Clove (clove oil and clove bud extract)
Also called cloves, Syzygium aromaticum, Eugenia caryophyllata, clove oil, clove bud oil, eugenol.
Best grade C across 5 graded outcomes Botanical Last checked
The short answer
From 13 sourcesMost clove trials apply it to the skin, gums or mouth. A homemade clove gel matched benzocaine for needle-stick pain, and a clove mouthwash beat chlorhexidine for ventilator pneumonia in one trial. Two oral extract studies had 16 and 13 people and were run by the extract's maker. Swallowing clove oil can cause severe liver injury.
Every graded outcome on this page
5 rows · line = participants- CGrade CVentilator-associated pneumonia in ICU patientsICU mouth caren 168
- CGrade CNeedle-stick pain on the gum after a topical gelDental numbingn 73
- DGrade DChronic anal fissure closure at 3 monthsAnal fissuren 55
- DGrade DHangover severity and blood markers after heavy drinkingHangovern 16
- DGrade DBlood glucose before and after mealsBlood sugarn 13
- 2 more graded outcomes, in the evidence chapter
Key facts
- Gum numbing
- Clove gel and 20% benzocaine gel both lowered needle-stick pain versus placebo in 73 adults, with no difference between them1
- ICU mouthwash
- 20.2% vs 41.7% of ventilated ICU patients developed pneumonia with clove mouthwash vs chlorhexidine (168 patients)3
- Oral supplement
- Two small trials of 250 mg/day clove bud polyphenol extracts, both by the manufacturer: a 16-person hangover crossover and a 13-person open-label blood-sugar pilot412
- Clove oil overdose
- NIH LiverTox likelihood score C[H] (probable cause of liver injury in overdoses): normal doses are not linked to liver injury, but swallowing large amounts, typically 10–30 mL, can cause severe liver injury6
What it is
Clove is the dried flower bud of Syzygium aromaticum. Its oil is mostly eugenol and is used in dentistry; oral extracts are sold as supplements.
How it works
ProposedEugenol is the main phenolic compound in clove oil. Trials tested clove gel as a topical anaesthetic for the gum, and the Clovinol trial authors attribute their results to antioxidant clove polyphenols. Lab and animal studies, summarised in a 2025 review, report that eugenol reduces platelet clumping. None of these mechanisms are confirmed in people taking oral supplements.111410
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.
Clove (clove oil and clove bud extract) forms compared
3 forms| 3 forms | Clove oil (eugenol-rich essential oil) | Clove extract mouthwash | Clove bud polyphenol extract (Clovinol) |
|---|---|---|---|
| Absorption in people | Not measured in the cited trials; eugenol alone at 150 mg/day for 7 days caused no blood chemistry changes in 10 men.256 | Not systemically measured in the trial abstract.3 | Not reported in the abstract.4 |
| GI tolerance | Swallowed clove oil can cause severe liver injury; NIH LiverTox links liver injury to high-dose ingestion, not normal use.256 | Not described in the abstract.3 | Not described in detail in the abstract.4 |
| Studied for | Topical creams, gum gels, dental use | ICU mouth care | Blood markers after heavy drinking; a related water-soluble bud extract was tested for blood glucose (open-label pilot) |
- Clove oil (eugenol-rich essential oil)
- Absorption in people
- Not measured in the cited trials; eugenol alone at 150 mg/day for 7 days caused no blood chemistry changes in 10 men.256
- GI tolerance
- Swallowed clove oil can cause severe liver injury; NIH LiverTox links liver injury to high-dose ingestion, not normal use.256
- Studied for
- Topical creams, gum gels, dental use
- Clove extract mouthwash
- Clove bud polyphenol extract (Clovinol)
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
5 graded outcomes, largest study firstAll 5 graded outcomes found an improvement. The largest, a 2023 randomized trial of 168 people on Ventilator-associated pneumonia in ICU patients, found an improvement.
