Monograph

Sweet Orange

Citrus × aurantium f. aurantium

Updated October 10, 2026

Oil painting of a sunlit orange grove with ripe fruit among glossy leaves and distant hills, with a botanical inset of a white five-petaled flower, a leaf with a winged stalk, and a halved orange showing segments and peel oil glands

Key points

  1. 01

    Peel oil is almost all limonene

    Sweet orange oil is pressed from the peel without heat and is 93–96% limonene, a fragrant compound used widely in food flavoring, cosmetics, and cleaning products.

  2. 02

    Part of a tested combination

    Sweet orange oil is about a third of Myrtol (ELOM-080), which beat placebo for acute bronchitis and acute sinusitis. Those results belong to the four-oil product.

  3. 03

    Orange scent may calm nerves

    Small dental-office and laboratory studies found less self-reported anxiety with orange aroma, but reviews rate the overall aromatherapy evidence as weak and inconsistent.

  4. 04

    Heartburn claims rest on a patent

    D-limonene capsules for heartburn are backed by two tiny studies described in a US patent. MSKCC says evidence is lacking for heartburn or GERD.

  5. 05

    Oxidized oil causes skin allergy

    Limonene oxidizes in air, and about 5% of tested dermatitis patients reacted to oxidized limonene. Keep oil fresh, dilute it, and never swallow it from the bottle.

Sweet orange is the most widely grown citrus fruit in the world, and this page is about its peel and the essential oil pressed from it rather than the juice at breakfast. The outer, colored layer of the peel is dotted with tiny oil glands, and squeezing that peel without heat yields a bright, sweet-smelling oil that, according to the International Organization for Standardization (ISO), is 93–96% limonene. The oil flavors soft drinks and sweets, scents cleaning products and cosmetics, and is diffused in rooms as aromatherapy. It is also about a third of ELOM-080, the distillate sold as Myrtol or GeloMyrtol forte, which blends eucalyptus, sweet orange, myrtle, and lemon oils in a ratio of 66:32:1:1. Botanically, sweet orange is not a wild species but an ancient hybrid of pummelo and mandarin, and Kew’s Plants of the World Online (POWO) now files it under the same name as bitter orange and grapefruit, which matters because the bitter orange sold in weight-loss supplements is a different and riskier product.

The best evidence involves sweet orange oil only as one ingredient of a combination. In a German trial of 413 adults with acute bronchitis, Myrtol capsules cut coughing fits by 62.1% after about a week, against 49.8% with placebo (Gillissen and colleagues, Drug Research 2013), and in 463 people with acute viral sinusitis, symptoms eased faster than with placebo and cleared about three days sooner (Pfaar and colleagues, The Laryngoscope 2023). Those results belong to the four-oil product, not to orange oil alone. Orange oil on its own has been tested mainly as a scent: small studies in dental waiting rooms and in a laboratory stress test found that people breathing orange aroma reported less anxiety, but reviews describe the overall body of aromatherapy research as small, inconsistent, and methodologically weak. Concentrated d-limonene, the main compound in the oil, is sold for heartburn on the strength of two small studies described in a US patent; Memorial Sloan Kettering Cancer Center (MSKCC) says evidence is lacking to support that use.

Allergy is the main practical risk. Fresh limonene is barely allergenic, but it oxidizes in air, and in a six-country study about 1 in 20 people tested at skin clinics reacted to oxidized limonene. Sweet orange oil showed only borderline phototoxic potential in tests reviewed by the Cosmetic Ingredient Review (CIR), much less than some other citrus oils, yet undiluted oil can still irritate skin. Essential oils should be kept away from children, because swallowing them can cause poisoning and inhaling droplets into the lungs can cause pneumonia. Orange juice, though not the subject of this page, reduces the absorption of some medicines, including the allergy drug fexofenadine and the blood pressure drug atenolol. Nothing here is medical advice; a cough lasting more than a few weeks, coughing up blood, high fever or breathlessness, heartburn that keeps returning or makes swallowing hard, and any swallowed essential oil all deserve prompt medical attention or a call to poison control.

In this monograph

01 The plant

Botanical profile

Sweet orange has one of the most tangled names in botany. Linnaeus described it in Species Plantarum in 1753 as a variety of bitter orange, Citrus aurantium var. sinensis, and the US Department of Agriculture’s Germplasm Resources Information Network (GRIN) still files it as Citrus × aurantium var. sinensis, in a ‘Sweet Orange Group.’ For most of the past two centuries, however, scientists and regulators have called it Citrus sinensis (L.) Osbeck, the name used in the genome papers, in the ISO standard for the oil, and in US food regulations. Kew’s POWO now treats Citrus × sinensis as a synonym of Citrus × aurantium f. aurantium, a broad hybrid group that it describes as a cultigen from southern China, with the hybrid formula C. maxima × C. maxima × C. reticulata, recording pummelo and mandarin ancestry. The same accepted name also absorbs grapefruit (C. × paradisi) and several bitter orange synonyms, among them C. aurantium var. amara and C. × amara, so the Latin name on its own no longer separates a sweet orange from a Seville orange. This page uses Kew’s name as the formal one but keeps ‘Citrus sinensis’ wherever a study, standard, or regulation does.

