AromatherapyEssential oil safety: cautions, contra-indications & dilutions

Essential oil safety: cautions, contra-indications & dilutions

While many essential oils and carrier oils can be used safely to promote good health and wellbeing, some should not be used at all in Aromatherapy and others should not be used in some circumstances.  A comprehensive list of cautions and contra-indications are shown below in respect to the more popular essential oils and carrier oils used in Aromatherapy.  It is recommended that only qualified aromatherapists use Cinnamon Leaf (Cinnamomum zeylanicum), Hyssop (Hyssopus officinalis) and Sage (Salvia officinalis).

Tisserand & Balacs (1995) and Davis (1988) suggest that the essential oils shown in the table below should not be used in Aromatherapy as they are potentially hazardous.

Essential oils that present risks of toxicity or skin irritation

A-I J – R S – Z
Almond, bitter Jaborandi leaf Sage (Dalmation)*
Armoise (Mugwort) Lanyana Sassafras
Basil with high estragole Mugwort (Armoise) Sassafras (Brazilian)
Birch* Mustard Savin
Boldo leaf Origanum Savory (Summer)
Cade (unrectified) Origanum (Spanish) Savory (Winter)
Calamus Pennyroyal (European) Snakeroot
Camphor (brown and yellow) Pennyroyal (North American) Southernwood
Cassia Pine (dwarf) Tansy
Cinnamon bark Rue Tarragon
Clove leaf Tea
Costus Thuja
Elecampane Verbena
Fennel, bitter Wintergreen*
Fig leaf Wormseed
Horseradish

Wormwood

*Should only be used in moderation by qualified practitioners who know how to use them safely and responsibly.

Cautions and contra-indications

In some circumstances an individual may have a contra-indication in which certain essential oils and/or carrier oils should be avoided. This is because using the essential oil or carrier oil may increase a symptom or problem that may already exist or create other problems.  Examples of contra-indications include high blood pressure, diabetes, open wounds etc. Some essential oils and carrier oils may be used but with caution, for example, oils that are known skin irritants. Table 2 provides a list of common essential oils and carrier oils together with associated cautions and contra-indications.

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Essential oil / carrier oil Cautions / Contra-indications
Sweet Almond Avoid with nut allergies.
Angelica Photo-sensitivity – avoid exposure to direct sunlight and sunbeds after application.
Arnica Only use on unbroken skin.
Basil Do not use during pregnancy. Only Basil with methyl chavicol of 5% or less should be used in aromatherapy. Avoid using Basil with high content of methyl cinnamate.
Bergamot Photo-sensitivity – avoid exposure to direct sunlight and sunbeds after application.
Black Pepper May over stimulate the kidneys
Cajuput May irritate the skin.
Cedarwood Atlas Do not use during pregnancy.
Roman Chamomile Do not use if allergic to Roman Chamomile and other compositaes.
Cinnamon Leaf Severe dermal irritant and sensitiser – use with care. Do not use Cinnamon bark.
Clary Sage Do not use during pregnancy. Do not use if alcohol has been consumed. Avoid in cases of hormone related cancers.
Clove Bud Potential skin irritant and sensitising agent.
Eucalyptus  Do not use during pregnancy. Do not use on babies and children under the age of 3.
Fennel Do not use during pregnancy. Avoid with epilepsy.
Geranium Cases of dermatitis have been reported in hypersensitive individuals.
Ginger May cause sensitisation in some individuals.
Hazelnut Hazelnuts may cause immunological contact urticaria and possibly anaphylaxis.
St John”s Wort (Hypericum) Photo-sensitivity – avoid exposure to direct sunlight and sunbeds after application.
Hyssop Do not use during pregnancy. Avoid with epilepsy.
Juniperberry Do not use during pregnancy. Do not use if kidneys are inflamed.
Lemon Photo-sensitivity – avoid exposure to direct sunlight and sunbeds after application. May cause sensitisation in some individuals.
Lemongrass Irritating and sensitising in some individuals.
Lime The expressed oil is phototoxic – avoid exposure to direct sunlight and sunbeds after application. 
Sweet Marjoram Do not use during pregnancy.
Melissa Possible skin irritant. Best avoided in pregnancy.
Myrrh Do not use during pregnancy.
Nutmeg Do not use during pregnancy. Use with care as the myristicin can cause hallucinations.
Olive Dandruff is made worse if olive oil is applied to a dry scalp. The oil may cause an allergic reaction.
Peppermint May occasionally be sensitising. Do not use during pregnancy or while breastfeeding. Do not use on children under the age of 3.
Pine Potential dermal irritant in some individuals (especially dwarf pine)
Rosemary Do not use during pregnancy, or if suffering with epilepsy or high blood pressure.
Spearmint Do not use during pregnancy. Avoid with young children.
Tagetes Possible skin irritant.
Tea Tree Possibly sensitising to some individuals.
Thyme Possibly sensitising to some individuals.
Wheatgerm Avoid with wheat flour allergies
Ylang Ylang Excessive use may cause nausea or headaches.
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Safe dilution rates

In order to use essential oils safely and effectively, it is important to ensure they are diluted in a suitable carrier, for example, carrier oils, base creams or lotions.  This helps to minimise any adverse skin reactions and systemic toxicity. Essential oils should never be used neat on the skin or taken internally.

The chart below provides basic guidelines on safe dilution rates for use at home. 

Age range Recommended dilution
Babies 0-12 months 1 drop of essential oil in 15ml of carrier. Only use Lavender or Roman Chamomile.
Infants 1-6 years* 1-2 drops of essential oil in 15ml of carrier.
Children 7-12 years* 1 drop of essential oil in 4ml of carrier.
Children 12+ years* 2 drops of essential oil in 4ml of carrier.
Adults 2 drops of essential oil in 4ml of carrier.
During pregnancy or with the elderly, frail or infirm

1 drop of essential oil in 4ml of carrier.

* Click here to learn which essential oils are safe to use with babies and children. 

Christine Fisk
Consultant Aromatherapist

Disclaimer & Safety Advice

Read other articles by Christine Fisk

References

Davis, P. (1988). Aromatherapy A-Z. Great Britain: C W Daniel Company Limited.

Tisserand, R., & Balacs, T. (1995). Essential Oil Safety, A Guide For Health Care Professionals. New York: Churchill Livingstone.



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