Melaleuca alternifolia (Maiden & Betche) Cheel

Last updated: 2016 Oct 14

Scientific Name

Melaleuca alternifolia (Maiden & Betche) Cheel


Melaleuca linariifolia var. alternifolia Maiden & Betche[1]

Vernacular Name

Malaysia Gelam wangi [2]
English Tea tree, Australian tea tree [3].

Geographical Distributions

Melaleuca alternifolia is a perennial plant, native to Australia. It grows wild on sandy soils in New South Wales. In Malaysia, it was first cultivated in Perlis and Kedah in 1993. [2]

Botanical Descriptions

M. alternifolia is a hardwood tree of the Myrtaceae family. It is a narrow-leaved tree 6-7m tall. The bark is layered and papery. The entire plant is glabrous.

The leaves are alternate, aromatic and 10-35 mm long, about 1 mm wide. The petiole is 1 mm long.

The inflorescences are many-flowered spikes, 3-5 cm long, with axes bearing short hairs. The white flowers are solitary and petals are 2-3 mm long. The flowersare scattered in an interrupted spike. The stamens are 30-60 in number and more than 12 mm long, united at their bases to form 5 distinct bundles.

The capsule persists within the fruiting hypanthium. The fruits are spaced sparsely along the branches. The fruit has many seeded, cup shaped and 2-3mm in diameter. A hole of 1.5-2.5 mm diameter is present which enables the release and dispersal of seeds by wind. [4][5][6][7]


Soil Suitability and Climate Requirement

M. alternifolia grows well on tropical soils with good drainage, fertile, with 18-31.4 oC temperature and 1200-1600 mm annual rainfall. Crops planted on fertile soils will grow faster and produce bigger canopy. [2]

Field Preparation

Land Preparation

Normal operation such as land clearing, disc ploughing and rotovation have to be conducted before planting. Field drainage system has to be established in areas that are easily waterlogged. [2]

Production of Planting Materials

M. alternifolia is propagated by seeds. Seeds at the rate of 0.5 g/m2 are sown in sowing trays or beds. The use of pathogen free or sterilised sowing media is strongly recommended. The seeds germinate after 7-10 days and subsequently at 5 to 7-leaf stage the seedlings are transferred into polybags (10 cm x 15 cm). Fungicide is sprayed regularly to control damping-off disease. The seedlings are ready for field planting after 3 months in polybags. [2]


Figure 1: Well grown M. alternifolia on bris sandy soil.

Field Planting

For a two-row avenue planting, the seedlings are planted at 0.6 m (between rows) x 0.4 m (within a row) with 1.5 m avenue width which will give a population density of 23,810 plants/ha. Large scale planting can be mechanised and in areas where flash flood is pertinent, it can be planted on raised beds. [2]



Figure 2: M. alternifolia seedlings ready for field planting.



Figure 3: The recommended planting distance is 60 cm between rows and 40 cm within plants in a row.

Field maintenance


The rate of fertiliser depends on soil types. For clay loan soil, fertiliser (N:P2O5:K2O) at the rate of 200:50:70 kg/ha is recommended. Whereas for sandy bris soil, 10 t/ha chicken manure and 240:240:340 kg/ha of N:P2O5:K2O are recommended. Fertilisers such as NPK (15:15:15) or NPK (12:12:17:2) can be used but the amount has to be equally divided and applied within 1st, 3rd, 5th and 7th month of planting. The same rate of fertiliser is repeated for the ratoon crops. [2] [8-9]

Weed Control

Weed problem can be controlled by spraying pre-emergence herbicide at planting. Later, weed control is done by spraying contact herbicide or by using grass-cutter. [2]

Water management

Sprinkler or rain-gun irrigation system is recommended for this crop. Supplementary irrigation is critical particularly at the early crop establishment stage. [2]

Pest and Disease Control

So far, there is no serious pest and disease observed for this crop. Nonetheless, termites need to be looked for as it may cause some damages to the plants in the field. [2]