Genetics explains the muddle. Xu and colleagues (Nature Genetics 2013) assembled a draft genome of sweet orange, covering 87.3% of its estimated length and predicting 29,445 protein-coding genes, half of them in a heterozygous, mixed-parent state, and they concluded that sweet orange arose from a backcross hybrid between pummelo and mandarin. Wu and colleagues (Nature Biotechnology 2014) then showed that cultivated citrus derives from two progenitor species, the pummelo Citrus maxima and the mandarin Citrus reticulata. In their analysis sweet orange, the most widely cultivated citrus, is the offspring of previously mixed individuals, whereas sour (bitter) orange is a first-generation cross of pure pummelo and pure mandarin parents. The tree itself is one that Encyclopaedia Britannica describes as often about 6 meters tall, with leaves on winged stalks and fragrant white five-petaled flowers. Its fruit is a specialized berry called a hesperidium, and Britannica notes that orange trees commonly keep bearing for 50 to 80 years or more.

The peel is where the medicinal interest lies. Favela-Hernández and colleagues (Molecules 2016), who note that sweet orange accounts for about 70% of world citrus production, describe a waxy surface over the flavedo, the thin colored outer layer packed with small aromatic oil glands, and beneath it the white, spongy albedo. Britannica adds that the glands of sweet orange peel are convex, bulging slightly from the surface. ISO 3140, last confirmed in 2024, defines the expressed oil and sets its expected profile: limonene 93.0–96.0%, myrcene 1.5–3.5%, and much smaller amounts of α-pinene, sabinene, linalool, the aldehydes octanal and decanal, and valencene, each specified at no more than about 1%. Across citrus oils in general, CIR found limonene levels ranging from 38.1% to 95.8%, so sweet orange is at the limonene-rich end. The peel also contains non-volatile flavonoids, which do not appear in the ISO profile of the oil: hesperidin is the main flavonoid glycoside, and the peel holds polymethoxyflavones such as nobiletin and tangeretin (Favela-Hernández and colleagues).

02 Lineage

History

Sweet orange is a cultivated plant with no truly wild home; POWO calls it a cultigen from southern China. Its name traveled west long before the fruit did. In a review of archaeological and textual evidence, the archaeobotanist Dafna Langgut (HortScience 2017) traces the word orange from Sanskrit naranga through Persian narang and Arabic narandj. The first oranges to reach the Mediterranean were not sweet ones. Langgut describes sour orange, along with lime and pummelo, arriving in the 10th century in the wake of the Islamic conquests, so for roughly five centuries the orange of the Mediterranean was the bitter one. Bitter oranges are still the classic Seville oranges grown for marmalade, as Britannica notes, and US food regulations still list bitter orange peel and flowers, neroli bigarade, and petitgrain separately from sweet orange. The sweet orange, the fruit most people now picture, was a comparative latecomer to Europe.

According to Langgut, sweet orange reached the Mediterranean in the second half of the 15th century, probably through Genoese trade, with archives from Savona dated 1471 sometimes cited as an early record. By 1475 the humanist Platina was distinguishing sweet oranges from sour ones in print. Portuguese voyages then spread new and better strains in the 16th century. When Vasco da Gama reached Mombasa on the East African coast in 1498, his crew recorded “very good oranges, much better than those from Portugal,” a hint that Europeans already knew the fruit but not its best forms. The mandarin, sweet orange’s other parent group, arrived in the Mediterranean only in the early 19th century. By 1753, when Linnaeus named the sweet orange, he gave it the epithet sinensis, meaning Chinese, pointing back toward the East Asian homeland that genetics and POWO now confirm.

Oranges became a status symbol in northern Europe, where the trees had to be sheltered in winter. At Versailles, the Palace of Versailles explains, Louis Le Vau built a first orangery in 1663, and Jules Hardouin-Mansart rebuilt it at about twice the size in the 1680s, with a central gallery more than 150 meters long under a 13-meter vault and walls 4 to 5 meters thick that keep the temperature at 5°C or above. Its orange trees came from Portugal, Spain, and Italy, and some living there today are more than 200 years old. Commercially, Britannica lists essential oils, pectin, and candied peel among the by-products of the orange industry. Favela-Hernández and colleagues record traditional uses of sweet orange for constipation, cramps, colic, diarrhea, bronchitis, cough, colds, anxiety, depression, and stress, uses that come from folk practice rather than trials. In the United States, federal regulations list sweet orange, its peel, flowers, and leaf among essential oils and extracts generally recognized as safe (GRAS) for food use.

