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Ingredient selection for topical formulations must consider consumer acceptance, skin safety and sensory attributes.
September 1, 2017
By: Shyam Gupta
Bioderm Research
Plant-based essential oils are widely used in perfumery, food and flavor components, preservatives, household and laundry deodorizing, and medicinal treatments such as aromatherapy, topical pain relief, arthritis, and acne. An essential oil is a liquid containing volatile aroma compounds obtained from plants. It is “essential” as it contains the “essence of” the plant’s olfactory attributes. This property renders them “essential” in the composition of many fragrance additives used in cosmetics formulations, aromatherapy, massage oils, and medicinal agents. Essential oils can penetrate skin and enhance topical delivery of active agents from topical formulations via a variety of mechanisms, which include disintegration of intercellular lipid structure in stratum corneum, interaction with intercellular proteins, and increasing the distribution of an active agent through the cellular membrane barrier. After skin penetration, essential oils are rapidly metabolized and excreted, suggesting their use as safe skin permeation enhancers.1 However, an unintended enhancement of an active agent into skin can also cause efficacy and safety concerns. Meditation, massage, and medicine can all be practiced via aromatherapy. The benefits of aromatherapy are well documented, ranging from the treatment of mild sleep disturbances2 as an adjuvant treatment in cancer care,3 and massage therapy.4 The therapeutic utilization of essential oils, coupled with their skin penetration and inhalation exposure, can pose both enhanced benefits or significant toxicological concern, especially in terms of skin sensitization, irritation, allergic reactions, and contact dermatitis.5 Relative to allergic reactions, a large number of essential oils are used in cosmetics as aroma ingredients. In a literature study of 517 cosmetics formulations, 11 substances recognized as allergens were found in the essential oils used as fragrance components.6 An indiscriminate use of an essential oil or an aroma ingredient in a cosmetics formulation without the knowledge of the toxicology of their chemical constituents or biological effects is cause for concern. The knowledge of such information for cosmetics formulators, estheticians, and healthcare personnel can be highly beneficial for the consumer.7 This article shall present natural essential oils that are beneficial for skin and their application in topical body care applications and preservation of cosmetics formulations. Massage Therapy for Holistic Well-Being Essential oils for massage therapy and topical pain management are well-documented from antiquity: myrrh being the legendary example. In recent years, massage therapy has emerged as one of the most important complementary and alternative therapies for the management of a variety of ailments. The spectrum of benefits provided by aroma-based massage therapy include arthritis,8 headache,9 back pain,10 and pain from cervical nerves (cervical radiculopathy).11 Aromatherapy massage improves cancer patients’ well-being.12 Hand massage with aroma oils is reportedly beneficial for menstrual pain relief.13 Aroma massage has proven beneficial for sleep quality among women with hypertension.14 Aromatherapy Massage for Pain Relief Massage therapy is an art and a science. The safe, non-pharmacological method of aromatherapy massage can be readily integrated into clinical practice. Well-known essential oils, such as rosemary, geranium, lavender, eucalyptus, and chamomile have been safely used. However, training and experience of aromatherapy and knowledge of the properties of essential oils used by massage personnel is critical to achieving optimal results.15 Massage and reflexology are simple and effective treatments that can be used to help manage pain and fatigue in patients with rheumatoid arthritis.16 A combination of aromatherapy massage and inhalation aromatherapy has been clinically proven to reduce burn patients’ anxiety and pain.17 In a clinical trial, 90 patients with osteoarthritis of the knee were studied in three groups: 1) treatment: massage with lavender oil; 2) placebo: massage with almond oil; and 3) control: without massage. Aromatherapy massage with lavender essential oil was found most effective in relieving pain in these patients.18 In another clinical trial, comparing the effectiveness of aromatherapy and acupressure massage therapies on the sleep quality of women, all experimental groups (blended essential oil, lavender oil, and acupressure massage) showed significant improvements in sleep quality. However, a significantly greater improvement in sleep quality was observed in the blended essential oil groups compared with the lavender oil group. This suggests use of a blend of essential oils to be better than a single entity.19 In a study to determine the effect of aromatherapy massage on quality of sleep and physiological parameters in intensive care patients, aromatherapy massage enhanced the sleep quality of patients and resulted in positive changes to their physiological parameters.20 Abdominal massage with essential oils has been found to be an effective complementary method to relieve menstrual pain (dysmenorrhea).21 The experience and knowledge of the massage therapist and selection of the right composition of massage oil are critical in the success of this ancient treatment method for providing relief and relaxation to the consumer. Dermatological Safety of Massage