Roman Chamomile: Benefits, Dosage, Contraindications

Updated on

Roman chamomile is a perennial herbaceous plant from the Asteraceae family, native to Europe and North Africa. It should be distinguished from German chamomile (or small chamomile) and large chamomile. It measures between 10 and 30 cm tall, recognizable by its white flowers with yellow centers, similar to daisies (daisy centers are flatter than those of Roman chamomile). The medicinal use of chamomile dates back to ancient Egyptians, where it was used for sunburns and fever. The part used is the flower head. Roman chamomile contains flavonoids, including apigenin, luteolin, and quercetin, and also contains coumarin, sesquiterpenes, organic acids (oxalic acid, quinic acid, malic acid, citric acid, fumaric acid), and volatile oils. The essential oil of Roman chamomile (0.6 to 2.4% of the dry capitulum), bluish in color due to the presence of azulene, is rich in esters: acetates, isoamyl butyrate (2.6%), isobutyl isobutyrate (3.7%), methyl-2-butyrates of isobutyl (0.7%), 2-methylbutyl (2.7%), and isoamyl (2.8%), angelate of methacrylic, butyl (0.9%), and iso-butyl (36%). Traditionally, Roman chamomile is used to relieve menstrual pain, reduce flatulence, bloating, and heartburn. It is also an anti-itch agent. Known for its calming, antispasmodic, and sedative effects, it is used for anxiety.

Other name(s) 

Noble Chamomile

Scientific name(s)

Chamaemelum nobile, Anthemis nobilis, Ormenis nobilis

Family or group: 

Plants

Active ingredients:

Apigenin

Quercetin

Flavonoids

Coumarins

Sesquiterpenes


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.


Emotional balance
✪✪✪✪✪

Chamomile significantly reduces anxiety compared to a placebo. A study was conducted on 56 coronary patients scheduled for stent placement. In treated patients, inhaling a blend of Roman chamomile, lavender, and Neroli significantly reduced anxiety and improved sleep quality compared to the control group, without causing additional adverse effects. This essential oil is particularly interesting for treating all nerve-origin pathologies: anxiety, depression, stress... It is very well suited for the treatment of asthma, as it is often triggered by a psychological disorder. During a randomized study of 54 chronic asthmatic patients, inhalation of 100 mg/kg of chamomile per day for 21 days showed a relaxing effect on the respiratory tract and therefore improved respiratory capacities. The essential oil can be taken orally on a neutral tablet.

Posologie

posologieOral: flower

formulationessential oil


Synergies


Sleep disorders
✪✪✪✪✪

The use of noble chamomile essential oil is known to improve sleep. A study was conducted on 56 coronary patients scheduled for stent placement. In treated patients, inhaling a blend of Roman chamomile, lavender, and Neroli significantly reduced anxiety and improved sleep quality compared to the control group, without causing additional adverse effects. The essential oil can be taken orally on a neutral tablet.

Posologie

posologieOral: flower

formulationessential oil


Dermatoses
✪✪✪✪✪

In a randomized, double-blind, placebo-controlled study involving 55 patients with oral lichen planus, the effect of a gel containing 2% chamomile was compared to a placebo base gel when applied topically to affected areas in the oral cavity at a rate of 0.5 ml three times daily for 4 weeks. In the chamomile group, 92% of patients showed some improvement, with 5 patients showing complete resolution, while in the placebo group, only 19.2% responded to treatment, and none showed complete resolution. The chamomile group also showed significant improvements from baseline in terms of pain, burning sensation, itching, and oral health impact profile, whereas no significant changes were observed in the placebo group. Lichen planus is an itchy rash caused by an immune response. It can occur anywhere on the skin. Traditionally in external use, Roman chamomile is indicated for minor inflammations of the oral mucosa and skin in wounds and abrasions; as an anti-itch agent.

Posologie

posologieCutaneous: flower

formulationessential oil, oil macerate


Digestive Disorders
✪✪✪✪

Traditionally used as a symptomatic treatment for mild dyspeptic complaints and spasmodic gastrointestinal disorders, including bloating, nausea, flatulence, and loss of appetite.

Posologie

posologieOral route: flower

posologie178 mg

formulationinfusion, essential oil, mother tincture, dry extract


Dysmenorrhea
✪✪✪✪

Traditionally, Roman chamomile infusion is used to relieve painful periods. Chamomile alleviates menstrual pain and disorders through its calming, anti-inflammatory, and antispasmodic effects. The essential oil is also recommended for external use: 5 drops diluted in a vegetable oil, massaged onto painful areas.

Posologie

posologieOral route: flower

formulationinfusion, essential oil, mother tincture, dry extract


Gastritis
✪✪✪✪

Traditionally used for gastritis, heartburn, as an adjunct in gastric ulcers.

Posologie

posologieOral route: flower

formulationinfusion, mother tincture, dry extract


Digestive Parasitic Infections
✪✪✪✪

The essential oil property against hookworm infections for internal use.

Posologie

posologieOral route: flower

formulationessential oil


Flatulence
✪✪✪✪

Traditionally used as a symptomatic treatment for mild dyspeptic complaints including bloating and flatulence.

Posologie

posologieOral route: flower

posologie178 mg

formulationinfusion, essential oil, mother tincture, dry extract


Itching
✪✪✪✪

In a randomized, double-blind placebo-controlled study involving 55 patients with oral lichen planus, the effect of a gel containing 2% chamomile was compared to a placebo base gel when applied topically to the affected areas of the oral cavity at a dose of 0.5 ml three times daily for 4 weeks. The chamomile group showed significant improvements compared to baseline in terms of itching, while no significant change was observed in the placebo group. Traditionally used externally as an agent to relieve itching.

