Monograph
Caraway
Carum carvi
Updated October 10, 2026
Key points
-
01
A fruit, not a seed
Caraway “seeds” are half-fruits of a carrot-family biennial. Their oil is mostly (S)-carvone and limonene, which gives rye bread, sauerkraut, and kümmel their flavor.
-
02
Traditional use for bloating
EMA accepts caraway tea and oil as traditional remedies for bloating and wind, based on long use. There are no adequate clinical trials of caraway alone.
-
03
Combination capsules have trials
Peppermint–caraway oil capsules helped functional dyspepsia in three placebo-controlled trials (249 patients), all manufacturer-backed. A caraway–menthol capsule missed its main endpoint.
-
04
Gallbladder and liver caution
Caraway oil stopped gallbladder emptying in volunteers. EMA advises against medicinal use with gallstones, bile duct or liver disease, or low stomach acid.
-
05
Carrot-family allergy
Avoid caraway if allergic to fennel, celery, dill, coriander, anise, mugwort, or birch. EMA does not recommend medicinal use in pregnancy, breastfeeding, or under 12.
Caraway is the curved, ribbed little “seed” that gives rye bread, sauerkraut, and kümmel liqueur their warm, slightly bitter flavor. Botanically it is not a seed at all but half of a dry fruit of Carum carvi, a biennial in the carrot family (Apiaceae) and a close cousin of fennel, dill, anise, and cumin. Mrs Grieve’s A Modern Herbal (1931) noted that the fruits are “popularly and incorrectly called seeds,” and that caraway was grown less for medicine than for flavoring cookery, confectionery, and liqueurs. Its essential oil is dominated by (S)-(+)-carvone, with limonene making up most of the rest. The European Medicines Agency (EMA) accepts both caraway fruit, taken as tea, and caraway oil as traditional herbal medicines “for the symptomatic relief of digestive disorders such as bloating and flatulence,” on the strength of long-standing use. Its assessment report is blunt about the rest: there are no data from clinical trials of adequate quality on caraway alone.
Most modern research on caraway concerns combination products, and their results belong to those products rather than to the herb. Menthacarin, an enteric-coated capsule of 90 mg peppermint oil and 50 mg caraway oil sold in Germany as Carmenthin and tested in early trials under the name Enteroplant, has been studied in functional dyspepsia, the medical name for chronic indigestion without a visible cause. A manufacturer-funded meta-analysis (Madisch and colleagues, Digestive Diseases 2023) pooled three placebo-controlled trials with 249 patients and found clear reductions in upper-abdominal pain, and an older trial found it about as effective as the prescription drug cisapride. A US caraway oil and L-menthol capsule, FDgard, did not beat placebo on its main overall symptom score in a 95-patient trial (Chey and colleagues 2019), though some secondary results favored it. Caraway fruit extract is also one of the herbs in both versions of the German stomach drops Iberogast (STW 5).
As a kitchen spice caraway has a long safety record, and US regulations list it among spices generally recognized as safe (GRAS). Medicinal doses carry specific cautions. EMA contraindicates caraway in people allergic to other carrot-family plants (fennel, anise, celery, coriander, dill), and the fruit monograph adds mugwort and birch. It advises against medicinal use with liver disease, gallstones, inflammation of the bile ducts (cholangitis), other biliary disorders, or a lack of stomach acid (achlorhydria), partly because 50 mg of caraway oil stopped the gallbladder from emptying in healthy volunteers. EMA does not recommend caraway tea under age 12, swallowed caraway oil under 18, or medicinal use in pregnancy and breastfeeding. Two people taking levothyroxine had rising thyroid-stimulating hormone (TSH) levels after taking caraway, a signal EMA judged too weak to act on. Nothing here is medical advice; EMA asks anyone whose symptoms last more than two weeks or get worse to see a doctor.
In this monograph
01 The plant
Botanical profile
Carum carvi L. was published by Linnaeus in Species Plantarum in 1753 and belongs to Apiaceae (Umbelliferae), the carrot family. World Flora Online, which draws on Kew’s World Checklist of Vascular Plants (the dataset behind Kew’s Plants of the World Online), accepts the name and lists synonyms including Apium carvi (L.) Crantz, Bunium carvi (L.) M.Bieb., Carum aromaticum Salisb., and Aegopodium carum Wibel. Its native range is enormous: Europe from Scandinavia south to Spain, Italy, and the Balkans, then east through the Caucasus, Turkey, Iran, Iraq, Afghanistan, Central Asia, Siberia, the Russian Far East, Mongolia, and China (including Tibet and Xinjiang) to the Himalaya, India, Nepal, and Pakistan. It is recorded as introduced in North Africa, Great Britain, Ireland, Iceland, the Faroe Islands, North America, and Greenland. The Botanical Society of Britain and Ireland (BSBI) treats it as an archaeophyte in Britain, an ancient introduction present by medieval times, and notes that its true native range is “obscured by spread in cultivation.” Grieve already recorded it as naturalized in Britain and growing wild in Canada and the United States.
