Roman chamomile: benefits, dosage, contraindications

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Roman chamomile is a perennial herbaceous plant in the Asteraceae family, native to Europe and North Africa. It should be distinguished from German chamomile (or small chamomile) and from greater chamomile. It measures between 10 and 30 cm in height, recognizable by its white flowers with a yellow center, similar to daisies (the center of daisies is flatter than that of Roman chamomile). The medicinal use of chamomile dates back to the ancient Egyptians, where it was used for sunburns and fever. The part used is the flower head (capitulum). 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 flower head), blue 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%), of 2-methylbutyl (2.7%), and of isoamyl (2.8%); angelates of methacrylate: butyl (0.9%), iso-butyl (36%). Traditionally, Roman chamomile is used to relieve menstrual pain, reduce flatulence, bloating, and heartburn. It is also an anti-itch agent. It is known for its calming, antispasmodic and sedative effects, which explain its use in 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

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Emotional balance
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Chamomile significantly reduces anxiety compared with placebo. A study was conducted on 56 coronary patients scheduled for stent placement. In treated patients, inhalation of a blend based on Roman chamomile, lavender, and neroli, compared with the control group, significantly reduced their anxiety and improved their sleep quality, without causing additional adverse effects. This essential oil is particularly useful for treating conditions of nervous origin: anxiety, depression, stress... It is therefore well suited to the treatment of asthma, as it is often triggered by a disorder of psychological origin. In a randomized study of 54 chronic asthmatic patients, inhalation of 100 mg/kg of chamomile per day for 21 days indeed showed a relaxing effect on the airways and therefore an improvement in respiratory function. The essential oil can be taken orally on a neutral tablet.

Posologie

posologieOral: flower

formulationessential oil


Synergies


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

Posologie

posologieOral route: flower

formulationessential oil


Dermatoses
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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. In the chamomile group, 92% of patients showed some improvement, with 5 patients showing complete resolution, whereas 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 for external use, Roman chamomile is indicated for minor inflammations of the oral mucosa and of the skin in wounds and abrasions; as an anti-itching agent.

Posologie

posologieTopical use: flower

formulationessential oil, oil macerate


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

Posologie

posologieOral use: flower

posologie178 mg

formulationinfusion, essential oil, mother tincture, dry extract


Dysmenorrhea
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Traditionally, Roman chamomile infusion is used to relieve painful menstrual periods. Chamomile relieves pain and menstrual 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 the painful areas.

Posologie

posologieOral use: flower

formulationinfusion, essential oil, mother tincture, dry extract


Gastritis
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Traditionally used in cases of gastritis, heartburn, as an adjunct in gastric ulcers.

Posologie

posologieOral use: flower

formulationinfusion, mother tincture, dry extract


Intestinal parasitic infections
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Property of the essential oil against hookworm infections for internal use.

Posologie

posologieOral use: flower

formulationessential oil


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

Posologie

posologieOral use: flower

posologie178 mg

formulationinfusion, essential oil, mother tincture, dry extract


Itching
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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 with a placebo base gel when applied topically to the affected areas of the oral cavity at a dose of 0.5 ml three times a day for 4 weeks. The chamomile group showed significant improvements from baseline in terms of itching, whereas no significant changes were observed in the placebo group. Traditionally, it is used externally as an agent to relieve itching.

Posologie

posologieTopical use: flower

formulationgel, essential oil


Properties


Sedative

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It has been suggested that chamomile's sedative effect comes from its components, including apigenin, which would stimulate GABA receptors, producing the same effect as benzodiazepines. Roman chamomile essential oil is muscle-relaxing and antidepressant thanks to isobutyl angelate (esters).

Usages associés

Emotional balance, sleep disorders

Anti-inflammatory

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

Usages associés

Dermatoses, Gastritis, Itching

Antimicrobial

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The studied essential oil demonstrated remarkable efficacy against several microbes. nnIt is particularly active against Salmonella sp., which causes food poisoning, and E. coli, associated with digestive symptoms such as cramps and diarrhea. nnIts main component, isobutyl angelate, is effective against Staphylococcus aureus, responsible for skin infections, and Klebsiella pneumoniae, associated with respiratory infections. nnThe oil also showed 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. nn

Usages associés

Gastritis, Intestinal parasitic infections

Antispasmodic

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Roman chamomile essential oil is rich in esters, chemical components that give it spasmolytic properties useful in cases of muscular and nervous spasms. nn

Usages associés

Dysmenorrhea, digestive disorders, flatulence

Anticancer

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


Antihypertensive

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


Safe dosage

Adults aged 18 years and older: 1 g - 12 g (infusion)

Recommended dosage: flower heads 1-4 g per infusion (10 to 15 min) three times a day.


Interactions

Médicaments

Benzodiazepines: moderate interaction

The sedative effects of chamomile and benzodiazepines may be additive.

Central nervous system depressants: moderate interaction

The sedative effects of chamomile and central nervous system depressants may be additive.

Cytochrome P450 substrates: moderate interaction

Chamomile components may inhibit cytochrome activity and reduce the elimination of substances they metabolize.

Estrogens: moderate interaction

Chamomile may compete with estrogens for their receptors and thus reduce their effects.

Tamoxifen: moderate interaction

Chamomile interferes with tamoxifen because of its estrogenic activity (the apigenin present in chamomile regulates the production of estrogens).

Warfarin: moderate interaction

Chamomile may enhance the effect of warfarin and thus increase the risk of bleeding.

Antiplatelet agents/Anticoagulants: minor interaction

As a precaution, Roman chamomile should not be used at the same time as aspirin, warfarin, or other substances with anticoagulant activity.

Aspirin: minor interaction

As a precaution, Roman chamomile should not be used at the same time as aspirin, warfarin, or other substances with anticoagulant activity.

Benzodiazepines: minor interaction

Because apigenin is a ligand of the central benzodiazepine receptor, Roman chamomile should not be used at the same time as diazepam or other benzodiazepines, as this could potentiate their effect.

Cytochrome P450 3A4: weak interaction

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


Precautions

Allergies: avoid

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


Contraindications

Children up to 12 years: contraindicated

Contraindicated in children.

Pregnant women: contraindicated

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

Breastfeeding woman: prohibited

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