Monograph

Oregano

Origanum vulgare

Updated October 12, 2026

Oil painting of flowering oregano on a rocky Mediterranean hillside above the sea at golden hour, with a botanical inset of a reddish stem with opposite oval leaves and rounded clusters of tiny pink flowers visited by a bee

Key points

  1. 01

    Spice and supplement differ

    Culinary oregano is a safe seasoning. Oil of oregano is a concentrated essential oil rich in carvacrol and thymol, sold as drops and capsules with no regulator-approved dose.

  2. 02

    Many plants are sold as oregano

    Common and Greek oregano, Turkish oregano, Spanish oregano (Thymbra capitata), and Mexican oregano (Lippia) differ in species and chemistry. About 24% of tested dried oregano was adulterated.

  3. 03

    Human evidence is small

    An uncontrolled parasite study in 14 adults, a 40-patient wound ointment trial, and a SIBO chart review of a multi-herb blend. No trial tests oregano oil alone for an infection.

  4. 04

    Lab results are not cures

    Oregano oil kills drug-resistant bacteria in dishes and on infected mouse wounds. No human trial shows that it treats resistant infections or can replace antibiotics.

  5. 05

    Treat the oil with caution

    Dilute it before skin use and never swallow aromatherapy oil. Avoid medicinal doses in pregnancy and breastfeeding or with mint-family allergy, and watch INR on blood thinners.

Oregano is the pungent kitchen herb that flavors pizza, and it has a second life as “oil of oregano,” a concentrated supplement sold for infections, colds, gut complaints, and parasites. The two are very different things. The dried leaf is a seasoning used by the pinch, while oil of oregano is an essential oil distilled from the flowering herb, sold as oil solutions or capsules, and dominated by two closely related aromatic compounds, carvacrol and thymol. The name itself is loose. Kew’s Plants of the World Online accepts Origanum vulgare, a perennial of the mint family (Lamiaceae) native from the Atlantic islands to China, with six subspecies including Greek oregano. Yet Turkish oregano (Origanum onites), Spanish oregano (Thymbra capitata, long called Thymus capitatus), and Mexican oregano (Lippia graveolens, which Kew now lists under Lippia origanoides in the verbena family) are all sold as oregano, and marjoram (Origanum majorana) is a separate species in the same genus.

The human evidence is thin. LiverTox, the US National Institutes of Health database on drug-induced liver injury, notes that oregano’s antimicrobial, antifungal, and antiparasitic effects have been seen in the laboratory and in animals but not demonstrated in humans. The few human studies are small: an uncontrolled study of emulsified oregano oil in 14 adults with intestinal parasites, a 40-patient trial of a 3% oregano extract ointment on surgical wounds, and a retrospective Johns Hopkins chart review in which 104 people with small intestinal bacterial overgrowth (SIBO) chose either the antibiotic rifaximin or herbal capsules, one brand of which combined oregano oil with thyme oil, sage, and lemon balm. No randomized trial has tested oil of oregano on its own for colds, SIBO, irritable bowel syndrome, or any infection. Striking results against drug-resistant bacteria such as MRSA come from test tubes and mice. The European Medicines Agency (EMA) has herbal monographs for two relatives, marjoram and dittany of Crete, but we found none for Origanum vulgare.

As a food, oregano is very safe: the US Food and Drug Administration (FDA) lists oregano spices and Origanum oils as generally recognized as safe for their intended use in food, and LiverTox has found no reports of liver injury. Concentrated oil is a different matter. Undiluted oil can irritate the skin, and Poison Control warns that misused essential oils can cause serious poisoning, with children at particular risk. LiverTox says oregano in supplement doses should not be used in pregnancy, and the LactMed database advises against more than food amounts while breastfeeding. People allergic to thyme, sage, or other mint-family plants may react to oregano. Nothing here is medical advice. Fever, blood in the stool, a spreading red skin infection, or ongoing bloating with weight loss needs a medical assessment, and anyone who swallows an essential oil should call a poison control center.

In this monograph

01 The plant

Botanical profile

Origanum vulgare L. was named by Linnaeus in Species Plantarum in 1753 and is the accepted name in Kew’s Plants of the World Online (POWO), which places it in the mint family, Lamiaceae, and describes a perennial of the temperate biome used as food and medicine. POWO’s native range runs from Macaronesia to China: the Azores, Madeira, and the Canary Islands, Morocco, Algeria, and Tunisia, nearly all of Europe from Portugal and Ireland to Norway, Finland, and European Russia, then the Caucasus, Iraq, Iran, Central Asia, Afghanistan, Pakistan, the Himalaya, Siberia, China, Taiwan, and Myanmar. It has been introduced to 18 US states, five Canadian provinces, southwestern Mexico, Venezuela, and New Zealand’s South Island. POWO accepts six subspecies: glandulosum, gracile, hirtum, virens, viridulum, and vulgare. Greek oregano, subsp. hirtum, is native to Greece, Crete, the East Aegean islands, Albania, Bulgaria, the northwestern Balkans, Cyprus, and Türkiye. LiverTox gives wild marjoram and winter marjoram as other names for the species.