03 Chemistry

Active compounds and how it works

Limonene dominates the chemistry of the oil. It is a volatile monoterpene, a small, fragrant hydrocarbon that evaporates readily, which is why the smell of orange peel fills a room so quickly. Pure limonene is not, or only very weakly, allergenic, but Bråred Christensson and colleagues (Contact Dermatitis 2013) explain that it autoxidizes when exposed to air, and the resulting limonene hydroperoxides are what cause contact allergy. That is why the International Fragrance Association (IFRA), as summarized by CIR, requires limonene used in fragrances to have a peroxide value below 20 millimoles per liter, and why an old, half-empty bottle of orange oil is more likely to cause a rash than a fresh one. The flavonoids of the peel are a separate story. Hesperidin, nobiletin, and tangeretin are studied mostly in cell and animal experiments, and Favela-Hernández and colleagues frame sweet orange as a promising source of compounds for developing new drugs rather than as a proven treatment in its own right. None of that laboratory work tells us what a drop of oil or a slice of peel does in a person.

Within Myrtol, sweet orange oil contributes one of the product’s three marker compounds. Paparoupa and Gillissen (Pharmacognosy Reviews 2016) name these as d-limonene, 1,8-cineole (mainly from eucalyptus), and α-pinene. A laboratory study of the product’s antiviral activity notes that its orange and lemon oils are cold-pressed while its eucalyptus and myrtle oils are steam-distilled, after which the blend is rectified and distilled again. Rantzsch and colleagues (European Journal of Medical Research 2009) describe Myrtol as increasing mucociliary clearance, the movement of mucus out of the airways by tiny hair-like cells, and as having mucus-loosening effects. In their own experiment, immune cells called alveolar macrophages taken from the lungs of 26 people with severe chronic obstructive pulmonary disease (COPD) were exposed to the oils in the laboratory and then stimulated. Orange oil reduced the release of reactive oxygen species by 23.6% and of the inflammatory messenger TNF-α by 26.6%, figures similar to those for eucalyptus oil. This is laboratory work, and it does not show that orange oil alone helps a cough.

How a scent might lower anxiety is unclear. Lehrner and colleagues suggested that odors can alter emotional states, but in the laboratory study by Goes and colleagues (Journal of Alternative and Complementary Medicine 2012), people breathing sweet orange aroma reported less anxiety without any difference in heart rate or muscle tension, so expectation and pleasant distraction are hard to rule out. For heartburn, a 2007 review of d-limonene by Sun (Alternative Medicine Review) attributes its use to a gastric acid neutralizing effect and support of normal peristalsis, the wave-like contractions that move food along, but these explanations were not measured in the patent studies the review relies on. The best-understood mechanisms actually involve the juice. Dresser and colleagues (Clinical Pharmacology & Therapeutics 2002) found that orange, grapefruit, and apple juices block a family of drug-uptake transporters in the gut called organic anion transporting polypeptides (OATPs), lowering the absorption of some medicines. Bitter Seville orange juice additionally contains furanocoumarins that block the drug-metabolizing enzyme CYP3A4, much like grapefruit, whereas ordinary orange juice served as the inactive comparison in that research (Malhotra and colleagues 2001).

04 In practice

Common uses

Acute bronchitis is where an orange-containing product has its strongest evidence. Gillissen and colleagues (Drug Research 2013) randomized 413 adults with acute bronchitis and no complicating illnesses to Myrtol 300 mg four times daily or a matching placebo, double-blind. After about a week, coughing fits had fallen by an average of 62.1% with Myrtol and 49.8% with placebo, a statistically significant difference (p < 0.0001). People taking Myrtol reached a 50% reduction in coughing fits sooner, had fewer daytime coughing fits, less difficulty bringing up phlegm, and less sleep disturbance from night-time coughing, and both treatments were generally well tolerated. The capsules contain about 32% sweet orange oil, but they also contain about 66% eucalyptus oil, whose main constituent, 1,8-cineole, has been tested on its own in respiratory trials, so the trial cannot show how much, if anything, the orange oil contributes. German product information from the manufacturer, Pohl-Boskamp, lists acute and chronic bronchitis and sinusitis as the approved uses, for adults and children from age 6.

Acute sinusitis is the second use. Pfaar and colleagues (The Laryngoscope 2023) randomized 463 people with acute viral rhinosinusitis, the common cold-related sinus inflammation, to one ELOM-080 capsule four times a day or placebo. By day 4, the burden of symptoms was already significantly lower with ELOM-080 (p = 0.012), symptoms improved about a day earlier in the first week and three days earlier in the second, and the authors reported remission about three days sooner overall. Smell testing improved similarly in both groups, and both treatments were well tolerated. A 2025 systematic review of essential oils for acute rhinosinusitis by Matl and colleagues (Laryngoscope Investigative Otolaryngology) found five randomized trials of capsule products, including ELOM-080, which outperformed placebo; when it was compared with the herbal product Sinupret (BNO 1016), patient-rated improvement differed little, and mild gastrointestinal upset was the most common side effect. That head-to-head comparison was a non-interventional study of 228 patients funded by the manufacturer (Gottschlich and colleagues 2018). Again, the evidence is for the four-oil product.

