Lavender Essential Oil in the Treatment of Migraine Headache: A Placebo-Controlled Clinical Trial

Lavender essential oil has been used as an anxiolytic drug, a mood stabilizer, a sedative, spasmolytic, antihypertensive, antimicrobial, analgesic agent as well as a wound healing accelerator. We have studied for the first time the efficacy of lavender essential oil inhalation for the treatment of migraine in a placebo-controlled clinical trial. Methods: Forty-seven patients with definite diagnosis of migraine headache were divided into cases and controls. Cases inhaled lavender essential oil for 15 min, whereas the control group used liquid paraffin for the same time period. Patients were asked to record their headache severity and associated symptoms in 30-min intervals for a total of 2 h. We matched the two groups for key confounding factors. Results: The mean reduction of headache severity in cases was 3.6 ± 2.8 based on Visual Analogue Scale score. The reduction was 1.6 ± 1.6 in controls. This difference between the controls and cases was statistically significant with p < 0.0001. From 129 headache attacks in cases, 92 responded entirely or partially to lavender. In the control group, 32 out of 68 recorded headache attacks responded to placebo. The percentage of responders was significantly higher in the lavender group than the placebo group (p = 0.001). Conclusion: The present study suggests that inhalation of lavender essential oil may be an effective and safe treatment modality in acute management of migraine headaches.

[1]  A. Ghannadi,et al.  Anti-inflammatory and analgesic properties of the leaf extracts and essential oil of Lavandula angustifolia Mill. , 2003, Journal of ethnopharmacology.

[2]  S. Kalyan Prepubertal gynecomastia linked to lavender and tea tree oils. , 2007, The New England journal of medicine.

[3]  E. Basch,et al.  Lavender (Lavandula angustifolia Miller) , 2004, Journal of herbal pharmacotherapy.

[4]  Sallie Stoltz Denner Lavandula Angustifolia Miller: English Lavender , 2009, Holistic nursing practice.

[5]  J. Schoenen,et al.  Treatment of migraine: update on new therapies. , 2011, Current opinion in neurology.

[6]  F. D. D'Auria,et al.  Antifungal activity of Lavandula angustifolia essential oil against Candida albicans yeast and mycelial form. , 2005, Medical mycology.

[7]  R. Bekhradi,et al.  Healing advantages of lavender essential oil during episiotomy recovery: a clinical trial. , 2011, Complementary therapies in clinical practice.

[8]  P J Goadsby,et al.  Triptans (Serotonin, 5-HT1B/1D Agonists) in Migraine: Detailed Results and Methods of A Meta-Analysis of 53 Trials , 2002, Cephalalgia : an international journal of headache.

[9]  M. Prior,et al.  A Randomized, Placebo‐Controlled Trial of Acetaminophen for Treatment of Migraine Headache , 2010, Headache.

[10]  M. Imamura,et al.  Linalyl Acetate as a Major Ingredient of Lavender Essential Oil Relaxes the Rabbit Vascular Smooth Muscle through Dephosphorylation of Myosin Light Chain , 2006, Journal of cardiovascular pharmacology.

[11]  K. Ravishankar,et al.  The "IHS" Classification (1988, 2004)--contributions, limitations and suggestions. , 2010, The Journal of the Association of Physicians of India.

[12]  E. Loder Triptan therapy in migraine. , 2010, The New England journal of medicine.

[13]  P. Bijur,et al.  Treating headache recurrence after emergency department discharge: a randomized controlled trial of naproxen versus sumatriptan. , 2010, Annals of emergency medicine.

[14]  G. Andersson,et al.  Are Back Supports Plus Education More Effective Than Education Alone in Promoting Recovery From Low Back Pain?: Results From a Randomized Clinical Trial , 2007, Spine.

[15]  H. Yamaguchi,et al.  Antibacterial activity of essential oils and their major constituents against respiratory tract pathogens by gaseous contact. , 2001, The Journal of antimicrobial chemotherapy.

[16]  N. Morris The effects of lavender (Lavendula angustifolium) baths on psychological well-being: two exploratory randomised control trials. , 2002, Complementary therapies in medicine.

[17]  W. Jäger,et al.  Aromatherapy: Evidence for Sedative Effects of the Essential Oil of Lavender after Inhalation , 1991, Zeitschrift fur Naturforschung. C, Journal of biosciences.

[18]  R. Fillingim,et al.  Sensory and Affective Pain Discrimination After Inhalation of Essential Oils , 2004, Psychosomatic medicine.

[19]  Y. Yip,et al.  An experimental study on the effectiveness of acupressure with aromatic lavender essential oil for sub-acute, non-specific neck pain in Hong Kong. , 2006, Complementary therapies in clinical practice.

[20]  R. Lipton,et al.  Double-Blind Clinical Trials of Oral Triptans Vs Other Classes of Acute Migraine Medication — A Review , 2004, Cephalalgia : an international journal of headache.

[21]  C. Evans,et al.  Cytotoxicity of lavender oil and its major components to human skin cells , 2004, Cell proliferation.

[22]  A. Brownfield Aromatherapy in arthritis: a study. , 1998, Nursing standard (Royal College of Nursing (Great Britain) : 1987).