Nurzyńska-Wierdak and Walasek-Janusz (Pharmaceuticals 2025) describe oregano as a perennial that can exceed 100 cm, with an upright stem that branches toward the top and is sometimes tinged red, and opposite, stalked leaves that are broadly oval to lance-shaped with smooth or finely toothed edges. The whole plant carries glandular hairs and a spicy, thyme-like scent. Numerous small pink, lilac, or white flowers, rich in nectar, open in branched clusters from June to September and draw bees, bumblebees, and butterflies; the medicinal herb is gathered as flowering begins. Several other plants share the name. Turkish oregano, Origanum onites, is native to Greece, Crete, the East Aegean, Sicily, and Türkiye, and the FDA’s spice list still calls it pot marjoram under the old name Majorana onites. Spanish oregano is Thymbra capitata, a Mediterranean member of the mint family that POWO accepts in place of the older names Thymus capitatus and Coridothymus capitatus. Mexican oregano, Lippia graveolens, is in POWO a synonym of Lippia origanoides, a shrub of the verbena family (Verbenaceae) native from Texas and New Mexico through Mexico and Central America to Argentina, and Bautista-Hernández and colleagues (Molecules 2021) note that Poliomintha longiflora, Lippia berlandieri, and Monarda fistulosa var. menthifolia are also sold as Mexican oregano. Trade definitions differ: according to Black and colleagues (Food Chemistry 2016), the European Pharmacopoeia and the European Spice Association accept only O. vulgare subsp. hirtum and O. onites as oregano, while the international standard ISO 7925 allows any Origanum except marjoram, and the FDA’s list of safe spices assigns the name oregano to Lippia species.

Oregano’s chemistry depends on which plant, and which population, is in the jar. Lukas, Schmiderer, and Novak (Phytochemistry 2015) analyzed 502 wild Origanum vulgare plants from 51 populations in 17 European countries and found essential oil contents from 0.03% to 4.6%, with three main chemical types: one built on the cymyl pathway, which yields carvacrol and thymol, one dominated by sabinene compounds, and one by linalool and linalyl acetate. The phenol-rich cymyl type was typical of plants from Mediterranean climates, while sabinene types characterized plants from continental Europe, so wild oregano from a northern meadow may contain little carvacrol. Mediterranean oils are another matter: Anastasiou and colleagues (Molecules 2019) measured 72.0% carvacrol in a Greek oregano oil and 42.0% in a Spanish oregano (Thymbra capitata) oil, and Maral and colleagues (Zeitschrift für Naturforschung C 2021) found 82.1% in a Greek oregano oil. Black and colleagues cite leaf oil contents of about 3–4% for Mexican oregano and 2–2.5% for Mediterranean oregano. LiverTox counts more than 60 constituents in the leaves and flowers, and LactMed lists carvacrol, thymol, eugenol, and rosmarinic acid. Carvacrol and thymol are structural isomers: phenols with the same formula, C10H14O, that differ only in where one group sits on the ring.

02 Lineage

History

Oregano’s name is Greek. Nurzyńska-Wierdak and Walasek-Janusz trace the name Origanum to Hippocrates in the fifth century BC and to the Greek words oros, mountain, and ganos, joy: “joy of the mountains.” The Roman writer Pliny the Elder, in book 20 of his Natural History, wrote that origanum “includes many varieties employed in medicine.” One, called onitis or prasion, was taken with warm water for gnawing pains of the stomach and for indigestion, and in white wine for the stings of spiders and scorpions. Of the Heracleotic origanum, he judged the best to come from Crete and the next best from Smyrna, and the chapter heading counts thirty remedies: it was taken as a diuretic, used for itch, toothache, and bruises, given with honey and salt for the spleen, and employed for repelling serpents. Ancient plant names do not map neatly onto modern species, so Pliny’s origanum cannot simply be equated with today’s Origanum vulgare.

In folk medicine, LiverTox writes, oregano oil has been used for respiratory illnesses and infections, including colds, fever, cough, bronchitis, bacterial and fungal infections, parasites, and urinary tract infections, and LactMed notes its traditional use in Türkiye to increase breast milk. European regulators have acknowledged long use of two relatives but not of oregano itself. EMA’s herbal committee accepts dittany of Crete (Origanum dictamnus) as a traditional herbal tea for cough with a cold and mild stomach complaints, and as a soaked dressing for minor skin inflammation and bruises, and accepts marjoram (Origanum majorana) as a traditional remedy for bloating and flatulence and, as an ointment, for irritated skin around the nostrils. Oregano also had darker uses. Ciganda and Laborde (Journal of Toxicology: Clinical Toxicology 2003) reviewed 86 calls to the Montevideo poison center between 1986 and 1999 about herbal infusions taken to induce abortion; one of the most frequent was Carachipita, an over-the-counter mixture of pennyroyal, oregano, and two other herbs, which was linked to multiple organ failure and one death.

