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Diffusing essential oils: Harmful or beneficial to human health?

Hundreds of thousands of people enjoy diffusing essential oils daily to improve mood, relax, and create a more pleasant environment. But, a growing number of consumers are concerned that this practice may be harmful based on widely publicized reports that terpenes found in essential oils may interact with constituents in the atmosphere (carbon dioxide, methane, ozone, etc.) to form toxic oxidation products. Is this concern warranted or just hype from those who don’t believe essential oils have a place in the home?

Evidence suggests that terpenes in essential oils (limonene, alpha-pinene, linalool, etc.) are not harmful by themselves. However, their structure — comprised of one or more carbon to carbon bonds — makes them extremely susceptible to reactions with atmospheric constituents.(1,2) When these reactions occur, toxic oxidation products are produced such as formaldehyde, acetaldehyde, organic acid, and hydrogen peroxide, which are called hydroxyl radicals and secondary organic aerosols (SOAs).(3-6) These oxidation products can be harmful to human health.

Short-term exposure to oxidation products may cause sensory irritation, headache, dizziness, chest pain, and respiratory problems.(7-9) Children, the elderly, people who are obese, diabetics, and people with chronic respiratory disorders are more likely to experience these adverse health effects.

The risk of reactions between terpenes and atmospheric constituents is dependent on temperature and the amount of ozone present indoors. Reactions are more likely to occur in warm seasons when temperatures are higher as opposed to the colder temperatures of cold seasons.(10) In addition, higher levels of ozone provide more atmospheric constituents for essential oil terpenes to react with. Indoor ozone quantities can increase based on the amount of ozone present outdoors or use of certain equipment (laser printers, photocopiers, and some air cleaning units).

Limonene (found in two isometric forms: d-limonene — citrusy scent and found in citrus oils; and l-limonene — piney scent and found in tree oils) is more susceptible to these reactions than other terpenes like linalool. This suggests that essential oils with significant amounts of limonene may require more caution when diffusing, particularly during warm seasons and when the presence of ozone is elevated. To identify some essential oils with high limonene levels see Appendix A of Evidence-Based Essential Oil Therapy.

Synthetic terpenes are often used in cleaning products as scents and solvents. One study determined that the ordinary use of terpene-based cleaning products (typically synthetic limonene, not the limonene naturally found in essential oils) will not produce enough terpene reaction products to exceed safety levels set by regulatory agencies.(11) In other words, use of these cleaning products under normal circumstances is not likely to produce enough oxidation products to be harmful. And this is from an isolated synthetic molecule, which is far more prone to cause adverse effects than a balanced essential oil with all of its natural constituents.

Increased levels of ozone-terpene reaction products have also been observed in spas where essential oils were frequently used during massages and other treatments.(12) This is not surprising considering the amount of essential oils that could be used in a single day in a busy spa. By the end of a day, hundreds of drops of essential oils could have been used during spa treatments. But, remember all chemicals — even water — are dangerous at too high a concentration, and the research thus far suggests that the oxidation of terpenes does not reach levels considered unsafe. In addition, spas often offer other services that produce harmful chemicals like nail care, hair dyes, make-up treatments, and more.

The bottom line is that reasonable diffusing and use of essential oils is not likely to create enough oxidation products to be harmful to human health. The vast benefits of diffusing essential oils far outweigh the minimal risks of producing oxidation products. However, certain populations — children, the elderly, people who are obese, diabetics, and people with chronic respiratory diseases should be more cautious when diffusing essential oils. In addition, it is prudent to take steps to reduce the risk of forming terpene oxidation products.

Here are some tips to reduce the risk of excess formation of terpene oxidation products:

  • set your diffuser to intermittent so it is not constantly diffusing essential oils into the air, but releases them at intervals;
  • add only 1-3 drops of essential oils per 100 mL of water to your diffuser at one time;
  • diffuse for shorter periods of time (30 to 60 minutes continuously before taking a few hours break);
  • limit diffusion of citrus and tree oils that are high in limonene;
  • make sure the room you diffuse in is well ventilated;

Secondly, here are some tips to reduce ozone in your indoor environment by:

  • avoiding the use of indoor “air cleaners” that emit ozone intentionally (ozone generators) or as a byproduct of their design (ionizers, electrostatic precipitators);
  • making sure rooms with office equipment (laser printers, copiers, etc.) are well ventilated;
  • avoiding the use of oil- and solvent-based paints, degreasers, and lighter fluid;
  • and increasing the number of indoor plants in your home.

(1) Nazroff WW, Weschler CJ. Cleaning products and air fresheners: exposure to primary and secondary air pollutants. Atmos Environ. 2004;38:2841-65.

(2) European Collaborative Action. Urban air, indoor environment and human exposure, report No. 26: Impact of Ozone-initiated Terpene Chemistry on Indoor Air Quality and Human Health. 2007.

(3) Wang B, Lee SC, Ho KF, et al. Characteristics of emissions of air pollutants from burning of incense in temples. Hong Kong Sci Total Environ. 2007;377:52-60.

(4) Waring MS, Wells JR, Siegel JA. Secondary organic aerosol formation from ozone reactions with single terpenoids and terpenoid mixtures. Atmos Environ. 2011;45:4235-42.

