Mastic: benefits, dosage, contraindications

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Chios mastic gum is the aromatic resin produced by the evergreen shrub Pistacia lentiscus. The mastic tree is a perennial, dense-foliage tree. It retains its leaves all year long, and its height reaches up to 5 m at most. Even though Pistacia species are widespread in the Mediterranean basin, Chios mastic gum is a unique resin from mastic trees cultivated in the southern part of the island of Chios, where the thick, calcareous soil provides the perfect conditions for the plant's growth and resin production. Since antiquity, mastic gum has been used as a spice, a cosmetic agent, but above all as a phytotherapeutic remedy for treating gastrointestinal disorders. The part used in phytotherapy is the resin. It contains triterpenes: mastichonic acid and isomastichonic acid, oleanolic acid, and tirucallol. The essential oil from the mastic tree contains alpha-pinene and beta-myrcene. In 2015, the European Medicines Agency (EMA) officially published a monograph on mastic gum, recognizing its use as a traditional herbal medicine. It is recommended for treating mild dyspeptic disorders, skin inflammations, and in the healing of minor wounds.

Other name(s) 

Mastic tree, mastic, Chios Mastic

Scientific name(s)

Pistacia lentiscus

Family or group: 

Plants

Active ingredients:

Triterpenic acids


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Digestive disorders
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Clinical research conducted with adults suffering from functional dyspepsia (digestive disorders without apparent cause) indicates that consuming 350 mg of mastic gum orally, three times a day for three weeks, helps relieve symptoms. Participants reported a reduction in stomach pain and burning, as well as a potential improvement in symptoms of gastroesophageal reflux.

Posologie

posologieOral: gum, resin

posologie1050 mg

formulationpowder, dry extract


Gastric ulcer
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Clinical research conducted on adults with duodenal ulcers shows that taking mastic powder at a dose of 1 g per day orally for 2 weeks improves symptoms and ulcer healing compared to placebo. Furthermore, preliminary clinical research shows that taking mastic powder at a dose of 1 g twice a day for 4 weeks may contribute to improving symptoms and healing the ulcer in patients with a gastric ulcer.

Posologie

posologieOral: gum, resin

posologie1 - 2 g

formulationpowder, dry extract


Gastroesophageal reflux
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Mastic gum proves beneficial in managing gastroesophageal reflux, offering significant relief from symptoms such as heartburn. Its use may improve the quality of life for individuals suffering from this common digestive condition.

Posologie

posologieOral: gum, resin

posologie1050 mg

formulationpowder, dry extract


Crohn's disease
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Preliminary clinical research shows that taking 2.22 g of mastic per day for 4 weeks improves symptoms such as diarrhea, abdominal pain, weight loss, and non-gastrointestinal symptoms by 39% from baseline in patients with active Crohn's disease. The validity of these results is limited by the absence of a control group.

Posologie

posologieOral: gum, resin

posologie2 g

formulationpowder, dry extract


Helicobacter pylori infection
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Initial clinical studies indicate that consuming mastic gum, at doses of 0.35 or 1.05 g three times a day for two weeks, eliminated the Helicobacter pylori (H. pylori) bacteria in about one-third of patients five weeks after the end of treatment. However, it is important to note that using mastic gum alone, or combined with pantoprazole, a stomach medication, has proven less effective at eradicating H. pylori than using a standard combination of pantoprazole, amoxicillin, and clarithromycin, which are commonly used in the treatment of this infection.

Posologie

posologieOral: gum, resin

posologie1 - 3 g

formulationpowder, dry extract


Wound
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Mastic gum is traditionally used for the symptomatic treatment of minor skin inflammations and as an aid in the healing of minor wounds. Used in the form of semi-solid preparations containing 9-11% powdered plant substance to be applied in a thin layer on the affected area up to 3 times a day.

Posologie

posologieTopical administration: gum, resin

formulationpoultice, cream


Properties


Antimicrobial

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There is in vitro evidence of antibacterial and antifungal activity of mastic extract. In humans, chewing mastic gum has antibacterial effects in the mouth and helps reduce the growth of certain pathogens responsible for cavities and tooth decay. It could therefore be used as a natural alternative product for the prevention of periodontitis. Mastic gum also shows antibacterial effects against Helicobacter pylori. Several studies have shown its potential effectiveness in eliminating many other foodborne pathogens and microorganisms like Staphylococcus aureus, Lactobacillus plantarum, Pseudomonas fragi, and Salmonella enteritidis.

Usages associés

Gastric ulcer, Helicobacter pylori infection, Wound

Anti-inflammatory

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The anti-inflammatory properties of mastic gum may explain its various health benefits. In animal experiments, mastic gum has been observed to reduce inflammation associated with conditions such as edema (swelling caused by fluid accumulation) and asthma. This reduction in inflammation could be due to the decrease of certain proteins (cytokines) and enzymes that contribute to inflammatory responses, as well as to a reduced activity of neutrophils and eosinophils, two types of immune cells involved in inflammatory processes. Additionally, a pilot study in patients with Crohn's disease showed encouraging results. After four weeks of treatment with mastic capsules (six capsules per day, each containing 370 mg of mastic), there was a significant decrease in the disease activity index, as well as in plasma levels of interleukin-6 (IL-6) and C-reactive protein (CRP), two markers of inflammation.

Usages associés

Crohn's disease

Gastroprotective

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Mastic gum is studied for its potential beneficial effects in the prevention of gastric and duodenal ulcers. Some researchers suggest that mastic might have antisecretory properties, meaning it could help reduce the production of gastric juices. Furthermore, mastic might have cytoprotective effects, meaning it could protect gastric mucosa cells from damage. Studies on animal models indicate that mastic might protect this mucosa, especially during treatments with stomach-irritating medications like aspirin, although this effect has yet to be confirmed in humans. Mastic gum also exhibits antibacterial effects against Helicobacter pylori, a bacteria often associated with gastrointestinal disorders, which might contribute to its protective properties for the stomach. Studies in humans have shown that mastic can help alleviate symptoms of Crohn's disease and ulcerative colitis. This effectiveness could be due to a reduction in the production of inflammatory cytokines, proteins that play a key role in inflammatory processes. In patients, the intake of mastic has been linked to a decrease in fecal lysozyme, an important marker for the diagnosis and evaluation of chronic inflammatory bowel diseases.

Usages associés

Digestive disorders, Gastroesophageal reflux, Gastric ulcer


Safety dosage

Adult from 18 years: 1 g - 2 g

- Single dose: 0.5-1 g, 2 times a day - Daily dose: 1-2 g


Precautions

Pregnant woman: avoid

Insufficient data.

Breastfeeding woman: avoid

Insufficient data.

Child: avoid

Insufficient data.