Orange aroma for anxiety has a small but often-cited evidence base. Lehrner and colleagues (Physiology & Behavior 2000) diffused orange oil into a dental waiting room for 72 patients; compared with controls, women exposed to the scent reported lower state anxiety, better mood, and more calmness, and the authors reported these effects specifically for women. A larger follow-up (Physiology & Behavior 2005) assigned 200 dental patients to orange scent, lavender scent, music, or no intervention, and both scents reduced anxiety and improved mood compared with the control condition. In a laboratory study by Goes and colleagues (2012), 40 healthy men inhaled sweet orange oil, tea tree oil, or water before a stressful color-word test; those inhaling 2.5 or 10 drops of orange oil did not show the rise in anxiety and tension seen in the control groups, although their physical stress responses were unchanged. These are short, single-occasion studies of situational nervousness, not treatments for anxiety disorders, and patients and staff could smell which group they were in.

Reviews urge caution. Mannucci and colleagues (Evidence-Based Complementary and Alternative Medicine 2018) analyzed nine clinical studies of sweet and bitter orange oils for anxiety and concluded that inhaling sweet orange oil may have beneficial effects, but that incomplete reporting of methods means more complete trials are needed. A broader network meta-analysis by Tan and colleagues (Frontiers in Public Health 2023) pooled 44 randomized trials of ten essential oils in 3,419 patients and found lower anxiety scores overall, but with very high variability between studies (I² of 93.2%), an effect that shrank sharply when small studies were set aside, about three-quarters of the trials coming from a single country, and certainty of evidence rated mostly low or very low. Its high-ranking “Citrus aurantium” group also pooled studies of sweet orange and bergamot under the bitter orange name, so it cannot be read as evidence for any one citrus oil. Orange aroma is a pleasant, low-risk comfort measure; it is not a substitute for treatment of persistent anxiety.

Heartburn is the most heavily marketed use of concentrated d-limonene. Sun’s 2007 review, written by an author employed by a supplement company, draws its heartburn data from studies described in a US patent: in an uncontrolled study, 19 adults took 1,000 mg daily or every other day and 89% reported complete relief by day 14, and in a small double-blind comparison, 86% of 7 people on d-limonene and 29% of 6 on a soybean-oil placebo reported relief at day 14. Neither study appears to have been published in a peer-reviewed journal with full statistics, and a 2025 review in Nutrients likewise noted that larger trials are needed. MSKCC, updated in April 2023, says evidence is lacking to support d-limonene for heartburn or gastroesophageal reflux disease (GERD), and it also finds no human evidence that it prevents or treats cancer, despite laboratory and animal findings. Sun’s review notes that d-limonene, a solvent of cholesterol, has been used clinically to dissolve cholesterol-containing gallstones. The traditional uses of the peel for digestion, colds, and low mood listed by Favela-Hernández and colleagues have not been tested in modern trials.

05 The apothecary

Preparations and traditional use

Sweet orange essential oil is normally made by pressing, not distilling. ISO 3140 defines it as oil obtained without heating by physical extraction from the peel, and the orange oil in Myrtol is likewise cold-pressed before the final blend is distilled. In the United States, sweet orange oil and extracts of the peel, flowers, and leaf are listed as generally recognized as safe for food use, and the oil flavors drinks, sweets, and baked goods. In cosmetics it is common: CIR counted 289 reported uses of orange peel oil and judged citrus peel oils safe when formulated to be non-sensitizing and non-irritating and when the phototoxic compound 5-methoxypsoralen (5-MOP) is kept at or below 15 parts per million. Under European cosmetics rules, also summarized by CIR, limonene must be declared on the label when it exceeds 0.001% in leave-on products or 0.01% in rinse-off products, which is why “limonene” appears on so many ingredient lists. Do not confuse sweet orange oil with neroli or petitgrain, which come from the flowers and from the leaves and twigs of bitter orange (ISO 8901).

Products used in studies differ widely. Myrtol (ELOM-080, GeloMyrtol forte) comes as enteric-coated capsules containing 300 mg of the distillate, designed to pass through the stomach before releasing, and the trials used one capsule four times daily for acute bronchitis and acute sinusitis. The heartburn studies described in Sun’s review used d-limonene capsules of 1,000 mg daily or every other day, a far larger dose than food provides: Sun estimates average US intake from food at about 0.27 mg per kilogram of body weight per day. For aromatherapy, Lehrner and colleagues diffused orange oil into a waiting room with an electric dispenser, and Goes and colleagues had volunteers inhale 2.5, 5, or 10 drops of oil just before a stress test. No dose of orange aroma has been established for anxiety. The peel flavonoids hesperidin, nobiletin, and tangeretin are not part of the essential oil’s specified profile, and none of the human studies above tested them. In the kitchen, orange zest, candied peel, and orange-flavored foods are the everyday ways people take in small amounts of peel and its oil.