M. alternifolia can be harvested 7-12 months after planting, depending on crop growth. Harvesting is done by cutting the plants at 15-30 cm above ground. On clay loam soil, the biomass yields is 20 t/ha or equivalent to 150-200 kg/ha essential oil with 0.7-1.0% oil recovery. Whereas on sandy bris oil, the biomass yield is 12.5-17.3 t/ha or equivalent to 115-136 L/ha essential oil with 0.78-0.92% (vol/wt) oil recovery. After harvesting, the plants will produce new shoots which will develop into new foliage that can be harvested again after 6 months. This practice can be repeated further whereby a good crop is expected to be economically productive for 10 years. On clay loan soil, the biomass yields of first and second ratoon are 25 and 30 t/ha respectively. [2] [8-10]


Figure 4: Fully grown M. alternifolia plants (7-12 months after planting) ready for first harvest.

Postharvest handling

The harvested biomass need to be immediately brought to collection centre, chopped into smaller pieces and loaded into distiller. The oil distillation process will take about 3 hours. [2]

Estimated cost of production

The production cost for one hectare crop is estimated at RM18,700, RM15,600 and RM15,500 respectively for the 1st, 2nd and 3rd year onwards. Thus, at the yield levels of 20, 25 and 30 t/ha the production cost per kilogramme biomass are RM0.90, RM0.60 and RM0.50 respectively. Similarly, the production cost of a kilogramme of essential oil is RM83-RM111 for oil yield of 120-200 kg. The production cost was estimated based on the cost of current inputs during writing of this article. [2]

Chemical Constituents

M. alternifolia has been rported to contain terpinen-4-ol (29-45%), γ-terpinene (10-28%), α-terpinene (2.7-13.0%) and 1,8-cineole (4.5-16.5%). Other mono-terpenes present in significant quantities (1-5%) include α-pinene, limonene, p-cymene and terpinolene. [6][11][12][13]

Plant Part Used

Leaves [6]

Traditional Use

Bundjalung Aborigines of New South Wales inhaled vapours from crushed tea tree leaves by applying a poultice made of tea tree leaves to treat coughs, colds, insect bites, abrasions, and skin infections [14]. It is used as an antiseptic and disinfectant for wounds and heals burns. It is also effective for the treatment of dandruff and scalp problems. Lastly, it can be used for treatment of bleeding gums, gingivitis and periodontal disease [15].

Preclinical Data


Cytotoxic activity

The potential anti-tumoral activity of M. alternifolia was analysed against human melanoma cells and their drug-resistant counterparts. It was concluded that tea tree oil and terpinen-4-ol are able to inhibit the growth of human melanoma cells and are more effective on their resistant variants by inducing caspase-dependent apoptosis of melanoma cells. [16]

In was also reported that M. alternifolia and its major active terpene component terpinen-4-ol significantly inhibit the growth of two murine tumour cell lines (AE17 mesothelioma and B16 melanoma) in a dose and time-dependent manner. It induced necrotic cell death coupled with low level apoptotic cell death in both tumour cell lines. However, it does not seem to affect non-tumour fibroblast cells. [17]

Antioxidant and anti-inflammatory activity

Studies found that the essential oil of M. alternifolia at a concentration of 0.1% directly stimulated reactive oxygen species (ROS) production by polymorphonuclear neutrophils (PMNs) (x8.7 vs. 0% EO, p<0.05) and increased the intracellular ROS produced by monocytes. Regardless of the stimulating agent used (a phorbol ester, formyl-methionyl-leucyl-phenylalanine or opsonised zymosan), the tea tree oil decreased the intracellular ROS production at the dilution of 0.1% by PMNs and monocytes, more so with PMNs. This shows that M. alternifolia also protects organism from an excess of ROS through an antioxidant and radical scavenging activity apart from being a direct active mediator of bactericidal action of circulating leucocytes. [18]

M. alternifolia essential oil does not only act as an anti-inflammatory mediator through its antioxidant activity but also protects the organism by reducing the proliferation of inflammatory cells without affecting their capacity to secrete anti-inflammatory cytokines. [19]

