Possible reaction at a very low dose in sensitized people
Clinical trial67 people, 6 European clinicsPatch test and 21-day repeated open application test (ROAT)Eugenol from 2.7% to 0.5% (ROAT)
Among 34 people allergic to eugenol, 21 (61.8%) had a positive patch test before the ROAT, the lowest positive concentration being 0.031%. The ROAT was positive in 19 (55.9%). The authors conclude that eugenol can cause a reaction at a very low dose2.
A skin sensitizer of mild to moderate potency
LaboratoryMouse local lymph node assay (LLNA)Guinea pig maximization test
In guinea pigs, eugenol is classed as a mild sensitizer. In the LLNA, its EC3 value is 25.1%3.
Clove oil: 1.6% positive tests
Clinical trial10,930 people tested with 12 essential oilsIVDK network, 2010 to 2019Clinic population
908 people (8.3%) reacted to at least one oil. Clove oil (1.6% positive tests) is one of the six oils above 1%. Massage professionals and beauticians are over-represented among sensitized people4.
Nine oils above 2% positive tests, clove among them
Review2016 reviewConsecutively tested people
Nearly 80 essential oils have caused contact allergies. Of 55 tested in consecutive people, nine, clove included, exceed 2% positive tests. Most reactions come from pure oils or highly concentrated products; relevance data are often missing5.
A risk judged very low at consumer product concentrations
Clinical trial11,632 patch testsData collected from fragrance and formulation companies1983 study
Induced sensitization and pre-existing sensitization are observed at eugenol concentrations of 0.05% and 0.09% in patch tests. The authors conclude a very low potential at the concentrations found in consumer products7.
Calculated margin of safety for eugenol
Review2016 RIFM assessmentRat reproduction study on an analog
The most conservative no-effect level (NOAEL) for reproduction is 230 mg/kg/day. With 22.6% skin absorption, the margin of safety is 12,105; a margin above 100 is considered acceptable6.