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Who should not take oregano? A comprehensive guide to risks and contraindications

4 min read

Experts agree that while oregano is safe in food amounts, its safety for medicinal purposes is not well-established. This raises important questions about who should not take oregano, particularly in concentrated oil or supplement form.

Quick Summary

People with mint allergies, pregnant or breastfeeding women, those on certain medications, and individuals with bleeding disorders should avoid high doses of oregano.

Key Points

  • Pregnant or Breastfeeding Individuals: Medicinal doses of oregano and its oil can be unsafe and are associated with risks such as miscarriage and reduced milk supply.

  • Individuals with Mint Family Allergies: People allergic to plants like basil, sage, or lavender may have a cross-reaction to oregano, potentially causing severe allergic responses.

  • People on Blood Thinners or with Bleeding Disorders: Oregano can inhibit blood clotting, significantly increasing the risk of bruising and bleeding when combined with anticoagulants or antiplatelets.

  • Diabetics or Those on Antidiabetic Drugs: The blood sugar-lowering effect of oregano can cause hypoglycemia if taken with diabetes medication, requiring careful monitoring.

  • Anyone Before Surgery: Due to its blood-thinning properties, high-dose oregano use should be stopped at least two weeks before any surgical procedure.

  • Concerns about Mineral Absorption: Long-term or excessive use may interfere with the absorption of essential minerals like iron, copper, and zinc.

  • Caution with Concentrated Oil: The risks associated with oregano primarily apply to highly concentrated essential oils and supplements, not the culinary herb used in cooking.

In This Article

The use of oregano as a culinary herb is a long-standing tradition in many cuisines. In small amounts, as used for seasoning, it is generally considered safe for most people. However, when consumed in larger, medicinal doses—especially in the form of concentrated oregano oil—the potential for side effects, drug interactions, and other risks increases significantly. Before considering oregano supplementation, it is crucial to understand the specific health conditions and circumstances that make its use dangerous or ill-advised. Certain demographics and individuals with specific medical issues should strictly avoid high-dose oregano products to prevent adverse health events.

High-Risk Groups Who Should Avoid Oregano

Pregnant and Breastfeeding Individuals

Pregnant women should avoid medicinal amounts of oregano and oregano oil. In high doses, the compounds in oregano can act as an emmenagogue, potentially stimulating uterine contractions and increasing the risk of miscarriage. Likewise, breastfeeding women should also exercise caution and avoid large amounts, as oregano may interfere with milk production and supply. The highly concentrated nature of oregano oil makes it particularly risky during these periods.

Individuals with Allergies to the Mint Family

Oregano belongs to the Lamiaceae plant family, which also includes other common herbs such as basil, mint, sage, marjoram, and lavender. People with known allergies to any of these related plants may experience an allergic reaction to oregano. Symptoms can range from mild skin irritation and rashes (when applied topically) to more severe reactions like swelling of the mouth and throat, or even anaphylaxis.

Those with Bleeding Disorders or on Blood Thinners

Oregano has properties that can slow down blood clotting. For individuals with bleeding disorders or those taking anticoagulant and antiplatelet medications (like warfarin, aspirin, and clopidogrel), this poses a significant risk of increased bleeding and bruising. It is a standard recommendation to discontinue oregano supplementation at least two weeks before any scheduled surgical procedure to minimize this risk.

Individuals with Diabetes or Taking Antidiabetic Drugs

Oregano is known to have blood sugar-lowering effects. For people with diabetes, taking oregano supplements alongside their medication can cause blood sugar to drop dangerously low, a condition known as hypoglycemia. This interaction can be serious, and blood sugar levels should be monitored closely if a supplement is being considered.

Oregano Supplementation: Precautions and Side Effects

Even for those without the aforementioned conditions, high doses of oregano can lead to a variety of side effects. This is especially true for concentrated products like essential oils, which are far more potent than the culinary herb.

Potential Side Effects of High-Dose Oregano:

  • Gastrointestinal upset, including nausea, vomiting, and diarrhea.
  • Stomach discomfort and heartburn.
  • Fatigue and muscle pain.
  • Skin irritation or allergic dermatitis from topical application, especially if undiluted.
  • For topical use, oregano essential oil should always be diluted with a carrier oil, such as olive or coconut oil, to a concentration of no more than 1% to prevent skin irritation. A patch test is recommended before applying it more widely.

Mineral Absorption and Oregano

Supplementing with oregano may also inhibit the absorption of certain vital minerals, including iron, copper, and zinc. If you are already deficient in any of these minerals or are taking supplements, it's advised to take them at least two hours apart from oregano supplements to prevent interference with absorption.

Culinary Oregano vs. Medicinal Oregano Oil

Feature Culinary Oregano (Dried/Fresh) Medicinal Oregano Oil (Supplements/Essential Oil)
Concentration Low concentration; used for flavoring High concentration; potent chemical compounds
Risks Generally safe in food amounts Potential for significant side effects and drug interactions
Usage Seasoning for cooking; tea Taken orally (capsules) or applied topically (diluted)
Regulation Not subject to extensive FDA regulation as a supplement Not strictly regulated by the FDA; purity and quality can vary

Conclusion

While oregano is a flavorful and generally safe addition to food, taking it in concentrated, medicinal amounts is not appropriate for everyone. Pregnant and breastfeeding women, individuals with bleeding disorders, and those with diabetes or specific allergies should avoid oregano supplements and oil due to serious health risks. Even for healthy individuals, supplementation requires caution due to potential side effects and drug interactions. It is always recommended to consult a healthcare provider before beginning any new herbal supplement, especially in medicinal doses. For authoritative information on herbal supplements and their interactions, refer to resources like the National Institutes of Health.

Where to Learn More

For official and detailed information on oregano's potential drug interactions and contraindications, the National Institutes of Health (NIH) is a reliable source. An example resource is the LiverTox database, which includes information on herbs and dietary supplements. [https://www.ncbi.nlm.nih.gov/books/NBK591556/]

Your Health Depends on Informed Decisions

Making informed choices about natural supplements like oregano is vital for personal health and safety. Always consider your individual health profile, any medications you are taking, and potential risks before starting a new regimen. When in doubt, consulting a qualified healthcare professional is the safest path forward.

Frequently Asked Questions

Yes, using oregano as a culinary herb in food is generally considered safe for pregnant and breastfeeding women. The primary risks are associated with large, medicinal doses of oregano oil and supplements.

Signs of an allergic reaction to oregano can include a skin rash or irritation from topical application, and, more rarely, symptoms from ingestion such as itching, swelling of the lips and tongue, and difficulty breathing.

You should stop taking oregano supplements at least two weeks before any scheduled surgery. This is because high doses can slow blood clotting and increase the risk of bleeding.

While some sources mention possible interactions with certain medications, specific information regarding the effects of oregano on blood pressure is limited. Always consult a doctor if you take medications for hypertension.

Yes, ingesting large amounts of oregano oil can cause gastrointestinal distress, including stomach upset, nausea, vomiting, and diarrhea.

When using oregano essential oil topically, it must always be diluted with a carrier oil, such as olive or coconut oil, to prevent skin irritation. Even when diluted, a patch test is recommended.

Daily use of high-concentration oregano oil for extended periods is not recommended due to potential toxicity and side effects. It is best to use it for short periods and follow dosage directions, typically not more than a few weeks at a time.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.