Study reported that the water soluble component of M. alternifolia significantly suppressed the agonist-stimulated superoxide production by monocytes. The water soluble components were analysed as terpinen-4-ol, alpha-terpineol and 1,8-cineole whereit was found that only alpha-terpineol could significantly suppress N-formyl-methionyl-leucyl-phenylalanine- (fMLP), lipopolysaccharide- (LPS) and phorbol 12-myristate 13-acetate (PMA)-stimulated superoxide production. [20]

Acaricidal activity

Comparison was made for the acaricidal activity between M. alternifolia oil and some of its individual active components on the itch mite Sarcoptes scabiei var hominis. The results suggested that the terpinen-4-ol is the primary active component which has its potential role to be a new topical acaricide. [21]

In the study where two major constituents of tea tree oil, 1,8-cineole and terpinen-4-ol, were shown to inhibit acetylcholinesterase at IC50 values (inhibitor concentrations required to give 50% inhibition) of 0.04 and 10.30 mM, respectively. Four samples of TTO tested showed anticholinesterase activity at IC50 values of 0.05, 0.10, 0.08 and 0.11 µL/mL, respectively. [22]

A study was conducted to measure the acaricidal effect of essential oil of M. alternifolia at different doses (4, 6, 8 and 10 µl) and for different exposure times (30, 60, 90 and 120 min) on nymphs of Ixodes ricinus. A dose of 8 µl tea tree oil was lethal for >70% of ticks when inhaled and this effect was enhanced when it was increased to 10 µl (>80%). Not only that, the effect was correlated with the duration of ticks’ exposure to tea tree oil, reaching a significant effect after 90 min exposure. [23]

Antimicrobial activity


The in vitro antiviral activity of M. alternifolia essential oil and its main components including terpinen-4-ol, alpha-terpinene, gamma-terpinene, p-cymene, terpinolene and alpha-terpineol was analysed against polio type 1, adeno type 2, ECHO 9, Coxsackie B1, herpes simplex (HSV) type 1 and 2 viruses by 50% plaque reduction assay. The anti-influenza virus assay was dependent on the inhibition of the virus-induced cytopathogenicity. Results showed that M. alternifolia and some of its components (the terpinen-4-ol, the terpinolene, the alpha-terpineol) inhibit influenza A/PR/8 virus subtype H1N1 replication but only a slight virucidal effect was observed against HSV-1 and HSV-2. [24]


The in vitro antifungal activity of the essential oil of M. alternifolia, has been evaluated against various dermatophyte species, yeast Candida and Malassezia furfur strains. Tea tree oil inhibited the growth of dermatophytes (MIC: 1,112.5 – 4,450.0 μg/mL), Candida and Trichosporon (MIC: 2,225.0 - 4,450.0 μg/mL) and the most susceptible is the lipophilic yeast M. furfur (MIC: between 556.2 and 4,450.0 μg/mL). [25]

Tea-tree oil may be useful in the treatment of yeast and fungal mucosal and skin infections due to its inhibitory activity in vitro against Trichophyton rubrum, Trichophyton mentagrophytes, Trichophyton tonsurans, Aspergillus niger, Penicillium species, Microsporum gypsum and Candida albicans. [26] [27]


The susceptibility of a range of transient and commensal skin flora to the essential oil of M. alternifolia was determined by using a modified broth microdilution method. The results showed that Serratia marcescens had the lowest MIC90 of 0.25% whereas the highest was 3% for Pseudomonas aeruginosa. Besides that, the lowest minimum bactericidal concentration (MBC90) was 0.25% for S. marcescens and Klebsiella pneumoniae, whereas the highest was 8% for Staphylococcus capitis. S. aureus and most of the gram-negative bacteria tested were more susceptible to tea tree oil than the coagulase-negative staphylococci and micrococci. [28] The MIC90 of tea tree oil for E. coli was 0.25% while for S. aureus it was 0.50%. [29]

A study analysed 64 methicillin-resistant Staphylococcus aureus (MRSA) isolates from Australia and the United Kingdom, including 33 mupirocin-resistant isolates. The MICs and MBCs for the Australian isolates were 0.25% and 0.5%, respectively, while those for the UK isolates were 0.312% and 0.625%, respectively. [30]

There are also other studies done on the susceptibility of MRSA to tea tree oil which showed no huge differences compared to antibiotic-sensitive organisms. [31][32][33]


No documentation.