(5) Waring MS. Secondary organic aerosol in residences: predicting its fraction of fine particle mass and determinants of formation strength. Indoor Air. 2014;24:376-89.

(6) Pathak RK, Salo K, Emanuelsson EU, et al. Influence of ozone and radical chemistry on limonene organic aerosol production and thermal characteristics. Environ Sci Technol. 2012;46:11660-69.

(7) Nojgaard JK, Christensen KB, Wokoff P. The effect on human eye blink frequency of exposure to limonene oxidation products and methacrolein. Toxicol Lett. 2005;156:241-51.

(8) Wolkoff P, Clausen PA, Wilkins CK, et al. Formation of strong airway irritants in terpene/ozone mixtures. Indoor Air. 2000;10:82-91.

(9) Wolkoff P, Clausen PA, Larsen ST, et al. Airway effects of repeated exposures to ozone-initiated limonene oxidation products as model of indoor air mixtures. Toxicol Lett. 2012;209:166-72.

(10) Geiss O, Giannopoulos G, Tirendi S, et al. The AIRMEX study VOC measurements in public buildings and schools/kindergartens in eleven European cities; Statistical analysis of the data. Atmos Environ. 2011’45:3676-84.

(11) California Air Resources Board and the California Environmental Protection Agency: California Air Resources Board Research Division Indoor Air Chemistry: Cleaning Agents, Ozone and Toxic Air Contaminants. 2006 Apr.

(12) Hsu DJ, Huang HL, Sheu SC. Can Aromatherapy Produce Harmful Indoor Air Pollutants? Environ Engineering Sci. 2011 Oct.

14 thoughts on “Diffusing essential oils: Harmful or beneficial to human health?”

  1. Hello, what about eating small amounts of the lemon peel to get the benefit of limonene? I’ve heard that limonene has many benefits.

    1. Hi, Mary, It’s not likeley you would get enough limonene from eating small amounts of the peels. It is estimated to take 3,000 lemons to produce 1 kg (2.2 pounds) of lemon essential oil.

  2. Thank you for the info. I read in a comment on Facebook that the terpenes in essential oils when oxidated turn to formaldehyde and wanted to know more about it but all the searches results were too technical and confusing. Thank you again for explaining in a comprehensible way. I have one question though. Would using e.o’s topically or in creams and bug spray regularly cause as much reaction as diffusing the oil? Thank you!

    1. Hi, Anto, it depends on the concentration of the EOs in the product you are using. Topical essential oils can cause skin reactions in some people if they are not diluted properly.

  3. You state “remember all chemicals–including water–are dangerous at high concentrations”.

    I have a high concentration of water just a few feet from my house–an ocean.

    Even though I have a BS in Bio, a MA in Education, and teach middle school science; I have never heard about how a high concentration of water can be dangerous.

    Are you referring to the dangers of drowning, sharks, or pirates?

    1. Mr. Blumfield,

      As a science teacher, I am sure you have heard of the terms water intoxication and lysis. I am referring to the excess consumption of water (although drowning is another way water can kill). Most common in very young children, water intoxication occurs when too much water is consumed (overhydration) resulting in the normal balance of electrolytes in the body to be disturbed. As the amount of electrolytes (i.e. salt) decreases in the blood, cells adjust by taking up more and more water. The cell gains an excess concentration of water in this hypotonic situation. Consequently, the excess water inside the cell overwhelms the cell membrane and causes the cell to burst (lysis). This situation can also result in brain damage.

  4. I have a friend difussing essential oils. Her voice has gotten hoarse. Could you give me any information on why that would happen? Thank you.

    1. Hi, Darlene,

      This would be very rare for essential oils to cause a hoarse voice. Perhaps she is sensitive to one or more of the essential oils. Also, is the essential oil pure?

  5. My husband is a janitor at an elementary school and he was recently tasked to repaint an interior wall where an essential oil diffuser had been plugged in and operating at a near continuous rate for years. He noticed that his freshly applied paint would not adhere to the wall above where the diffuser had been located. This caused him to question whether there were adverse health benefits … hence my research and stumbling upon your article. It seems that most all the teachers at the school have these diffusers and they operate them on a continuous basis …. believing there ar calming benefits to the children (so my husband has been told). I am sure that this can be true, but after reading your article, I would question whether these diffusers should be operated on more of an intermittent basis around these elementary school aged children.

  6. Thank you for the information. My husband had been air testing our home and the formaldehyde read higher than we expected. I diffuse young living essential oils regularly. I will switch to intermittent setting.

  7. I have a quite serious question. Recently I bought a diffuser and and put a few drops of essential oil in. I would say I used way too much and also in an enclosed space. Next day I started to wheeze. So I found some Ti Tree and Eucalyptus in my elderly mum’s cupboard. Stupidly, I put quite a few drop in to the diffuser hoping it would clear my airways. Instead, I ended up 3 days later in hospital barely able to breathe, wheezing, coughing and quite unwell. No other symptoms. When I was finally released from hospital I looked at the bottle of Ti Tree. I had no idea this stuff had a use by date and the use by date was May 2003! Yes, 2003. In your opinion, what just happened?

    1. Tea tree is highly prone to oxidation and perhaps you had a reaction to the oxidation products. Also, I wonder about the quality of the oil. A significant amount of commercially available tea tree oil is adulterated.

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