LIMONENE: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews

Overview

Limonene is a chemical found in the peels of citrus fruits and in other plants. It is used to make medicine.

Limonene is used for obesity, cancer, and bronchitis, but there is no good scientific evidence to support these uses.

In foods, beverages, and chewing gum, limonene is used as a flavoring.

In pharmaceuticals, limonene is added to help medicinal ointments and creams penetrate the skin.

In manufacturing, limonene is used as a fragrance, cleaner (solvent), and as an ingredient in household cleaning products, cosmetics, and personal hygiene products.

How does it work ?

Limonene may block cancer-forming chemicals and kill cancer cells in the laboratory. But more research is needed to know if this occurs in humans.

Interactions ?

Moderate Interaction

Be cautious with this combination

Medications that increase the break down of other medications by the liver (Cytochrome P450 2C19 (CYP2C19) inducers) interacts with LIMONENE
Limonene might be broken down by the liver. Taking limonene along with medications that increase the break down of limonene in the liver might decrease the effects of limonene.

Some medications that might increase the breakdown of limonene in the liver include carbamazepine (Tegretol), prednisone (Deltasone), and rifampin (Rifadin, Rimactane).
Medications that decrease the break down of other medications by the liver (Cytochrome P450 2C19 (CYP2C19) inhibitors) interacts with LIMONENE
Limonene might be broken down by the liver. Taking limonene along with medications that decrease the break down of limonene in the liver might increase the effects and side effects of limonene.

Some medications that might decrease the breakdown of limonene in the liver include cimetidine (Tagamet), fluvoxamine (Luvox), omeprazole (Prilosec); ticlopidine (Ticlid), topiramate (Topamax), and others.
Medications changed by the liver (Cytochrome P450 2C9 (CYP2C9) substrates) interacts with LIMONENE
Some medications are changed and broken down by the liver.

Limonene might increase how quickly the liver breaks down some medications. Taking limonene along with some medications that are changed by the liver can lead to a variety of effects and side effects. Before taking limonene talk to your healthcare provider if you take any medications that are changed by the liver.

Some of these medications that are changed by the liver include diclofenac (Cataflam, Voltaren), ibuprofen (Motrin), meloxicam (Mobic), and piroxicam (Feldene), amitriptyline (Elavil), warfarin (Coumadin), glipizide (Glucotrol), losartan (Cozaar), and others.
Medications that increase the break down of other medications by the liver (Cytochrome P450 2C9 (CYP2C9) inducers) interacts with LIMONENE
Limonene might be broken down by the liver. Taking limonene along with medications that increase the break down of limonene in the liver might decrease the effects of limonene.

Some medications that might increase the breakdown of limonene in the liver include rifampin (Rifadin, Rimactane) and secobarbital (Seconal).
Medications that decrease the break down of other medications by the liver (Cytochrome P450 2C9 (CYP2C9) inhibitors) interacts with LIMONENE
Limonene might be broken down by the liver. Taking limonene along with medications that decrease the break down of limonene in the liver might increase the effects and side effects of limonene.

Some medications that might decrease the breakdown of limonene in the liver include amiodarone (Cordarone), fluconazole (Diflucan), lovastatin (Mevacor), paroxetine (Paxil), zafirlukast (Accolate), and many others.

View References

REFERENCES:

Crowell PL. Prevention and therapy of cancer by dietary monoterpenes. J Nutr 1999;129:775S-778S. View abstract.

Dales RE, Cakmak S. Is residential ambient air limonene associated with asthma? Findings from the Canadian Health Measures Survey. Environ Pollut 2019;244:966-70. View abstract.

Dittmar D, Schuttelaar MLA. Contact sensitization to hydroperoxides of limonene and linalool: results of consecutive patch testing and clinical relevance. Contact Dermatitis 2019;80(2):101-9. View abstract.