Oregano became an American staple only after World War II. NPR’s food blog The Salt recounts how many US soldiers first tasted it in southern Italy during the 1943–1945 campaign, and cites the food historian John Mariani’s finding that US oregano sales rose 5,200% between 1948 and 1956, with imports reaching 1.5 million pounds a year by the 1960s. Popularity brought fraud: Black and colleagues at Queen’s University Belfast found in 2016 that about a quarter of 78 dried oregano samples bought in shops and online had been bulked out, mostly with olive and myrtle leaves, and passed their results to regulators. Oil of oregano arrived as a supplement; a 2000 study of it for intestinal parasites listed Biotics Research Corporation, a supplement company, among its author affiliations, and LiverTox notes that today’s capsules and oil solutions are advertised for energy and general wellness. The oil is also widely studied as a feed additive for farm animals: in a 2022 systematic review of poultry infection studies, Farinacci and colleagues (Planta Medica) found Origanum vulgare to be the second most frequently tested plant, after sweet wormwood (Artemisia annua).

03 Chemistry

Active compounds and how it works

Carvacrol and thymol are the compounds most credited with oregano oil’s effects, and nearly all the evidence for them comes from laboratories. Sharifi-Rad and colleagues (Phytotherapy Research 2018) attribute carvacrol’s strong antimicrobial activity to its free hydroxyl group, its fat solubility, and its phenol ring, report activity against food-poisoning bacteria such as Escherichia coli, Salmonella, and Bacillus cereus, describe anticancer effects only in preclinical models, and conclude that human trials of carvacrol are still lacking. Lu and colleagues at Massachusetts General Hospital (Frontiers in Microbiology 2018) found that an oregano oil killed 11 multidrug-resistant bacteria taken from wounded soldiers, including MRSA, at 0.08 to 0.64 mg/ml, broke up their biofilms, and visibly damaged bacterial cells under the electron microscope. The bacteria did not become resistant over 20 rounds of exposure. In mice with infected third-degree burns, oil applied to the wound cut bacterial counts about a thousandfold within an hour, and three daily applications at 10 mg/ml caused no skin damage on microscopy.

Such results do not show that swallowing oregano oil treats an infection. Concentrations that kill bacteria in a dish or on a mouse wound are applied directly to the microbes, and we found no human studies of how much carvacrol from an oregano oil capsule reaches the blood, the gut wall, or infected tissue. Animal studies are suggestive at most: Preuss and colleagues (Toxicology Mechanisms and Methods 2005) injected mice with Staphylococcus aureus and found that 6 of 14 given daily oral origanum oil survived 30 days, against 7 of 14 given vancomycin and none of 14 left untreated. When oregano has been tested in people for a laboratory-style effect, results have been modest or null. Nurmi and colleagues (Journal of Agricultural and Food Chemistry 2006) randomized 45 healthy men to juice providing 0, 300, or 600 mg a day of oregano phenolics for four weeks; the phenolics were absorbed and excreted, but blood lipids and markers of oxidative damage to fats (lipid peroxidation) did not change. Reviews of oregano’s antifungal activity, such as Mezzomo and colleagues (Chemistry and Biodiversity 2025), focus on inhibitory concentrations measured against Candida yeasts and molds in the laboratory.

Oregano also contains non-volatile polyphenols, such as rosmarinic acid, and these bind iron. In iron absorption studies using an isotope-labeled iron tag, Brune and colleagues (European Journal of Clinical Nutrition 1989) found that oregano added to a meal inhibited iron absorption in proportion to its content of iron-binding galloyl groups, just as tea did. That is a reason for people with low iron stores to keep concentrated oregano products away from iron supplements and iron-rich meals. Other proposed mechanisms remain speculative. The authors of a 2025 Algerian case report suggested that oregano polyphenols inhibit the liver enzymes CYP2C9 and CYP3A4, which break down many medicines including the blood thinner acenocoumarol, and that carvacrol and thymol have anticoagulant activity, but these ideas rest on laboratory work rather than studies in people. We found no human pharmacokinetic interaction studies of oregano or its oil.

