A randomized controlled trial of combination of peppermint, lavender, and turmeric oil for antipruritic agent in pregnant women

  • Fransisca Retno Asih Program Study of Midwifery, Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; Program Study of Midwifery, Sekolah Tinggi Ilmu Kesehatan Banyuwangi, Banyuwangi, Indonesia https://orcid.org/0000-0002-9334-4245
  • Farid Husin Program Study of Midwifery, Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia
  • Oki Suwarsa Department of Dermatology and Venereology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
  • Irda Fidrianny School of Pharmacy, Institut Teknologi Bandung, Bandung, Indonesia
  • Dany Hilmanto Department of Child Health, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Keywords: essential oils, lavender, peppermint, pregnancy, pruritus, turmeric
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Abstract

BACKGROUND Pruritus is the most common dermatological complaint that occurs during pregnancy, which is around 14–20%. No research related to herbal products to reduce some of the characteristics of pruritus at once has been conducted. This study aimed to assess the effect of blending oil to reduce pruritus based on visual analog scale (VAS).

METHODS This was a single-blind, randomized clinical trial that included 57 pregnant women who were at 25–38 weeks of gestation, had a pruritus during pregnancy, a single pregnancy, a level I and II pruritus and a moderate to severe pruritus based on VAS. Pruritus scores were measured using VAS in both the treatment and control groups. The treatment and control groups applied blending oil and placebo, respectively, twice a day after bathing for 2 weeks. Mann–Whitney U, paired t, and chi-square tests were used for the analysis.

RESULTS Pruritus reduction in pregnant women who received blending oil was higher than those using placebo (61.08% versus 12.41%, p<0.05). 83% of subjects using blending oils had a reduction of pruritus by >25 mm. Pregnant women who used placebo had a six times greater risk of experiencing pruritus than those who used blending oil (RR = 5.8, 95% CI = 2.613–12.874).

CONCLUSIONS Blending oil can be used topically to treat a pruritus in pregnant women.

References

  1. Weisshaar E, Szepietowski JC, Dalgard FJ, Garcovich S, Gieler U, Gimenez-Arnau AM, et al. European S2k guideline on chronic pruritus. Acta Derm Venereol. 2019;99(5):469-506. https://doi.org/10.2340/00015555-3164

  2. Mehta N, Chen KK, Kroumpouzos G. Skin disease in pregnancy: the approach of the obstetric medicine physician. Clin Dermatol. 2016;34(3):320-6. https://doi.org/10.1016/j.clindermatol.2016.02.003

  3. Dumbell R, Matveeva O, Oster H. Circadian clocks, stress, and immunity. Front Endocrinol. 2016;7:37. https://doi.org/10.3389/fendo.2016.00037

  4. Szczech J, Wiatrowski A, Hirnle L, Reich A. Prevalence and relevance of pruritus in pregnancy. Biomed Res Int. 2017;2017:4238139. https://doi.org/10.1155/2017/4238139

  5. Kenyon AP, Tribe RM, Nelson-Piercy C, Girling JC, Williamson C, Seed PT, et al. Pruritus in pregnancy: a study of anatomical distribution and prevalence in relation to the development of obstetric cholestasis. Obstet Med. 2010;3(1):25-9. https://doi.org/10.1258/om.2010.090055

  6. Kennedy DA, Lupattelli A, Koren G, Nordeng H. Safety classification of herbal medicines used in pregnancy in a multinational study. BMC Complement Altern Med. 2016;16(1):102. https://doi.org/10.1186/s12906-016-1079-z

  7. Herro E, Jacob SE. Mentha piperita (peppermint). Dermatitis. 2010;21(6):327-9. https://doi.org/10.2310/6620.2011.10080

  8. Patel T, Ishiuji Y, Yosipovitch G. Menthol: a refreshing look at this ancient compound. J Am Acad Dermatol. 2007;57(5):873-8. https://doi.org/10.1016/j.jaad.2007.04.008

