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AlternativeMed

Frankincense Oil

What frankincense oil is, what the research does and does not show, which safety points matter, and why the trees it comes from are a conservation concern.

Content last updated . This page has not been medically reviewed.

Safety first. Supplements can cause side effects and interact with medicines. Read mushroom safety and interactions before you use any mushroom product.

Safety first. Essential oils are strong and should not be swallowed. Poison Control says many can cause rashes on skin and some are poisonous if swallowed or absorbed, and children may be more susceptible than adults. [1] If someone has swallowed an essential oil, call Poison Help at 1-800-222-1222; call 911 for collapse, a seizure or trouble breathing. [1] Keep bottles locked away from children and pets. [1] General guidance is on the essential oil safety page.

What frankincense oil is

Frankincense oil is an essential oil from the resin of Boswellia trees. The resin is described in the research as an oleo-gum resin that holds volatile oils and boswellic acids. [2] An essential oil is not the same thing as the resin itself, a resin extract capsule, or a cream, and results from one do not carry over to another. For resin extract supplements, see the Boswellia herb profile.

Which plant? Names and look-alike labels

"Frankincense" covers several species in the family Burseraceae. GBIF, the plant-name database, accepts Boswellia sacra Flück., Boswellia serrata Roxb. ex Colebr., Boswellia papyrifera (Delile) Hochst. and Boswellia frereana Birdw. as separate species; the spelling Boswellia carteri (often written carterii) is listed as a synonym of B. sacra. [3] Chemists can tell three of these resins apart by marker compounds, which shows they are not identical. [4] A study that used one species cannot be assumed to apply to another, so a label that names the species and plant part is more informative than one that says only "frankincense". See reading an essential oil label.

Traditional and cultural use

Reviews describe frankincense resin as used in medicine, religious practice, cosmetics and perfumery, and as widely used in traditional medicine. [5] [2] These uses are part of living traditions in several regions, and this page does not describe ceremonies. Ayurvedic use of B. serrata resin has its own page: Boswellia (Shallaki) in Ayurveda. Tradition is a record of use, not proof that the oil works.

What research shows (by use)

Most human studies mix frankincense with other oils, so the effect of frankincense alone cannot be separated out. Smell-based trials are also hard to blind, and many measure self-reported feelings. NCCIH notes that for aromatherapy and insomnia little rigorous research has been done. [6]
UseWhat the source foundStrength of evidencePopulation and form
Anxiety in early laborA systematic review of 14 published and 2 unpublished papers found most studies suggested lower anxiety; frankincense was one of many oils used (in 3 articles). The authors asked for more rigorous studies. [7]Promising but limited; not specific to frankincenseWomen in first-stage labor; mostly inhaled blends
SleepA hospital audit of 65 inhaler sticks found 64% reported at least one point better sleep quality. Frankincense was in blends chosen by patients. [8]Insufficient evidence (no control group)Cancer-centre patients, UK; blended oils, inhaled
Pain and low moodIn 58 hospice patients, a hand massage with a bergamot, lavender and frankincense blend (1.5% in almond oil) was compared with massage using almond oil alone; pain and depression scores differed. [9]Promising but limited; blend, not randomizedAdults with terminal cancer, Korea; skin massage
Eczema and psoriasisA scoping review of 29 studies said placebo-controlled studies showed positive effects of frankincense oil, but study quality and product verification were inconsistent. [10]Promising but limitedSmall, short studies; topical
Antioxidant activityA preliminary lab study of resin soaked in almond oil and in rosewater reported antioxidant activity and a stable cream. [2]Preclinical (laboratory only)Not an essential oil; no people

Proper evidence not found for frankincense oil on its own for arthritis, cancer, memory or immune health. We searched PubMed on 2026-10-23 for Boswellia with "essential oil" limited to clinical trials and the search returned no records. [11] Any claim that the oil treats these conditions is a marketing claim, and the FDA says claims to treat or prevent disease or relieve pain, anxiety or sleep problems are drug claims. [12]

Quality and adulteration

Poison Control notes it can be hard to know the plant species, concentration or contaminants in an essential oil bottle. [1] A review of Indian frankincense found demand far exceeding what can reasonably be harvested without endangering populations, "opening the door to adulteration and substitution". [5] See quality testing.

Conservation

Some frankincense trees are under pressure. Continuous tapping of B. papyrifera without resting years made trees more vulnerable to longhorn beetle damage in northern Ethiopia. [15] Boswellia ogadensis was listed as Critically Endangered in 2018, although a 2022 survey found it more abundant than thought. [16] Reviewers say sustainable harvesting and supply chains are needed. [5] See sustainability of oil source plants. Frankincense is often named with myrrh; myrrh has its own page: myrrh oil.

Frequently asked questions

Is frankincense oil safe to swallow?

