Calendula (Calendula officinalis)

Also called Calendula officinalis, pot marigold, marigold, calendula flower, calendula cream, calendula ointment.

The short answer

From 16 sources

Calendula (pot marigold) is studied almost entirely as a cream or ointment, not a capsule. One large trial found less severe radiation dermatitis than trolamine, but two other trials found no difference from plain creams, and a 2023 meta-analysis found no significant effect (grade C). Small trials report faster wound closure and less episiotomy pain (grade D). People allergic to daisy-family plants can react.

Key facts

How it is used in trials
Applied to the skin as an ointment or cream; no oral calendula trial is cited here126712
Radiation dermatitis
Positive against trolamine (n=254), no difference against aqueous cream (n=411) or Sorbolene (n=81); no significant effect in a 2023 meta-analysis, and insufficient evidence in a 2024 breast-cancer meta-analysis123516
Minor wounds
Small trials: hand wounds closed in 8.6 vs 13.2 days; less pain after episiotomy76
EU status
Traditional herbal medicine for minor skin inflammation, minor wounds and mouth or throat inflammation, based on long-standing use rather than clinical trials12
Allergy
About 2% of 443 patch-tested dermatology patients reacted to marigold; the EU monograph rules it out for people allergic to Asteraceae plants1312

What it is

Calendula is the pot marigold flower, used mainly in creams and ointments for irritated skin and minor wounds.

How it works

Proposed

Animal studies summarized in a 2019 systematic review showed a shorter inflammatory phase and more granulation tissue in wounds dressed with calendula extract. How this translates to people is not established.11

Forms, side by side

3 forms named in our sources. The rest show what our data holds, and say plainly where it holds nothing yet.

Calendula (Calendula officinalis) forms compared

3 forms
Calendula (Calendula officinalis) forms compared: 3 forms by 3 attributes. Empty cells are labelled No data yet, or Not graded in the evidence row.
3 formsCalendula ointment or cream (applied to skin)Calendula vaginal creamCalendula tea or capsules (by mouth)
Absorption in peopleApplied to the skin, not swallowed; no human data on how much reaches the bloodstream.12Applied in the vagina; no absorption data.10No human absorption data found.12
GI toleranceNo adverse effects were reported in the diaper dermatitis and irritant-dermatitis trials; skin sensitisation has been reported with calendula medicines at an unknown frequency.8912Tolerability is not described in the trial abstract.10No controlled trial of swallowed calendula was found; the EU conclusions cover infusions used on the lining of the mouth or the skin.12
Studied forRadiation dermatitis, minor wounds, episiotomy, diaper rashVaginal yeast infection (one trial against clotrimazole)Not studied in the trials cited here
  1. Calendula ointment or cream (applied to skin)
    Absorption in people
    Applied to the skin, not swallowed; no human data on how much reaches the bloodstream.12
    GI tolerance
    No adverse effects were reported in the diaper dermatitis and irritant-dermatitis trials; skin sensitisation has been reported with calendula medicines at an unknown frequency.8912
    Studied for
    Radiation dermatitis, minor wounds, episiotomy, diaper rash
  2. Calendula vaginal cream
    Absorption in people
    Applied in the vagina; no absorption data.10
    GI tolerance
    Tolerability is not described in the trial abstract.10
    Studied for
    Vaginal yeast infection (one trial against clotrimazole)
  3. Calendula tea or capsules (by mouth)
    Absorption in people
    No human absorption data found.12
    GI tolerance
    No controlled trial of swallowed calendula was found; the EU conclusions cover infusions used on the lining of the mouth or the skin.12
    Studied for
    Not studied in the trials cited here
Every cell holds data from a cited page; citation numbers link to the page that holds them.Scroll the table for every column

What the human research says

Human trials only, one row per outcome. The form line shows what each trial actually tested. Grades follow our evidence-grading policy.

