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Want To Know More About
Essential Oils Such As
Tea Tree Oil? 
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 A report on these issues was published in Acta Derm
Vernereol 1999; 79: 1-2.  Scandanavian University Press. 
The information published describes essential oils
including tea tree oil as complex mixtures of over 100 hydrocarbons and terpenes. 
Neurotoxic effects were noted with no known mechanism of action.  The
conclusion was that for safety reasons, the promotion of commercially available
essential oils as treatments for head lice should be discouraged until more data
is available. 
 
© Acta Derm Venereol 1999; 79:1-2 
LETTERS TO THE EDITOR 
Monoterpenoids And Tetralin as Pediculocides 
Sir, 
    The increasing resistance of head lice to established insecticides means that patients and parents are
seeking alternative effective treatments (1). Essential oils, including tea tree oil and Biz Niz, ?  are promoted
as treatments for head lice by alternative medicine therapists.  Tea tree oil is the essential oil steam distilled
from the leaves and terminal branches of tea trees, in particular the Myrtle tree
(Melalenca alternifolia) (2).  It is a complex mixture of over 100 hydrocarbons and terpenes.  Of the 15 compounds found in highest
concentration, 12 are monoterpenoids.  These include terpinen-4-ol (30%), 1,8 cineole (15%), p Cymene, ?
pinene, ? terpineol and ? terpinene (3).  ? terpineol is also an insipient ingredient in some standard
insecticide containing louse treatment lotions which are felt to be more effective (4).  A 1% copper oleate
shampoo (which also contains tetralin) has been shown to be an effective treatment in 1 clinical trial (5). 
We examined the potential loucicidal activity of tea tree oil, copper oleate, tetralin, terpinen-4-ol; ?
terpinene, using in vitro exposure tests with freshly collected live adult head lice. 
MATERIAL AND METHODS 
Neat tea tree oil, tetralin, terpinene, ? terpineol and terpinen-4-ol were diluted to 1% and 10% solutions in
isopropanol.  Copper oleate crystals were created by combining copper sulphate and potassium oleate
according to Nelson & Pink (6) and, from this, 1% and 10% aqueous solutions were made.  All products
were obtained from Sigma-Aldrich Co., Ltd (Poole, Dorset, UK).  Chemical-impregnated filter papers were  
made by dipping Whatman no. 1 cellulose filter papers, 5 cm in diameter, into the various solutions.
The filter papers were dried an stored at 4 degrees C in the dark in air-tight containers and used within 24 h.
Live adult head lice were collected off school children (aged 4-11 years) from 3 primary schools using a fine-toothed louse detector comb.  Consent for collecting lice was obtained from the South & West research  
ethics committee, school head teachers and pupil's parents.  Lice were pooled together to provide sufficient
test numbers.  The lice were stored in a portable incubator set at 30 degrees C and 70%; relative humidity
(the optimum lice survival conditions) (7) and used in the in vitro test within 2 h of collection.  The lice were
exposed (10 per filter paper) to the various impregnated filter papers as well as unimpregnated filter papers  
and assessed after 2 h.  Mortality was judged as the absence of all internal and external movement on tactile
stimulation. 
Results 
The results are shown in Table 1.  Compared with controls, there was a significant mortality for all chemicals
tested, except copper oleate (p<10 8,  Fischer's exact test.)  
Lice were either dead or seemingly unaffected, except for gamma terpinene exposed head lice, which showed
hyperexitability, increased abdominal contractions and uncoordinated movements at 1% exposure. 
Table I.   Mortality of head lice on exposure to potential insecticides 
  
    | 
    Insecticide | 
    
    Dead | 
    
    Alive | 
   
  
    | Tea Tree Oil | 
      | 
      | 
   
  
    | 10% | 
    70 | 
    11 | 
   
  
    | 1% | 
    0 | 
    50 | 
   
  
    |   | 
      | 
      | 
   
  
    | Terpinene | 
      | 
      | 
   
  
    | 10% | 
    35 | 
    26 | 
   
  
    | 1% | 
    0 | 
    81 | 
   
  
    |   | 
      | 
      | 
   
  
    | Tetralin | 
      | 
      | 
   
  
    | 10% | 
    50 | 
    0 | 
   
  
    | 1% | 
    26 | 
    75 | 
   
  
    |   | 
      | 
      | 
   
  
    | Copper oleate | 
      | 
      | 
   
  
    | 10% | 
    0 | 
    40 | 
   
  
    | 1% | 
    0 | 
    43 | 
   
  
    |   | 
      | 
      | 
   
  
    | Terpinen-4-ol | 
      | 
      | 
   
  
    | 10% | 
    80 | 
    0 | 
   
  
    | 1% | 
    23 | 
    65 | 
   
 
 
Discussion 
The mechanism of action of these compounds is not known; however, some monoterpenoids and tetralin
derivates do have neurotoxic effects (8, 9).  Increasing the concentration of monoterpenoids or tetralin in
existing pediculocides might improve insecticidal activity, but may also increase the number of reported
cases of contact dermatitis or symptoms of overdose.  Further laboratory work is needed in order to  
establish dose mortality curves and long-term safety data before these chemicals can be assessed using
clinical trials.  The promotion of commercially available essential oils as treatments for head lice should be
discouraged until more data is available. 
References 
  - Downs AMR, Stafford KA, Coles GC.  Head lice: prevalence in school children and insecticide
    resistance.  Parasitol Today 1999;15:1-4.
 