No. Poison Control warns that some essential oils are poisonous if swallowed and that aspirating one can cause pneumonia; call Poison Help at 1-800-222-1222 if one has been swallowed. [1]

Does frankincense oil treat arthritis, cancer or inflammation?

Proper evidence not found for the oil alone. The human studies we read were of blends or small skin studies, and the lab work is not evidence of effect in people. [10] [2]

Is frankincense oil the same as Boswellia capsules?

No. The oil, the resin and resin-extract supplements are different products, and findings for one do not transfer to another. See the Boswellia profile for the herb and supplements.

Can frankincense oil cause a skin reaction?

Yes, it can. A case of allergic contact dermatitis from frankincense oil has been reported. [13] Stop use and wash off if a rash appears. [1]

Are frankincense trees endangered?

Some are. Reviews describe overharvesting pressure on Indian and Ethiopian frankincense, and one species was listed as Critically Endangered in 2018. [5] [16]

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Safety: who should be careful
  • Skin. A case report describes allergic contact dermatitis from B. carterii (frankincense) oil. [13] Poison Control advises diluting potent oils in a carrier oil, avoiding damaged skin, and washing off and stopping if a rash appears. [1] Natural origin does not make an ingredient safe. [12] See patch testing and reactions.
  • Hormone questions. The NIEHS work on hormone activity tested lavender and tea tree oils. [14] The sources we read did not report this for frankincense.
  • Pregnancy, breastfeeding, babies and children. The sources we read for this page did not address frankincense oil in these groups, so absence of warnings is not proof of safety. Ask a clinician; see pregnancy and breastfeeding and babies and children.
  • Medicines, liver, kidney, surgery. Poison Control says essential oils may interact with medications. [1] Specific interactions for frankincense oil were not found in the sources we read. Ask a pharmacist, tell the surgical team about any oils you use, and see medication interactions.
  • Swallowing. Never swallow. Aspirating an essential oil can cause pneumonia. [1]
  • Pets. Pet-specific data for frankincense oil were not found in the sources we read; see essential oils and pets.
References
  1. Poison Control (America's Poison Centers). Essential oils: Poisonous when misused. Read 2026-10-23.
  2. Javed S, et al. Qualitative phytochemical profiling, antioxidant activity, and development of a water-in-oil cream containing combined oil and water infusions of frankincense resin. J Pharm Pharm Sci, 2026 (preliminary in vitro study). Read 2026-10-23.
  3. GBIF Secretariat. GBIF Backbone Taxonomy, species match service. Names checked 2026-10-23.
  4. Thin-layer chromatography method to identify Boswellia papyrifera, Boswellia serrata and Boswellia carterii/sacra resins. PubMed record 21858880. Read 2026-10-23.
  5. Ecological status of Boswellia serrata (Indian frankincense): population, harvest and trade review. J Ethnopharmacol, 2018 (PubMed record 30031142). Read 2026-10-23.
  6. National Center for Complementary and Integrative Health (NIH). Aromatherapy. Page last updated January 2020. Read 2026-10-23.
  7. Ghiasi A, Bagheri L, Haseli A. A Systematic Review on the Anxiolytic Effect of Aromatherapy during the First Stage of Labor. J Caring Sci, 2019. Read 2026-10-23.
  8. Dyer J, et al. The use of aromasticks to help with sleep problems: A patient experience survey. Complement Ther Clin Pract, 2016. Read 2026-10-23.
  9. Chang SY. Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Taehan Kanho Hakhoe Chi, 2008 (article in Korean; English abstract read). Read 2026-10-23.
  10. Dontje AEWK, et al. The Therapeutic Potential of Essential Oils in Managing Inflammatory Skin Conditions: A Scoping Review. Pharmaceuticals (Basel), 2024. Read 2026-10-23.
  11. National Library of Medicine. PubMed search run through NCBI E-utilities on 2026-10-23. Queries are named in the page text; record counts are not a measure of evidence quality.
  12. U.S. Food and Drug Administration. Aromatherapy. Content current as of September 8, 2023. Read 2026-10-23.
  13. Buonomo M, Hylwa S. Allergic contact dermatitis from Boswellia carterii (frankincense) oil. Contact Dermatitis, 2021 (only the title and citation are shown on PubMed; no abstract). Read 2026-10-23.
  14. National Institute of Environmental Health Sciences (NIH). Essential Oils. Last reviewed March 19, 2026. Read 2026-10-23.
  15. Frankincense (Boswellia papyrifera) resin tapping and longhorn beetle damage in northern Ethiopia. PubMed record 33665427, 2021. Read 2026-10-23.
  16. Johnson S, et al. Conservation Assessment and Chemistry of Boswellia ogadensis, a Critically Endangered Frankincense Tree. Plants (Basel), 2022. Read 2026-10-23.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.