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Tea tree oil

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This article is about essential oil isolated from the leaves of the tea tree, Melaleuca alternifolia. For the sweet seasoning oil pressed from Camellia seeds, C. sinensis or C. oleifera, see tea seed oil.

Origin of this essential oil, the tea tree, Melaleuca alternifolia
Tea tree plantation, Coraki, New South Wales

Tea tree oil, also known as melaleuca oil, is an essential oil with a fresh, camphoraceous odour and a colour that ranges from pale yellow to nearly colourless and clear.[1][2] It is derived from the leaves of the tea tree, Melaleuca alternifolia, native to southeast Queensland and the northeast coast of New South Wales, Australia. The oil comprises many constituent chemicals, and its composition changes if it is exposed to air and oxidises. Commercial use of tea tree oil began in the 1920s, pioneered by the entrepreneur Arthur Penfold.

There is little evidence for the effectiveness of tea tree oil in treating mite-infected crusting of eyelids,[3] although some claims of efficacy exist.[4][5] In traditional medicine, it may be applied topically in low concentrations for skin diseases, although there is little evidence for efficacy.[2][6][7][8]

Tea tree oil is neither a patented product nor an approved drug in the United States, although it has been used in skin care products[2][8] and is approved as a complementary medicine for aromatherapy in Australia.[9] It is poisonous if consumed by mouth and is unsafe for children.[10]

Uses

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Although tea tree oil is claimed to be useful for treating dandruff, acne, lice, herpes, insect bites, scabies, and skin fungal or bacterial infections,[8][11] insufficient evidence exists to support any of these claims due to the limited quality of research.[2][7][12] A 2015 Cochrane review of acne complementary therapies found a single low-quality trial showing benefit on skin lesions compared to placebo.[13] Tea tree oil was also used during World War II to treat skin lesions of munitions factory workers.[2]

According to the Committee on Herbal Medicinal Products (CHMP) of the European Medicines Agency, traditional usage suggests that tea tree oil is a possible treatment for "small, superficial wounds, insect bites, and small boils" and that it may reduce itching in minor cases of athlete's foot. The CHMP states that tea tree oil products should not be used on people under 12 years of age.[14]

Tea tree oil is not recommended for treating nail fungus because it is yet to be proven effective,[15] It is not recommended for treating head lice in children because its effectiveness and safety have not been established and it could cause skin irritation or allergic reactions.[16][17] As of 2020, there is uncertainty regarding the effectiveness of 5-50% tea tree oil as an effective treatment for demodex mite infestations, although products claiming efficacy exist.[18]

Toxicity

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Tea tree oil is highly toxic when ingested orally.[2][7][19][12] It may cause drowsiness, confusion, hallucinations, coma, unsteadiness, weakness, vomiting, diarrhoea, nausea, blood-cell abnormalities, and severe rashes. It should be kept away from pets and children.[12] It should not be used in or around the mouth.[2][7][10]

Application of tea tree oil to the skin can cause an allergic reaction in some,[2] the potential for which increases as the oil ages and its chemical composition changes.[20] Adverse effects include skin irritation, allergic contact dermatitis, systemic contact dermatitis, linear immunoglobulin A disease, erythema multiforme-like reactions, and systemic hypersensitivity reactions.[11][21] Allergic reactions may be due to the various oxidation products that are formed by exposure of the oil to light and air.[21][22] Consequently, oxidised tea tree oil should not be used.[23]

In Australia, tea tree oil is one of the many essential oils causing poisoning, mostly of children. From 2014 to 2018, 749 cases were reported in New South Wales, accounting for 17% of essential oil poisoning incidents.[24]

Hormonal effects

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Tea tree oil potentially poses a risk for causing abnormal breast enlargement in men[25][26] and prepubertal children.[27][28] A 2018 study by the National Institute of Environmental Health Sciences found four of the constituent chemicals (eucalyptol, 4-terpineol, dipentene, and alpha-terpineol) are endocrine disruptors, raising concerns of potential environmental health impacts from the oil.[29]

