DRUGS AND SUPPLEMENTS

Allspice (Pimenta dioica)

March 22, 2017

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Allspice (Pimenta dioica)

Natural Standard Bottom Line Monograph, Copyright © 2013 (www.naturalstandard.com). Commercial distribution prohibited. This monograph is intended for informational purposes only, and should not be interpreted as specific medical advice. You should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

While some complementary and alternative techniques have been studied scientifically, high-quality data regarding safety, effectiveness, and mechanism of action are limited or controversial for most therapies. Whenever possible, it is recommended that practitioners be licensed by a recognized professional organization that adheres to clearly published standards. In addition, before starting a new technique or engaging a practitioner, it is recommended that patients speak with their primary healthcare provider(s). Potential benefits, risks (including financial costs), and alternatives should be carefully considered. The below monograph is designed to provide historical background and an overview of clinically-oriented research, and neither advocates for or against the use of a particular therapy.

Related Terms

  • Allyl alkoxybenzenes, caryophyllene, castalagin, casuariin, casuarinin, cineole, dietary polyphenols, ellagic acid, estragole, eugenol, eugenol methyl ether, gallic acid, galloylglucosides, glycosidic tannins, grandinin, grandininol, ground Jamaican allspice, guayabita (Spanish), herbal flavoring, Jamaica pepper, Jamaican allspice, levophellandrene, methyl eugenol, methyl gallate, methyl-flavogallonate, Myrtaceae (family), myrtle pepper, nilocitin, palmitic acid, pedunculagin, phenolic glycosides, pimenta, Pimenta officinalis Lindl., Pimenta dioica (L.) Merr., Pimenta dioica (L.) Merrill (Myrtaceae), pimento (allspice), pimentol, pimienta de Jamaica (Spanish), pimienta dulce (Spanish), pimienta gorda (Spanish), polyphenols, Rheedia aristata Griseb., spicy flavoring, vascalagin, vascalaginone.

  • Note: Allspice leaves may occasionally be termed "West Indian bay leaf," but other sources reserve that name for the closely related species Pimenta racemosa. Allspice should not be confused with Capsicum annuum, which is also known as pimento or "cherry pepper."

Background

  • Allspice is produced from the fruit of the Pimenta dioica plant and originates primarily from Jamaica, the West Indies in general, and South America. The fruits are picked when they are green, then dried in the sun or in a kiln and sold as either whole dried fruit or in powdered form. Allspice has a complex, peppery taste similar to a mix of cinnamon, juniper, clove, and nutmeg.

  • Historically, allspice was used to treat indigestion and intestinal gas. It was also taken by mouth to treat stomachaches, heavy menstrual bleeding, vomiting, diarrhea, fever, flu, and colds. Commercially, allspice has been used to flavor toothpastes.

  • Currently, there is limited high-quality evidence supporting any clinical use of allspice.

Scientific Evidence

Uses

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Grade*

No available studies qualify for inclusion in the evidence table.

*Key to grades:A: Strong scientific evidence for this use; B: Good scientific evidence for this use; C: Unclear scientific evidence for this use; D: Fair scientific evidence against this use (it may not work); F: Strong scientific evidence against this use (it likely does not work).

Tradition/Theory

The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious and should be evaluated by a qualified health care professional.

  • Acaricide (an agent that destroys mites), age-related nerve damage, antibacterial, antifungal, anti-inflammatory, antioxidant, antiseptic (teeth and gums), cancer, cavities, colds, cosmetic uses, diabetes, diarrhea, dyspepsia, excessive menstrual bleeding, fever, flavoring (to compensate for low-salt foods), flu, gas, heart disease, high blood pressure, high cholesterol, hormonal effects, improving blood flow, indigestion, insecticide, menopause, muscle pain, pain reliever, snake poisoning, toothache (topical), ulcers, vomiting.

Dosing

The below doses are based on scientific research, publications, traditional use, or expert opinion. Many herbs and supplements have not been thoroughly tested, and safety and effectiveness may not be proven. Brands may be made differently, with variable ingredients, even within the same brand. The below doses may not apply to all products. You should read product labels, and discuss doses with a qualified healthcare provider before starting therapy.

Adults (18 years and older)

  • There is no proven safe or effective dose for allspice. Traditionally, as an antigas agent, 2-3 drops of allspice oil has been taken by mouth; as an indigestion aid, 1-2 teaspoons of allspice powder in one cup of water has been taken by mouth. As a laxative, bruised pimento has been added to water (5:200 ratio) and distilled. One to two ounces of this mix has been taken by mouth as a laxative.

  • Traditionally, for muscle aches, allspice and water have been mixed to make a paste and applied to the affected area. For toothache, 1-2 drops of allspice oil has been applied to the affected area four or less times daily.

Children (under 18 years old)

  • There is no proven safe or effective dose for allspice, and use in children is not recommended.

Safety

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Allergies

  • Avoid with known allergy or hypersensitivity to allspice, its constituents, or members of the Myrtaceae family. There have been reports of allergic reactions of the skin to spices and flavorings, including allspice, among people who work in restaurants or other food-service jobs. People with such allergies may also have cross-reactivity to foods such as tomatoes, lettuce, and carrots. There have been reports of cross-reactivity among people allergic to balsam of Peru.

