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The efficacy of 5% topical tea tree oil gel in mild to moderate acne vulgaris: A randomized, double-blind placebo-controlled study
Open accessAbstract
BACKGROUND: Finding an effective treatment for acne that is well tolerated by the patients is a challenge. One study has suggested the efficacy of tea tree oil in treatment of the acne vulgaris. AIM: To determine the efficacy of tea tree oil in mild to moderate acne vulgaris. METHODS: This was a randomized double-blind clinical trial performed in 60 patients with mild to moderate acne vulgaris. They were randomly divided into two groups and were treated with tea tree oil gel (n=30) or placebo (n=30). They were followed every 15 days for a period of 45 days. Response to treatment was evaluated by the total acne lesions counting (TLC) and acne severity index (ASI). The data was analyzed statistically using t-test and by SPSS program. RESULTS: There were no significant differences regarding demographic characteristics between the two groups. There was a significant difference between tea tree oil gel and placebo in the improvement of the TLC and also regarding improvement of the ASI. In terms of TLC and ASI, tea tree oil gel was 3.55 times and 5.75 times more effective than placebo respectively. Side-effects with both groups were relatively similar and tolerable. CONCLUSION: Topical 5% tea tree oil is an effective treatment for mild to moderate acne vulgaris.
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“The study design was a randomized, double‐blind, placebo‐controlled trial, which is considered Level 2b evidence according to the Oxford evidence hierarchy.”
From Cosmeceuticals in photoaging: A review. (2024) · cites this paper as [18]
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“[42] Picolinic acid gel 10%: It is an intermediate metabolite of the amino acid, tryptophan.”
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“Some plants, especially the roots of mountain grapes, tea tree oil, Saccharomyces, and perhaps Ocimum basilicum due to their effectiveness and safety can be compared to alternative treatments with synthetic drugs for mild to moderate acne (74-76).”
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ResultNew Herbal Biomedicines for the Topical Treatment of Dermatological Disorders
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MethodComplementary therapies for acne vulgaris
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“The effective essential oils for acne treatment so far have been Tea tree oil, Lavender oil and Ocimum gratissimum and Ramulusmori.(7,9,10,12,15,16) In a previous paper, we also demonstrated the anti-acne efficacy of an essential oil, associated with 2 plant extracts, Table 2 Demographic Characteristics of Patients”
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“The gel was sterilized in the autoclave at 110°C for 20 min.[16] Placebo gel The placebo gel preparation was same as that of tea‐tree oil gel preparation except for the addition of tea‐tree oil.”
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“Moreover, tea tree oil products, one of the popular topical anti-acne, also reported ACD (42) and side effects of treatment with minimal pruritus, burning, and scaling (43).”
BackgroundAn overview on the anti-acne properties of herbal essential oils
Asnaashari, S., Kazemnezhad, M., Masoud, F., et al. (2023) · Journal of Herbal Medicine · doi:10.1016/j.hermed.2023.100642 · Cited by 13
Cosmetic Industry: Natural Secondary Metabolites for Beauty and Aging
Saraiva, S. M., Miguel, S. P., Araújo, A. R. T. S., Rodrigues, M., Ribeiro, M. P., & Coutinho, P. (2023) · Springer eBooks · doi:10.1007/978-3-031-18587-8_27 · Cited by 16
Exploiting Medicinal Plants as Possible Treatments for Acne Vulgaris
Lambrechts, I. A., Canha, M. N. D., & Lall, N. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-812475-8.00004-4 · Cited by 13
External Application of Herbal Medicines for Acne Vulgaris: A Systematic Review and Meta Analysis
Sung, S.-H., Choi, G.-H., Lee, N.-W., & Shin, B. (2020) · Journal of pharmacopuncture · doi:10.3831/kpi.2020.23.002 · Cited by 11
A review on efficacy and tolerability of tea tree oil for acne
Ahmad, S., Afsana, & Popli, H. (2019) · Journal of Drug Delivery and Therapeutics · doi:10.22270/jddt.v9i3.2838 · Cited by 11
A review of phytotherapy of Acne vulgaris
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“Few years ago, Enshaieh et al. (2007) confirmed the efficacy of 5% topical TTO gel in treatment of moderate acne vulgaris in a randomized, double-blind placebo-controlled study.”