Trial map

9 graded outcomes, largest study first

9 graded outcomes: 6 improved, 1 mixed, 2 no effect. The largest, a 2013 randomized trial of 411 people on severe acute radiation skin reactions vs aqueous cream (breast cancer radiotherapy), found no effect. Outcomes that improved came from smaller studies: a median of 59 people, against 246 for no effect.

1Severe acute radiation skin reactions vs aqueous cream (breast cancer radiotherapy)

No effect · Grade C · RCT, 411 people, 2013

Patients receiving adjuvant radiotherapy for breast cancer (Sweden)

Dose, result and source
Every graded outcome on this page, largest study first
OutcomeFoundPeopleStudyWho was studied
Severe acute radiation skin reactions vs aqueous cream (breast cancer radiotherapy)No effect411Grade C · RCT, 2013Patients receiving adjuvant radiotherapy for breast cancer (Sweden)
Grade 2+ radiation dermatitis vs trolamine (breast cancer radiotherapy)Improved254Grade C · RCT, 2004Women receiving postoperative radiotherapy for breast cancer (France)
Vaginal yeast infection: negative tests vs clotrimazoleMixed144Grade D · RCT, 2017Married women aged 18–45 with vaginal candidiasis (Iran)
Pain after episiotomy (calendula ointment vs standard care)Improved100Grade D · RCT, 2022Women with singleton term births who had an episiotomy (Italy)
Grade 2+ radiation dermatitis vs Sorbolene (breast cancer radiotherapy)No effect81Grade D · RCT, 2021Women receiving breast cancer radiotherapy (Australia)
Diaper dermatitis in infants (calendula vs aloe vera)Improved66Grade D · RCT, 2012Infants under 3 years with diaper dermatitis (Iran)
Radiation dermatitis vs essential fatty acids (head and neck cancer)Improved51Grade D · RCT, 2015Patients receiving radiotherapy for head and neck cancer (Brazil)
Time to skin closure in acute hand woundsImproved38Grade D · RCT, 2022Adults with skin-loss wounds of the hand or fingers left to close on their own (Brazil)
Skin hydration and barrier recovery after irritant exposureImproved20Grade D · RCT, 2025Healthy volunteers with an experimentally irritated forearm (Croatia)
Each circle is one graded outcome on this page, numbered from the largest study down, and placed by how many people it studied (log scale). It shows who was studied and what was found, not advice about your dose.

Every graded row

9 rows

Showing 9 of 9 outcomes. Human trials only.

Grade CSevere acute radiation skin reactions vs aqueous cream (breast cancer radiotherapy)Radiation dermatitis23% vs 19% (no difference)RCT
n 411 · 2013

No effect Severe reactions occurred in 23% with calendula vs 19% with Essex aqueous cream; no difference at any assessment and no difference in patient-reported skin symptoms.

Design
RCT, n = 411, 2013
Population
Patients receiving adjuvant radiotherapy for breast cancer (Sweden)
Form
Calendula cream (Weleda)
Dose
Applied to the irradiated area (frequency not stated in the abstract)
Duration
Course of adjuvant radiotherapy
Source
Reference 2 · PubMed 23245940 (opens PubMed)
Grade CGrade 2+ radiation dermatitis vs trolamine (breast cancer radiotherapy)Radiation dermatitis41% vs 63% grade 2+RCT
n 254 · 2004

Improved Grade 2 or higher dermatitis occurred in 41% with calendula vs 63% with trolamine (P<.001); calendula users also had less radiation-related pain and fewer treatment interruptions.

Design
RCT, n = 254, 2004
Population
Women receiving postoperative radiotherapy for breast cancer (France)
Form
Calendula ointment (Boiron Pommade au Calendula par Digestion)
Dose
Applied to the irradiated skin after each radiotherapy session
Duration
Course of postoperative radiotherapy
Source
Reference 1 · PubMed 15084618 (opens PubMed)
Grade DVaginal yeast infection: negative tests vs clotrimazoleVaginal yeast infection49% vs 74%, then 77% vs 34%RCT
n 144 · 2017

Mixed Fewer women tested negative with calendula at 10–15 days (49% vs 74%; OR 0.32) but more did at 30–35 days (77% vs 34%; OR 3.1), when signs and symptoms were also lower than with clotrimazole.

