Nowadays, Ephedra species have been marked as encouraging natural material for research in the field of pharmacology. This work provides an overview of the botanical, traditional uses, phytochemistry, pharmacological properties, molecular mechanisms, and toxicity of Ephedra alata. The following databases were utilized to search for primary literature references: PubMed, Web of Science, Scopus, Scientific Information Database, Science Direct, Google, and Google Scholar. The present review demonstrates that various compounds have been extracted from E. alata, such as fatty acids, sphingolipids, volatile compounds, reducing sugars, flavonoids, phenolic compounds, and alkaloids. These natural compounds show valuable biological activities, such as antioxidant, antimicrobial, anti-inflammatory, anticancer, antidiabetic, antihypertensive, anti-obesity, nephroprotective, hepatoprotective, antipyretic, analgesic, anti-acetylcholinesterase, antityrosinase, and anti-urease activities. Several mechanisms are proposed to understand the biological effects of E. alata. In summary, E. alata constitutes good natural material for utilization in food and medicine applications.