04 In practice

Common uses

Intestinal parasites and SIBO are the gut uses most often cited for oil of oregano, and the evidence is weak. Force, Sparks, and Ronzio (Phytotherapy Research 2000) gave 600 mg a day of emulsified oregano oil for six weeks to 14 adults whose stools contained Blastocystis hominis, Entamoeba hartmanni, or Endolimax nana. Entamoeba hartmanni disappeared in four cases, Endolimax nana in one, and Blastocystis in eight, with lower Blastocystis scores in three more, and gut symptoms improved in 7 of the 11 people with Blastocystis. There was no comparison group, and the paper lists Biotics Research Corporation, a supplement company, among its affiliations. For SIBO, Chedid and colleagues (Global Advances in Health and Medicine 2014) reviewed the charts of 104 Johns Hopkins patients who chose four weeks of rifaximin, 1,200 mg a day, or one of two herbal capsule regimens. Breath tests turned negative in 17 of 37 on herbs (46%) and 23 of 67 on rifaximin (34%), a difference that was not statistically significant. Only one regimen contained oregano: Candibactin-AR, a capsule combining oregano oil, red thyme oil, sage, and lemon balm, paired with a berberine formula. The authors reported no conflicts of interest and called for prospective trials. Verdict: interesting but unproven, and nothing here isolates oregano.

Colds, sore throats, and coughs are a traditional use, and LiverTox lists them, but no trial has tested oregano or its oil alone for them. The closest is a trial by Ben-Arye and colleagues (Evidence-Based Complementary and Alternative Medicine 2011), who randomized 60 primary-care patients in Israel with upper respiratory infections to a throat spray of five essential oils, from lemon-scented eucalyptus, eucalyptus, peppermint, Syrian oregano (Origanum syriacum), and rosemary, or to a placebo spray, five times a day for three days. Twenty minutes after spraying, the most troublesome symptom, whether sore throat, hoarseness, or cough, eased more with the oils, but the authors found the effect was no longer significant after three days. That spray used a different Origanum species mixed with four other oils. EMA’s monograph for another relative, dittany of Crete, accepts its tea for cough with a cold on the basis of traditional use only. Verdict: no reliable evidence that oregano prevents or shortens colds or flu; thyme combinations and pelargonium have better trial data for acute bronchitis.

Wound care has the best-designed oregano trial, and it is small. Ragi and colleagues (Journal of Drugs in Dermatology 2011) randomized 40 people having surgical skin excisions to a 3% oregano extract ointment or plain petrolatum in an investigator-initiated, double-blind study. On day 12, Staphylococcus aureus grew from 19% of wounds treated with oregano and 41% of those treated with petrolatum, and one person developed cellulitis, a spreading skin infection, against three. Scar color, pigmentation, and pliability were rated better with oregano, but overall scar appearance was equivalent. No larger trial has followed. Other skin claims rest on less. LactMed notes that oregano oil has been advocated for Candida (thrush) infection of the nipples during breastfeeding, but no clinical study has confirmed that it is safe or effective, and a Romanian study by Ghitea and colleagues (Molecules 2021) that treated minor bacterial infections in people with metabolic syndrome with oregano oil had no antibiotic or placebo comparison group. Verdict: one small, encouraging trial of a dilute extract ointment; no evidence for undiluted oil on the skin.

Cholesterol and metabolic health have a few small studies with mixed designs. Ozdemir and colleagues (Journal of International Medical Research 2008) gave 32 Turkish adults with mild high cholesterol 25 ml of a water distillate of Turkish oregano (Origanum onites) after each meal for three months, alongside diet advice, and compared them with 16 people given diet advice alone; LDL cholesterol, lipoprotein(a), and C-reactive protein fell more, and HDL cholesterol and blood vessel function improved more, with oregano. The study was not described as randomized or blinded. Maral and colleagues randomly assigned 34 athletes to Greek oregano, Origanum dubium, or lavender essential oil, or to no oil, for 14 days; HDL cholesterol rose with the two oregano oils, but total cholesterol, triglycerides, and liver tests did not change. In the double-blind juice trial by Nurmi and colleagues, oregano phenolics did not change blood lipids at all. A 2023 scoping review by Mackonochie and colleagues (Nutrients), whose authors include employees of the herbal tea company Pukka Herbs, found no clinical research on culinary amounts of oregano for metabolic syndrome. Verdict: too little to recommend oregano for cholesterol or blood sugar.

The antibiotic-resistance pitch deserves its own caution. Laboratory studies like that of Lu and colleagues are genuinely interesting, and oregano is widely tested in farm animals: a 2026 meta-analysis by Yousfi and colleagues (Avian Pathology) of eight studies in chickens infected with the gut parasite Eimeria found better weight gain and fewer parasite eggs with oregano extracts. But no human trial has shown that oregano oil treats an antibiotic-resistant infection, and using it instead of a prescribed antibiotic can let a serious infection progress. In the kitchen, oregano is a flavorful herb with nothing to prove. Its relative marjoram has its own EMA monograph as a traditional remedy for bloating and flatulence in adults; EMA’s assessment notes that marjoram contains small amounts of hydroquinone derivatives such as arbutin, which led Germany’s Commission E not to recommend oral medicinal use, although EMA judged the exposure from recommended doses to carry negligible risk. Anyone looking for a digestive herb with better evidence will find more on the peppermint and caraway pages.

