Understanding the Difference: Culinary Herb vs. Concentrated Oil
Before exploring side effects, it is crucial to distinguish between the common culinary herb and its concentrated forms. Fresh or dried oregano used to flavor food is generally considered safe for most people. These small quantities pose minimal risk. However, oregano oil extracts and highly concentrated essential oils used medicinally are much more potent and carry significant risks that require caution.
Common Side Effects of Oregano
Gastrointestinal Upset
One of the most frequently reported side effects of taking high doses of oregano, particularly in oil form, is gastrointestinal distress. This can manifest as nausea, vomiting, diarrhea, or general stomach discomfort. The potency of the compounds like thymol and carvacrol can irritate the digestive tract lining, especially in sensitive individuals. To minimize this risk, it is recommended to take oregano oil with food and adhere strictly to recommended dosages.
Skin Irritation and Allergic Reactions
For topical use, oregano essential oil must always be diluted with a carrier oil, such as olive or coconut oil. Applying undiluted oil to the skin can cause severe irritation, redness, or even chemical burns. Furthermore, because oregano is part of the Lamiaceae (mint) family, individuals with known allergies to other plants in this family—such as basil, hyssop, marjoram, or mint—may experience allergic reactions to oregano as well. Symptoms can include:
- Skin rashes and hives
- Swelling of the lips, tongue, or face
- Itching
- Difficulty breathing in severe cases
It is always wise to perform a patch test on a small, less sensitive area of skin before applying diluted oregano oil more widely.
Oregano and Medication Interactions
Oregano's effects on the body can interact with certain prescription and over-the-counter medications, necessitating caution and medical consultation before use. It's particularly important to be aware of interactions related to blood clotting and blood sugar levels.
Blood-Thinning Medications
Oregano is known to slow blood clotting. This can be a moderate risk for individuals taking anticoagulant or antiplatelet drugs like warfarin (Coumadin), aspirin, or heparin. Taking oregano alongside these medications can increase the risk of bleeding and bruising.
Diabetes Medications
Oregano might have a blood sugar-lowering effect. For people with diabetes taking medications to control their blood sugar, this could lead to hypoglycemia (dangerously low blood sugar). Patients should monitor their blood sugar levels closely if they use oregano therapeutically and inform their doctor.
Other Potential Interactions
Limited research suggests that oregano can also interfere with the absorption of minerals like iron, zinc, and copper. Taking oregano supplements and mineral supplements at least two hours apart can help mitigate this issue.
Special Warnings for Specific Groups
Pregnancy and Breastfeeding
Due to concerns that large, medicinal doses of oregano can stimulate uterine contractions and increase the risk of miscarriage, pregnant and breastfeeding women should avoid concentrated oregano supplements and oils. Sticking to normal culinary amounts is the safest approach.
Before Surgery
Because oregano can slow blood clotting, it is essential for anyone scheduled for surgery to stop taking large doses of oregano at least two weeks beforehand. This helps prevent excessive bleeding during and after the procedure.
Culinary Oregano vs. Concentrated Oregano Oil
| Feature | Culinary Oregano (Dried or Fresh Herb) | Concentrated Oregano Oil (Supplement/Essential Oil) | 
|---|---|---|
| Potency | Low concentration of active compounds | Extremely high concentration of active compounds like carvacrol and thymol | 
| Safety | Considered safe for most people in normal food amounts | Poses higher risks of side effects and drug interactions | 
| Primary Use | Flavoring agent for food and beverages | Medicinal or therapeutic purposes | 
| Dosage | No specific dosage concern; used sparingly | Requires careful dosing; should follow product instructions and doctor's advice | 
| Topical Use | Not typically used topically | Requires dilution with carrier oil before topical application to avoid irritation | 
Conclusion
While adding fresh or dried oregano to your favorite meals is a safe way to enjoy its flavor and potential antioxidant benefits, using concentrated oregano oil or extracts medicinally requires significant care. Potential side effects range from mild digestive upset and skin irritation to serious interactions with medications and risks during pregnancy. Always consult a healthcare provider before using oregano as a supplement, especially if you have underlying health conditions, are pregnant, or take other medications. Being informed about the potential risks allows for responsible use of this potent natural remedy.
For more detailed information on supplement safety, you can consult reliable sources like the National Institutes of Health (NIH).