In animals

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In dogs and cats, death[30][31] or transient signs of toxicity (lasting two to three days), such as lethargy, weakness, incoordination, and muscle tremors, have been reported after external application at high doses.[32]

As a test of toxicity by oral intake, the median lethal dose (LD50) in rats is 1.9–2.4 ml/kg.[33]

Composition and characteristics

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Tea tree oil composition,
as per ISO 4730 (2017)[1]
Component Concentration
terpinen-4-ol 35.0–48.0%
γ-terpinene 14–28%
α-terpinene 6.0–12.0%
1,8-cineole traces–10.0%
terpinolene 1.5–5.0%
α-terpineol 2.0–5.0%
α-pinene 1.0–4.0%
p-cymene 0.5–8.0%
sabinene traces–3.5%
limonene 0.5–1.5%
aromadendrene 0.2–3.0%
ledene 0.1–3.0%
globulol traces–1.0%
viridiflorol traces–1.0%

Tea tree oil is defined by the International Standard ISO 4730 ("Oil of Melaleuca, terpinen-4-ol type"), containing terpinen-4-ol, γ-terpinene, and α-terpinene as about 70% to 90% of whole oil, while p-cymene, terpinolene, α-terpineol, and α-pinene collectively account for some 15% of the oil (table).[1][6][8] The oil has been described as colourless to pale yellow[1][2] having a fresh, camphor-like smell.[34]

Tea tree oil products contain various phytochemicals, among which terpinen-4-ol is the major component.[1][2][6] Adverse reactions diminish with lower eucalyptol content.[11]

History and extraction

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The name "tea tree" is used for several plants, mostly from Australia and New Zealand, from the family Myrtaceae related to the myrtle. The use of the name probably originated from Captain James Cook's description of one of these shrubs that he used to make an infusion to drink in place of tea.[35]

The commercial tea tree oil industry originated in the 1920s when Australian chemist Arthur Penfold investigated the business potential of a number of native extracted oils; he reported that tea tree oil had promise, as it exhibited antiseptic properties.[33]

Tea tree oil was first extracted from Melaleuca alternifolia in Australia, and this species remains the most important commercially. In the 1970s and 1980s, commercial plantations began to produce large quantities of tea tree oil from M. alternifolia. Many of these plantations are located in New South Wales.[33] Since the 1970s and 80s, the industry has expanded to include several other species for their extracted oil: Melaleuca armillaris and Melaleuca styphelioides in Tunisia and Egypt; Melaleuca leucadendra in Egypt, Malaysia, and Vietnam; Melaleuca acuminata in Tunisia; Melaleuca ericifolia in Egypt; and Melaleuca quinquenervia in the United States (considered an invasive species in Florida[36]).

Similar oils can also be produced by water distillation from Melaleuca linariifolia and Melaleuca dissitiflora.[37] Whereas the availability and nonproprietary nature of tea tree oil would make it – if proved effective – particularly well-suited to a disease such as scabies that affects poor people disproportionately, those same characteristics diminish corporate interest in its development and validation.[8]