Practical points: buy oil labeled Citrus sinensis or sweet orange, keep it tightly capped, and replace old, long-opened bottles, since limonene oxidizes on contact with air and oxidized limonene is the main skin allergen. For skin use, Poison Control advises diluting essential oils in a carrier oil and not applying them to damaged skin; try a small patch first. Diffuse it in short sessions in a ventilated room rather than continuously. Never swallow essential oil from a bottle, and keep bottles and reed diffusers locked away from children. Myrtol and similar capsules should be taken as the package insert directs, and if a cough or sinus infection is not improving after about a week, or is getting worse, see a clinician. Read labels carefully when buying orange supplements: products sold for weight loss or energy usually contain bitter orange extract with p-synephrine, a stimulant with an entirely different safety profile from sweet orange.

Safety

Before you use sweet orange

06 Caution

Side effects

Skin allergy is the best-documented problem, and it mostly comes from limonene that has oxidized. In the multicenter study by Bråred Christensson and colleagues, 2,900 consecutive dermatitis patients in Denmark, the United Kingdom, Singapore, Spain, Sweden, and Australia were patch tested with oxidized limonene, and 5.2% reacted, with rates ranging from 2.3% to 12.1% across clinics. The authors noted that many of these people would never have learned of their fragrance allergy without that specific test. For sweet orange oil itself, CIR reports that fewer than 2.5% of patients patch tested with 2% oil reacted. MSKCC lists contact dermatitis, including cases from limonene-containing hand cleansers and adhesives and occupational dermatitis in people handling it at work, among reported adverse effects. Contact allergy of this kind typically shows up as an itchy, red, eczema-like rash where the product touched the skin, and fragrance products, cosmetics, and household cleaners can all be hidden sources of oxidized limonene.

Irritation and sun sensitivity are smaller concerns for sweet orange than for some other citrus oils. CIR found that sweet orange oil had borderline phototoxic potential in laboratory cell tests, and in a small human test, a 1% concentration caused phototoxic reactions in three of five subjects, while 0.1% and lower concentrations caused none. For comparison, IFRA limits cited by CIR restrict expressed bitter orange oil to 1.25%, cold-pressed lemon oil to 2%, and expressed lime oil to 0.7% in leave-on products, with no specific limit listed for sweet orange. Undiluted essential oils can still irritate skin and mucous membranes, so it is reasonable to avoid applying any citrus oil to skin that will be in strong sun soon afterward. In animal tests, CIR reported low acute toxicity on the skin, with a dermal lethal dose above 5 g/kg in rabbits, and it found no evidence that sweet orange oil damages genes.

Taken by mouth in products, the oil mostly causes digestive upset. The German product information for Myrtol lists stomach and upper abdominal pain, gastritis or enteritis, nausea, vomiting, diarrhea, taste changes, headache, and dizziness, along with allergic reactions such as breathlessness, facial swelling, hives, rash, and itching, and severe anaphylaxis at a frequency that cannot be estimated. It also warns that the capsules can very rarely move existing kidney stones or gallstones. In the two large trials, Myrtol was generally well tolerated, and Matl and colleagues found mild gastrointestinal upset to be the most common side effect across essential-oil sinusitis trials. MSKCC lists nausea, vomiting, diarrhea, allergic skin rash, and asthma as possible effects of d-limonene, the asthma reference being a case of a laborer handling citrus fruit. Swallowing essential oil from a bottle is different: Poison Control warns that misusing essential oils can cause serious poisoning and that an oil inhaled into the lungs while swallowing can cause pneumonia.

Some of the most serious harms associated with “orange” products have nothing to do with sweet orange. The National Center for Complementary and Integrative Health (NCCIH) notes that bitter orange extract, which contains the stimulant p-synephrine, has been linked to heart rhythm problems, heart attacks, and strokes, in reports that mostly involved multi-ingredient products. It adds that when the Food and Drug Administration (FDA) analyzed 59 supplements, only 5 of 23 that listed an amount of p-synephrine came close to the label, and 6 contained illegal synthetic stimulants. None of the sweet orange studies on this page involved synephrine, and NCCIH considers bitter orange essential oil itself generally well tolerated when used on the skin or as aromatherapy. The lesson is to check the Latin name and the ingredient list, not to fear orange peel.