05 The apothecary

Preparations and traditional use

Oregano comes in four broad forms: the fresh or dried leaf used as a spice; teas and infusions of the herb; the essential oil, distilled from the flowering herb; and branded “oil of oregano” supplements, sold as oil solutions or capsules, some with a stated carvacrol percentage. There is no regulator-approved medicinal dose for Origanum vulgare: EMA has no monograph for it, and LiverTox notes that recommended doses vary widely, partly because products differ in essential oil concentration. Doses in studies were product-specific. The parasite study used 600 mg a day of an emulsified oil for six weeks. In the SIBO chart review, each Candibactin-AR capsule listed 0.1 ml of oregano oil providing 55 to 75% carvacrol, 0.2 ml of red thyme oil, 75 mg of sage extract, and 50 mg of lemon balm extract, and patients took the paired products at two capsules twice a day for four weeks. The wound trial used a 3% oregano extract ointment, the throat-spray trial a five-oil blend applied five times a day, and the Turkish cholesterol study 25 ml of an Origanum onites distillate after each meal.

Quality is a real problem for both the spice and the supplement. Black and colleagues tested 78 samples of dried oregano from shops, the catering trade, and online sellers: 19 (about 24%) were adulterated, typically with 30% to more than 70% of the contents made up of other leaves, most often olive and myrtle, and two contained virtually no oregano. Shop-bought and internet samples fared about the same. Species substitution is built into the trade, since European standards reserve the name for Origanum while the FDA’s spice list applies it to Lippia. Oils vary even more: carvacrol can exceed 80% in Greek oregano oil, sits around 40% in some Spanish oregano oil, and may be minimal in sabinene-type wild oregano from continental Europe. LiverTox notes that oregano oil is not approved as a therapy in the United States, and LactMed points out that dietary supplements do not need proof of safety or effectiveness before sale and that labeled and actual ingredients often differ. Trial results from one product cannot be assumed for another.

Practical points: cooking with fresh or dried oregano needs no special precautions beyond allergy. Concentrated oil deserves the respect of a medicine. Poison Control advises diluting essential oils in a carrier oil before skin use, never applying them to damaged skin, and storing them locked away from children, and essential oils should not be swallowed unless a product is specifically made and labeled for oral use. Anyone choosing a supplement should look for the botanical name and plant part on the label, be wary of products that promise to cure infections, and tell their doctor or pharmacist what they are taking. For marjoram, EMA’s monograph covers teas of the flowering shoots for adults with mild indigestion, and an ointment made by extracting marjoram into petroleum jelly for irritated skin around the nostrils in adults and children over one year.

Safety

Before you use oregano

06 Caution

Side effects

At culinary amounts, side effects are rare. The FDA lists oregano spices and Origanum oils as generally recognized as safe for their intended use in food, and in 2021 an expert panel of the Flavor and Extract Manufacturers Association, a trade body, reaffirmed that status for origanum oil as a flavoring (Cohen and colleagues, Food and Chemical Toxicology 2021). LiverTox found no published reports of liver enzyme rises or liver injury attributable to oregano and gives it likelihood score E, meaning an unlikely cause of clinically apparent liver injury. LactMed describes oregano as generally well tolerated, with rare reports of stomach upset and allergic skin reactions.

At supplement doses, LiverTox lists abdominal discomfort, heartburn, constipation or diarrhea, nausea and vomiting, dizziness, and headache, with rare allergic reactions. Small studies recorded few problems. In the SIBO chart review, one person in the herbal group reported diarrhea, compared with one case of anaphylaxis, two of hives, two of diarrhea, and one C. difficile infection among those on rifaximin, and the four-week juice trial by Nurmi and colleagues found no change in safety blood tests. These studies involved at most a few dozen people on any oregano product, for weeks, so they cannot reveal uncommon or long-term harms.

Concentrated oil is where most risks lie. Lauriola and colleagues (Contact Dermatitis 2020) reported irritant contact dermatitis, a chemical skin injury rather than an allergy, after an unusual home treatment with oregano essential oil. Poison Control warns that essential oils can cause rashes, that some are poisonous when absorbed through the skin or swallowed, and that oil inhaled into the lungs while someone tries to swallow it can cause pneumonia; children are at higher risk because of their thin skin and immature livers. We found no published cases of serious poisoning from oregano oil alone, but the same cautions apply. If anyone swallows an essential oil, call Poison Control at 1-800-222-1222 in the United States, or a local poison center elsewhere.

Allergy is the other main risk. Benito and colleagues (Annals of Allergy, Asthma and Immunology 1996) described a 45-year-old man with asthma who had three whole-body allergic reactions, including lip swelling and noisy breathing (stridor), after foods seasoned with oregano and then thyme; skin tests and blood antibody tests showed sensitization to several mint-family herbs. A 2026 review by Lisiecka (European Annals of Allergy and Clinical Immunology) notes that oregano contains Bet v 1-type allergens and profilins, protein families that can cross-react with pollens and other spices. Anyone who develops hives, facial swelling, wheezing, or faintness after eating oregano or taking an oregano product needs emergency care.