Design
RCT, n = 144, 2017
Population
Married women aged 18–45 with vaginal candidiasis (Iran)
Form
Calendula vaginal cream (comparator: clotrimazole vaginal cream)
Dose
5 g vaginal cream every night
Duration
7 nights; follow-up to 30–35 days
Source
Reference 10 · PubMed 27880086 (opens PubMed)
Grade DPain after episiotomy (calendula ointment vs standard care)WoundsImprovedRCT
n 100 · 2022

Improved Pain scores were lower with calendula from day 2 through follow-up; redness and swelling of the wound were also lower.

Design
RCT, n = 100, 2022
Population
Women with singleton term births who had an episiotomy (Italy)
Form
Calendula ointment
Dose
Applied 4 hours after episiotomy, then every 8 hours
Duration
10 days
Source
Reference 6 · PubMed 32460565 (opens PubMed)
Grade DGrade 2+ radiation dermatitis vs Sorbolene (breast cancer radiotherapy)Radiation dermatitis53% vs 62% (no difference)RCT
n 81 · 2021

No effect Grade 2+ dermatitis: 53% with calendula vs 62% with Sorbolene (OR 0.87, P=0.92). The trial recruited 82 of a planned 178 and was underpowered.

Design
RCT, n = 81, 2021
Population
Women receiving breast cancer radiotherapy (Australia)
Form
Topical calendula
Dose
Applied to the treated skin (schedule not stated in the abstract)
Duration
Course of radiotherapy
Source
Reference 3 · PubMed 32965030 (opens PubMed)
Grade DDiaper dermatitis in infants (calendula vs aloe vera)Diaper rashImprovedRCT
n 66 · 2012

Improved Both groups improved; the calendula group had significantly fewer rash sites than the aloe group (P=0.001). No adverse effects were reported.

Design
RCT, n = 66, 2012
Population
Infants under 3 years with diaper dermatitis (Iran)
Form
Calendula ointment (comparator: aloe vera cream)
Dose
Applied 3 times a day
Duration
10 days
Source
Reference 8 · PubMed 22606064 (opens PubMed)
Grade DRadiation dermatitis vs essential fatty acids (head and neck cancer)Radiation dermatitisImprovedRCT
n 51 · 2015

Improved Grade 2 dermatitis was less common with calendula than with an essential fatty acid product (P=0.012).

Design
RCT, n = 51, 2015
Population
Patients receiving radiotherapy for head and neck cancer (Brazil)
Form
Topical calendula
Dose
Applied to the irradiated skin (schedule not stated in the abstract)
Duration
Course of radiotherapy
Source
Reference 4 · PubMed 25992820 (opens PubMed)
Grade DTime to skin closure in acute hand woundsWounds8.6 vs 13.2 daysRCT
n 38 · 2022

Improved Wounds closed in 8.6 days with calendula vs 13.2 days with mineral oil (P<0.05).

Design
RCT, n = 38, 2022
Population
Adults with skin-loss wounds of the hand or fingers left to close on their own (Brazil)
Form
Standardized calendula extract
Dose
Applied to the wound (schedule not stated in the abstract); control used mineral oil
Duration
Until the wound closed
Source
Reference 7 · PubMed 34674610 (opens PubMed)
Grade DSkin hydration and barrier recovery after irritant exposureSkin barrierImprovedRCT
n 20 · 2025

Improved The calendula site was more hydrated than control and base-cream sites on day 4 (P=0.017 and P=0.035), still on day 8, and lost less water than control on day 3; redness did not differ.