1Ventilator-associated pneumonia in ICU patients
Improved · Grade C · RCT, 168 people, 2023
Ventilated ICU patients in Iran
Dose, result and source| Outcome | Found | People | Study | Who was studied |
|---|---|---|---|---|
| Ventilator-associated pneumonia in ICU patients | Improved | 168 | Grade C · RCT, 2023 | Ventilated ICU patients in Iran |
| Needle-stick pain on the gum after a topical gel | Improved | 73 | Grade C · RCT, 2006 | Adult volunteers |
| Chronic anal fissure closure at 3 months | Improved | 55 | Grade D · RCT, 2007 | Adults with chronic anal fissure |
| Hangover severity and blood markers after heavy drinking | Improved | 16 | Grade D · Crossover RCT, 2018 | Male social drinkers |
| Blood glucose before and after meals | Improved | 13 | Grade D · Open-label trial, 2019 | Otherwise healthy adults with normal or raised fasting glucose |
Every graded row
5 rowsShowing 5 of 5 outcomes. Human trials only.
CGrade CVentilator-associated pneumonia in ICU patientsICU mouth careHalf the pneumonia rateRCT
n 168 · 2023
Improved 20.2% of the clove group and 41.7% of the chlorhexidine group developed pneumonia (RR 2.06 for control, 95% CI 1.26-3.37, p = 0.005); pneumonia severity did not differ.
- Design
- RCT, n = 168, 2023
- Population
- Ventilated ICU patients in Iran
- Form
- Clove extract mouthwash 6.66% vs chlorhexidine 0.2%
- Dose
- Twice daily
- Duration
- 5 days
- Source
- Reference 3 · PubMed 36961592 (opens PubMed)
CGrade CNeedle-stick pain on the gum after a topical gelDental numbingSimilar to benzocaineRCT
n 73 · 2006
Improved Clove and benzocaine gels both gave lower mean pain scores than placebos (p = 0.005); clove and benzocaine did not differ.
- Design
- RCT, n = 73, 2006
- Population
- Adult volunteers
- Form
- Homemade clove gel vs 20% benzocaine gel and matching placebos, applied to the gum for 5 minutes
- Dose
- Single application
- Duration
- Single session
- Source
- Reference 1 · PubMed 16530911 (opens PubMed)
DGrade DChronic anal fissure closure at 3 monthsAnal fissure60% vs 12% closedRCT
n 55 · 2007
Improved Healing occurred in 60% of the clove oil group vs 12% of controls at 3 months (P < 0.001); resting anal pressure fell more with clove oil.
- Design
- RCT, n = 55, 2007
- Population
- Adults with chronic anal fissure
- Form
- Clove oil 1% cream vs stool softeners plus lignocaine 5% cream
- Dose
- Topical cream
- Duration
- 6 weeks (3-month follow-up)
- Source
- Reference 2 · PubMed 17573751 (opens PubMed)
DGrade DHangover severity and blood markers after heavy drinkingHangover55% lower hangover scoreCrossover RCT
n 16 · 2018
Improved Blood acetaldehyde cleared faster and oxidative stress, CRP and interleukin-6 fell versus placebo; hangover severity scores were 55.34% lower.
- Design
- Crossover RCT, n = 16, 2018
- Population
- Male social drinkers
- Form
- Clove bud polyphenol extract (Clovinol) vs placebo
- Dose
- 250 mg/day
- Duration
- Not clearly stated; blood sampled over 12 hours after drinking in each arm (2-week washout)
- Source
- Reference 4 · PubMed 30234415 (opens PubMed)
DGrade DBlood glucose before and after mealsBlood sugarImprovedOpen-label trial
n 13 · 2019
Improved Two-hour post-meal glucose fell from baseline by day 12 (by 13.3 mg/dL with normal and 16.7 mg/dL with raised fasting glucose) and stayed lower through day 30; fasting glucose fell only in the raised-glucose group (by 13.7 mg/dL at day 30).
- Design
- Open-label trial, n = 13, 2019
- Population
- Otherwise healthy adults with normal or raised fasting glucose
- Form
- Water-soluble clove bud polyphenol extract
- Dose
- 250 mg once daily
- Duration
- 30 days
- Source
- Reference 12 · PubMed 31064377 (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.