07 Caution

Contraindications

Pregnancy: oregano as a seasoning is part of ordinary diets, but medicinal doses and the essential oil should be avoided. LiverTox states that oregano in doses used as dietary supplements is an abortifacient and should not be used during pregnancy or by women of childbearing age not using effective contraception. The human evidence behind that warning is limited: the clearest report, from the Montevideo poison center, involved Carachipita, a mixture in which oregano was combined with pennyroyal, whose oil Poison Control describes as highly poisonous to the liver. We found no reproductive safety studies of oregano oil supplements, and EMA does not recommend even marjoram medicines in pregnancy or breastfeeding because reproductive toxicity has not been tested.

Breastfeeding and children: LactMed found no data on oregano in nursing mothers or infants and advises that amounts higher than those used as a food flavoring should probably be avoided while breastfeeding, adding that oregano oil for nipple thrush is unproven. No trials have tested oregano oil in children, and Poison Control notes that children’s thin skin and immature livers make them more vulnerable to essential oils. Keep oregano oil away from babies and young children, do not apply it near a child’s face, and do not give children oral oregano oil products. The only Origanum medicine EMA accepts for young children is a marjoram ointment for irritated skin around the nostrils, from age one.

Allergy and other conditions: avoid oregano products if you have reacted to oregano, thyme, marjoram, sage, rosemary, basil, mint, or other members of the mint family; Benito’s patient showed how one sensitization can extend across the family. People with iron-deficiency anemia, or at risk of it, should keep concentrated oregano products away from iron-rich meals and iron supplements, because oregano inhibits iron absorption. Do not put undiluted oil on broken, burned, or inflamed skin, or near the eyes. People taking blood thinners should be cautious, as discussed under interactions.

When not to self-treat: SIBO and irritable bowel syndrome should be diagnosed only after other causes are ruled out, and bloating with weight loss, anemia, blood in the stool, or night-time diarrhea needs a doctor. Diarrhea lasting more than a few days, especially with fever or after travel, needs a stool test, because some parasites and bacteria require specific prescription treatment. A wound that becomes hot, swollen, increasingly painful, or streaked with red, a urinary infection with fever or back pain, and any infection in a baby, an older person, or someone with a weakened immune system should be seen promptly rather than treated with oregano oil.

08 Caution

Drug and herb interactions

Blood thinners: one case report suggests caution. Beghriche and colleagues (Annales de Cardiologie et d’Angéiologie 2025) described a 77-year-old woman in Algeria, stable for four years on the vitamin K antagonist acenocoumarol, whose INR, a measure of how long blood takes to clot, rose to 6.42, well above her target of 2 to 3, after a week of drinking one 200 ml cup of oregano tea a day, sometimes with verbena. Her INR came down after the drug was paused and the tea stopped, and later stabilized on a lower dose while she drank a more diluted infusion. A single case cannot prove cause, and verbena was also involved, but people taking warfarin or similar drugs should not start regular oregano teas, extracts, or oils without telling the clinic that monitors their INR.

Iron and unverified warnings: because oregano inhibits iron absorption, separate concentrated oregano products from iron supplements and iron-rich meals. Some consumer drug-information websites also warn that oregano oil may interact with diabetes medicines, lithium, and diuretics, or increase bleeding during surgery. We found no human studies or case reports supporting the diabetes, lithium, or diuretic warnings, and Mackonochie’s 2023 review found no clinical research on culinary oregano for metabolic syndrome, which includes high blood sugar. These warnings may be sensible precautions for concentrated products, but they are theoretical, and we found no formal drug interaction studies of oregano in people.

Combination products and antibiotics: many “oil of oregano” and gut-cleanse products are blends. The SIBO herbal regimens paired oregano and thyme oils with berberine, coptis, Chinese skullcap, licorice, and rhubarb, each with its own cautions; licorice, for example, can raise blood pressure and lower potassium with sustained use. Thyme oil and oregano oil share carvacrol and thymol, so stacking them adds to the dose. Oregano oil is not a substitute for a prescribed antibiotic, and we found no evidence on whether taking it alongside antibiotics changes their effect. Before surgery or any new prescription, tell your clinicians about every herbal product you use, including essential oils, by its full name.

09 Questions

Frequently Asked Questions

Fewer than the marketing suggests. Oil of oregano is rich in carvacrol and thymol, which kill bacteria, fungi, and parasites in laboratory studies, but LiverTox notes that these effects have not been demonstrated in humans. The human studies are small: 14 adults with gut parasites in an uncontrolled study, a 40-person wound ointment trial, and a SIBO chart review of a multi-herb blend. No well-designed trial shows that oil of oregano prevents or treats colds, infections, or gut problems. As a cooking herb, oregano is safe and flavorful.