Duetz WA, Bouwmeester H, van Beilen JB, Witholt B. Biotransformation of limonene by bacteria, fungi, yeasts, and plants. Appl Microbiol Biotechnol 2003;61:269-77. View abstract.

Electronic Code of Federal Regulations. Title 21. Part 182 -- Substances Generally Recognized As Safe. Available at: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=182

Gatica-Ortega ME, Pastor-Nieto MA, Schoendorff-Ortega C, Mollejo-Villanueva M, Giménez-Arnau A. Lymphomatoid contact dermatitis caused by limonene hydroperoxides confirmed by an exposure provocation test with the involved personal hygiene products. Contact Dermatitis 2018;78(3):230-3. View abstract.

Larsen ST, Hougaard KS, Hammer M, et al. Effects of R-(+)- and S-(-)-limonene on the respiratory tract in mice. Hum Exp Toxicol 2000;19:457-66. View abstract.

Matura M, Goossens A, Bordalo O, et al. Oxidized citrus oil (R-limonene): a frequent skin sensitizer in Europe. J Am Acad Dermatol 2002;47:709-14. View abstract.

Miyazawa M, Shindo M, Shimada T. Metabolism of (+)- and (-)-limonenes to respective carveols and perillyl alcohols by CYP2C9 and CYP2C19 in human liver microsomes. Drug Metab Dispos 2002;30:602-7. View abstract.

Nath NS, Liu B, Green C, Atwater AR. Contact allergy to hydroperoxides of linalool and D-limonene in a US population. Dermatitis 2017;28(5):313-6. View abstract.

Ota Y, Hamada A, Nakano M, Saito H. Evaluation of percutaneous absorption of midazolam by terpenes. Drug Metab Pharmacokinet 2003;18:261-6. View abstract.

Raphael TJ, Kuttan G. Immunomodulatory activity of naturally occurring monoterpenes carvone, limonene, and perillic acid. Immunopharmacol Immunotoxicol 2003;25:285-94. View abstract.

Rolseth V, Djurhuus R, Svardal AM. Additive toxicity of limonene and 50% oxygen and the role of glutathione in detoxification in human lung cells. Toxicology 2002;170:75-88. View abstract.

Topham EJ, Wakelin SH. D-Limonene contact dermatitis from hand cleansers. Contact Dermatitis 2003;49:108-9. View abstract.

Turner SD, Tinwell H, Piegorsch W, et al.The male rat carcinogens limonene and sodium saccharin are not mutagenic to male Big Blue rats. Mutagenesis 2001;16:329-32. View abstract.

Vigushin DM, Poon GK, Boddy A, et al. Phase I and pharmacokinetic study of D-limonene in patients with advanced cancer. Cancer Research Campaign Phase I/II Clinical Trials Committee. Cancer Chemother Pharmacol 1998;42:111-7. View abstract.

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CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you.

This copyrighted material is provided by Natural Medicines Comprehensive Database Consumer Version. Information from this source is evidence-based and objective, and without commercial influence. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version.
© Therapeutic Research Faculty 2020.

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LIMONENE

Overview

How does it work ?

Uses & Effectiveness ?

Insufficient Evidence for

Side Effects

Special Precautions and Warnings

Interactions ?

Moderate Interaction

Medications that increase the break down of other medications by the liver (Cytochrome P450 2C19 (CYP2C19) inducers) interacts with LIMONENE

Medications that decrease the break down of other medications by the liver (Cytochrome P450 2C19 (CYP2C19) inhibitors) interacts with LIMONENE

Medications changed by the liver (Cytochrome P450 2C9 (CYP2C9) substrates) interacts with LIMONENE

Medications that increase the break down of other medications by the liver (Cytochrome P450 2C9 (CYP2C9) inducers) interacts with LIMONENE

Medications that decrease the break down of other medications by the liver (Cytochrome P450 2C9 (CYP2C9) inhibitors) interacts with LIMONENE

Dosing

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