III. Contraindications

  1. General
    1. Contraindications apply to doses listed below
    2. Tea is unlikely to cause any serious adverse effects
  2. Pregnancy
    1. May cause uterine bleeding
  3. Hiatal Hernia or severe Gastroesophageal Reflux
  4. Cholecystitis or Cholelithiasis

IV. Adverse Effects

  1. Gastroesophageal Reflux
    1. Peppermint decreases LES pressure
  2. Perianal burning
  3. Blurred Vision
  4. Nausea or Vomiting

V. Dosing

  1. Oral enteric coated oil (for gastrointestinal symptoms)
    1. Adult: 0.2 to 0.4 ml PO tid
    2. Child: 0.1 to 0.2 ml PO tid (if over age 8 years)
  2. Topical Peppermint Oil 10% (for Tension Headache)
    1. Applied to area of Headache

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Cost: Medications

menthol (on 1/18/2023 at Medicaid.Gov Survey of pharmacy drug pricing)
MENTHOL COLD-HOT 5% PATCH Generic OTC $0.71 each