Oils Skin occupies a rather large surface area (~1.5 to 2.0 square meters). Exposure to any treatment with the massage oil can cause consumers perceived discomfort from erythema, irritation, and dermatitis. Blended fragrances and natural essential oils have been used in perfumery and cosmetics. While many essential oils are now known to cause skin sensitization and dermatitis, the testing of fragrance oils that may contain such essential oils, for example Santalum album, Cananga odorata, Jasminum species, Mentha piperita, Melaleuca alternifolia, tea tree oil, and Lavandula angustifolia, may not reveal this potential safety concern (unless such essential oils are tested themselves).22 Even certain essential oils approved by the FDA as OTC external analgesics (for example, camphor, menthol, methyl salicylate, and turpentine oil), are classified as counter-irritants by the FDA monograph on External Analgesics Drug Products for Over the Counter Human Use. A number of essential oils, used as fragrances, are labeled by their INCI names on cosmetic products, which could be confusing to consumers in terms of ascertaining their dermal safety.23 To illustrate this further, contact dermatitis has been reported with a number of commonly used massage essential oils, including turmeric,24 eucalyptus and tea tree oils,25 lavender oil,26 citral (lemon oil),27 ylang ylang,28 sandalwood,29 and jasmine absolute.29 INCI names of these oils on a product label are not reflective of their common identity, hence not readily recognized by consumers. Among 80 essential oils tested, oils from laurel, turpentine, orange, tea tree, citronella, ylang ylang, sandalwood, clove, and costus root have all shown strong contact allergy.30 Additionally, co-reactivity with other essential oils, fragrance compositions, and other formulation components (which could enhance their skin penetration) is rather common.31 Since many of these essential oils may contain 50-200 individual chemical entities it is not always possible to pinpoint cause for such allergic responses. In view of the aforementioned concerns, patch testing of individual components of essential oil blends and fragrances to ascertain their skin safety needs serious consideration before a product launch.31 A product recall or regulatory action based on consumer complaints is not a pleasant business matter. Natural Oils for Massage Therapy Massage with seed oils to alleviate pain has been practiced since ancient times. The clinical data on the efficacy of such treatments is recently of scientific interest. A clinical study found massage with topical sesame oil on limb trauma patients significantly reduced pain severity.32 In another clinical trial, infants were treated with olive oil massage for 10 days (three times for 15 minutes a day) and control group infants were massaged without olive oil. The neonatal weight gain in the infants with the oil massage was 21 grams daily in average, whereas the increase in infant massage without oil was 7 grams. The positive effect of infant massage with olive oil on weight gain in premature infants was recommended.33 However, in another study the use of topical oils on baby skin was shown to contribute to development of childhood atopic eczema.34 Natural oils are used throughout the world for general skin and hair care. However, there is a lack of scientific evidence to support this practice. In a recent study the effect of olive and sunflower seed oils on stratum corneum integrity and cohesion was studied. Topical application of olive oil for four weeks significantly reduced stratum corneum integrity and induced mild erythema. Sunflower seed oil preserved stratum corneum integrity with no erythema, and improved hydration. In contrast to sunflower seed oil, topical treatment with olive oil significantly damages the skin barrier, and therefore has the potential to promote atopic dermatitis.35 In another clinical trial comparing sunflower oil to an emollient on barrier development in healthy term newborns, both skin care regimes did not harm skin barrier function. The fatty acid content of seed oils seems to be a controlling factor for barrier function disorders (oleic acid being most disruptive).36 Coconut oil massage has been reported to reduce transepidermal water loss in neonates without effect on topical skin microbes.37 In a comparative study, coconut oil was found superior to olive oil in skin moisturization and antibacterial protection.38 Similarly, coconut oil was found superior to mineral oil in treating atopic dermatitis in a study of 117 patients.39 The intercellular lipids of stratum corneum help maintain the skin barrier function. In a study to evaluate the effect of topically applied paraffin, petrolatum, almond oil, and jojoba oil on the intracellular lipid profile of stratum corneum, the plant-derived oils significantly changed the intracellular lipids.36,40 Squalane, now available from plant-based technology, could be an alternative for petroleum-based oils (mineral oil, paraffin) for massage applications. It is worth noting that the (saturated) fats and oils that are not good nutritionally are better suited for topical applications. Conversely, the (unsaturated) fats and oils that are better suited for nutritional purposes41 are not suitable for skin care applications. This divergence could be of significance in the selection of oil/fat in emulsion-based skin care lotion and cream formulations. Formulation Strategy for Massage Oils The formulation of safe and functional massage oils should focus on the following minimal attributes:
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