Brief Background: Bacopa monnieri leaf extract is called brahmi in Ayurvedic medicine and is widely used in India for enhancing memory, analgesia, and treating epilepsy. Bacopa may be helpful in managing pediatric attention deficit (hyperactivity) disorder, but clinical evidence is lacking. Strength of Expert Opinion and Historic/Folkloric Precedent: Bacopa monnieri is a well-known and frequently used remedy in India. Bacopa has been used since the 6th Century as a nerve tonic in Ayurvedic medicine. A number of agents, including bacopa, have been described as medhya rasayana (enhancing the mind) and are considered to promote mental function in addition to general rejuvenative effects.