  - Nenoff P, Haustein UF, Brandt W. Antifungal activity of the essential oil of Malaleuca alternifolia (tea
    tree oil) against pathogenic fungi in vitro. Skin Pharmacol 1996;9:388-394.
 
  - Knight TE, Hausen BM. Malaleuca oil (tea tree oil) dermatitis. J Am Acad Dermatol 1994; 30:423-427.
 
  - Burgess I. Carbaryl lotions for head lice  new laboratory tsts show variations in efficacy. Pharma J
    1990; 12:159-161.
 
  - Iannantuono Rf, Devoto F, Saitta MF, Valicenti MR, Gomez F, Gonzalez C, et al. Pediculicidal activity of
    antidandruff shampoo in a 1% copper oleate formulation. Adv Ther 1997; 14:134-139.
 
  - Nelson SM, Pink RC. Solutions of metal soaps in organic solvents. Part IV. Direct-curent conductivity in
    solutions of some metal oleates in toluene. J Chem Soc 1954: 4412-4417.
 
  - Busvine JR. Evidence from double infestations for the specific status of human head lice and body lice
    (Anoplura). Systematic Entomol 1978;3:1-8.
 
  - Lee S, Tsao R, Peterson C, Coats JR. Insecticidal activity of monoterpenoids to western corn rootworm
    (Coleoptera: Chrysomelidae), two-spotted spider mite (Acari:Tetranychidae), and house fly
    (Diptera:Muscidae).  J Econom Entomol 1997;90:883-892.
 
  - Wyrick DW, Booth RG, Myers, AM, Owens CE, Kula NS, Baldessarini RJ, et al. Synthesis of 1-phenyl-3-1,2,3,4-tetrahydronathphalenes as ligands for a novel receptor with   -like neuromodulatory activity.  J Med Chem 1993; 35:2542-2551.
 
 
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    What 
                  Is It?  Health 
                  Benefits  Forms 
                   Dosage 
                  Information  Guidelines 
                  for Use  General 
                  Interaction  Possible 
                  Side Effects  Cautions
     
  
                   
                   
                  It was centuries ago that Australian aborigines probably 
                  first started plucking leaves from a native tree (Melaleuca 
                  alternifolia) to treat skin infections. In 1770, sailors 
                  from Captain Cook's expedition to the South Seas ventured 
                  ashore at New South Wales and brewed a tea using the leaves of 
                  the same tree. This event engendered the herb's English name 
                  "tea tree"--which is actually something of a misnomer because 
                  the Melaleuca species bears no relation to the 
                  Camellia species, the usual source of tea leaves.
                   Today, an aromatic oil with a fragrance reminiscent of 
                  nutmeg is steam-distilled from the Melaleuca leaves. 
                  Because the Melaleuca alternifolia grows only in 
                  Australia, that country is now the major source of tea tree 
                  oil, exporting some 700 tons of annually. Tea tree products 
                  are often referred to as "melaleuca oil." The pure oil is 
                  colorless to pale yellow.   
                   
                   
                  High-quality tea tree oil contains 40% or more of 
                  terpinen-4-ol, the ingredient that fights harmful bacteria and 
                  fungi and makes the oil so effective in preventing and 
                  fighting infection in cuts, scrapes, insect bites, and stings.
                   Specifically, tea tree oil may help to:
                   
                   Treat cuts, scrapes, insect bites and stings, and other 
                  minor skin wounds and irritations. Tea tree oil blends 
                  rapidly and easily with the skin's own oils. In the process, 
                  the oil alters the chemical barrier of the skin, making it 
                  less hospitable to the growth of fungi and other organisms. In 
                  these ways, tea tree oil not only lessens the chance of 
                  infection, it also promotes healing and reduces the likelihood 
                  of scarring.
                  
                  Fight fungal nail infections, jock itch, and athlete's 
                  foot. Tea tree oil has been shown to be effective in 
                  countering Trichophyton, the fungus that causes 
                  numerous topical infections, including athlete's foot and jock 
                  itch.
                  
                  Shorten the course of vaginal yeast infections. Two 
                  of the organisms that cause these discomforts, Candida 
                  albicans and Trichomonas vaginalis, apparently 
                  succumb to the actions of tea tree oil.
                  
                  Gently control acne. Even severe cases of acne have 
                  been shown to benefit from anti-acne preparations that contain 
                  up to 15% tea tree oil, an effect that can be explained by the 
                  oil's antibacterial and skin-healing properties. In one study 
                  conducted in Australia, a comparison was made between a gel 
                  containing 5% tea tree oil and a traditional 5% benzoyl 
                  peroxide acne lotion. The products proved similar in their 
                  effectiveness against pimples, although the herbal preparation 
                  worked more slowly. It was notable, however, that the product 
                  containing the tea tree oil caused significantly less dryness, 
                  redness, scaling, and itching to the surrounding skin.
                  