Caraway is usually described as a biennial; BSBI calls it a monocarpic perennial, meaning it flowers once and then dies. Grieve describes its leaves as finely cut, and the Flora of China (via World Flora Online) gives its tapering taproot as up to 25 cm long. Grieve noted that the young roots are edible, and that the herbalist John Parkinson thought them superior in flavor to parsnips. In the second year smooth, furrowed stems rise to about 15–70 cm, occasionally 150 cm, and carry flat umbels of small white or pinkish flowers, which Grieve says open in June. The fruit, a cremocarp, splits when ripe into two mericarps. Each half is the “seed” of commerce: about 3–5 mm long, slightly curved, and marked with five pale ridges. King’s American Dispensatory (1898) adds that each mericarp holds six oil tubes. Grieve recorded that caraway was grown commercially in only a few areas, with the Netherlands producing the main crop from about 20,000 acres. In Britain it has become rare in the wild and is listed as Endangered on the Great Britain Red List (BSBI).
EMA’s assessment report gives the chemistry. Dried caraway fruit contains 3–7% essential oil, 10–18% fixed oil rich in petroselinic acid, and about 20% protein, and the European Pharmacopoeia (Ph. Eur.) requires whole fruit to yield at least 30 ml of essential oil per kilogram. In the Ph. Eur. specification for caraway oil, carvone makes up 50–65% and limonene 30–45%. The carvone is the (S)-(+) form, also called d-carvone (PubChem CID 16724, C10H14O), and the limonene is (R)-(+)-limonene (CID 440917, C10H16). Spearmint oil is dominated by the mirror-image molecule, (R)-(−)-carvone, which is why the two plants share a compound but not a smell. Caraway is easily confused with other plants. The Herb Society of America notes that its fruit resembles cumin (Cuminum cyminum), another Apiaceae spice, and that in Persia caraway has been called Persian cumin. US food regulations list “caraway, black (black cumin)” and “cumin, black (black caraway)” as names for Nigella sativa, the unrelated buttercup-family plant this site covers as black seed. Only the botanical name Carum carvi identifies true caraway.
02 Lineage
History
Caraway is one of the oldest spices in Europe. EMA’s assessment report, citing Johri (Pharmacognosy Reviews 2011), calls it one of the earliest cultivated herbs in Asia, Africa, and Europe, and the Herb Society of America traces its use back about 5,000 years to Stone Age lake dwellings in Switzerland. Grieve explains that the name probably comes from the Arabic Karawya, the origin of both the English caraway and the Latin carvi, though Pliny claimed the plant was named for Caria in Asia Minor, where he believed it had originally been found; in old Spanish it was alcaravea. She records that Dioscorides advised the oil for pale-faced girls, and repeats a story that the edible roots, mixed with milk and made into bread, were the chara eaten by Julius Caesar’s soldiers. BSBI’s classification of caraway as an archaeophyte, established in Britain by medieval times, fits Grieve’s statement that it was very popular in the Middle Ages and in Shakespeare’s day.
Caraway became a fixture of northern European cooking. Parkinson wrote that the seed was put among baked fruit and into bread and cakes, and made into comfits, sugar-coated seeds “taken for cold or wind in the body” (Grieve). In Henry IV, Justice Shallow invites Falstaff to “a pippin and a dish of caraways,” and Grieve reports that roast apples were still served with a saucer of caraway at Trinity College, Cambridge, and that Scots dipped buttered bread into a saucer of the seeds. German peasants flavored cheese, cabbage, soups, and bread with it. The Herb Society of America credits caraway with giving rye bread its distinctive flavor and lists sauerkraut, sausages, and cheeses among its classic uses. Caraway also flavors spirits: European Union rules define kümmel as a caraway-flavored spirit of at least 30% alcohol, and aquavit as a spirit flavored with distillates of caraway and/or dill seed. Grieve also records superstitions that caraway prevented theft, kept lovers faithful, and stopped pigeons from straying.
