Tea tree oil
Tea tree oil, also known as melaleuca oil, is an essential oil with a fresh camphoraceous odor and a colour that ranges from pale yellow to nearly colourless and clear. It is derived from the leaves of the tea tree, Melaleuca alternifolia, native to Southeast Queensland and the Northeast coast of New South Wales, Australia. The oil comprises many constituent chemicals and its composition changes if it is exposed to air and oxidizes.
As a traditional medicine, it is typically used as a topical medication in low concentrations for the attempted treatments of skin conditions, but there is little evidence of efficacy. Tea tree oil is claimed as useful for treating dandruff, acne, lice, herpes, insect bites, scabies, and skin fungal or bacterial infections. However, there is not enough evidence to support any of these claims due to the small amount of research conducted on the topic. Tea tree oil is neither a patented product nor an approved drug. It is poisonous if consumed by mouth, and unsafe to use on children.
Tea tree oil has been used in traditional medicine in the belief it treats acne, nail fungus, or athlete's foot, with little evidence to support these uses. In a 2015 Cochrane systematic review, the only trial comparing it to placebo for acne found low-quality evidence of benefit.
Tea tree oil is not recommended for treating nail fungus, as it is not effective. It is not recommended for treating head lice in children because its effectiveness and safety has not been established and it could cause skin irritation or allergic reactions.
Tea tree oil is poisonous when taken internally. It may cause drowsiness, confusion, hallucinations, coma, unsteadiness, weakness, vomiting, diarrhea, nausea, blood cell abnormalities, and severe rashes. It should be kept away from pets and children. Tea tree oil should not be used in or around the mouth.
Application of tea tree oil to the skin can cause an allergic reaction – tea tree oil has caused more documented allergic reactions than any other form of essential oil. The potential for causing an allergic reaction increases as the oil ages and its chemical composition changes. Adverse effects include skin irritation, allergic contact dermatitis, systemic contact dermatitis, linear immunoglobulin A disease, erythema multiforme like reactions, and systemic hypersensitivity reactions. Allergic reactions may be due to the various oxidation products that are formed by exposure of the oil to light and/or air. Consequently, oxidized tea tree oil should not be used.
In Australia tea tree oil is one of the many essential oils that have been increasingly causing cases of poisoning, mostly of children. In the period 2014-2018 there were 749 reported cases in New South Wales, accounting for 17% of essential oil poisoning incidents.
Composition and characteristics
Tea tree oil is defined by the International Standard ISO 4730 ("Oil of Melaleuca, terpinen-4-ol type"), containing terpinen-4-ol, γ-terpinene, and α-terpinene as about 70% to 90% of whole oil, while ρ-cymene, terpinolene, α-terpineol, and α-pinene collectively account for some 15% of the oil (table, right). The oil has been described as colorless to pale yellow having a fresh, camphor-like smell.
History and extraction
The name tea tree is used for several plants, mostly from Australia and New Zealand, from the family Myrtaceae, related to the myrtle. The use of the name probably originated from Captain James Cook's description of one of these shrubs that he used to make an infusion to drink in place of tea.
The commercial tea tree oil industry originated in the 1920s when Arthur Penfold, an Australian, investigated the business potential of a number of native extracted oils; he reported that tea tree oil had promise, as it exhibited antiseptic properties.
Tea tree oil was first extracted from Melaleuca alternifolia in Australia, and this species remains the most important commercially. In the 1970s and 1980s, commercial plantations began to produce large quantities of tea tree oil from Melaleuca alternifolia. Many of these plantations are located in New South Wales. Since the 1970s and 80s, the industry has expanded to include several other species for their extracted oil: Melaleuca armillaris and Melaleuca styphelioides in Tunisia and Egypt; Melaleuca leucadendra in Egypt, Malaysia and Vietnam; Melaleuca acuminata in Tunisia; Melaleuca ericifolia in Egypt; and Melaleuca quinquenervia in the United States. Similar oils can also be produced by water distillation from Melaleuca linariifolia and Melaleuca dissitiflora. Whereas the availability and nonproprietary nature of tea tree oil would make it – if proved effective – particularly well-suited to a disease like scabies that affects poor people disproportionately, those same characteristics diminish corporate interest in its development and validation.
According to Allied Market Research, "the global tea tree oil market size was valued at $38.8 million in 2017 and is projected to reach $59.5 million by 2025".
In dogs and cats, death or transient signs of toxicity (lasting 2 to 3 days), such as lethargy, weakness, incoordination and muscle tremors, have been reported after external application at high doses.
A 2008 article from the American Cancer Society stated that "despite years of use, available clinical evidence does not support the effectiveness of tea tree oil for treating skin problems and infections in humans." Other uses under preliminary research include applications for nail fungus, dandruff, acne, scabies, and athlete's foot, but existing evidence is limited. A 2012 review of head lice treatment recommended against the use of tea tree oil on children because it could cause skin irritation or allergic reactions, and because of a lack of knowledge about safety and effectiveness.
- Cajeput oil — derived from Melaleuca cajuputi
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