A topical herb more than a supplement
Safety data come from poisonings
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 150 mg/day of pure eugenol for 7 days (a safety study) to 250 mg/day of clove bud polyphenol extracts, used around a drinking session and for 30 days in a blood-sugar pilot. Most clove trials used creams, gels or mouthwash rather than swallowed doses. These are research doses, not recommendations.5412
When trials measured an effect
2 outcomes| Outcome | Measured at | Basis |
|---|---|---|
| After-meal blood glucose | Day 12, sustained to day 30 | Open-label pilot of 250 mg/day clove bud extract in 13 adults; no control group12 |
| Gum numbing before a needle stick | After a 5-minute application | Clove gel applied to the gum for 5 minutes before the needle stick, versus benzocaine and placebo1 |
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.
What Clove meets
1 cited rowMedicines 1
Supplements and foods 0
No supplement rows in our sources.
- Reference summary
Choose a medicine or supplement above to read its cited rows here.
Also cited:
Anticoagulant and antiplatelet drugs
ReviewReference summary
Anticoagulant and antiplatelet drugs, for example warfarin, clopidogrel, aspirin (inferred from mechanism): A 2025 review notes that eugenol inhibits platelet aggregation, and it reduced collagen- and arachidonic acid-induced aggregation of human platelets in the lab. No clinical interaction study exists, so this is a theoretical concern.
Source 11, Eur J Pharmacol (2025); Source 10, Int J Mol Sci (2024)
Interactions
1 agent| Agent | What the source says | Evidence |
|---|---|---|
| Medicines1 | ||
| Anticoagulant and antiplatelet drugse.g. warfarin, clopidogrel, aspirin (inferred from mechanism) | A 2025 review notes that eugenol inhibits platelet aggregation, and it reduced collagen- and arachidonic acid-induced aggregation of human platelets in the lab. No clinical interaction study exists, so this is a theoretical concern.1110 | Review |
Check with what you take
Kept on this device onlyAdd what you take. We list every interaction our evidence profiles cite between Clove and your picks, and between your picks.
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Add a supplement or medicine you take to check it against Clove.
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.
Who should be careful
4 groups- Young children
- Swallowing under 8 ml of clove oil caused liver failure in a 3-month-old and 10 ml did so in a 15-month-old; another child developed blood-clotting failure (DIC) and liver necrosis. Keep clove oil out of children's reach.789
- Anyone thinking of swallowing clove oil
- NIH LiverTox gives eugenol likelihood score C[H], a probable cause of liver injury in overdose: swallowing large amounts (typically 10–30 mL of clove oil) caused coma, low blood sugar and acute liver failure within a day, mostly in children. Normal food and topical amounts have not been linked to liver injury. The cited trials applied the oil to skin or gums.6
How to read the label
What to check on the Supplement Facts panel.
How to read the label
2 checksOil vs extract
Frequently asked questions
Short answers to common questions; the numbers link to the sources below.
Common questions
7 answersDoes clove oil work for toothache?
In 73 adults, a homemade clove gel numbed the gum about as well as 20% benzocaine gel before a needle stick. That is a numbing test, not a toothache trial, and it does not replace dental care.1
Do clove supplements help with hangovers?
One crossover trial in 16 men found 55% lower hangover scores with 250 mg of a clove bud extract, but it was run by the extract's maker and has not been repeated.4
Does clove thin the blood?
Is it safe to swallow clove oil?
How much clove oil is dangerous to swallow?
What are the side effects of clove oil?
Is clove mouthwash better than chlorhexidine?
One trial in 168 ventilated ICU patients found half the pneumonia rate with a 6.66% clove mouthwash. It is a single hospital study of a clinical product.3
Sources
13 sources: trial abstracts, NIH fact sheets and reference databases. Numbers in the text link here.
