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Protocols

Managing Sinusitis Naturally with Essential Oils

Overview

Managing Sinusitis Naturally with Essential Oils

Author: Joshua Yorgason, MD; Jessica Herzog, MD; Alicia Caldwell

 

Sinusitis is a common occurrence in the United States, affecting as much as 30 percent of the population. Americans spend over $1 billion annually in over-the-counter products alone for sinus infections. Additionally, there are over 16 million doctors visits every year relating to sinusitis, further increasing the cost. Antibiotics are commonly used to treat sinusitis, however the infection can be viral or fungal in nature and would not respond to medication. Bacteria is becoming increasingly resistant to antibiotic therapy, especially in patients who suffer from recurring infections. Because sinus infections are so common, and chronic sinusitis affects as 12.5 percent of Americans often causing other illnesses, and because patients are often unsatisfied with standard medical treatment, there is a strong need for complementary and alternative medicine approaches for this condition.

 

Overview:

In this protocol, melaleuca and lemon are used topically in the nose in a saline solution with a sinus rinse kit.  Also, Respiratory Essential Oil Blend* is used by inhalation, or diffused into the air to help improve breathing by easing nasal congestion. Water with wild orange oils can be drank to help encourage hydration and support the immune system.  Additionally, for patients with longstanding symptoms suggestive of chronic sinusitis, breathing air after diffusing Protective Essential Oil blend** may help to support the immune system and relieve respiratory symptoms. Children are able to use a nasal spray containing Xylitol. Lemon oil is used internally to help promote health as is Protective essential oil blend** and oregano to help support the immune system. Additionally, the protocol recommends daily diffusing peppermint essential oil and Respiratory essential oil blend* to help reduce sinusitis symptoms and clear respiratory passages.  Chronic sinusitis sufferers make want to take additional steps, using a Monthly Sinusitis Focus and use other suggested products monthly to help decrease sinusitis frequency and severity.  This includes taking the Longevity Supplements*** for adults or Children’s Chewable Multi-Vitamin/Mineral**** and Fish Oil***** daily for children. Additionally, the GI Cleansing Formula****** combined with daily use of a neti pot is used.

 

*Breathe Respiratory Blend xEO Mega (contains Laurel Leaf, Peppermint Plant, Eucalyptus Leaf/ Stem, Melaleuca Leaf, Lemon Peel, Ravensara Leaf, Cardamom Seed essential oils)

**OnGuard Protective Blend (contains Wild Orange Peel, Clove Bud, Cinnamon Bark, Eucalyptus Leaf/Stem, and Rosemary Leaf/Flower essential oils)

***Lifelong Vitality Supplement Pack

****A2Z Children’s Chewable Dietary Supplement

*****IQ Mega Omega-3 Fish Oil Liquid Supplement

******GX Assist GI Cleansing Formula Supplement

Author's Preliminary Clinical Observations - Dr. Joshua Yorgason, ENT, OtolaryngologistMy clinical experience has shown me that the chronic recurring nature of sinus infections, and/or the tendency for a severe sinus infection to persist for weeks to months often requires multiple or extended courses of antibiotics using the typical drug treatments. However these have various negative side effects, including antibiotic allergy or bacterial resistance. Patients are dissatisfied with the standard treatment and are asking for complementary medicine approaches for this condition.I have had many patients who have benefited from tea tree or melaleuca oil in the sinus rinse for acute or chronic sinusitis.  I have also seen some success with oregano oil topically and ingested. Lemon oil appears to be also safe to use in the sinus rinse.

Read article About Sinusitis by Dr. Yorgason

 

Research Summary

Myrtol standardized is an essential oil formulation derived from Pinus spp (pine), Citrus aurantifolia (lime) and Eucalyptus globulus It contains three monoterpenes: (+)-a-pinene, d-limonene and 1,8-cineole (as known as Eucalyptol).  It is commonly found in various herbal-based remedies for sinus problems, such as Gelomyrtol forte. The ratio between distillates of Eucalyptol (eucalyptus oil extract), D-limonene (lemon peel extract), and an essential oil mixture of Myrtle and lemon, is (66:32:1:1). This can be somewhat confusing since the first two ingredients are part of the second two.

Several studies have investigated Myrtol’s efficacy in reducing sinus symptoms in children and adults. In one study, myrtol was administered in capsules to over 500 children ages 4-12 yrs. 90% of the children had dramatic reduction in their sinus symptoms including headache, facial pain, and postnasal drip during the 2 week study and most (60%) had resolution of nasal congestion. The incidence of adverse drug reactions was low: less than 1%. The efficacy was judged to be very good or good by the majority of physicians, patients and parents. [1] Another study showed benefit of Myrtol with dramatic reductions in the symptoms scores by day 7. [2]  A study of 22 patient with nonallergic chronic rhinitis compared to 10 controls shows that nasal mucociliary clearance and nasal patency was improvement with myrtol standardaized.[3] In a multicenter, double-blind placebo controlled trial, myrtol standardized when used on average for 6 days was shown to be superior to placebo in treated acute uncomplicated sinusitis.  [4] Myrtol and Cineole were each shown in a randomized clinical trial to have positive results in treating sinusitis. [5] Based on these studies, essential oils similarly containing the contains three main monoterpenes(+)-a-pinened-limonene and 1,8-cineole, such as Lemon and Eucalyptus, may be effective in treating sinusitis.