Design
RCT, n = 20, 2025
Population
Healthy volunteers with an experimentally irritated forearm (Croatia)
Form
Emollient cream with 1% supercritical CO2 calendula extract (vs the same base cream and untreated skin)
Dose
Applied to randomized forearm test sites (schedule not stated in the abstract)
Duration
8 days
Source
Reference 9 · PubMed 41527980 (opens PubMed)

What the numbers add up to

Each point is worked out from the data and the sources numbered on this page, with the arithmetic shown under it. It adds no new data and is not medical advice.

The comparator decides the result

Calendula beat trolamine in the 2004 trial but tied with plain aqueous cream and Sorbolene in later trials, which suggests the early win may reflect the comparator as much as calendula.123

How we got this: Evidence table on this page (radiation dermatitis rows)

Pooled radiation data are null

A 2023 meta-analysis of randomized trials found no significant effect of calendula on grade 2+ radiation dermatitis; among the five natural products studied, only oral enzymes and olive oil reached significance. A 2024 meta-analysis in breast cancer found insufficient evidence for calendula, unlike silymarin.516

How we got this: Meta-analysis abstracts

Mostly small, unblinded trials

Outside radiotherapy, every calendula trial cited here enrolled 100 people or fewer, and several compared it with standard care or another herb rather than a placebo.6789

How we got this: Evidence table on this page

Studied doses

Doses used in research, shown against the official limits. They describe the studies, not a recommendation for you.

Studied doses in research, not advice. These are amounts used in research, not personal advice. Your clinician or pharmacist can say what fits you.

Doses studied in human trials

Doses studied in human trials ranged from applications after each radiotherapy session to three times daily (diaper dermatitis) or every 8 hours (episiotomy), for 10 days up to a full radiotherapy course. All were creams or ointments on the skin; most abstracts do not state the extract strength, apart from one 1% CO2-extract cream.1689

When trials measured an effect

2 outcomes
How long trials ran before effects were measured
OutcomeMeasured atBasis
Pain after episiotomyDay 2, lasting through follow-up100-woman trial: pain was lower with calendula ointment from day two and during all follow-up6
Vaginal yeast infection30–35 days after a 7-night course150-woman trial: calendula trailed clotrimazole at 10–15 days and led at 30–35 days10
When each outcome was assessed in the cited trials. It is not a promise of when anyone will notice a change.

Interactions and safety

Published interactions only: each row cites a source. No row means none was found in our sources, not that a combination is safe.

Interactions

0 agents

None found in our sources.

Check with what you take

Kept on this device only

Add what you take. We list every interaction our evidence profiles cite between Calendula and your picks, and between your picks.

Most cited:

Add a supplement or medicine you take to check it against Calendula.

Starting from one medicine? The interaction checker rates how serious each pair is, on a curated list of 19 entries for 11 medicines. This cabinet has no severity rating: it lists every interaction row our supplement pages cite.

Not medical advice, and no dosing advice. An empty result means no row we cite names that pair, by name or through a drug class we can link the medicine to, not that a combination is safe. Where our sources name only a group of medicines we cannot match, the cabinet says so. Ask your pharmacist before you combine supplements and medicines.

Who should be careful

4 groups
Allergy to daisy-family (Asteraceae) plants
The EU monograph says calendula medicines must not be used by people allergic to Asteraceae plants, the family that also includes arnica and chamomile. In one patch-test series, 9 of 443 dermatology patients reacted to marigold.121314
Young children
The EU traditional-use conclusions cover skin use from age 6 and mouth or throat use from age 12. One trial used calendula ointment for diaper rash in infants under 3 without reported side effects, but that is a single 10-day trial.128
Pregnancy and breastfeeding
The EU monograph says safety in pregnancy and breastfeeding has not been established and does not recommend use. LactMed notes calendula creams have been used on sore or cracked nipples with little high-quality evidence, and no information on oral use while breastfeeding. No cited trial tested calendula during pregnancy; the episiotomy trial applied it after birth.12156
Radiotherapy skin care
Results conflict across trials, so skin-care choices during radiotherapy are best agreed with the radiation oncology team.1235
Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.