07 Caution

Contraindications

Do not swallow sweet orange essential oil straight from the bottle, and never give it to children by mouth. Poison Control notes that children have thin skin and immature livers, which may make them more vulnerable to essential oil toxicity, recommends locking bottles out of sight and reach if you keep them at home with young children, and points out that orange and lemon oils are common ingredients in furniture polishes and wood-care products, which belong in the same locked cupboard. If anyone swallows an essential oil or a product containing one, contact poison control right away; in the United States the number is 1-800-222-1222. Coughing, choking, or breathing trouble after swallowing an oil needs emergency care because of the risk of pneumonia. Normal amounts of orange in food, including zest, marmalade, and orange-flavored drinks, are a different matter and are generally regarded as safe.

Fragrance or limonene allergy: people who have reacted to oxidized limonene on patch testing, or who have a known fragrance allergy, should avoid applying sweet orange oil to their skin and should check cosmetic labels for limonene. Do not apply essential oils to broken, inflamed, or eczematous skin, and stop at the first sign of a rash. Because sweet orange oil showed some phototoxicity at 1% in a small human test, avoid putting concentrated oil on skin that will be exposed to strong sun or a tanning lamp. People with asthma or very reactive airways may find strong scents irritating, and MSKCC lists asthma among reported reactions to limonene, so diffusing oil around someone with asthma should be done cautiously, briefly, and with good ventilation, or not at all.

Myrtol and other ELOM-080 products: the German product information says they should not be used by people with inflammatory diseases of the gut or bile ducts, or severe liver disease, or by children under 6; people with asthma, whooping cough, or other very sensitive airways should use it only after talking to a doctor. In pregnancy and breastfeeding, it advises use only after a doctor has weighed the benefits and risks. Because the capsules can mobilize existing kidney stones or gallstones, people with known stones should ask a doctor first. Anyone who develops breathlessness, facial swelling, or hives after taking a capsule should stop and seek urgent care, because the product information lists allergic reactions, including rare severe anaphylaxis, among possible side effects. These cautions apply to the four-oil product as a whole, of which eucalyptus oil is the largest part, and they are worth knowing before buying it over the counter.

Concentrated d-limonene and bitter orange: none of the sources reviewed here include safety studies of high-dose d-limonene in pregnancy, breastfeeding, or children, so it is best avoided in those situations, and anyone with gallstones should not use it to self-treat. NCCIH warns that bitter orange may not be safe in pregnancy or breastfeeding and notes that the National Collegiate Athletic Association (NCAA) bans synephrine, so athletes and people with heart conditions should make sure an “orange” supplement is not bitter orange extract. Heartburn that happens more than occasionally, that comes with difficulty or pain on swallowing, unintended weight loss, vomiting, or black stools, or chest pain that might be cardiac, needs a medical assessment rather than a supplement trial.

08 Caution

Drug and herb interactions

Orange juice and fexofenadine: the clearest interaction involves the juice, not the peel. In a crossover study of 10 healthy volunteers, Dresser and colleagues (Clinical Pharmacology & Therapeutics 2002) found that drinking large amounts of grapefruit, orange, or apple juice with the antihistamine fexofenadine cut the amount absorbed to 30–40% of that seen with water, by blocking OATP transporters that carry the drug from the gut into the blood. FDA’s consumer guidance on grapefruit adds that fexofenadine may not work as well when taken with orange or apple juice. It also warns that Seville oranges, often used in marmalade, along with pomelos and tangelos, may affect medicines the way grapefruit does. If you take fexofenadine or another medicine with a juice warning, ask a pharmacist how to time it.

Orange juice and beta-blockers: Lilja and colleagues found that 200 ml of orange juice three times a day lowered the peak blood level of atenolol by 49% and the total amount absorbed by 40% in 10 healthy volunteers (European Journal of Clinical Pharmacology 2005), and in an earlier study orange juice reduced absorption of celiprolol by 83% (Clinical Pharmacology & Therapeutics 2004). Ordinary sweet orange juice does not appear to have grapefruit’s effect on the enzyme CYP3A4; in the felodipine study by Malhotra and colleagues, common orange juice was used as the inactive comparison, while Seville orange juice raised felodipine levels by 76%, close to the 93% seen with diluted grapefruit juice. That difference is a practical reason to know whether a recipe or drink uses sweet or bitter oranges. People taking atenolol or celiprolol should discuss regular orange juice with their prescriber or pharmacist.

Peel oil, Myrtol, and d-limonene: none of the juice studies tested essential oil, capsules, or supplements, and the sources reviewed here describe no established drug interactions for sweet orange oil used as aromatherapy or in small amounts on the skin. For ELOM-080, tell a doctor or pharmacist about all medicines you take before starting it, particularly if you are being treated for liver, bile duct, or gut disease, and read the package insert. People taking concentrated d-limonene alongside prescription medicines should mention it, since high doses are far above food levels and have not been well studied for interactions. The bigger interaction risk lies in mislabeled “orange” supplements: NCCIH notes that the heart problems reported with bitter orange mostly involved multi-ingredient products, and FDA testing found some contained illegal synthetic stimulants, so check that a product truly contains sweet orange.

