A comparative study of tea‐tree oil versus benzoylperoxide in the treatment of acne
Abstract
Tea-tree oil (an essential oil of the Australian native tree Melaleuca alternifolia) has long been regarded as a useful topical antiseptic agent in Australia and has been shown to have a variety of antimicrobial activities; however, only anecdotal evidence exists for its efficacy in the treatment of various skin conditions. We have performed a single-blind, randomised clinical trial on 124 patients to evaluate the efficacy and skin tolerance of 5% tea-tree oil gel in the treatment of mild to moderate acne when compared with 5% benzoyl peroxide lotion. The results of this study showed that both 5% tea-tree oil and 5% benzoyl peroxide had a significant effect in ameliorating the patients' acne by reducing the number of inflamed and non-inflamed lesions (open and closed comedones), although the onset of action in the case of tea-tree oil was slower. Encouragingly, fewer side effects were experienced by patients treated with tea-tree oil.
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Bassett et al. study comparing tea tree oil and benzoyl peroxide for acne was classified as case-control level and was limited by small sample size and lack of long-term follow-up.
“However, the study is limited in terms of its evidence level, as it falls within the category of case‐control studies in the Oxford evidence hierarchy.”
From Cosmeceuticals in photoaging: A review. (2024) · cites this paper as [15]
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- Authors
- Bassett, I. B., Barnetson, R. S. C., & Pannowitz, D. L.
- Affiliations
- Royal Prince Alfred Hospital (AU)
- Department of DermatologyRoyal Prince Alfred HospitalCamperdownNSW2050
- Lederle Laboratories Clinical Research Unit5 Gibbon RoadBaulkham HillsNSW2153
- Venue
- Medical Journal of Australia
- Publisher
- Wiley
- Published
- 1990-10
- Volume
- 153
- Issue
- 8
- Pages
- 455-458
- ISSN
- 0025-729X (ISSN-L)
- 1326-5377
- OpenAlex
- W17761781
- Cited by
- 286
- References
- 7
- Citations by year
- 2026: 3 · 2025: 12 · 2024: 10 · 2023: 23 · 2022: 14 · 2021: 6 · 2020: 11 · 2019: 11 · 2018: 9 · 2017: 8 · 2016: 9 · 2015: 6 · 2014: 14 · 2013: 8 · 2012: 9
- FWCI
- 2.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- The Medical Journal of Australia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Life Sciences › Agricultural and Biological Sciences › Food Science › Essential Oils and Antimicrobial Activity
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- tea tree oil, benzoyl peroxide, acne, Melaleuca alternifolia, topical treatment, comedones, skin tolerance, adverse effects, essential oils, antimicrobial activity
- MeSH terms
- Acne Vulgaris, Adolescent, Adult, Benzoyl Peroxide, Child, Female, Gels, Humans, Male, Oils, Volatile, Plant Oils, Prospective Studies, Skin, Time Factors, Trees, Single-Blind Method
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