How to read the label

What to check on the Supplement Facts panel.

How to read the label

3 checks
Check the form

The trials tested ointments, creams and a vaginal cream. Capsules and teas sold for internal use have no controlled trials cited here.161012

Extract strength is rarely stated

Only one trial abstract gives a strength (1% supercritical CO2 extract), so labels cannot be matched to a studied concentration.9

Combination products

The EU summary covers single-herb calendula preparations; mixtures with other herbs are not covered.12

Frequently asked questions

Short answers to common questions; the numbers link to the sources below.

Common questions

8 answers
Does calendula cream help radiation dermatitis?

The evidence conflicts. It beat trolamine in a 254-patient trial, but tied with aqueous cream (411 patients) and Sorbolene (81 patients), and a 2023 meta-analysis found no significant effect.1235

Does calendula help wounds close faster?

In one small trial, hand wounds closed in 8.6 days with calendula extract vs 13.2 days with mineral oil, and an episiotomy trial reported less pain. A 2019 systematic review called for larger, well-designed trials.7611

Is calendula good for diaper rash?

One trial in 66 infants found fewer rash sites with calendula ointment than with aloe cream after 10 days, with no reported side effects. There was no placebo group.8

Does calendula work for vaginal yeast infections?

One trial in 150 women compared a calendula vaginal cream with clotrimazole: fewer calendula users tested negative at 10–15 days (49% vs 74%), but more did at 30–35 days (77% vs 34%). It is a single trial; clotrimazole remains the tested standard treatment.10

Can calendula cause an allergic reaction?

Yes. Calendula is in the daisy family, and about 2% of patch-tested dermatology patients reacted to it. The EU monograph rules it out for people allergic to Asteraceae plants.1312

Does calendula interact with medicines?

No interactions are documented. The EU herbal monograph lists none reported, and LiverTox has no calendula entry. Most use is on the skin, and no trial measured drug levels with calendula.12

Can calendula cream be used on sore nipples while breastfeeding?

It has been used that way, but LactMed says little high-quality evidence supports it; the studies used combination creams (with Mimosa tenuiflora or echinacea) or lacked a control group. The EU monograph does not recommend calendula while breastfeeding because safety has not been established.1512

Should calendula be swallowed as a supplement?

No controlled trial of oral calendula was found for this page. The EU conclusions cover preparations applied to the skin or to the lining of the mouth and throat.12

Sources

16 sources: trial abstracts, NIH fact sheets and reference databases. Numbers in the text link here.