It has not been properly tested. In a Johns Hopkins chart review, 46% of 37 people who chose herbal capsules and 34% of 67 who chose the antibiotic rifaximin had a normal breath test afterward, a difference that could be due to chance. Only one of the two herbal regimens contained oregano oil, mixed with thyme oil, sage, lemon balm, and a berberine formula. For irritable bowel symptoms, peppermint oil capsules have far more trial evidence; see our guide to herbs for IBS.

There is no reliable evidence that it does. No trial has tested oregano oil alone for colds or flu. A throat spray combining Syrian oregano with eucalyptus, peppermint, and rosemary oils eased symptoms 20 minutes after use in 60 patients, but not after three days. For a chesty cough, thyme combinations have better trials; see herbs for colds and flu. Strep throat, urinary infections, and infected wounds need proper medical treatment.

At supplement doses, LiverTox lists stomach discomfort, heartburn, constipation or diarrhea, nausea, vomiting, dizziness, and headache, with rare allergic reactions. Undiluted oil can irritate the skin; a 2020 case report described irritant contact dermatitis after home treatment with oregano oil. Swallowing essential oil can cause poisoning, and oil inhaled into the lungs can cause pneumonia. People allergic to mint-family plants can react strongly. LiverTox has found no reports of liver injury from oregano.

Medicinal oregano is best avoided in both cases. LiverTox advises against oregano at supplement doses in pregnancy, and EMA does not recommend even the related marjoram medicines in pregnancy because reproductive safety has not been tested. LactMed suggests no more than food amounts while breastfeeding. There are no studies of oregano oil in children, and Poison Control warns that children are more vulnerable to essential oils. Oregano used as a seasoning in normal cooking is fine.

They are separate species in the same genus. Oregano usually means Origanum vulgare, including Greek oregano, or Turkish oregano (O. onites); sweet marjoram is Origanum majorana. The names overlap: the FDA lists Turkish oregano as pot marjoram, and LiverTox calls O. vulgare wild marjoram. EMA has traditional-use monographs for marjoram tea for bloating and a marjoram ointment for irritated skin around the nostrils, but none for oregano. Both can trigger allergies in people sensitive to sage, thyme, or mint.

No. Greek oregano is Origanum vulgare subsp. hirtum, a mint-family plant native to Greece, the Balkans, Cyprus, and Türkiye. Mexican oregano is usually Lippia graveolens, which Kew now treats as Lippia origanoides, a shrub of the verbena family native from Texas to Argentina. Black and colleagues cite leaf oil contents of about 3–4% for Mexican oregano and 2–2.5% for Mediterranean oregano. Other plants, including Poliomintha longiflora and Monarda fistulosa var. menthifolia, are also sold as Mexican oregano, and research on one species does not automatically apply to another.

In the laboratory, yes; in people, it is unproven. Lu and colleagues found that an oregano oil killed 11 multidrug-resistant bacteria from wounded soldiers, including MRSA, and cut bacterial counts about a thousandfold within an hour on infected burn wounds in mice, with no resistance after 20 rounds of exposure. But no human trial has tested oregano oil for a resistant infection. The closest human evidence is one 40-patient trial of a 3% extract ointment on surgical wounds. Using oregano oil instead of a prescribed antibiotic risks letting a serious infection spread.

10 References

Sources

These references support the history, clinical, and safety claims on this page. They are not an endorsement of any product.

  1. Origanum vulgare L.

    Plants of the World Online, Royal Botanic Gardens, Kew, 2026

    Accepted name, published in Species Plantarum (1753); Lamiaceae; perennial of the temperate biome; native range Macaronesia to China with introductions in North America, Venezuela, and New Zealand; six accepted subspecies including subsp. hirtum.

  2. Lippia origanoides Kunth

    Plants of the World Online, Royal Botanic Gardens, Kew, 2026

    Accepted name in Verbenaceae with Lippia graveolens (Mexican oregano) as a synonym; shrub native to tropical and subtropical America from Texas and New Mexico to Argentina; used as food and medicine.

  3. Thymbra capitata (L.) Cav.

    Plants of the World Online, Royal Botanic Gardens, Kew, 2026

    Accepted name for Spanish oregano in Lamiaceae, with Thymus capitatus and Coridothymus capitatus as synonyms; native around the Mediterranean from Portugal and Morocco to Türkiye, Lebanon, Syria, and Egypt.

  4. Origani majoranae herba (marjoram) – herbal medicinal product

    European Medicines Agency, Committee on Herbal Medicinal Products, 2016

    Traditional use of marjoram tea for bloating and flatulence in adults and of an ointment for irritated skin around the nostrils from age 1; assessment notes hydroquinone derivatives and advises against use in pregnancy and breastfeeding.

  5. Oregano (LiverTox: Clinical and Research Information on Drug-Induced Liver Injury)

    National Institute of Diabetes and Digestive and Kidney Diseases (NIH), 2023

    Traditional uses; lab and animal effects not demonstrated in humans; supplement side effects; no liver injury reports (likelihood score E); advice against supplement doses in pregnancy; other names wild and winter marjoram.