Side Effects and Warnings

  • There are limited data on reactions to allspice. Most reported side effects were mild and affected the skin. Allspice and many other herbs, spices, and foods contain naturally occurring agents called estragole and methyl eugenol, which may cause cancer.

  • Use cautiously in patients who are taking CYP450-metabolized agents, as allspice may interfere with the way the body processes certain drugs using the liver's cytochrome P450 enzyme system. As a result, the levels of these drugs may be decreased in the blood and reduce the intended effects. Patients taking any medications should check the package insert and speak with a qualified healthcare professional about possible interactions.

  • Use cautiously in patients taking agents that have blood pressure-lowering, blood sugar-lowering, or central nervous system (CNS)-lowering activity, and other herbs or supplements with similar effects, due to possible additive effects.

Pregnancy and Breastfeeding

  • Allspice is not recommended in pregnant or breastfeeding women, due to a lack of available scientific evidence.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

Interactions with Drugs

  • Allspice may interfere with the way the body processes certain drugs using the liver's cytochrome P450 enzyme system. As a result, the levels of these drugs may be increased in the blood and may cause increased effects of potentially serious adverse reactions. Patients using any medications should check the package insert and speak with a qualified healthcare professional, including a pharmacist, about possible interactions.

  • Allspice may have additive effects when taken with drugs that have anticancer, immune-stimulating, blood pressure-lowering, blood sugar-lowering, hormonal, or central nervous system (CNS)-depressing activity.

Interactions with Herbs and Dietary Supplements

  • Allspice may interfere with the way the body processes certain herbs or supplements using the liver's cytochrome P450 enzyme system. As a result, the levels of other herbs or supplements may become too high in the blood. Allspice may also alter the effects that other herbs or supplements have on the P450 system.

  • Allspice may have additive effects when taken with herbs or supplements that have antioxidant, anticancer, immune-stimulating, blood pressure-lowering, blood sugar-lowering, hormonal, or sedative activity.

Author Information

  • This information is based on a systematic review of scientific literature edited and peer-reviewed by contributors to the Natural Standard Research Collaboration (www.naturalstandard.com).

References

Natural Standard developed the above evidence-based information based on a thorough systematic review of the available scientific articles. For comprehensive information about alternative and complementary therapies on the professional level, go to www.naturalstandard.com. Selected references are listed below.

  1. Blomhoff R. [Antioxidants and oxidative stress]. Tidsskr Nor Laegeforen. 2004;124(12):1643-1645. View Abstract

  2. Doyle, B. J., Frasor, J., Bellows, L. E., Locklear, T. D., Perez, A., Gomez-Laurito, J., and Mahady, G. B. Estrogenic effects of herbal medicines from Costa Rica used for the management of menopausal symptoms. Menopause. 2009;16(4):748-755. View Abstract

  3. Du, W. X., Olsen, C. W., Avena-Bustillos, R. J., McHugh, T. H., Levin, C. E., and Friedman, M. Effects of allspice, cinnamon, and clove bud essential oils in edible apple films on physical properties and antimicrobial activities. J Food Sci 2009;74(7):M372-M378. View Abstract

  4. Dragland S, Senoo H, Wake K, et al. Several culinary and medicinal herbs are important sources of dietary antioxidants. J Nutr 2003;133(5):1286-1290. View Abstract

  5. Kanerva L, Estlander T, Jolanki R. Occupational allergic contact dermatitis from spices. Contact Dermatitis 1996;35(3):157-162. View Abstract

  6. Kikuzaki H, Miyajima Y, Nakatani N. Phenolic glycosides from berries of Pimenta dioica. J Nat Prod. 3-4-2008;View Abstract

  7. Kluth D, Banning A, Paur I, et al. Modulation of pregnane X receptor- and electrophile responsive element-mediated gene expression by dietary polyphenolic compounds. Free Radic Biol Med. 2-1-2007;42(3):315-325. View Abstract

  8. Kobayashi S, Watanabe J, Fukushi E, et al. Polyphenols from some foodstuffs as inhibitors of ovalbumin permeation through caco-2 cell monolayers. Biosci Biotechnol Biochem 2003;67(6):1250-1257. View Abstract

  9. Lee YH, Hong SW, Jun W, et al. Anti-histone acetyltransferase activity from allspice extracts inhibits androgen receptor-dependent prostate cancer cell growth. Biosci Biotechnol Biochem 2007;71(11):2712-2719. View Abstract

  10. Marzouk MS, Moharram FA, Mohamed MA et al. Anticancer and antioxidant tannins from Pimenta dioica leaves. Z Naturforsch.[C.] 2007;62(7-8):526-536. View Abstract

  11. Niinimaki A. Double-blind placebo-controlled peroral challenges in patients with delayed-type allergy to balsam of Peru. Contact Dermatitis 1995;33(2):78-83. View Abstract

  12. Niinimaki A. Delayed-type allergy to spices. Contact Dermatitis 1984;11(1):34-40. View Abstract

  13. Takemasa, N., Ohnishi, S., Tsuji, M., Shikata, T., and Yokoigawa, K. Screening and analysis of spices with ability to suppress verocytotoxin production by Escherichia coli O157. J Food Sci 2009;74(8):M461-M466. View Abstract

Copyright © 2013 Natural Standard (www.naturalstandard.com)

The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

Updated:  

March 22, 2017