09 Questions

Frequently Asked Questions

No, although Kew now files them under the same Latin name, Citrus × aurantium. Sweet orange is the familiar eating orange. Bitter orange, also called Seville or sour orange, is grown for marmalade, neroli, and petitgrain, and its extract, which contains the stimulant p-synephrine, is sold in weight-loss and energy supplements. NCCIH says bitter orange supplements are not clearly helpful for any purpose and have been linked to heart rhythm problems, heart attacks, and strokes. Seville orange juice can also interact with medicines much like grapefruit. Check the label for “Citrus sinensis” or “sweet orange.”

Myrtol, sold as GeloMyrtol forte and known in research as ELOM-080, is a distillate of four essential oils: eucalyptus, sweet orange, myrtle, and lemon, in a ratio of 66:32:1:1, in 300 mg enteric-coated capsules. Sweet orange oil is therefore about a third of the blend. Placebo-controlled trials in 413 people with acute bronchitis and 463 with acute viral sinusitis found faster improvement. Those results apply to the combination, not to orange oil alone. The manufacturer’s information lists gut and bile duct disease, severe liver disease, and children under 6 among reasons not to use it.

It may take the edge off a stressful moment. Diffused orange scent lowered self-reported anxiety in dental waiting rooms, especially among women in the first study, and inhaled sweet orange oil prevented a rise in anxiety during a laboratory stress test in 40 men. These were short, small studies, and reviews describe aromatherapy research as methodologically weak. In the larger 2005 dental study, orange and lavender scents worked similarly. Aromatherapy is a pleasant, low-risk comfort measure, but anxiety that persists or interferes with daily life deserves professional help.

It is unproven. The claims rest on two small studies described in a US patent, one uncontrolled in 19 adults and one double-blind in just 13, using 1,000 mg capsules; they were not published as full peer-reviewed trials. MSKCC says evidence is lacking to support d-limonene for heartburn or GERD, and it lists nausea, vomiting, diarrhea, rash, and asthma among reported side effects. Frequent heartburn, trouble swallowing, weight loss, vomiting, or chest pain should be checked by a doctor before trying supplements.

Do not drink essential oil from the bottle or add undiluted drops to water. Food manufacturers use tiny, measured amounts of orange oil as a flavoring, and US regulations list it as generally recognized as safe for that purpose, but Poison Control warns that misusing essential oils can cause serious poisoning, and that oil accidentally inhaled into the lungs while swallowing can cause pneumonia. For orange flavor at home, use fresh zest or a food-grade flavoring as directed. Keep essential oils locked away from children, and call poison control if someone swallows one.

Yes, with some. Orange, grapefruit, and apple juices reduced absorption of the antihistamine fexofenadine to 30–40% of normal in one study, and FDA warns that fexofenadine may not work as well with orange or apple juice. Orange juice also lowered blood levels of the beta-blockers atenolol and celiprolol. Ordinary orange juice does not seem to block the CYP3A4 enzyme the way grapefruit does, but bitter Seville orange juice does, raising levels of the blood pressure drug felodipine. Ask a pharmacist whether any of your medicines carry a juice warning.

Less than some citrus oils, but not zero. CIR reviewed tests in which sweet orange oil had borderline phototoxic potential in cells and caused reactions at 1% in three of five people, but none at 0.1% or less. Fragrance-industry limits cited by CIR cap expressed bitter orange, lemon, and lime oils in leave-on products, but list no specific limit for sweet orange. Oxidized limonene is a more common problem, causing allergic rashes in about 5% of patients tested at skin clinics, so use fresh, diluted oil and avoid strong sun on treated skin.

Occasional, brief diffusing in a ventilated room is the cautious approach, and the bottle itself is the bigger hazard. Poison Control notes that children may be more vulnerable to essential oil toxicity and recommends locking bottles and reed diffusers out of reach. Myrtol capsules are not for children under 6. Never apply undiluted oil to a child’s skin, and if a child has asthma, strong scents may be best avoided. For young children with coughs, see the cautions on our eucalyptus page, since eucalyptus oil can be dangerous for infants and toddlers.

10 References

Sources

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

  1. Citrus × aurantium f. aurantium

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

    Accepted name for sweet orange; Citrus × sinensis (L.) Osbeck listed as a synonym; native range given as a cultigen from southern China; hybrid formula C. maxima × C. maxima × C. reticulata; also includes grapefruit and bitter orange synonyms.

  2. The draft genome of sweet orange (Citrus sinensis)

    Nature Genetics (PubMed 23179022), 2013

    Xu et al.: assembly covering 87.3% of the genome; 29,445 protein-coding genes, half heterozygous; evidence that sweet orange originated from a backcross hybrid between pummelo and mandarin.

