Myrtle: benefits, dosage, contraindications

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Myrrtle, belonging to the Myrtaceae family, is an evergreen shrub typical of the Mediterranean region. This shrub can reach 5 meters in height and grow up to 800 m in altitude. It is characterized by opposite branches bearing lanceolate, aromatic leaves 2 to 5 cm long, and fragrant white flowers. The berries, blue-black in color, are used as a spice. The aromatic leaves, once dried, are often used as incense in various rituals and ceremonies, releasing a pleasant scent when burned. Historically, myrtle held a prominent place in Greek and Roman mythologies, where it was closely associated with Venus, the goddess of beauty. The leaves are mainly used to obtain essential oil (myrtol). The myrtle essential oil contains between 0.25% and 0.35% 1,8-cineole. Other important constituents include alpha-pinene, myrtenyl acetate, limonene, and various polyphenolic compounds such as myricetol 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, the water obtained by distillation of myrtle leaves and flowers, formerly called 'angel water', is used as a decongestant and tonic.

Scientific name(s)

Myrtus communis

Family or group: 

Plants

Active ingredients:

Eucalyptol


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.


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

Posologie

posologieTopical: leaf

formulationessential oil, floral water


Menorrhagia
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Menorrhagia, characterized by abnormally heavy menstrual bleeding, can be treated with myrtle extracts. A preliminary clinical trial shows that consuming 5 mL of myrtle fruit syrup three times a day for 7 days starting on the first day of menstruation, and repeated over three menstrual cycles, reduces the duration of bleeding by 2.4 days compared with baseline. Another study reports that taking 750 mg of myrtle berry powder three times a day for 5 days of menstruation over 2 cycles improves bleeding assessment scores by 58% and increases hemoglobin levels by 17%, with improvements comparable to tranexamic acid (a drug primarily used to reduce excessive bleeding).

Posologie

posologieOral: fruit

posologie2250 mg

formulationsyrup, dry extract


Aphthous ulcers
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A small clinical study conducted in patients with recurrent aphthous ulcers shows that applying a paste containing 5% myrtle leaf extract to the ulcers four times a day for 6 days reduces ulcer size, pain, and redness compared with 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. Recognized for their expectorant and antimicrobial properties, they help relieve congestion and fight respiratory pathogens. The essential oil can be taken orally, inhaled, or applied topically over the sinuses.

Posologie

posologieOral: leaf

formulationinfusion, essential oil


Properties


Anti-inflammatory

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

Usages associés

Menorrhagia

Antimicrobial

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Myrtle demonstrates antimicrobial properties against various infections. The non-aromatic constituents of myrtle are active against cutaneous mycoses. The compound myrtol, present in myrtle, enhances these effects due to its fungicidal, disinfectant, and antibacterial properties.

Usages associés

Respiratory infections

Dermatologic effect

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Myrtle leaf extract is of interest for the treatment of acne. Preliminary clinical research conducted on adults and adolescents with mild to moderate acne shows that topical application of myrtle leaf extract to the face twice daily for 16 weeks reduces sebum levels. In addition, in vitro studies indicate that myrtle may improve acne due to its antimicrobial properties and its ability to inhibit biofilm formation by Cutibacterium acnes in the pilosebaceous follicles.

Usages associés

Acne


Safe dosage

Adult (18 years and older): 2 g - 5 g (powder)

- Raw plant material: 5 g before each meal ; - Leaf infusion: 15 to 30 g per 1 liter of boiling water, steep 15 minutes: 1 cup, 3 times a 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 per day. Oral use of myrtle berries is potentially safe short-term, with daily doses of 2,250 mg for 5 days. Myrtle leaf extract (hydrosol) applied to the skin 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

Children: prohibited

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

Pregnant women: prohibited

Essential oils are not recommended during pregnancy and breastfeeding.

Nursing women: prohibited

Essential oils are not recommended during pregnancy and breastfeeding.