Posologie

posologieCutaneous route: flower

formulationgel, essential oil


Properties


Sedative

full-leaffull-leaffull-leafempty-leaf

It is suggested that the sedative effect of chamomile comes from its components, including apigenin, which stimulates GABA receptors, creating the same effect as benzodiazepines. The essential oil of Roman Chamomile is muscle-relaxing and antidepressant thanks to the isobutyl angelate (Esters).

Usages associés

Emotional balance, Sleep disorders

Anti-inflammatory

full-leaffull-leafempty-leafempty-leaf

Polysaccharides isolated from an aqueous extract of Roman chamomile flower, as well as its essential oil, possess anti-inflammatory properties. Laboratory studies have revealed that Roman chamomile is capable of preventing lipid oxidation and increasing free radical neutralization. It is also noted that Roman chamomile decoction presents less anti-inflammatory activity than an infusion or a methanol extract. This difference is probably due to a lower concentration of phenolic acids and organic acids in the decoction.

Usages associés

Dermatoses, Gastritis, Itching

Antimicrobial

full-leaffull-leafempty-leafempty-leaf

The studied essential oil showed remarkable efficacy against several microbes. It is particularly active against Salmonella sp., which causes food poisoning, and E. coli, associated with digestive symptoms like cramps and diarrhea. Its main component, isobutyl angelate, is effective against Staphylococcus aureus, responsible for skin infections, and Klebsiella pneumoniae, linked to respiratory infections. The oil has also shown moderate efficacy against the yeast C. albicans. It inhibits certain bacteria, fungi, and viruses, including strains of Porphyromonas gingivalis found in cases of periodontitis, and even methicillin-resistant S. aureus.

Usages associés

Gastritis, Digestive parasitosis

Antispasmodic

full-leaffull-leafempty-leafempty-leaf

The essential oil of Roman Chamomile is rich in esters, chemical components that provide it with spasmolytic properties useful for muscular and nervous spasms.

Usages associés

Dysmenorrhea, Digestive disorders, Flatulence

Anticancer

full-leafempty-leafempty-leafempty-leaf

Some in vitro research shows that ethyl acetate extracts made from the aerial parts of Roman chamomile demonstrate cytotoxicity against human breast adenocarcinoma cell lines (MCF-7), human erythroleukemia (K562), and human malignant melanoma (SKMEL-3). The anticancer effects may be due to the presence of phenolic compounds, including flavonoids, as well as polyphenols, including apigenin. The sesquiterpenoid nobilin also shows signs of antitumor activity.


Hypotensive

full-leafempty-leafempty-leafempty-leaf

Some animal research shows that administering an aqueous extract of Roman chamomile at a rate of 140 mg/kg per day for three weeks reduces systolic blood pressure, increases urine flow, and enhances electrolyte excretion. Some in vitro research suggests that an aqueous extract of Roman chamomile may have vasorelaxant effects.


Safety dosage

Adult from 18 years: 1 g - 12 g (infusion)

Recommended dosage: flowerheads 1-4 g per infusion (10 to 15 min) three times daily.


Interactions

Médicaments

Benzodiazepines: moderate interaction

The sedative effects of chamomile and benzodiazepines could accumulate.

Central nervous system depressants: moderate interaction

The sedative effects of chamomile and central nervous system depressants could accumulate.

Cytochrome P450 substrates: moderate interaction

Chamomile components might inhibit the action of cytochromes and reduce the elimination of substances they metabolize.

Estrogens: moderate interaction

Chamomile could compete with estrogens for their receptors and thus diminish their effects.

Tamoxifen: moderate interaction

Chamomile interferes with Tamoxifen due to its estrogenic activity (apigenin present in chamomile regulates estrogen production).

Warfarin: moderate interaction

Chamomile could potentiate the action of warfarin and increase the risk of bleeding.

Antiplatelet/Anticoagulant Agents: weak interaction

As a precaution, Roman chamomile should not be used in conjunction with aspirin, warfarin, or other substances with anticoagulant activity.

Aspirin: weak interaction

As a precaution, Roman chamomile should not be used in conjunction with aspirin, warfarin, or other substances with anticoagulant activity.

Benzodiazepines: weak interaction

Since apigenin is a ligand for the central benzodiazepine receptors, Roman chamomile should not be used in conjunction with diazepam or other benzodiazepines, as this could potentiate their action.

Cytochrome P450 3A4: weak interaction

Some components can inhibit cytochrome P450 3A4 enzymes. Roman chamomile essential oil has shown a 40% inhibition of CYP3A4 activity.


Precautions

Allergies: avoid

The use of Roman chamomile may cause an allergic reaction in individuals sensitive to the Asteraceae/Compositae family. Members of this family include marigolds, daisies, arnica, and many other plants.


Contraindications

Child up to 12 years: prohibited

Contraindicated in children.

Pregnant woman: prohibited

Some demographic research has suggested a possible link between the use of Roman chamomile and an increased incidence of low birth weight, miscarriage, and premature labor. There is not enough reliable information available on the safety of topical use of Roman chamomile during pregnancy.

Breastfeeding woman: prohibited

Roman chamomile should not be taken orally during breastfeeding without medical advice.