  9. Sienkiewicz M, Głowacka A, Kowalczyk E, Wiktorowska-Owczarek A, Jóźwiak-Bębenista M, Łysakowska M. The biological activities of cinnamon, geranium and lavender essential oils. Molecules. 2014;19(12):20929-40. https://doi.org/10.3390/molecules191220929

  10. Giovannini D, Gismondi A, Basso A, Canuti L, Braglia R, Canini A, et al. Lavandula angustifolia mill. essential oil exerts antibacterial and anti-Inflammatory effect in macrophage mediated immune response to Staphylococcus aureus. Immunol Invest. 2016;45(1):11-28. https://doi.org/10.3109/08820139.2015.1085392

  11. Lee HK, Park SB, Chang SY, Jung SJ. Antipruritic effect of curcumin on histamine-induced itching in mice. Korean J Physiol Pharmacol. 2018;22(5):547-54. https://doi.org/10.4196/kjpp.2018.22.5.547

  12. Toden S, Theiss AL, Wang X, Goel A. Essential turmeric oils enhance anti-inflammatory efficacy of curcumin in dextran sulfate sodium-induced colitis. Sci Rep. 2017;7:814. https://doi.org/10.1038/s41598-017-00812-6

  13. Amjadi MA, Mojab F, Kamranpour SB. The effect of peppermint oil on symptomatic treatment of pruritus in pregnant women. Iran J Pharm Res. 2012;11(4):1073-7.

  14. Evangelista MT, Abad‐Casintahan F, Lopez‐Villafuerte L. The effect of topical virgin coconut oil on SCORAD index, transepidermal water loss, and skin capacitance in mild to moderate pediatric atopic dermatitis: a randomized, double-blind, clinical trial. Int J Dermatol. 2014;53(1):100-8. https://doi.org/10.1111/ijd.12339

  15. Intahphuak S, Khonsung P, Panthong A. Anti-inflammatory, analgesic, and antipyretic activities of virgin coconut oil. Pharm Biol. 2010;48(2):151-7. https://doi.org/10.3109/13880200903062614

  16. Seo YM, Jeong SH. Effects of blending oil of lavender and thyme on oxidative stress, immunity, and skin condition in atopic dermatitis induced mice. J Korean Acad Nurs. 2015;45(3):367-77. https://doi.org/10.4040/jkan.2015.45.3.367

  17. Panahi Y, Akhavan A, Sahebkar A, Hosseini SM, Taghizadeh M, Akbari H, et al. Investigation of the effectiveness of Syzygium aromaticum, Lavandula angustifolia and Geranium robertianum essential oils in the treatment of acute external otitis: a comparative trial with ciprofloxacin. J Microbiol Immunol Infect. 2014;47(3):211-6. https://doi.org/10.1016/j.jmii.2012.10.002

  18. Vakilian K, Atarha M, Bekhradi R, Chaman R. Healing advantages of lavender essential oil during episiotomy recovery: a clinical trial. Complement Ther Clin Pract. 2011;17(1):50-3. https://doi.org/10.1016/j.ctcp.2010.05.006

  19. Dosoky N, Setzer W. Chemical composition and biological activities of essential oils of Curcuma species. Nutrients. 2018;10(9):1196. https://doi.org/10.3390/nu10091196

  20. Kumar A, Agarwal K, Singh M, Saxena A, Yadav P, Maurya AK, et al. Essential oil from waste leaves of Curcuma longa L. alleviates skin inflammation. Inflammopharmacology. 2018;26(5):1245-55. https://doi.org/10.1007/s10787-018-0447-3

  21. Kamatou GP, Vermaak I, Viljoen AM, Lawrence BM. Menthol: a simple monoterpene with remarkable biological properties. Phytochemistry. 2013;96:15-25. https://doi.org/10.1016/j.phytochem.2013.08.005

Published
2021-03-25
How to Cite
1.
Retno Asih F, Husin F, Suwarsa O, Fidrianny I, Hilmanto D. A randomized controlled trial of combination of peppermint, lavender, and turmeric oil for antipruritic agent in pregnant women. Med J Indones [Internet]. 2021Mar.25 [cited 2024Apr.24];30(1):39-4. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/4467
Section
Clinical Research

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