress-related insomnia often report deeper, longer sleep after three weeks of regular use.

Can KSM-66 Ashwagandha lower cortisol enough to improve insomnia?

Yes, several randomized, placebo-controlled studies link KSM-66 to both reduced cortisol and better sleep. “Participants taking 600 mg daily saw a statistically significant drop in salivary cortisol and a 42-minute increase in total sleep time,” notes the team at Eureka Health.

  • Average cortisol reduction approaches 20–27 %A 2019 meta-analysis of five trials found waking cortisol fell by roughly a quarter after 8 weeks of KSM-66.
  • Sleep latency often shortens by 15–20 minutesPatients reported falling asleep faster, especially those whose baseline cortisol exceeded 14 µg/dL.
  • Deep sleep (N3) increases by about 10 %Polysomnography data show a small but meaningful rise in restorative slow-wave sleep phases.
  • Benefits appear after three weeks of useMost studies see measurable cortisol change at week 3, aligning with subjective sleep improvement.
  • Perceived stress falls by roughly 45 %In an 8-week double-blind trial, volunteers receiving 600 mg of KSM-66 twice daily saw Perceived Stress Scale scores drop from 24.5 to 13.3 (−46 %) while morning serum cortisol fell 32 % versus placebo. (Cureus)
  • Sleep quality scores drop more than half in older adultsA 12-week study of adults aged 60 plus found that 600 mg/day of KSM-66 lowered Pittsburgh Sleep Quality Index scores by 57 % and cut Epworth Sleepiness Scale ratings by 34 %, signalling markedly better nighttime rest and daytime alertness. (Nutra)

Which insomnia symptoms require medical care before trying Ashwagandha?

Some sleep problems signal an underlying disorder that a herbal adaptogen cannot fix. “If loud snoring, gasping, or early-morning headaches are present, rule out sleep apnea first,” advises Sina Hartung, MMSC-BMI.

  • Snoring with pauses in breathingFrequent airway obstruction raises cardiovascular risk and needs a sleep study.
  • Sudden weight loss or night sweatsThese could point to hyperthyroidism, infection, or malignancy rather than simple stress insomnia.
  • Restless legs that disrupt sleepUncontrolled iron deficiency, not cortisol, is often the culprit.
  • Cortisol above 23 µg/dL at 8 a.m.Values this high may suggest Cushing syndrome, which requires endocrinology referral.

How is KSM-66 different from other Ashwagandha extracts for cortisol control?

KSM-66 is a full-spectrum root extract standardized to 5 % withanolides, produced by a water-based process that preserves minor alkaloids thought to influence the adrenal axis. “Compared with leaf-only powders, KSM-66 delivers consistent withanolide doses while keeping withaferin A—an irritant—very low,” says the team at Eureka Health.

  • Root-only sourcing keeps withaferin A under 0.5 %Leaf-containing extracts can reach 3 % and may cause GI upset at high doses.
  • 5 % withanolide standardization is clinically validatedMost insomnia trials use this exact potency, aiding dose translation.
  • Water extraction avoids residual solventsIndependent testing shows non-detectable hexane or alcohol residues in KSM-66 batches.
  • Batch-to-batch variability stays below 2 %Tight manufacturing controls mean more predictable cortisol and sleep outcomes.
  • 600 mg/day of KSM-66 lowered serum cortisol by 28 % in a 60-day double-blind trialParticipants receiving 300 mg twice daily showed a 28 % drop from baseline cortisol, while the placebo group had no significant change, underscoring its adrenal-stress advantage over generic extracts. (SupplySideSJ)
  • Backed by 38 published human studies—the largest clinical portfolio among ashwagandha extractsKSM-66’s 38 peer-reviewed trials (with 17 ongoing) provide a depth of evidence for stress and hormonal balance unmatched by leaf-based or solvent-extracted alternatives. (SupplySideSJ)

What practical steps optimize Ashwagandha’s sleep benefits?

Supplement timing, lifestyle adjustments, and dose consistency all influence results. “Taking the evening dose about one hour before bed aligns peak plasma with the first sleep cycle,” notes Sina Hartung, MMSC-BMI.

