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FACT
Focus on Alternative and Complementary Therapies

Phase II study on the effects of lavender oil (Silexan) in patients with neurasthenia, post-traumatic stress disorders or somatisation disorder

Stange R1, Schaper S1, Uehleke B1, Dienel A2, Schlaefke S2
1Department for Natural Medicine – Charité – Universitaetsmedizin Berlin and Immanuel-Krankenhaus Koenigstr, Berlin, 63, D–14109, Germany
2Dr Willmar Schwabe GmbH 8 Co., KG Karlsruhe, Germany

Objective

Lavender oils are widely used for psychic disorders, especially anxiety, both externally (aromatherapy), and, at times, via internal application. As hardly any data could be retrieved, research started with a pivotal study using a defined preparation (Silexan*) from Lavandula species.

Materials and methods

In a single-centre, open-label study, we treated patients (aged 18–70 years) with no further treatment for neurasthenia, post-traumatic stress disorders (PTSD) or somatisation disorder within the last 3 months with 80 g Silexan (single capsule) daily for 6 weeks. Outcome for primary symptoms was measured at weeks 0, 3 and 6 by symptom checklist-90-R, state-trait anxiety inventory (STAI), depression scale (DS), and a sleep diary. In addition, SF-36, adverse events (AE) and standard laboratory values were recorded.

Results

Fifty patients were included; 47 were evaluated with respect to efficacy (8 men, 39 women; mean (SD) age 51.6 ± 8.8 years; 14 had neurasthenia, 17 had PSTD, 13 had both; 3 had somatisation disorders. State anxiety improved by 4.5 ± 10.7 points (P ≤ 0.005, one-sided Wilcoxon signed rank test), trait anxiety by 7.4 ± 8.9 points (P ≤ 0.001), depression by 5.5 ± 7.0 points (P ≤ 0.001) and efficiency of sleep by 3.4 ± 8.0% (P ≤ 0.001). Several subscores of SF-36 improved significantly. No serious AEs or changes in laboratory values were recorded.

Conclusion

In an open trial, restlessness, anxiety and depression were significantly reduced in patients with neurasthenia and PTSD treated with Silexan. Controlled studies are encouraged, especially as there are no standard therapies for these conditions.

Acknowledgements

Silexan and further support was provided by Dr Willmar Schwabe GmbH 8 Co., KG.

*Silexan was developed by the Schwabe group.

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