BackgroundEpidemiology and Management of Acne in Adult Women
Fisk, W. A., Lev‐Tov, H. A., & Sivamani, R. K. (2014) · Current Dermatology Reports · doi:10.1007/s13671-014-0071-4 · Cited by 10
Yılmaz, U., Coşkun, A. G., Özel, Y., Ünlü, M., & Ünlü, G. V. (2024) · Journal of Applied Microbiology · doi:10.1093/jambio/lxae090 · Cited by 10
Phytochemicals as emerging therapeutics for acne vulgaris: a comprehensive review
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Yapar, E. A., Gokce, E. H., Şahiner, A., et al. (2024) · Journal of Drug Delivery Science and Technology · doi:10.1016/j.jddst.2024.105811 · Cited by 7
Cruz, R. D., Nguyen, R., Chen, P. G., Kérob, D., Gebauer, K., Willems, A., Tong, P. L., & Lee, M. (2025) · Australasian Journal of Dermatology · doi:10.1111/ajd.14447 · Cited by 7
Gurnee, E. A., Kamath, S., & Kruse, L. L. (2019) · Pediatric Dermatology · doi:10.1111/pde.13904 · Cited by 6
Abrha, S., Christenson, J. K., McEwen, J., Tesfaye, W. H., Nery, S. V., Chang, A. Y., Spelman, T. D., Kosari, S., Kigen, G., Carroll, S., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-047380 · Cited by 6
Laboratory Evaluation of Safety and Efficacy for Melafix (Melaleuca cajuputi Extract)
Shivappa, R. B., Christian, L. S., Noga, E. J., et al. (2015) · Journal of Exotic Pet Medicine · doi:10.1053/j.jepm.2015.04.020 · Cited by 6
Over‐the‐Counter Acne Treatments
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Herbal medicine and common dermatologic diseases
Ünlü, B. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-90572-5.00019-6 · Cited by 5
Volatile Oil Containing Plants as Phytopharmaceuticals to Treat Psoriasis: A Review
Vyas, P. J., Wagh, S. S., Kalaskar, M. G., Patil, K. R., Sharma, A., Kazmi, I. A., Al-Abbasi, F. A., Alzarea, S. I., Afzal, O., Altamimi, A. S. A., et al. (2023) · Current Pharmaceutical Biotechnology · doi:10.2174/1389201024666230607140404 · Cited by 5
Metadata
- Authors
- Jooya, A., Siadat, A., Iraji, F., & Enshaieh, S.
- Affiliations
- Isfahan University of Medical Sciences (IR)
- ORCID
- Iraji, Fariba
- Venue
- Indian Journal of Dermatology, Venereology and Leprology
- Publisher
- Scientific Scholar
- Published
- 2007
- Volume
- 73
- Issue
- 1
- Pages
- 22
- ISSN
- 0378-6323 (ISSN-L)
- OpenAlex
- W2018583838
- Cited by
- 165
- References
- 9
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 11 · 2023: 13 · 2022: 9 · 2021: 13 · 2020: 11 · 2019: 10 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 6 · 2014: 9 · 2013: 11 · 2012: 13
- FWCI
- 4.01
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Indian Journal of Dermatology Venereology and Leprology (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- Bioline International (Bioline International) (submittedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Keywords
- tea tree oil, topical gel, acne, mild to moderate acne, herbal medicine, treatment efficacy, tolerability
- MeSH terms
- Acne Vulgaris, Administration, Topical, Adolescent, Adult, Anti-Infective Agents, Local, Double-Blind Method, Female, Gels, Humans, Male, Severity of Illness Index, Treatment Outcome, Tea Tree Oil
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