Medically, caraway was a carminative, a remedy to relieve wind. Grieve gave 1 to 4 drops of the oil on a lump of sugar for flatulent indigestion and called distilled caraway water “a useful remedy in the flatulent colic of infants” and an excellent vehicle for children’s medicine. King’s American Dispensatory (1898) used it for flatulent colic, “especially of children,” at doses of 10 to 60 grains of the seeds. Germany’s Commission E later set adult doses of 1.5–6 g of fruit or 3–6 drops of oil a day (EMA). EMA records caraway tea on the German market since 1976, along with an ointment containing 2% caraway oil for rubbing on the abdomen. Its herbal committee adopted European monographs on caraway fruit and caraway oil on 7 July 2015, reviewed them in 2020, and again in November 2025 found no new data that would justify a revision. Meanwhile, from the 1990s, German researchers tested caraway oil combined with peppermint oil as a capsule for chronic indigestion.
03 Chemistry
Active compounds and how it works
The best-supported mechanism is relaxation of gut muscle. EMA’s assessment report summarizes older laboratory work in which caraway oil and extracts relieved spasm in strips of guinea-pig intestine. More relevant is a study by Krueger and colleagues (2020), summarized in EMA’s 2020 addendum, in which both caraway oil and peppermint oil relaxed muscle from human intestine removed at surgery, apparently by blocking L-type calcium channels, the same channels many smooth-muscle relaxants target. In eight healthy volunteers, the peppermint–caraway combination reduced the strength of contractions in the stomach and duodenum (Micklefield and colleagues 2003, cited by EMA), and the Carmenthin prescribing information describes a motility-inhibiting effect on the duodenum. These findings fit the traditional idea that caraway eases cramping and trapped wind, but they do not show how much a cup of caraway tea delivers to the gut wall. The Carmenthin prescribing information notes that carvone from the combination capsule is absorbed and has a half-life of about 2.5 hours.
Caraway also affects the gallbladder, and this underlies its main safety warning. Goerg and Spilker (Alimentary Pharmacology and Therapeutics 2003) tested 90 mg of peppermint oil, 50 mg of caraway oil, placebo, and two comparison drugs in 12 healthy volunteers, using ultrasound to watch the stomach and gallbladder empty. Both oils caused complete inhibition of gallbladder emptying, while caraway oil did not significantly change stomach emptying or the time for a meal to travel from mouth to colon. That is why EMA advises against medicinal caraway in people with gallstones, inflammation of the bile ducts, other biliary disorders, or liver disease, and why the same warnings appear on peppermint–caraway products. EMA also lists achlorhydria, a lack of stomach acid, among the conditions where use is not recommended. The peppermint monograph on this site describes similar gallbladder cautions for peppermint oil, so the warnings add up rather than cancel out when the two oils are combined.
Animal studies hint at broader effects, but none has been confirmed in people. EMA’s assessment report describes caraway extracts reducing experimental colitis and stomach lesions in rats, studies in diabetic rats, and estrogen-like effects in female rats given at least 200 mg/kg of extract for 30 days. A 2015 open-label crossover trial in 48 people with irritable bowel syndrome (IBS) tested warm caraway oil poultices on the abdomen; they helped more than unheated olive oil compresses but not more than heated olive oil, suggesting the warmth may explain much of the effect (Lauche and colleagues, Digestion 2015, cited by EMA). Combination capsules are designed to protect the oils from stomach acid: Menthacarin is enteric-coated, and FDgard uses microspheres meant to release caraway oil and L-menthol in the duodenum. The trials therefore test a specific delivery system, which is one reason their results cannot simply be transferred to caraway tea or to caraway eaten in food.
04 In practice
Common uses
Bloating and flatulence are caraway’s officially recognized uses. EMA’s 2015 monographs accept caraway fruit tea for adolescents and adults and swallowed caraway oil for adults as traditional herbal medicines for the symptomatic relief of digestive disorders such as bloating and flatulence, “exclusively based upon long-standing use.” The oil monograph also allows a 2% caraway oil ointment, applied once a day as a thin layer on the abdomen, for all ages from infancy. EMA’s assessment report found no clinical trials of adequate quality on caraway on its own, and its 2020 and 2025 reviews found nothing that justified changing that. In practice, this means caraway alone sits in the same evidence tier as fennel or chamomile tea for wind: plausible, long used, and low-risk at food-like doses, but not proven in controlled trials. Its modern evidence comes almost entirely from products that pair it with peppermint, which has its own strong evidence for IBS.
Functional dyspepsia has the most data, all for the peppermint–caraway combination Menthacarin (90 mg peppermint oil and 50 mg caraway oil per enteric-coated capsule, one capsule twice a day). May and colleagues tested it against placebo for four weeks in 45 patients (39 analyzed; Arzneimittelforschung 1996) and in 96 patients (Alimentary Pharmacology and Therapeutics 2000); in the larger trial, pain fell by 40% versus 22% and investigators judged 67% versus 21% of patients much or very much improved. Rich and colleagues (Neurogastroenterology and Motility 2017) randomized 114 outpatients; after four weeks, pain scores improved by 7.6 points versus 3.4 with placebo. In a 120-patient trial, Madisch and colleagues (Arzneimittelforschung 1999) found it equivalent to cisapride, a prokinetic drug since withdrawn or restricted in many countries. Madisch and colleagues’ 2023 meta-analysis of the three placebo-controlled trials (249 patients) found a large pooled reduction in pain and a 2.65-fold higher chance of global improvement. The meta-analysis was funded by the manufacturer, Schwabe, two authors were its employees, and the others had received its honoraria.
