Pharmacognosy intro
Citrus aurantium L. var. amara (Rutaceae) flowers yield neroli oil via steam distillation, orange blossom absolute via solvent extraction, and orange flower water as a hydrodistillation byproduct. Neroli is distinct from petitgrain (leaves) and bitter orange (peel), though all three come from the same tree. The essential oil contains limonene as the major component, alongside beta-myrcene, beta-pinene, linalool (7-18%), linalyl acetate, alpha-terpineol, nerolidol, and trace indole. Limonene produces anxiolytic effects via HPA axis modulation, increasing parasympathetic activity. Linalool modulates 5-HT1A receptors and inhibits voltage-gated sodium channels, producing anxiolytic effects without classical benzodiazepine receptor involvement. Nerolidol, a sesquiterpene alcohol, enhances transdermal penetration (acting as a bioenhancer), demonstrates anti-inflammatory properties, and shows preliminary evidence of GABAergic modulation. The overall anxiolytic effect is attributed to interaction with the HPA axis, reducing cortisol output and modulating the stress response cascade (Costa et al., 2013; Acero et al., 2023). A double-blind RCT (n=36) found that neroli inhalation (0.1% or 0.5%, 5 minutes twice daily for 5 days) significantly decreased stress levels and improved menopausal symptoms in postmenopausal women, with significant reductions in systolic and diastolic blood pressure (Choi et al., 2014). In a labor anxiety RCT (n=126), neroli on a collar gauze replaced every 30 minutes significantly reduced STAI anxiety scores at cervical dilations of 3-4 and 6-8 cm versus saline control (Namazi et al., 2014). An RCT (n=60) demonstrated that C. aurantium blossom distillate (1 mL/kg, 2 hours before anesthesia) significantly reduced preoperative anxiety (Suntar et al., 2018). In patients with chronic myeloid leukemia, C. aurantium inhalation decreased STAI-S scores and improved blood pressure, cardiac frequency, and respiratory frequency before bone marrow aspiration, producing effects comparable to diazepam 10mg (Pimenta et al., 2016, Phytotherapy Research). Neroli demonstrates one of the cleanest safety profiles among essential oils, with no significant adverse effects reported at therapeutic doses and no phototoxicity, unlike expressed bitter orange peel oil.