  • 400–600 mg twice daily is the studied doseMost trials split the total amount morning and evening to balance daytime calm with nighttime sedation.
  • Pair with 30 minutes of blue-light restrictionTurning off screens helps Ashwagandha’s hormone effects translate into actual drowsiness.
  • Avoid caffeine after 2 p.m.Even small afternoon doses raise cortisol and can negate Ashwagandha’s benefits.
  • Monitor blood pressure weeklyA minority (about 4 %) experience mild hypotension, especially when combined with beta-blockers.
  • Track sleep in a diary or appRecording sleep onset, awakenings, and total time makes it easier to judge if the supplement works.
  • 72 % higher sleep-quality scores after 6 weeksAn open-label trial cited by reviewers found that 120 mg of standardized ashwagandha extract nightly increased self-rated sleep quality by 72 % after six weeks. (Healthline)
  • RCT confirms gains in latency, total sleep time, and efficiencyIn an 8-week double-blind study, 600 mg/day of root extract significantly shortened sleep-onset latency and boosted total sleep time and efficiency in both healthy volunteers and insomnia patients (most outcomes p < 0.0001 vs placebo). (SciDirect)

Which lab tests and medications matter when combining Ashwagandha with insomnia treatment?

Knowing your baseline cortisol, thyroid status, and concurrent drugs prevents surprises. “Always check for benzodiazepine use—sedative stacking can prolong reaction time the next morning,” warns the team at Eureka Health.

  • 8 a.m. salivary cortisol establishes a baselineRepeat the test after 6–8 weeks to verify objective change.
  • TSH and free T4 rule out thyroid overactivityHyperthyroidism raises cortisol and causes sleeplessness that Ashwagandha will not fix.
  • SSRIs may amplify sedationCase reports describe additive fatigue when Ashwagandha is combined with paroxetine or sertraline.
  • Warfarin users need extra INR checksAshwagandha can theoretically enhance anticoagulation; monitor weekly at first.
  • Serum cortisol falls after 8 weeks of 600 mg daily AshwagandhaA double-blind trial in 60 stressed adults showed that Ashwagandha 600 mg/day significantly reduced morning cortisol compared with placebo (P < 0.0001), underscoring why baseline and follow-up measurements are useful. (Cureus)
  • Randomized insomnia study confirms better sleep efficiencyPatients taking 300 mg Ashwagandha twice daily for 10 weeks experienced statistically significant improvements in sleep onset latency, sleep efficiency and overall sleep quality versus placebo, supporting its use alongside standard hypnotics. (Cureus)

How can Eureka’s AI doctor personalize Ashwagandha use for sleep and stress?

Eureka’s AI platform reviews your symptom timeline, current meds, and goals to craft a data-driven plan. “Our model flags potential drug-herb interactions and suggests lab work a human clinician then approves,” explains Sina Hartung, MMSC-BMI.

  • Algorithmic dose adjustment based on cortisol trendIf repeat labs show insufficient drop, the AI may suggest stepping up to 300 mg three times daily, pending physician review.
  • Automated reminders improve adherence by 26 %Push notifications nudge users to take both daily doses on time.
  • Week-by-week sleep score trackingThe app integrates with wearables to graph latency, efficiency, and total sleep for clear feedback.

Why users turn to Eureka’s AI doctor for cortisol-related insomnia

People like the privacy and speed of chatting with an evidence-based AI that listens without judgment. Women using Eureka for menopause-related insomnia rate the app 4.8 out of 5 stars for empathy and accuracy.

  • On-demand triage within minutesNo waiting room—users describe symptoms and get an action plan immediately.
  • Secure data handling with end-to-end encryptionHealth information never leaves HIPAA-compliant servers.
  • Physician oversight on every prescription or lab orderHuman doctors review and sign off, adding a safety layer to AI suggestions.
  • Cost transparency keeps care accessibleMost basic services, including cortisol test ordering, remain free for users.

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Frequently Asked Questions

How long does it take for KSM-66 to start helping my sleep?

Most users notice some change in stress or sleep quality after 2–3 weeks, with full benefit by week 6.

Can I take Ashwagandha with melatonin?

Yes, studies have safely combined 300 mg KSM-66 with 1–3 mg melatonin, but start on a non-work night to gauge sedation.

Will Ashwagandha make me groggy in the morning?

When dosed correctly it rarely does; grogginess usually means the evening dose is too high or taken too late.

Is KSM-66 safe during pregnancy?

There is not enough safety data for pregnancy; most clinicians advise against any Ashwagandha extract in this setting.

Does Ashwagandha affect birth-control pills?

Current evidence shows no direct effect on hormone levels from standard doses, but always mention supplements to your OB-GYN.

Can I stop my sleeping pill if Ashwagandha works?

Never discontinue prescription sedatives abruptly; taper only under physician guidance even if your sleep improves.

How should I store KSM-66 capsules?

Keep them in a cool, dry place below 77 °F (25 °C); humidity degrades withanolides.

What if my cortisol is already low?

If morning cortisol is below 7 µg/dL, seek medical advice before taking any cortisol-lowering supplement.

This content is for informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for diagnosis, treatment, and personalized medical recommendations.