Clinical Data

Clinical findings

Urinary Tract Infections

A randomized, double-blind, placebo-controlled trial evaluated the efficacy of the essential oil in the treatment of 26 women with chronic idiopathic colibacilli cystitis. Patients were treated with 8 mg essential oil, in an enteric capsule form, orally three times daily for 6 months. The results showed that 54% of the essential oil-treated groups were free of symptoms compared with only 15% in the placebo group. However, approximately 50% of the asymptomatic patients still showed evidence of colibacilli and leukocytes in their urine. [34]

Vaginal Infections

Based on a study 40% emulsified solution of tea tree oil in 13% isoprophyl alcohol is effective in the treatment of 130 women with cervicitis or vaginitis due to Trichomonas vaginalisor vaginitis due to Candida albicans. Intravaginal application of tampons saturated with a 20% emulsified solution healed cervicitis caused by Trichomonas vaginalis after four weekly treatments. In patients with vaginitis due to Trichomonas vaginalis, intravaginal application of a 1% emulsified solution using a saturated tampon, as well as vaginal douching, resulted in clinical cures and restoration of the cervix. [35]

According to another study without controls, 28 women with vaginitis due to C. albicans were treated with vaginal pessaries (containing 0.2 g essential oil) every night for 90 days. After 30 days of treatment, 24 patients were already free of symptoms such as leukorrhea and burning sensation, and 21 were free of C. albicans. [34]


A randomized, single-blind, comparison trial analysedthe safety and efficacy of topical application of a gel containing either 5% essential oil or 5% benzoyl peroxide in the treatment of mild to moderate acne in 119 patients. The results showed that both gelssignificantly reduced the number of inflamed and non-inflamed lesions after 3 months of daily treatment (p<0.001), although the onset of action of the oil-containing gel was slower than the benzoyl peroxide-containing gel. Patients treated with the oil-containing gel reported fewer side effects than those treated with the benzoyl peroxide-containing gel. So essential oil was more effective as compared to benzoyl peroxide. [36]

Tinea Pedis

A randomized double-blind, placebo-controlled clinical trial evaluated the efficacy of a cream containing either 10% (w/w) essential oil, 1% tolnaftate or a placebo in the treatment of 104 patients with tinea pedis due to Trichophyton rubrum, Trichophyton mentagrophytes and Epidermophyton floccosum. After application of the cream twice daily for 4 weeks, both the essential oil-treated group and tolnaftate-treated group demonstrated significant improvement in the clinical symptoms of scaling, inflammation, itching and burning sensation, compared with the placebo group (p < 0.001). [37]

Fungal nail infections

A randomized, double-blind, placebo-controlled study assessed the clinical efficacy and tolerability of 2% butenafine hydrochloride and 5% M. alternifolia oil incorporated in a cream to manage toenail onychomycosis of 60 patients. After 16 weeks, 80% of the patients using the medicated cream were cured. No relapse was seen during follow up in the cured patients. [38]

A randomized, double-blind, multicentre comparison trial evaluated the efficacy and tolerability of the topical application of 100% essential oil or 1% clotrimazole in the treatment of 117 patients with toenail onychomycosis. The patients received twice-daily topical applications of either one for 6 months, and debridement and clinical assessment were performed at 0, 1, 3 and 6 months. After 3 months, approximately 50% of each group reported improvements. After 6 months of treatment, clinical assessment documented partial or full resolution in approximately 60% of each group. [39]


The topical application of tea tree oil once daily for 12 days successfully eradicated warts and re-epithelization occurred. [40]

Lice eradication

An in vitro study showed that 97.6% of subjects were louse-free one day after the last treatment oftopical application of the pediculicide containing tea tree oil as compared with 25% of those using pyrethrin-based products in the treatment of Pediculosis capitis (head lice infestation). [41]

