Organic Chamomile [Discontinued] by Traditional Medicinals

INSUFFICIENT RELIABLE EVIDENCE to RATE

• Allergic rhinitis (hay fever). Although there is interest in using inhaled Roman chamomile for allergic rhinitis, there is insufficient reliable information about the clinical effects of Roman chamomile for this condition.
• Anxiety. Although there is interest in using inhaled Roman chamomile for anxiety, there is insufficient reliable information about the clinical effects of Roman chamomile for this condition.
• Atopic dermatitis (eczema). Although there is interest in using topical Roman chamomile for atopic dermatitis, there is insufficient reliable information about the clinical effects of Roman chamomile for this condition.
• Burns. Although there is interest in using topical Roman chamomile for burns, there is insufficient reliable information about the clinical effects of Roman chamomile for this purpose.
• Diabetes. Although there is interest in using oral Roman chamomile for diabetes, there is insufficient reliable information about the clinical effects of Roman chamomile for this condition.
• Diaper rash. Although there is interest in using topical Roman chamomile for diaper rash, there is insufficient reliable information about the clinical effects of Roman chamomile for this purpose.
• Dysmenorrhea. Although there is interest in using oral Roman chamomile for dysmenorrhea, there is insufficient reliable information about the clinical effects of Roman chamomile for this condition.
• Dyspepsia. Although there is interest in using oral Roman chamomile for dyspepsia, there is insufficient reliable information about the clinical effects of Roman chamomile for this purpose.
• Hemorrhoids. Although there is interest in using topical Roman chamomile for hemorrhoids, there is insufficient reliable information about the clinical effects of Roman chamomile for this purpose.
• Hypertension. Although there is interest in using oral Roman chamomile for hypertension, there is insufficient reliable information about the clinical effects of Roman chamomile for this condition.
• Insomnia. Although there is interest in using oral or inhaled Roman chamomile for insomnia, there is insufficient reliable information about the clinical effects of Roman chamomile for this purpose.
• Lichen planus. It is unclear if topical Roman chamomile is beneficial in patients with lichen planus. Details: Preliminary clinical research in patients with oral lichen planus shows that applying a Roman chamomile 2% gel, 0.5 mL three times daily for 4 weeks, reduces pain, itching, and burning when compared with placebo. Chamomile was associated with a total response in 19% of patients, and a partial response in 73%, compared with partial responses in only 17% of patients receiving placebo (107369).
• Nausea and vomiting. Although there is interest in using oral Roman chamomile for nausea and vomiting, there is insufficient reliable information about the clinical effects of Roman chamomile for this purpose.
• Pruritus. It is unclear if Roman chamomile is beneficial for pruritis. Details: A moderate-sized quasi-experimental clinical study in older females with pruritis shows that applying a mixture of Roman chamomile, lavender, and sandalwood diluted to 1.5% in sweet almond oil during a massage three times weekly for 1 month modestly improves pruritis when compared with sandalwood oil during massage, but does not improve skin pH or level of hydration (112365). It is unclear if these findings are due to Roman chamomile, other ingredients, or the combination.
• Rheumatoid arthritis (RA). Although there is interest in using topical Roman chamomile for RA, there is insufficient reliable information about the clinical effects of Roman chamomile for this condition.
• Stress. It is unclear if Roman chamomile is beneficial for stress. Details: A moderate-sized quasi-experimental clinical study in older females shows that applying a mixture of Roman chamomile, lavender, and sandalwood diluted to 1.5% in sweet almond oil during a massage three times weekly for 1 month marginally improves the level of self-reported stress when compared with sandalwood oil during massage (112365). It is unclear if this finding is due to Roman chamomile, other ingredients, or the combination.
• Wound healing. Although there is interest in using topical Roman chamomile for wound healing, there is insufficient reliable information about the clinical effects of Roman chamomile for this purpose. More evidence is needed to rate Roman chamomile for these uses.

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LIKELY SAFE ...when used orally in amounts commonly found in foods. Roman chamomile has Generally Recognized as Safe (GRAS) status in the US (4912).

POSSIBLY SAFE ...when used topically as a 2% gel for up to 4 weeks (107369). ...when the essential oil is inhaled or used topically as aromatherapy (7107). There is insufficient reliable information available about the safety of Roman chamomile when used orally in amounts greater than those found in foods.

PREGNANCY: LIKELY UNSAFE
when used orally in medicinal amounts. Roman chamomile is believed to be an abortifacient (4). Some population research has found a possible link between the use of Roman chamomile and an increased incidence of reduced birth weight, threatened miscarriage, and preterm labor (97292). There is insufficient reliable information available about the safety of the topical use of Roman chamomile during pregnancy; avoid using.

LACTATION:
Insufficient reliable information available; avoid using (4).

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General ...Roman chamomile is generally well tolerated.
Most Common Adverse Effects:
Topically: Allergic skin reactions.

Dermatologic ...Topically, Roman chamomile can cause contact dermatitis (4,567,97292). Allergic skin reactions can occur in up to 20% of individuals exposed to Roman chamomile (19). Multiple case reports have described the development of topical allergic reactions, including eczema and rash, with the use of cleaning products and cosmetics containing chamomile oil or chamomile extract (97292). In one case report, a 55-year-old man experienced disseminated erythroderma with itchy, scaly lesions after non-contact exposure to an area containing many plant varieties. Patch testing confirmed the presence of allergenicity to Roman chamomile (97292).

Gastrointestinal ...Orally, large amounts of Roman chamomile might cause vomiting, although data are conflicting (11,12).

Immunologic ...Allergic skin reactions can occur in up to 20% of individuals exposed to Roman chamomile (19). Cross-sensitivity can occur in individuals with sensitivity to the Asteraceae/Compositae family (19,97292). Multiple case reports have described the development of topical and respiratory allergic reactions with the use of cleaning products and cosmetics containing chamomile oil or chamomile extract (97292).

Pulmonary/Respiratory ...A case report describes the development of cough and rhinitis in a 20-year-old female after exposure to chamomile-scented toilet paper. Skin prick testing confirmed the presence of allergenicity to the toilet paper product (97292).

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