For irritable bowel syndrome the combination evidence is thinner. The 2023 meta-analysis describes a 200-patient placebo-controlled IBS trial of Menthacarin, published only as a congress abstract, in which symptoms improved but the difference from placebo did not reach statistical significance, plus favorable analyses of functional dyspepsia patients who also had IBS symptoms. The authors call Menthacarin a “promising option” for IBS symptoms, which is a weaker claim than for indigestion. For IBS itself, enteric-coated peppermint oil alone has much more evidence; see the peppermint monograph. The FDgard trial is a useful reminder that not every caraway product performs well. Chey and colleagues (Clinical and Translational Gastroenterology 2019) randomized 95 adults with functional dyspepsia, who could keep taking their usual medicines, to capsules of 25 mg caraway oil plus 20.75 mg L-menthol (two capsules twice a day) or placebo. The overall symptom score did not differ significantly between groups at two or four weeks. Postprandial distress symptoms (fullness and early satiety) improved more at 24 hours, and in the subgroup with more severe symptoms about three-quarters versus half had substantial global improvement. The trial was funded by the manufacturer.
Caraway is also a minor ingredient of STW 5, sold as Iberogast. According to Bayer’s product information, Iberogast Classic combines extracts of nine herbs, with caraway fruit making up 10 ml per 100 ml alongside bitter candytuft, angelica root, chamomile, milk thistle, lemon balm, peppermint, licorice, and greater celandine, while Iberogast Advance contains six herbs, with caraway at 20 ml per 100 ml and no greater celandine. Both are licensed in Germany for functional stomach and bowel disorders such as functional dyspepsia and IBS. Melzer and colleagues (Alimentary Pharmacology and Therapeutics 2004) pooled three placebo-controlled STW 5 trials with 273 patients and found it more effective than placebo for the most bothersome symptom, but that result belongs to the whole formula. Caraway’s contribution to either product has not been tested separately. Caraway has also been suggested as a galactogogue, an herb to boost breast milk, but LactMed, the US government database on medicines in breastfeeding, says no scientifically valid clinical trials support this use.
05 The apothecary
Preparations and traditional use
Tea is the traditional form. EMA’s fruit monograph gives 0.5–2 g of whole or crushed caraway fruit infused in 150 ml of boiling water, one to three times a day, for adolescents from 12, adults, and older people; Commission E’s older range was 1.5–6 g a day (EMA). Crushing the fruits just before use releases more oil, which is why the monograph includes “comminuted” (crushed) fruit. Grieve gives an old cold-water method for infants, a “caraway julep” made by steeping an ounce of bruised seeds in a pint of cold water for six hours, but EMA does not support any oral caraway preparation for children under 12. Caraway is often blended with fennel and anise in German “fennel–anise–caraway” teas; EMA notes that d-carvone has been detected in breast milk after mothers drank such a tea. If symptoms last longer than two weeks or worsen, EMA advises seeing a doctor or qualified practitioner rather than simply continuing the tea.
Caraway essential oil is a concentrate. EMA’s oil monograph allows adults 0.15–0.3 ml a day by mouth, divided into one to three doses, and does not recommend swallowed oil for anyone under 18. For the skin, it allows 2% caraway oil in an ointment or cream, applied once a day as a thin layer over the abdomen, from infancy upward, but not on broken skin, around the eyes, or on mucous membranes. Do not take undiluted oil or put it on babies’ skin unless it is in a properly made 2% product. The Carmenthin prescribing information warns that large amounts of essential oils can cause poisoning, with small children especially vulnerable; signs include vomiting, abdominal pain, diarrhea, drowsiness, and, in severe cases, seizures and breathing problems. Keep bottles of essential oil out of children’s reach.
Finished products are dosed differently. Carmenthin capsules (90 mg peppermint oil and 50 mg caraway oil) are taken one capsule twice a day by adults and adolescents from 12, swallowed whole at least 30 minutes before a meal, ideally morning and midday, according to its German prescribing information. In the FDgard trial, the dose was two capsules twice a day, and the product is now sold in the United States as a dietary supplement; Nestlé’s medical product site lists it for meal-triggered indigestion. Iberogast is a liquid taken as drops and contains 240 mg of alcohol per 20 drops (Bayer). Caraway in the kitchen is food rather than medicine: a teaspoon in rye bread, coleslaw, or sauerkraut delivers far less oil than a medicinal dose. When buying caraway as a remedy, check for the Latin name Carum carvi, since “black caraway” and “black cumin” usually mean Nigella sativa.
