Deepi Brar CONSUMER HEALTH INTERACTIVEBelow: • What is it good for? • How does it work? • How safe is it? • What's the best way to take it?
Peppermint (Mentha piperita ) oil has an icy-cool flavor that gives an aromatic zing to lots of things in kitchen and bathroom cabinets, from candies and schnapps to toothpaste and cough drops. Peppermint may do more than put a tingle in your mouth, though. It's a time-honored treatment for settling your stomach and soothing a sore throat. What is it good for? Peppermint oil in candies is a great breath freshener. German health authorities approved it as an aid to improve digestion and reduce bloating. Human studies have shown peppermint oil (in capsules) is helpful for treating irritable bowel syndrome (IBS), a condition of the intestines producing abdominal pain, constipation or diarrhea. In two human studies, peppermint oil combined with caraway oil relieved indigestion, and in other human studies peppermint oil applied to the forehead and temples helped relieve tension headaches. How does it work? The active ingredient in peppermint oil is menthol. After a big meal, gas building up in your stomach can cause cramping, but menthol relaxes the valve between the stomach and the esophagus, allowing trapped gas to escape upward as a welcome, pressure-relieving burp. Menthol is a mild anesthetic that can block pain and nausea signals by numbing nerves in the gut, including those that would normally prompt nearby muscles to contract. One result: fewer muscle spasms that cause some of the symptoms of IBS. Menthol lozenges can help calm coughs and soothe raw throats by numbing and relaxing throat muscles. Peppermint is a common ingredient in "natural" mouthwashes because it's an anti-bacterial agent that kills the germs that cause tooth decay and bad breath. Rubbing a few drops of it into your temples may also help relax temple muscles, easing some headaches. How safe is it? Cough drops and peppermint leaf tea are safe unless you are allergic to peppermint, but undiluted peppermint oil (also called essential oil) can be toxic and irritating to the skin even in small doses. You should never ingest it except in coated capsule form. And don't give peppermint tea or menthol cough drops to children under five years of age; they can cause a choking sensation. Watch out, too, if you're prone to heartburn. While menthol's relaxing of the valve at the entrance to the stomach can soothe cramps by releasing gas, it sometimes also allows stomach acids to splash up into the esophagus, causing that burning sensation in the chest. What's the best way to take it? Enteric-coated peppermint oil capsules are your best bet for indigestion or IBS. They can be expensive, so check with your doctor, naturopath or pharmacist before you try taking them regularly for irritable bowel syndrome. Peppermint tea doesn't contain nearly as much menthol (fresh leaves are more potent than packaged teas), but it may ease minor stomach complaints. Pour a cup of boiling water over two teaspoons of crushed leaves and steep for ten minutes. Look for the leaves in specialty produce markets (or grow your own). You can find peppermint oil and tinctures at most health food stores. Keep in mind, though, that the government doesn't regulate herbal remedies as strictly as it does drugs, so quality and potency can vary from product to product. There are no required tests for safety or effectiveness, for example. In rare cases supplements may be contaminated with undesirable substances.
References Jellin JM, Gregory P, Batz F, Hitchens K, et al. Pharmacist's Letter/Prescriber's Letter Natural Medicines Comprehensive Database. Stockton, CA: Therapeutic Research Faculty; http://www.naturaldatabase.com
Madisch A, Heydenreich CJ, Wieland V, et al. Treatment of functional dyspepsia with a fixed peppermint oil and caraway oil combination preparation as compared to cisapride. A multicenter, reference-controlled double-blind equivalence study. Arzneimittelforschung 1999;49:925-32.
May B, Kuntz HD, Kieser M, Kohler S. Efficacy of a fixed peppermint oil/caraway oil combination in non-ulcer dyspepsia. Arzneimittelforschung 1996;46:1149-53.
Gobel H, Fresenius J, Heinze A, et al. [Effectiveness of Oleum menthae piperitae and paracetamol in therapy of headache of the tension type]. [Article in German] Nervenarzt 1996;67(8):672-81.
Gobel H, Schmidt G, Soyka D. Effect of peppermint and eucalyptus oil preparations on neurophysiological and experimental algesimetric headache parameters. Cephalagia 1994;14(3):228-34.
American Botanical Council. Peppermint leaf. http://www.herbalgram.org/bodywise/expandedcommissione/he075.asp
Reviewed by Forrest Batz, Pharm.D., an assistant clinical professor at UCSF's school of pharmacy and a consultant in natural medicines based in Santa Rosa, California.
First published September 3, 1998
Last updated January 24, 2008
Copyright © 1998 Consumer Health Interactive and OneBody, Inc.
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