Aromatherapy Cautions and Contraindications -- Massage Continuing Education--NCBTMB Approved
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Chapter 5

Cautions and Contraindications


Some people will disagree with specific contraindications and say aromatherapy can be safely administered even in those suspected circumstances. Nonetheless, reputable sources say essential oils should not be used under the following circumstances or by the following methods. At the very least, these situations should trigger especial care and caution.

  • undiluted on the skin. If exposure occurs, wash the area with whole milk. It may be a good idea to close the eyes when inhaling during aromatherapy.

  • Swallowed

  • Without testing. (A new oil should be diluted, placed on the inside of the elbow, and covered with a bandage. Wait 24 hours to see if any reaction occurs.)

  • for people with asthma or epilepsy

  • for people with allergies or high blood pressure

  • for people with “varicose veins, deep vein thrombosis or contagious skin conditions”

  • for people with broken skin

  • if person under prescription medication until doctor confirms use of aromatherapy is safe

  • immediately following surgery

  • immediately after chemotherapy or radiation unless a doctor OKs

  • by children without adult supervision or administered around young children or babies unless caution is exercised. One source says children under 5 should not use aromatherapy.

  • while breastfeeding

  • anywhere near something which might ignite them

  • Used near bedtime if the particular oil (such as mint) causes insomnia


  • Aromatherapy may cause drowsiness. Therefore driving or operating heavy machinery should not be attempted immediately following a treatment according to some writers.


    Aromatherapy during pregnancy is controversial. The spectrum goes from the opinion it is completely safe to it should be completely absent during pregnancy.


    No claim for the effectiveness of aromatherapy may be made in the United States (such as it will help one to quit smoking or to sleep or it will aid in preventing or curing a disease) unless Food and Drug Administration approval has been secured.


    Chapter’s Important Points:


  • Essential oils are not harmless; there are some circumstances when they should not be used.

  • No claims as to the effectiveness of aromatherapy may be made in the United States.


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