Safety
Before you use caraway
06 Caution
Side effects
Caraway is usually well tolerated. EMA’s monographs list no known undesirable effects for caraway tea or oil, and LactMed says the main side effects are digestive, such as heartburn, burping, flatulence, and nausea. For the peppermint–caraway capsule, the Carmenthin prescribing information lists stomach upset, such as burping, in sensitive people and, very rarely, allergic reactions. In Madisch and colleagues’ cisapride comparison, 12 of 60 people taking the combination and 14 of 58 taking cisapride reported adverse events, and the 2023 meta-analysis describes an open study of 2,148 patients in which 0.3% reported adverse events. Burping that tastes of peppermint is the classic problem when an enteric coating dissolves too early; May and colleagues reported none in their 2000 trial. In the FDgard trial, side effects were mild to moderate and none was serious. EudraVigilance, the European adverse-reaction database, held 40 reports for caraway by June 2020, of which 21 involved combination products, 20 of them with peppermint oil (EMA 2020 addendum).
Allergy is the main specific risk. EMA warns that people sensitized to one carrot-family plant may react to others, and its fruit monograph also contraindicates caraway in people allergic to mugwort or birch pollen, reflecting a well-known pattern of cross-reactions between pollens and Apiaceae spices that EMA’s assessment report traces through work by Wüthrich and by García-González and colleagues. Reactions can range from an itchy mouth to generalized hives and, rarely, anaphylaxis, and they can occur with the spice in food as well as with medicinal products. In 2016 Canabal and colleagues described anaphylactic shock in a patient who ate blood sausage containing hidden caraway and coriander, and EMA’s 2025 fruit addendum lists a serious case of hives and swelling (angioedema) after a caraway–peppermint product. People with known celery, carrot, fennel, or coriander allergy should treat caraway as a likely trigger. Swelling of the lips, tongue, or throat, wheezing, or widespread hives after eating caraway needs emergency care.
The main compound, d-carvone, has been studied in animals. EMA notes that the European Food Safety Authority (EFSA) set an acceptable daily intake of 0.6 mg/kg body weight for d-carvone, based on increased liver weight in rats, and that the maximum oral oil dose gives a 60-kg adult about five times that amount. EMA judged this acceptable for short-term medicinal use given long experience, but it is a reason not to exceed the dose or take the oil for long periods without advice. A US National Toxicology Program study found no carcinogenic effect of d-carvone in mice, and EMA’s 2020 addendum reports negative results in standard genotoxicity tests, although EMA states that adequate tests on reproductive toxicity, genotoxicity, and carcinogenicity of caraway preparations have not been performed. Overdose of any essential oil, especially by children, can cause vomiting, diarrhea, drowsiness, and seizures (Carmenthin prescribing information).
07 Caution
Contraindications
Allergy: EMA contraindicates caraway fruit in anyone hypersensitive to caraway, to other plants of the Apiaceae family (it names fennel, anise, celery, coriander, and dill), to mugwort, or to birch, and caraway oil in anyone hypersensitive to caraway or other Apiaceae. The oil monograph does not repeat the mugwort and birch warning, but people with those pollen allergies have no reason to assume the concentrated oil is safer than the tea. The fennel monograph on this site carries the same carrot-family warning in reverse, naming caraway among the plants that can cross-react. Hidden caraway in sausages, cheeses, breads, and spice blends can be a problem for people with severe spice allergy, as the blood sausage case shows, so reading labels and asking in restaurants matters. Someone who has had a severe reaction to any carrot-family spice should discuss caraway with an allergist before using it medicinally.
Gallbladder, bile ducts, liver, and stomach acid: EMA does not recommend medicinal caraway fruit or oil for people with liver disease, cholangitis, achlorhydria, gallstones, or any other biliary disorder, and the Carmenthin prescribing information lists all of these as contraindications. The reason is the volunteer study in which 50 mg of caraway oil completely blocked gallbladder emptying. Iberogast Classic, the version containing greater celandine, carries a separate warning: it must not be used by people with current or past liver disease or with medicines that can damage the liver, and liver injury, including liver failure, has been reported (Bayer). Iberogast Advance, without celandine, does not carry the liver contraindication. Anyone with yellowing of the skin or eyes, dark urine, or pale stools should stop such products and seek medical advice.