Similar to myrtol, Lavender, Eucalyptus and Menthol essential oils topically also reduced the ciliary beat frequency of nasal mucosa, more at the lower 0.2% concentration than the higher 2% concentration.  [6] Tea tree oil, or Melaleuca alternifolia, was more effective than myrtol against Staph aureus and Moraxella catarrhalis. [7] Nasal MRSA(resistant Staph) clearance was 78% with the topical antibiotic, mupirocin, compared to 47% with tea tree 10% cream and 5% body wash, and the tea tree combination was more effective than chlorhexidine 4% soap or silver sulfaziazine 1% cream.  [8]

Origanum compactum essential oil reduced cell viability and function of Pseudomonas aeruginosa and Staph aureus, with a greater effect on Pseudomonas.  [9] For this reseason, oregano may also be an effective essential oil against sinusitis.

Antiinflammatory essential oils may also play a role in treating sinusitis.  Helichrysm and other essential oils showed strong inhibition of the lipoxygenase inflammatory pathway, due to linalyl acetate (up to 45% in Doterra EO[10]) and limonene (<5% in Doterra EO[10]).  Peppermint has anti-inflammatory effects in the lipoxygenase pathway via limonene(<6% in Doterra EO[10]) and in the cyclooxygenase pathway via alpha-pinene (<6% in Doterra EO[10]) and limonene, as well as affecting the leukotriene and prostaglandins directly via 1,8 – cineole(<5% in Doterra EO[10]). Lemon has anti-inflammatory effects in the lipoxygenase pathway via limonene(<16% in Doterra EO[10]), p-cymene(<5% in Doterra EO[10]) and in the cyclooxygenase pathway via alpha-pinene (43% in Doterra EO[10]). [11]

 

References

1.        Han, D., N. Wang, and L. Zhang, The effect of myrtol standardized on human nasal ciliary beat frequency and mucociliary transport time. Am J Rhinol Allergy, 2009. 23(6): p. 610-4. Pubmed Abstact

2.         Federspil, P., R. Wulkow, and T. Zimmermann, [Effects of standardized Myrtol in therapy of acute sinusitis–results of a double-blind, randomized multicenter study compared with placebo]. Laryngorhinootologie, 1997. 76(1): p. 23-7. Pubmed Abstract

3.         Zaitseva, O.V., [The role of mucolytic therapy in the treatment of sinobronchial syndrome]. Vestn Otorinolaringol, 2012(2): p. 63-5. Pubmed Abstract

4.         Guo, R., P.H. Canter, and E. Ernst, Herbal medicines for the treatment of rhinosinusitis: a systematic review. Otolaryngol Head Neck Surg, 2006. 135(4): p. 496-506. Pubmed Abstract

5.         Sengespeik, H.C., et al., [Myrtol standardized in the treatment of acute and chronic respiratory infections in children. A multicenter post-marketing surveillance study]. Arzneimittelforschung, 1998. 48(10): p. 990-4. Pubmed Abstract

6.         Neher, A., et al., Influence of essential and fatty oils on ciliary beat frequency of human nasal epithelial cells. Am J Rhinol, 2008. 22(2): p. 130-4. Pubmed Abstract

7.         Christoph, F., P.M. Kaulfers, and E. Stahl-Biskup, In vitro evaluation of the antibacterial activity of beta-triketones admixed to Melaleuca oils. Planta Med, 2001. 67(8): p. 768-71. Pubmed Abstract

8.         Dryden, M.S., S. Dailly, and M. Crouch, A randomized, controlled trial of tea tree topical preparations versus a standard topical regimen for the clearance of MRSA colonization. J Hosp Infect, 2004. 56(4): p. 283-6. Pubmed Abstract

9.         Bouhdid, S., et al., Investigation of functional and morphological changes in Pseudomonas aeruginosa and Staphylococcus aureus cells induced by Origanum compactum essential oil. J Appl Microbiol, 2009. 106(5): p. 1558-68. Pubmed Abstract  PDF

10.       Modern Essentials. 4th ed. 2012, Spanish Fork, Utah: Abundant Health.  Get book

11.       Miguel, M.G., Antioxidant and anti-inflammatory activities of essential oils: a short review. Molecules, 2010. 15(12): p. 9252-87. Pubmed Abstract  Full Text with PDF download

When to Seek Professional Help

Before starting this self-protocol, if you are having severe headache with altered level of consciousness, severe nausea and vomiting, or other stroke symptoms, including weakness or numbness on one side of the body, please call your doctor or go to the emergency room.

Note: If your provider is not listed on the website preferred professionals, he/she can participate and manage you in this protocol by going to www.protocolled.com/professionals

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