  6. Oregano (Drugs and Lactation Database, LactMed)

    National Institute of Child Health and Human Development (NIH), 2024

    Constituents carvacrol, thymol, eugenol, and rosmarinic acid; no data in nursing mothers or infants; nipple Candida use unproven; avoid more than food amounts while breastfeeding; rare stomach upset and allergic skin reactions.

  7. 21 CFR 182.10: Spices and other natural seasonings and flavorings

    Electronic Code of Federal Regulations, U.S. Food and Drug Administration, 2026

    Lists oregano (Mexican oregano, origan) from Lippia species and pot marjoram (Majorana onites) and sweet marjoram as spices generally recognized as safe for their intended use.

  8. Essential oils: Poisonous when misused

    Poison Control (National Capital Poison Center), 2024

    Misused essential oils can cause serious poisoning, rashes, and aspiration pneumonia; children are more vulnerable; dilute in a carrier oil, avoid damaged skin, store locked away; call 1-800-222-1222 after swallowing.

  9. Inhibition of enteric parasites by emulsified oil of oregano in vivo

    Phytotherapy Research (PubMed 10815019), 2000

    Force et al.: 14 adults with enteric parasites; 600 mg emulsified oregano oil daily for six weeks; parasite clearance in several cases and symptom improvement in 7 of 11 with Blastocystis; no control group; Biotics Research Corporation affiliation.

  10. Oregano extract ointment for wound healing: a randomized, double-blind, petrolatum-controlled study evaluating efficacy

    Journal of Drugs in Dermatology (PubMed 21968667), 2011

    Ragi et al.: 40 surgical excision patients; 3% oregano extract ointment versus petrolatum; S. aureus in 19% versus 41% of day-12 cultures; one versus three cellulitis cases; equivalent overall scar appearance.

  11. Herbal therapy is equivalent to rifaximin for the treatment of small intestinal bacterial overgrowth

    Global Advances in Health and Medicine (PubMed 24891990), 2014

    Chedid et al.: retrospective chart review of 104 patients choosing rifaximin or herbal capsules; negative breath tests 46% versus 34% (not significant); product compositions including the oregano-containing Candibactin-AR; no conflicts reported.

  12. Bactericidal Property of Oregano Oil Against Multidrug-Resistant Clinical Isolates

    Frontiers in Microbiology (PubMed 30344513), 2018

    Lu et al.: oregano oil active against 11 multidrug-resistant isolates including MRSA in vitro (MIC 0.08–0.64 mg/ml); biofilm eradication; no resistance after 20 passages; about 3-log reduction in infected mouse burn wounds.

  13. Consumption of juice fortified with oregano extract markedly increases excretion of phenolic acids but lacks short- and long-term effects on lipid peroxidation in healthy nonsmoking men

    Journal of Agricultural and Food Chemistry (PubMed 16881679), 2006

    Nurmi et al.: 45 healthy men randomized to placebo juice or juice with 300 or 600 mg/day oregano phenolics for four weeks; increased phenolic excretion; no change in lipids, lipid peroxidation, or safety parameters.

  14. A comprehensive strategy to detect the fraudulent adulteration of herbs: The oregano approach

    Food Chemistry (PubMed 27211681), 2016

    Black et al.: about 24% of 78 retail and online oregano samples adulterated, mostly with olive and myrtle leaves at 30 to over 70%; European Pharmacopoeia and ISO 7925 definitions; Mexican versus Mediterranean leaf oil content.

  15. Essential oil diversity of European Origanum vulgare L. (Lamiaceae)

    Phytochemistry (PubMed 26454793), 2015

    Lukas et al.: 502 plants from 51 populations in 17 countries; essential oil content 0.03–4.6%; cymyl (carvacrol and thymol), sabinyl, and linalool chemotypes, with phenolic types typical of Mediterranean climates.

  16. Labiatae allergy: systemic reactions due to ingestion of oregano and thyme

    Annals of Allergy, Asthma and Immunology (PubMed 8630713), 1996

    Benito et al.: three systemic allergic reactions to oregano and thyme in one patient with skin test and IgE sensitization to several Lamiaceae herbs, suggesting cross-sensitivity within the family.

  17. Iron absorption and phenolic compounds: importance of different phenolic structures

    European Journal of Clinical Nutrition (PubMed 2598894), 1989

    Brune et al.: oregano and tea inhibited iron absorption from test meals in proportion to their content of iron-binding galloyl groups.

  18. [Origanum vulgare and hemorrhagic risk, about a case]

    Annales de Cardiologie et d’Angéiologie (PubMed 39793412), 2025

    Beghriche et al.: INR rose to 6.42 in a 77-year-old on acenocoumarol after a week of daily oregano tea, sometimes with verbena, and stabilized after stopping, diluting the tea, and lowering the dose.