Sources cited on this page

16 sources
  1. 1Phase III randomized trial of Calendula officinalis compared with trolamine for the prevention of acute dermatitis during irradiation for breast cancer.RCT J Clin Oncol, 2004 · PMID 15084618
  2. 2No differences between Calendula cream and aqueous cream in the prevention of acute radiation skin reactions--results from a randomised blinded trial.RCT Eur J Oncol Nurs, 2013 · PMID 23245940
  3. 3Efficacy of topical Calendula officinalis on prevalence of radiation-induced dermatitis: A randomised controlled trial.RCT Australas J Dermatol, 2021 · PMID 32965030
  4. 4[Usage of Calendula officinalis in the prevention and treatment of radiodermatitis: a randomized double-blind controlled clinical trial].RCT Rev Esc Enferm USP, 2015 · PMID 25992820
  5. 5Natural and miscellaneous agents for the prevention of acute radiation dermatitis: a systematic review and meta-analysis.Meta-analysis Support Care Cancer, 2023 · PMID 36859690
  6. 6Use of calendula ointment after episiotomy: a randomized clinical trial.RCT J Matern Fetal Neonatal Med, 2022 · PMID 32460565
  7. 7Treatment of acute wounds in hand with Calendula officinalis L.: A randomized trial.RCT Tissue Barriers, 2022 · PMID 34674610
  8. 8A randomized comparative trial on the therapeutic efficacy of topical aloe vera and Calendula officinalis on diaper dermatitis in children.RCT ScientificWorldJournal, 2012 · PMID 22606064
  9. 9Double-blind randomised controlled trial of an emollient cream with and without 1 % supercritical CO2 extract of Calendula officinalis in contact dermatitis.RCT Acta Pharm, 2025 · PMID 41527980
  10. 10Comparing the effects of Calendula officinalis and clotrimazole on vaginal Candidiasis: A randomized controlled trial.RCT Women Health, 2017 · PMID 27880086
  11. 11A systematic review of Calendula officinalis extract for wound healing.Systematic review Wound Repair Regen, 2019 · PMID 31145533
  12. 12Calendulae flos - herbal medicinal product (HMPC summary and EU herbal monograph)Guideline European Medicines Agency, 2018 · ema.europa.eu
  13. 13The seamy side of natural medicines: contact sensitization to arnica (Arnica montana L.) and marigold (Calendula officinalis L.).Observational Contact Dermatitis, 2001 · PMID 11722485
  14. 14Contact sensitization from Compositae-containing herbal remedies and cosmetics.Review Contact Dermatitis, 2002 · PMID 12492516
  15. 15CalendulaDatabase LactMed (NCBI Bookshelf), 2021 · ncbi.nlm.nih.gov
  16. 16Evaluation of the effect of herbal agents as management of radiodermatitis in breast cancer patients: A systematic review and meta-analysis.Meta-analysis Jpn J Nurs Sci, 2024 · PMID 37816677

What changed

Every dated change to this page: what changed, who made it and why.

Change log

3 entries
Dated changes to this page
DateChangeWho and why
evidence, key facts, who should avoid, FAQ, questions, time to effect, relatedAdded the LactMed calendula entry to the pregnancy and breastfeeding note (nipple use with little high-quality evidence; no data on oral use), an evidence row for the 2017 vaginal-cream trial that the FAQ already described (grade D, mixed), a 2024 breast-cancer radiodermatitis meta-analysis (insufficient evidence for calendula) in key facts and insights, an interaction FAQ, a breastfeeding FAQ, time-to-effect rows, page questions and the hair and skin goal link. Interaction check: EU herbal monograph section 4.5 (none reported), LactMed (none), no LiverTox, NCCIH or MedlinePlus calendula page; the interaction list stays empty. PubMed search 2022–2026 found no newer calendula trial or meta-analysis that qualified; a 2025 head-and-neck trial (PMID 40480289) used calendula only as the comparator for another ointment and was not added.Writer: Kymata Health EditorialTrigger: A–Z audit against docs/supplements/AUDIT-STANDARD.md
allInitial editorial evidence review (first draft). Every PMID checked against NCBI E-utilities esummary (titles and years taken from the record; retraction, erratum and expression-of-concern links checked in the PubMed record) and the abstract read for each cited row. Studied doses are reported as research doses, not dosing advice. Industry links: the 2004 trial used a Boiron product and the 2013 trial a Weleda cream (funding not stated in either abstract); a 2025 trial in which calendula was only the comparator for another ointment was not used.Writer: Kymata Health EditorialTrigger: new page
allAdversarial review: product makers (Boiron for the 2004 trial, Weleda for the 2013 trial) now stated in the evidence notes, not only here; pregnancy entry now gives the EU monograph's 'not recommended' position (section 4.6 of EMA/HMPC/437450/2017); the vaginal-cream FAQ notes it rests on one trial. EU age limits (6 years skin, 12 years mouth and throat) and the Asteraceae contraindication re-checked against the EMA summary.Writer: Kymata Health EditorialTrigger: review

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