  3. Chemistry and Pharmacology of Citrus sinensis

    Molecules (PubMed 26907240), 2016

    Favela-Hernández et al.: about 70% of citrus production; peel structure with oil glands, flavedo, and albedo; limonene about 94% of the oil; hesperidin, nobiletin, and tangeretin; traditional uses; framed as a source of drug leads.

  4. ISO 3140:2019 Essential oil of sweet orange expressed [Citrus sinensis (L.)]

    International Organization for Standardization, 2019

    Defines expressed sweet orange oil, obtained without heating from the peel; chromatographic profile with limonene 93.0–96.0% and myrcene 1.5–3.5%; standard reviewed and confirmed in 2024.

  5. Safety Assessment of Citrus-Derived Peel Oils as Used in Cosmetics

    Cosmetic Ingredient Review (CIR), 2014

    Final report: limonene 38.1–95.8% of citrus oils; 289 cosmetic uses of orange peel oil; IFRA limits for other citrus oils; borderline phototoxicity of sweet orange oil; patch test data; EU limonene labeling; safe with 5-MOP at or below 15 ppm.

  6. An international multicentre study on the allergenic activity of air-oxidized R-limonene

    Contact Dermatitis (PubMed 23510342), 2013

    Bråred Christensson et al.: pure limonene not or only weakly allergenic but autoxidizes in air; 5.2% (range 2.3–12.1%) of 2,900 consecutive dermatitis patients in six countries reacted to oxidized limonene 3%.

  7. A multi-centre, randomised, double-blind, placebo-controlled clinical trial on the efficacy and tolerability of GeloMyrtol® forte in acute bronchitis

    Drug Research (PubMed 23447044), 2013

    Gillissen et al.: 413 patients randomized to Myrtol 300 mg four times daily or placebo; coughing fits fell 62.1% versus 49.8% after about one week (p < 0.0001); both treatments well tolerated.

  8. Phytomedicine ELOM-080 in Acute Viral Rhinosinusitis: A Randomized, Placebo-Controlled, Blinded Clinical Trial

    The Laryngoscope (PubMed 36222438), 2023

    Pfaar et al.: 463 patients, one capsule four times daily; symptom burden significantly lower than placebo by day 4 (p = 0.012); remission about three days earlier; both treatments well tolerated.

  9. Ambient odor of orange in a dental office reduces anxiety and improves mood in female patients

    Physiology & Behavior (PubMed 11134689), 2000

    Lehrner et al.: 72 dental patients; women exposed to diffused orange odor had lower state anxiety, more positive mood, and more calmness than controls.

  10. Clinical Pharmacology of Citrus aurantium and Citrus sinensis for the Treatment of Anxiety

    Evidence-Based Complementary and Alternative Medicine (PubMed 30622597), 2018

    Mannucci et al.: nine clinical studies of bitter and sweet orange oils; inhaled sweet orange oil may reduce anxiety, but incomplete methodological reporting means more complete trials are needed.

  11. Essential oils for treating anxiety: a systematic review of randomized controlled trials and network meta-analysis

    Frontiers in Public Health (PubMed 37325306), 2023

    Tan et al.: 44 trials, 3,419 patients; essential oils lowered state anxiety scores overall, with high heterogeneity and mostly low or very low certainty; the citrus node pooled several citrus species.

  12. D-Limonene: safety and clinical applications

    Alternative Medicine Review (PubMed 18072821), 2007

    Sun: GRAS flavoring; low toxicity; male-rat kidney tumors judged not relevant to humans; gallstone dissolution; heartburn data from two small patent studies (19 and 13 participants) using 1,000 mg doses.

  13. D-limonene

    Memorial Sloan Kettering Cancer Center, About Herbs, 2023

    Updated April 2023: also called orange peel oil; evidence lacking for heartburn and GERD; anticancer effects not shown in humans; nausea, vomiting, diarrhea, contact dermatitis, sensitization, and asthma reported.

  14. Bitter Orange

    National Center for Complementary and Integrative Health (NIH), 2024

    p-Synephrine; not clearly helpful for any purpose; heart rhythm problems, heart attacks, and strokes with multi-ingredient products; FDA label-accuracy findings; bitter orange oil generally well tolerated; may be unsafe in pregnancy.

  15. Fruit juices inhibit organic anion transporting polypeptide-mediated drug uptake to decrease the oral availability of fexofenadine

    Clinical Pharmacology & Therapeutics (PubMed 11823753), 2002

    Dresser et al.: in 10 healthy subjects, grapefruit, orange, and apple juices cut fexofenadine exposure to 30–40% of that with water by inhibiting OATP drug uptake.

  16. The Citrus Route Revealed: From Southeast Asia into the Mediterranean

    HortScience (American Society for Horticultural Science), 2017

    Langgut: sour orange, lime, and pummelo reached the Mediterranean in the 10th century; sweet orange in the second half of the 15th century via Genoese and then Portuguese trade; etymology from Sanskrit naranga.