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Evidence-Based Supplement Research
Evidence-Based Supplement Research

Clinical Pharmacology of Citrus aurantium and Citrus sinensis for the Treatment of Anxiety.

  • 2018-01
  • Evidence-based complementary and alternative medicine : eCAM 2018(1)
    • Carmen Mannucci
    • Fabrizio Calapai
    • Luigi Cardia
    • Giuseppina Inferrera
    • Giovanni D'Arena
    • Martina Di Pietro
    • Michele Navarra
    • Sebastiano Gangemi
    • Elvira Ventura Spagnolo
    • Gioacchino Calapai

Study Design

Type
Review
Methods
Analysis of preclinical experiments and clinical trials from major scientific databases; included nine clinical studies

Objective

The aim of this review is to analyze preclinical and clinical studies investigating the anxiety effects of Citrus aurantium or Citrus sinensis essential oils (EOs).

Design

The bibliographic research was made on the major scientific databases. Analysis included only articles written in English and published on peer-reviewed scientific journals describing preclinical experiments and clinical trials carried out to investigate the antianxiety effects of Citrus aurantium or Citrus sinensis EOs on anxiety disorders. Clinical studies reporting the antianxiety effects of products containing Citrus aurantium or Citrus sinensis EOs in combination with other active substances, including medicinal plants, were excluded. Nine clinical studies fulfilled the criteria adopted for analysis.

Results

Data show that Citrus aurantium or Citrus sinensis EOs produce anxiolytic effects both in preclinical experiments and in different clinical conditions. Citrus aurantium EO aromatherapy reduced anxiety level in the great part of stress conditions studied (subjects affected by chronic myeloid leukemia and preoperative patients) except for a sample of patients subjected to colonoscopy. Exposition to Citrus sinensis EO in clinical studies shows to be positive in reducing anxiety level in patients waiting for dental treatment as well as in healthy volunteers submitted to an anxiogenic situation.

Conclusions

Overview of clinical trials conducted with Citrus aurantium or Citrus sinensis on people with anxiety showed that inhalation or oral administration of Citrus aurantium and inhalation of Citrus sinensis can exert beneficial effects on anxiety; however, because of incomplete accuracy in the reporting of methodology, further more complete clinical studies are warranted.

Research Insights

  • Exposition to Citrus sinensis EO in clinical studies shows to be positive in reducing anxiety level in patients waiting for dental treatment as well as in healthy volunteers submitted to an anxiogenic situation.

    Effect
    Beneficial
    Effect size
    Moderate
    Dose
    inhalation
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