Sources cited on this page
13 sources- 1The effect of clove and benzocaine versus placebo as topical anesthetics.RCT J Dent, 2006 · PMID 16530911
- 2Clove oil cream: a new effective treatment for chronic anal fissure.RCT Colorectal Dis, 2007 · PMID 17573751
- 3Effect of clove mouthwash on the incidence of ventilator-associated pneumonia in intensive care unit patients: a comparative randomized triple-blind clinical trial.RCT Clin Oral Investig, 2023 · PMID 36961592
- 4Clove Bud Polyphenols Alleviate Alterations in Inflammation and Oxidative Stress Markers Associated with Binge Drinking: A Randomized Double-Blinded Placebo-Controlled Crossover Study.Crossover RCT J Med Food, 2018 · PMID 30234415
- 5Effect of short-term dietary administration of eugenol in humans.Crossover RCT Hum Exp Toxicol, 1996 · PMID 8645503
- 6Eugenol (Clove Oil).Database 2012 · PMID 31869191
- 7Essential oil poisoning: N-acetylcysteine for eugenol-induced hepatic failure and analysis of a national database.Observational Eur J Pediatr, 2005 · PMID 15895251
- 8N-acetylcysteine for the treatment of clove oil-induced fulminant hepatic failure.Observational J Toxicol Clin Toxicol, 2004 · PMID 15083943
- 9Disseminated intravascular coagulation and hepatocellular necrosis due to clove oil.Observational Blood Coagul Fibrinolysis, 1992 · PMID 1450336
- 10Eugenol Suppresses Platelet Activation and Mitigates Pulmonary Thromboembolism in Humans and Murine Models.Animal study Int J Mol Sci, 2024 · PMID 38396774
- 11Cardiovascular protective properties of the natural product eugenol.Review Eur J Pharmacol, 2025 · PMID 40623537
- 12Water-soluble polyphenol-rich clove extract lowers pre- and post-prandial blood glucose levels in healthy and prediabetic volunteers: an open label pilot study.Open-label trial BMC Complement Altern Med, 2019 · PMID 31064377
- 13Comparative Evaluation of Pain Perception Following Topical Application of Clove Oil, EMLA 5%, and Lignocaine Hydrochloride Gel 2% as a Pre-anesthetic Agent in Children Aged 7-10 Years: A Randomized Controlled Study.RCT Int J Clin Pediatr Dent, 2026 · PMID 42582221
What changed
Every dated change to this page: what changed, who made it and why.
Change log
3 entries| Date | Change | Who and why |
|---|---|---|
| summary, evidence, key facts, who should avoid, FAQ, questions, time to effect, studied doses, related | Added the LiverTox likelihood score (C[H], probable cause of liver injury in overdose, typically after 10–30 mL) to the liver note and key facts, a 13-person open-label blood-sugar pilot of a clove bud extract (grade D, manufacturer-run), and a 2026 trial in 48 children comparing clove oil with EMLA and lidocaine before dental injections (row notes; n from full text). Rewrote the pregnancy and breastfeeding note as no reliable data (no LactMed entry), added FAQ on toxic amounts and side effects, page questions, time-to-effect rows and a goal-hub link, and updated the summary and insight to count both oral studies. Searched PubMed for clove, Syzygium aromaticum and eugenol trials and meta-analyses from 2018 to 2026; no meta-analysis of clove itself was found. Interactions: checked LiverTox and LactMed (no clove entry); no new interactions beyond the existing antiplatelet note. | Writer: Kymata Health EditorialTrigger: A–Z audit against docs/supplements/AUDIT-STANDARD.md |
| all | Initial editorial evidence review (first draft). Every PMID checked against NCBI E-utilities esummary (titles and years taken from the record, none retracted) and the abstract read for each cited row. Studied doses are reported as research doses, not dosing advice. | Writer: Kymata Health EditorialTrigger: new page |
| all | Adversarial review: corrected the infant clove-oil amounts (the 3-month-old swallowed under 8 ml per PMID 15083943; the 15-month-old 10 ml per PMID 15895251), replacing the inaccurate '8 to 10 ml' range. | Writer: Kymata Health EditorialTrigger: adversarial review |
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