Myrtle: benefits, dosage, contraindications

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Myrtle, belonging to the Myrtaceae family, is an evergreen shrub typical of the Mediterranean region. This shrub can reach up to 5 meters in height and grow up to 800 meters above sea level. It is characterized by its opposite branches bearing lanceolate, aromatic leaves 2 to 5 cm long, and fragrant white flowers. The berries, blue-black in color, are consumed as spice. The aromatic leaves, once dried, are often used as incense in various rituals and ceremonies, releasing a pleasant fragrance when burned. Historically, myrtle has held a prominent place in Greek and Roman mythologies, where it was closely associated with Venus, the goddess of beauty. The leaves are primarily used to obtain essential oil (myrtol). Myrtle essential oil contains between 0.25 to 0.35% of 1,8-cineole. Other important constituents include alpha-pinene, myrtenyl-acetate, limonene, and various polyphenolic compounds such as myricetin and flavonoids. Traditionally, myrtle has been used to treat a multitude of ailments such as respiratory infections, skin problems, urinary disorders, and as an antiseptic. It also has applications as a venous tonic and to relieve symptoms such as productive cough and sinusitis. In cosmetics, water obtained from the distillation of myrtle leaves and flowers, formerly known as angel water, is used as a decongestant and tonic.

Other name(s) 

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Scientific name(s)

Myrtus communis

Family or group: 

Plants

Active ingredients:

Eucalyptol


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.


Acne
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Preliminary clinical research in adults and adolescents with mild to moderate acne indicates that applying a myrtle leaf extract on the face twice a day for 16 weeks reduces the number of lesions and acne severity by 23% to 45% compared to baseline values, with similar results to those of 1% clindamycin topical solution. Another study shows that a lotion containing myrtle extract and azelaic acid applied twice a day for 16 weeks reduces the risk of acne recurrence, the number of lesions, and improves post-inflammatory hyperpigmentation compared to a placebo cream.

Posologie

posologieTopical: leaf

formulationessential oil, floral water


Menorrhagia
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Menorrhagia, characterized by abnormally heavy menstruation, can be treated with myrtle extracts. Preliminary clinical research shows that consuming myrtle fruit syrup at 5 mL three times a day for 7 days from the first day of menstruation, and repeated over three menstrual cycles, reduces the duration of bleeding by 2.4 days compared to the initial situation. Another study reveals that taking 750 mg of myrtle berry powder three times a day for 5 days of menstruation over 2 cycles improves blood loss evaluation scores by 58% and increases hemoglobin levels by 17%, with improvements comparable to those of tranexamic acid (a drug primarily used to reduce excessive bleeding).

Posologie

posologieOral: fruit

posologie2250 mg

formulationsyrup, dry extract


Canker sores
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A small clinical study conducted on patients suffering from recurrent canker sores shows that applying a paste containing 5% myrtle leaf extract on the sores four times a day for 6 days reduces ulcer size, pain, and redness compared to a placebo.

Posologie

posologieTopical: leaf

formulationcream


Respiratory infections, Cough
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Myrtle essential oil and its extracts (infusion, mother tincture...) are traditionally used to treat cough and respiratory tract infections. Known for their expectorant and antimicrobial properties, they help relieve congestion and combat respiratory pathogens. Essential oil can be taken orally, inhaled, or applied topically on the sinuses.

Posologie

posologieOral: leaf

formulationinfusion, essential oil


Properties


Anti-inflammatory

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The aqueous extract of Myrtus communis possesses powerful anti-inflammatory properties, manifested by antinociceptive effects on acid-induced spasms and an action against acute and chronic inflammation. These effects are potentially mediated by the opioid receptors. Additionally, compounds such as tannins, anthocyanins, and flavonoids present in myrtle berries reduce inflammation by inhibiting prostaglandin activity, thus helping to decrease bleeding in people suffering from menorrhagia.

Usages associés

Menorrhagia

Antimicrobial

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Myrtle shows antimicrobial properties against various infections. The non-aromatic constituents of myrtle are active against skin fungi. The compound myrtol, present in myrtle, enhances these effects thanks to its fungicidal, disinfectant, and antibacterial properties.

Usages associés

Respiratory infections

Dermatological effect

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Myrtle leaf extract is gaining interest for the treatment of acne. Preliminary clinical research conducted on adults and adolescents with mild to moderate acne shows that the topical application of myrtle leaf extract on the face twice a day for 16 weeks reduces sebum levels. Moreover, in vitro research indicates that myrtle could improve acne thanks to its antimicrobial properties and its ability to inhibit biofilm formation by Cutibacterium acnes in pilosebaceous follicles.

Usages associés

Acne


Safety dosage

Adult from 18 years: 2 g - 5 g (powder)

- Raw drug: 5 g before each meal; - Leaf infusion: 15 to 30 g per 1 liter of boiling water, infuse for 15 minutes: 3 times 1 cup per day. - Essential oil: the daily dose is limited to 65 mg per day; 1 drop of essential oil on a neutral tablet, 3 to 4 times a day. The use of myrtle berries orally is potentially safe short-term, with daily doses of 2,250 mg for 5 days. Myrtle leaf extract (hydrolate) applied topically is also safe short-term, including a 5% paste used for up to 6 days. Extracts can be applied to the face for 16 weeks without apparent risk. Vaginal suppositories containing 10% myrtle leaf extract and 0.5% essential oil are safe for three menstrual cycles.


Contraindications

Child: prohibited

Avoid contact with myrtle oil-based preparations as they can cause spasms, bronchospasms, asthma attacks, or respiratory failure in infants and young children.

Pregnant woman: prohibited

Essential oils are not recommended during pregnancy and breastfeeding.

Breastfeeding woman: prohibited

Essential oils are not recommended during pregnancy and breastfeeding.