See also

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References

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  1. ^ a b c d e "Essential oil of Melaleuca, terpene-4-ol (tea tree oil): ISO 4730: 2017 (E)". International Organization for Standardization (ISO), Geneva, Switzerland. 2017. Retrieved 2 February 2019.
  2. ^ a b c d e f g h i j "Tea tree oil". Drugs.com. 13 February 2023. Retrieved 4 May 2023.
  3. ^ Savla K, Le JT, Pucker AD (June 2020). "Tea tree oil for demodex blepharitis". Cochrane Database of Systematic Reviews (Systematic review). 6 (6): CD013333. doi:10.1002/14651858.CD013333.pub2. PMC 7388771. PMID 32589270.
  4. ^ Navel, Valentin; Mulliez, Aurélien; Benoist d’Azy, Cédric; et al. (1 October 2019). "Efficacy of treatments for demodex blepharitis: A systematic review and meta-analysis". The Ocular Surface. 17 (4): 655–669. doi:10.1016/j.jtos.2019.06.004. ISSN 1542-0124. PMID 31229586.
  5. ^ Koo, Hyun; Kim, Tae Hyung; Kim, Kyoung Woo; Wee, Sung Wook; Chun, Yeoun Sook; Kim, Jae Chan (1 December 2012). "Ocular Surface Discomfort and Demodex: Effect of Tea Tree Oil Eyelid Scrub in Demodex Blepharitis". Journal of Korean Medical Science. 27 (12): 1574–1579. doi:10.3346/jkms.2012.27.12.1574. ISSN 1011-8934. PMC 3524441. PMID 23255861.
  6. ^ a b c "Opinion on Tea tree oil" (PDF). SCCP/1155/08 Scientific Committee on Consumer Products. 16 December 2008.
  7. ^ a b c d "Tea tree oil". National Center for Complementary and Integrative Health, US National Institutes of Health. 1 October 2020. Retrieved 3 May 2023.
  8. ^ a b c d e Thomas, J; Carson, C. F; Peterson, G. M; et al. (2016). "Therapeutic Potential of Tea Tree Oil for Scabies". The American Journal of Tropical Medicine and Hygiene (Review). 94 (2): 258–266. doi:10.4269/ajtmh.14-0515. PMC 4751955. PMID 26787146.
  9. ^ "Summary for ARTG Entry: 79370 Tea Tree Oil, Pure Essential Oil". Therapeutic Goods Administration. 2020. Retrieved 3 July 2020.
  10. ^ a b "Tea Tree Oil". National Capital Poison Center. Retrieved 4 December 2013.
  11. ^ a b c Pazyar, N; Yaghoobi, R; Bagherani, N; Kazerouni, A (July 2013). "A review of applications of tea tree oil in dermatology". International Journal of Dermatology. 52 (7): 784–90. doi:10.1111/j.1365-4632.2012.05654.x. PMID 22998411. S2CID 2270233.
  12. ^ a b c Russell J, Rovere A, eds. (2009). "Tea Tree Oil". American Cancer Society Complete Guide to Complementary and Alternative Cancer Therapies (2nd ed.). American Cancer Society. ISBN 9780944235713.
  13. ^ Cao H, Yang G, Wang Y, Liu JP, Smith CA, Luo H, Liu Y (January 2015). "Complementary therapies for acne vulgaris". Cochrane Database Syst Rev (Systematic Review). 1 (1): CD009436. doi:10.1002/14651858.CD009436.pub2. PMC 4486007. PMID 25597924.
  14. ^ "Melaleucae aetheroleum". Committee on Herbal Medicinal Products. 24 November 2014.
  15. ^ Halteh P, Scher RK, Lipner SR (2016). "Over-the-counter and natural remedies for onychomycosis: do they really work?". Cutis. 98 (5): E16 – E25. PMID 28040821.
  16. ^ "Head lice and nits". National Health Service. 10 January 2018.
  17. ^ Eisenhower, Christine; Farrington, Elizabeth Anne (2012). "Advancements in the Treatment of Head Lice in Pediatrics". Journal of Pediatric Health Care. 26 (6): 451–61, quiz 462–4. doi:10.1016/j.pedhc.2012.05.004. PMID 23099312.
  18. ^ Savla K, Le JT, Pucker AD (June 2020). "Tea tree oil for Demodex blepharitis". Cochrane Database Syst Rev (Systematic review). 6 (6): CD013333. doi:10.1002/14651858.CD013333.pub2. PMC 7388771. PMID 32589270.