Children and infants: EMA does not recommend caraway tea under age 12 or swallowed caraway oil under 18, because adequate data are lacking, though it allows 2% caraway oil ointment on the abdomen from infancy. Carmenthin is not recommended under 12, Iberogast Classic is not for children under 3, and Iberogast Advance is not recommended under 12 (Bayer). Caraway water was a traditional remedy for infant colic, and gripe waters remain popular, but Adhisivam (Journal of Pharmacology and Pharmacotherapeutics 2012) warns that commercial gripe waters have contained alcohol, sodium bicarbonate that can upset the body’s acid balance, and sugar, have been linked to contamination and infection, and undermine exclusive breastfeeding. EMA’s 2025 addendum includes a serious report of diarrhea in a newborn after caraway suppositories. A crying infant needs a pediatric assessment, not home-made caraway preparations.
Pregnancy and breastfeeding: EMA says the safety of caraway fruit and oil in pregnancy and lactation has not been established and does not recommend medicinal use; the Carmenthin and Iberogast Classic labels say the same. Caraway as a spice in ordinary food is a different matter, and US regulations list it as GRAS. LactMed reports that small amounts of d-carvone reach breast milk when mothers take it, with no adverse effects observed in mothers or infants in two studies, but says that no valid clinical trials support caraway as a milk booster and that galactogogues should never replace evaluation of the factors affecting milk supply. Caraway capsules and oils are not a substitute for help from a lactation consultant.
08 Caution
Drug and herb interactions
EMA lists no reported interactions for caraway fruit or caraway oil, and the Carmenthin prescribing information says no interaction studies have been done. Its 2020 addendum discusses one signal: Naghibi and colleagues (DARU 2015) described a patient taking levothyroxine after thyroid cancer whose TSH rose to 60.3 mIU/L after taking caraway together with yarrow, with no change in dose, and fell back to normal once they were stopped. One of the researchers, who had an underactive thyroid treated with levothyroxine, then took caraway capsules at 40 mg/kg a day, and her TSH also rose markedly within two weeks. EMA judged these two reports insufficient to change the monograph. Even so, anyone taking thyroid hormone who starts regular medicinal doses of caraway should mention it to their prescriber, especially if fatigue or other symptoms of an underactive thyroid return, so that blood tests can be checked.
Antacids, H2 blockers, and proton pump inhibitors (PPIs): these matter for enteric-coated peppermint–caraway capsules rather than for caraway tea. The Carmenthin prescribing information explains that antacids can dissolve the coating early, so the capsule and an antacid should be taken at least an hour apart, and that H2 blockers and PPIs raise the stomach’s pH, especially around meals, so the capsule may open in the stomach and cause burping that tastes of the oils. It advises taking the capsule at least 30 minutes before meals and not within one to three hours after a PPI. The peppermint monograph on this site gives the same advice for enteric-coated peppermint oil. FDgard’s microspheres are also designed for release beyond the stomach, so following the label’s timing matters.
Other possible interactions come from animal studies or other ingredients. EMA’s assessment report notes that in rats, caraway extract raised blood levels of the tuberculosis drugs rifampicin, isoniazid, and pyrazinamide; the clinical relevance in people is unknown, but anyone on tuberculosis treatment should check with their doctor before taking caraway supplements. Iberogast Classic must not be combined with medicines that can harm the liver because of its greater celandine content, and both Iberogast versions contain alcohol (Bayer), as do kümmel and aquavit. Using caraway alongside fennel, anise, or coriander products adds to the total carrot-family exposure and makes it harder to tell which one caused a reaction. Tell your pharmacist about any caraway capsule or drops, particularly before surgery or if you have gallbladder disease.
09 Questions
Frequently Asked Questions
No. Caraway is Carum carvi and cumin is Cuminum cyminum; both are carrot-family plants with similar-looking ridged fruits, and caraway has been called Persian cumin, but they taste different and are separate species. Black seed (Nigella sativa) is a buttercup-family plant whose small black seeds are sold as “black caraway” and “black cumin,” names that even US food regulations use. The research, doses, and cautions for black seed do not apply to caraway. Check for the botanical name Carum carvi on any product.
It may, and it has long been used that way. EMA accepts caraway tea (0.5–2 g of crushed fruit in 150 ml of boiling water, up to three times a day) and caraway oil as traditional remedies for bloating and flatulence in adults and adolescents, based on long use rather than trials, because no adequate trials of caraway alone exist. Lab studies show its oil relaxes intestinal muscle. See a doctor if symptoms last more than two weeks, or sooner with weight loss, vomiting, blood in the stool, or difficulty swallowing.
