Educational information, not medical advice — ask your doctor or midwife.
Santalum album is the Indian sandalwood tree. It is a small evergreen tree from South Asia. Its sweet-smelling heartwood is steam-distilled to make sandalwood essential oil.
The oil and the ground wood are used mainly for scent. They go into perfume, soap, incense, skin creams and massage blends. Some people dab the diluted oil on skin or breathe it from a diffuser to feel calmer.
Here is the honest verdict. Human evidence is thin. A few small studies hint at mild effects on mood and on some skin problems, but nothing is settled.
Sandalwood has been prized for thousands of years. Long use is not proof that it works, and it is not proof that it is safe.
Real Santalum album oil is costly, so it is often faked. Many cheap "sandalwood" products hold a different tree species or a lab-made scent.
No one has shown how sandalwood works in the body. Almost all the claims come from lab work.
The main compound is alpha-santalol. In test tubes it slows the growth of some bacteria and fungi. Whether that happens on human skin is not established.
In cell and animal studies, santalol compounds appear to damp down signals linked to inflammation. Mouse skin studies have also looked at alpha-santalol and tumour growth. None of that shows a benefit in people.
Smell is the second proposed route. In small human studies, breathing sandalwood scent shifted how calm or alert people said they felt.
Part of that may simply be liking the smell. A scent you enjoy, in a quiet moment, can settle you on its own.
You will meet sandalwood in a few forms.
Essential oil, sold neat in small bottles for diffusers and for mixing into carrier oil.
Pre-diluted roll-ons and massage blends, where the oil sits in jojoba, almond or coconut oil.
Creams, soaps, balms and face products that list sandalwood oil or extract.
Sandalwood paste and powder made from ground heartwood, used on skin and in worship.
Incense sticks, cones and loose chips for burning.
Wood chips or powder brewed as a weak tea in some traditional systems.
Trace amounts as a flavouring in some drinks and sweets.
Capsules of sandalwood oil were once sold for urinary complaints. They are rare now and are not recommended here.
Sandalwood is one of the oldest scents in recorded use. Temples, funerals and carvings in India used it for well over two thousand years.
Ayurvedic texts listed it as chandana. Practitioners used the paste for heat, rashes, thirst and fever, and used the scent to settle the mind.
Chinese medicine knew the wood as tan xiang. It was used for chest and stomach pain and for ritual incense.
Buddhist and Hindu practice valued the wood for prayer beads and for offerings.
In 19th-century Europe, doctors gave capsules of sandalwood oil for gonorrhoea and other urinary infections. Antibiotics replaced that use, and it is not revived here.
Heavy demand pushed wild Indian sandalwood into decline. India now controls its harvest and trade tightly, and much oil today comes from plantations.
Stop using it and see a doctor if a rash spreads, blisters or does not settle within a few days.
Get urgent medical help if you have swelling of the lips, face or tongue, a widespread hives rash, or trouble breathing. Those point to a serious allergic reaction.
See a doctor the same day if you get burning on passing urine, blood in your urine, or pain in your side or lower back after using sandalwood.
Call your local poison centre or emergency number at once if anyone swallows sandalwood essential oil. Take the bottle with you. Do not try to make the person vomit.
If oil splashes in an eye, rinse with plenty of water and get it checked.
In the United States, sandalwood oil is allowed as a flavouring and is sold as a cosmetic and fragrance. It is not approved as a drug there, and health claims on the label are not permitted. In the UK and EU it is a cosmetic and fragrance ingredient, not a licensed medicine. India tightly controls the cutting and export of Santalum album, so much oil now comes from plantations in Australia and elsewhere.
Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.
What it is typically used for, usual dose, cautions, and the study behind it where real trial data exists.
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