  19. ^ "Tea tree oil". PubChem, US National Library of Medicine. 30 October 2021. Retrieved 31 October 2021.
  20. ^ de Groot AC, Schmidt E (2016). "Tea tree oil: contact allergy and chemical composition". Contact Dermatitis (Review). 75 (3): 129–43. doi:10.1111/cod.12591. PMID 27173437.
  21. ^ a b Hammer, K; Carson, C; Riley, T; Nielsen, J (2006). "A review of the toxicity of Melaleuca alternifolia (tea tree) oil". Food and Chemical Toxicology. 44 (5): 616–25. doi:10.1016/j.fct.2005.09.001. PMID 16243420.
  22. ^ Aberer, W (January 2008). "Contact allergy and medicinal herbs". Journal der Deutschen Dermatologischen Gesellschaft. 6 (1): 15–24. doi:10.1111/j.1610-0387.2007.06425.x. PMID 17919303. S2CID 10292505.
  23. ^ "The Effectiveness and Safety of Australian Tea Tree Oil". Australian Government - Rural Industries and Development Corporation. Archived from the original on 27 September 2018. Retrieved 26 February 2014.
  24. ^ Lee KA, Harnett JE, Cairns R (2019). "Essential oil exposures in Australia: analysis of cases reported to the NSW Poisons Information Centre". Medical Journal of Australia. 212 (3): 132–133. doi:10.5694/mja2.50403. ISSN 0025-729X. PMID 31709543.
  25. ^ "Breast enlargement in males". Medline Plus. US National Library of Medicine. Retrieved 15 November 2015.
  26. ^ "Gynecomastia". Endocrine Society. May 2018.
  27. ^ Poon SW, Siu KK, Tsang AM (October 2020). "Isoniazid-induced gynaecomastia: report of a paediatric case and review of literature". BMC Endocr Disord (Review). 20 (1): 160. doi:10.1186/s12902-020-00639-9. PMC 7590456. PMID 33109161.
  28. ^ Restrepo R, Cervantes LF, Swirsky AM, Diaz A (October 2021). "Breast development in pediatric patients from birth to puberty: physiology, pathology and imaging correlation". Pediatr Radiol (Review). 51 (11): 1959–1969. doi:10.1007/s00247-021-05099-4. PMID 34236480. S2CID 235767694.
  29. ^ "Chemicals in lavender and tea tree oil appear to be hormone disruptors". Endocrine Society. 19 March 2018.
  30. ^ "Tea Tree Oil and Dogs, Tea Tree Oil and Cats". Petpoisonhelpline.com. Retrieved 13 December 2012.
  31. ^ "Tea Tree Oil Toxicity". Veterinarywatch. Archived from the original on 11 January 2013. Retrieved 13 December 2012.
  32. ^ Villar, D; Knight, MJ; Hansen, SR; Buck, WB (April 1994). "Toxicity of melaleuca oil and related essential oils applied topically on dogs and cats". Veterinary and Human Toxicology. 36 (2): 139–42. PMID 8197716.
  33. ^ a b c Carson, C. F.; Hammer, K. A.; Riley, T. V. (2006). "Melaleuca alternifolia (Tea Tree) Oil: A Review of Antimicrobial and Other Medicinal Properties". Clinical Microbiology Reviews. 19 (1): 50–62. doi:10.1128/CMR.19.1.50-62.2006. PMC 1360273. PMID 16418522.
  34. ^ Billee Sharp (18 September 2013). Lemons and Lavender: The Eco Guide to Better Homekeeping. Cleis Press. pp. 43–. ISBN 978-1-936740-11-6.
  35. ^ "Melaleuca alternifolia". The University of Arizona. Retrieved 23 June 2023.
  36. ^ "Melaleuca quinquenervia". University of Florida. Retrieved 23 June 2023.
  37. ^ Sávia Perina Portilho Falci (July 2015). "Antimicrobial activity of Melaleuca sp. oil against clinical isolates of antibiotics resistant Staphylococcus aureus". Acta Cirurgica Brasileira. 30 (7): 401–6. doi:10.1590/S0102-865020150060000005. PMID 26108028.
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