It is an enteric-coated capsule containing 90 mg peppermint oil and 50 mg caraway oil (Menthacarin, sold in Germany as Carmenthin). In three placebo-controlled trials with 249 people with functional dyspepsia, it reduced upper-abdominal pain and improved overall symptoms, and it matched cisapride in a fourth trial. The research was largely funded by the manufacturer. Evidence for IBS is thinner. A different caraway oil and L-menthol capsule, FDgard, did not beat placebo on its main overall symptom score. Results apply to those products, not to caraway tea.
Both are carrot-family fruits that EMA accepts as traditional teas for bloating and wind, and neither has strong single-herb trial evidence. Fennel has broader traditional uses, including period cramps and coughs, and its oil raises concerns about estragole; caraway’s oil is dominated by carvone, and its main medicinal caution is the gallbladder. Many German teas blend fennel, anise, and caraway. People allergic to one carrot-family plant may react to the others. Gentle non-carrot-family options include chamomile tea.
Caution is wise. Caraway water was an old colic remedy, but EMA does not recommend caraway tea under 12 or swallowed caraway oil under 18; it allows only a 2% caraway oil ointment rubbed on the abdomen from infancy. Commercial gripe waters vary and have contained alcohol, sodium bicarbonate, and sugar, have been linked to contamination, and can undermine exclusive breastfeeding. A newborn developed serious diarrhea after caraway suppositories. Persistent crying, poor feeding, fever, or vomiting in a baby needs a pediatrician, not a home remedy.
Not as a medicine. In 12 healthy volunteers, 50 mg of caraway oil completely blocked gallbladder emptying, and EMA advises against medicinal caraway fruit or oil with gallstones, bile duct inflammation, other biliary disorders, liver disease, or low stomach acid. Peppermint–caraway capsules carry the same contraindications, and peppermint oil has its own gallstone caution. Caraway sprinkled on bread is a far smaller amount, but anyone with gallbladder problems should ask their doctor before using caraway capsules, oil, or strong teas.
Carvone comes in two mirror-image forms. Caraway oil is dominated by (S)-(+)-carvone, also called d-carvone, while spearmint oil is dominated by (R)-(−)-carvone, and the two forms smell different, spicy rye-bread caraway versus sweet spearmint. Dill oil also contains the caraway form. Caraway oil adds a large share of limonene, 30–45% in the European Pharmacopoeia specification. Despite the shared molecule, caraway and spearmint come from different plant families, carrot and mint, with different safety profiles.
As a spice in normal food, caraway is generally recognized as safe in the United States. Medicinal doses are different: EMA says safety in pregnancy and breastfeeding has not been established and does not recommend caraway tea or oil as medicines then. High doses of caraway extract had estrogen-like effects in rats. Small amounts of d-carvone pass into breast milk, and LactMed says no valid trials show that caraway increases milk supply. A lactation consultant is a better first step for milk-supply worries than any herbal galactogogue.
10 References
Sources
These references support the history, clinical, and safety claims on this page. They are not an endorsement of any product.
-
European Union herbal monograph on Carum carvi L., fructus
European Medicines Agency (EMA/HMPC/715092/2013), 2015
Traditional use of caraway fruit tea for bloating and flatulence; 0.5–2 g in 150 ml, 1–3 times daily; not under 12; contraindicated with Apiaceae, mugwort, or birch allergy; not with liver, biliary disease, or achlorhydria; not in pregnancy or lactation; no interactions reported.
-
European Union herbal monograph on Carum carvi L., aetheroleum
European Medicines Agency (EMA/HMPC/715094/2013), 2015
Traditional use of caraway oil for bloating and flatulence; adults 0.15–0.3 ml a day orally, not under 18; 2% semi-solid preparation on the abdomen from infancy; not on broken skin, eyes, or mucous membranes; same allergy, biliary, and pregnancy cautions.
-
Assessment report on Carum carvi L., fructus and Carum carvi L., aetheroleum
European Medicines Agency (EMA/HMPC/715093/2013), 2015
Ph. Eur. quality (at least 30 ml/kg oil; carvone 50–65%, limonene 30–45%); market history since 1976; Commission E doses; antispasmodic and animal data; gallbladder-emptying study; d-carvone ADI; Apiaceae–mugwort–birch allergy; no adequate clinical trials.
-
Addendum to assessment report on Carum carvi L., fructus and Carum carvi L., aetheroleum
European Medicines Agency (EMA/HMPC/351955/2020), 2020
Systematic review found no grounds to revise the monographs; caraway poultices in IBS; levothyroxine and TSH case reports; anaphylaxis from hidden caraway; d-carvone in breast milk; human intestinal muscle relaxation; EudraVigilance reports to June 2020.