                  Treat dandruff and head lice. According to one 
                  study, a 5% solution of tea tree oil is effective against 
                  Pityrosporum ovale, a fungus that can cause dandruff. 
                  In a laboratory analysis of tea-tree chemistry, substances 
                  were discovered that can kill head lice. But human research is 
                  still needed, especially since the skin of children (a 
                  population particularly susceptible to lice) may be overly 
                  sensitive to tea tree oil. 
                  
                  Curtail warts. Tea tree oil is sometimes 
                  recommended for warts, which are caused by viruses. More 
                  research is needed to determine whether the oil is truly 
                  effective for this purpose, but it certainly does not seem to 
                  cause any complications.
                  Note: Tea tree oil has also been found to be useful 
                  for a number of other disorders. For information on these 
                  additional ailments, see our Dosage Recommendations Chart 
                  for Tea Tree Oil.   
                  
                   
                   
                    - suppository 
                    
 - oil 
                    
 - gel 
                    
 - cream 
   
                   
                   
                  Special tip: 
                   --Look for tea tree oil derived only from the Melaleuca 
                  alternifolia tree. Oil from other species can have a high 
                  percentage of cineole, a compound that can irritate the skin 
                  and hinder the oil's active ingredients from providing any 
                  therapeutic benefit.
                   
                   For minor skin wounds, insect bites and stings, and 
                  irritations: Cleanse the wound and apply one or two drops 
                  of tea tree oil to the affected area two or three times daily.
                  
                  For nail infections: Rub tea tree oil on the nail 
                  twice a day.
                  
                  For athlete's foot: Apply tea tree oil or cream to 
                  affected areas twice a day and/or use it in a foot bath. For a 
                  foot bath: Put 20 drops of tea tree oil in a small basin of 
                  warm water and soak the feet for 15 minutes, two or three 
                  times a day. Dry the feet thoroughly after soaking and apply a 
                  drop or two of oil to the affected area. 
                  
                  For vaginal yeast infections: Use a tea tree oil 
                  vaginal suppository, available at health-food outlets, every 
                  12 hours for up to five days. 
                  
                  For acne: Apply a drop or two to each acne lesion 
                  three times a day.
                  
                  For warts: Put a few drops of the oil on a small 
                  gauze compress and tape it over the wart at bedtime. Remove it 
                  in the morning. Repeat until the wart heals.
                  Be sure to check out our Dosage Recommendations Chart 
                  for Tea Tree Oil, which lists therapeutic dosages for 
                  specific ailments at a glance.   
                   
                   
                  
                   When buying a topical antifungal preparation advertised to 
                  contain tea–tree oil, make sure the oil is from M. 
                  alternifolia and is one of the first ingredients listed.
                  
                  Tea tree oil is found in various skin-care and beauty 
                  products (shampoos, soaps, and so on) but often in amounts so 
                  minuscule that it provides virtually no antibacterial effect. 
                  To learn if a particular product can produce the benefits of 
                  tea tree oil, request information from the manufacturer about 
                  studies supporting such a claim.
                  
                  Some toothpastes contain tea tree oil. However, because 
                  the oil is dangerous if swallowed, only very small amounts are 
                  included. This makes the products safe, but essentially 
                  nullifies any bacteria-fighting benefits they claim to have. 
                   
                   
                   
                  There are no known drug or nutrient interactions associated 
                  with tea tree oil.   
                   
                   
                  
                   Tea tree oil can irritate sensitive skin, especially in 
                  the vaginal area. It can also prompt an allergic reaction in 
                  some people. As a safety precaution, dab a small amount on 
                  your inner arm with a cotton swab before using the oil or a 
                  product that contains it. If you are allergic, your arm will 
                  quickly become red or inflamed. 
                   
                   
                   
                  
                   Never ingest tea tree oil. It is for external use only, 
                  and should never be applied around the eyes.
                  
                  If you accidentally ingest the oil, immediately contact a 
                  doctor or a poison control center.
                  
                  Consult your doctor before replacing any prescription 
                  medications with tea tree oil. 
  
    
                    
                    
                      | 
                         | 
                      
                         |  
                    
                      | 
                      Acne | 
                      
                         Apply a drop or two to each acne 
                          lesion 3 times a day.  |  
                    
                      | 
                      Athlete's Foot | 
                      
                         Apply oil or cream to affected areas 
                          twice a day and/or use as a footbath.  |  
                    
                      | 
                      Cuts and Scrapes | 
                      
                         Apply cream to wound 3 times a day in 
                          place of aloe or lavender oil.  |  
                    
                      | 
                      Insect Bites and Stings | 
                      
                         Apply 1 drop of oil to skin several 
                          times a day, or as needed.  |  
                    
                      | 
                      Warts | 
                      
                         Put several drops on a compress. Use 
                          overnight until the wart heals.  |   
      
     
       
  
  
    
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