-
Menthacarin, a Proprietary Peppermint Oil and Caraway Oil Combination, Improves Multiple Complaints in Patients with Functional Gastrointestinal Disorders: A Systematic Review and Meta-Analysis
Digestive Diseases (PubMed 36502789), 2023
Madisch et al.: five randomized trials (580 patients); meta-analysis of three placebo-controlled functional dyspepsia trials (249 patients), pain SMD 0.80 and CGI risk ratio 2.65; IBS data limited; funded by Schwabe, with employee authors.
-
A randomized placebo-controlled trial on the effects of Menthacarin, a proprietary peppermint- and caraway-oil-preparation, on symptoms and quality of life in patients with functional dyspepsia
Neurogastroenterology and Motility (PubMed 28695660), 2017
Rich et al.: 114 outpatients for four weeks; pain improved by 7.6 versus 3.4 points and discomfort by 3.6 versus 1.3 points with Menthacarin versus placebo (P < .001).
-
Efficacy and tolerability of a fixed combination of peppermint oil and caraway oil in patients suffering from functional dyspepsia
Alimentary Pharmacology and Therapeutics (PubMed 11121917), 2000
May et al.: 96 outpatients for 28 days; pain reduced 40% versus 22%, pressure and fullness 43% versus 22%; 67% versus 21% much or very much improved; no peppermint-tasting burping.
-
Treatment of functional dyspepsia with a fixed peppermint oil and caraway oil combination preparation as compared to cisapride. A multicenter, reference-controlled double-blind equivalence study
Arzneimittelforschung (PubMed 10604046), 1999
Madisch et al.: 120 outpatients (118 analyzed) for four weeks; pain score fell 4.62 points with the combination and 4.60 with cisapride, meeting the test for equivalence; adverse events in 12 versus 14 patients.
-
A Novel, Duodenal-Release Formulation of a Combination of Caraway Oil and L-Menthol for the Treatment of Functional Dyspepsia: A Randomized Controlled Trial
Clinical and Translational Gastroenterology (PubMed 30939487), 2019
Chey et al.: 95 patients; 25 mg caraway oil and 20.75 mg L-menthol per capsule; no significant difference in overall symptom scores at 2 and 4 weeks; postprandial distress improved at 24 hours; benefit in severe-symptom subgroup.
-
Carmenthin bei Verdauungsstörungen (Fachinformation)
Dr. Willmar Schwabe GmbH & Co. KG, via Fachinfo-Service, 2024
German prescribing information (October 2024): 90 mg peppermint oil and 50 mg caraway oil; one capsule twice daily from age 12; biliary, liver, and achlorhydria contraindications; separate from antacids and PPIs; not in pregnancy or breastfeeding; essential-oil overdose signs.
-
Iberogast Produkte Pflichttexte
Bayer Vital GmbH, 2023
Composition of Iberogast Classic (nine herbs, caraway fruit 10 ml per 100 ml, includes greater celandine) and Advance (six herbs, caraway 20 ml per 100 ml); liver contraindications for Classic; age limits; 240 mg alcohol per 20 drops.
-
Caraway
Drugs and Lactation Database (LactMed), National Institute of Child Health and Human Development (PubMed 30000850), 2006
No valid clinical trials support caraway as a galactogogue; small amounts of d-carvone in breast milk without observed adverse effects; GRAS status; usual side effects digestive, such as heartburn, burping, flatulence, and nausea.
-
Is gripe water baby-friendly?
Journal of Pharmacology and Pharmacotherapeutics (PubMed 22629105), 2012
Adhisivam: history of gripe water from Woodward’s dill, sodium bicarbonate, and alcohol formula; risks from alcohol, bicarbonate, sugar, and contamination; conflict with exclusive breastfeeding.
-
Caraway (A Modern Herbal)
Mrs M. Grieve, A Modern Herbal, via Botanical.com, 1931
Biennial with white umbels; fruits “incorrectly called seeds”; Arabic name Karawya; Dioscorides, Parkinson, and Shakespeare; German, Scandinavian, and kümmel uses; Dutch cultivation; oil on sugar for flatulence; caraway water for infant colic.
-
Carum carvi L.
World Flora Online (data from Kew’s World Checklist of Vascular Plants), 2026
Accepted name published in Species Plantarum (1753); synonyms; native range from Europe through western and Central Asia to China and the Himalaya; introduced in North Africa, Britain, Ireland, and North America; descriptive flora data.
-
21 CFR 182.10: Spices and other natural seasonings and flavorings
U.S. Code of Federal Regulations, via eCFR, 2026
Lists caraway (Carum carvi L.) among spices generally recognized as safe, and separately lists “caraway, black (black cumin)” and “cumin, black (black caraway)” as Nigella sativa.