Anti-inflammatory activity

20 minutes after the 27 volunteers injected intradermally in each forearm with histamine diphosphate (5 µg in 50 µL), 25 µL of 100% tea tree oil was applied topically to the study forearm of 21 volunteers, whereby the rest was applied with 25 µL of paraffin oil. Results showed significant reduction of histamine-induced skin inflammation based on the mean weal volume after tea tree oil application (10 minutes after tea tree oil application, p=0.0004, Mann-Whitney U-test). [42]

Oral infections

In an open study, 27 patients with acquired immunodeficiency syndrome (AIDS) and oral candidiasis clinically refractory to fluconazole were randomly assigned to receive either an alcohol-based or an alcohol-free melaleuca oral solution four times daily for 2 to 4 weeks. Results showed 60% of patients demonstrated a clinical response to the melaleuca oral solution at 4-week evaluation. [43]

In a study, 301 yeasts isolated from the mouths of 199 patients with advanced cancer were shown to be susceptible to tea tree oil, including 41 yeasts that were known to be resistant to both fluconazole and itraconazole. [44]


Not for internal use. Keep out of reach of children. Avoid using it in cases of known allergy to plants of the Myrtaceae family. [47][48][49]

Side effects

No documentation.

Pregnancy/Breast Feeding

No documentation.

Age limitation

No documentation.

Adverse reaction

Dermatological Adverse Reaction

Allergic contact eczema has been reported. [45]

Erythema multiforme-like reaction secondary to allergic contact dermatitis from tea tree oil has been reported. [46]

Effects of Ingestion

Accidental ingestion of less than 10mL essential oil caused confusion, drowsiness, loss of coordination and even became unresponsive requiring endotracheal intubation. [47][48][49]

Interaction & Depletion

Interaction with drug

Antagonistic interaction was noted in vitro between tea tree oil and conventional antimicrobials (ciprofloxacin/amphotericin B) when used in combination. [50]

Interaction with other Herbs

No documentation.


M. alternifolia is contraindicated in cases of known allergy to plants of the Myrtaceae family.

Case Report

Dermatological Adverse Reaction

Allergic contact eczema has been reported. [45]

Erythema multiforme-like reaction secondary to allergic contact dermatitis from tea tree oil has been reported. [46]

Effects of Ingestion

Accidental ingestion of less than 10mL essential oil caused confusion, drowsiness, loss of coordination and even became unresponsive requiring endotracheal intubation. [47][48][49]


Dosage Range

Cervicitis (T. vaginalis or C. albicans): intravaginal application of tampons saturated in a 20% emulsified solution. [35]

Vaginitis (T. vaginalis or C. albicans): intravaginal application of tampons saturated in a 1% emulsified solution, vaginal pessaries (containing 0.2 g essential oil). [34][35]

Acne: 5% essential oil in cream or gel base applied daily. [36]

Tinea pedis: 10% essential oil in cream base applied daily. [37]

Onychomycosis: 100% essential oil applied daily. [38]

Most Common Dosage

Cervicitis (T. vaginalis or C. albicans): intravaginal application of tampons saturated in a 20% emulsified solution. [35]

Vaginitis (T. vaginalis or C. albicans): intravaginal application of tampons saturated in a 1% emulsified solution, vaginal pessaries (containing 0.2 g essential oil). [34][35]

Acne: 5% essential oil in cream or gel base applied daily. [36]

Tinea pedis: 10% essential oil in cream base applied daily. [37]

Onychomycosis: 100% essential oil applied daily. [38]


The Australian standard (AS 2782-1985) for “Oil of Melaleuca (Terpinen-4-ol type)” sets a minimum content of terpinen-4-ol at 30% and a maximum 1,8-cineole content of 15%. [3]

Line drawing

No documentation.


  1. The Plant List. Ver1.1. Melaleuca alternifolia (Maiden & Betche) Cheel [homepage on the Internet]. c2013 [updated 2012 Mar 23; cited 2016 Oct 14]. Available from:
  2. Ahmad Puat N, Mansor P, Engku Ismail EA. Tea tree (Melaleuca alternifolia Cheel). In: Musa Y, Muhammad Ghawas M, Mansor P, editors. Penanaman tumbuhan ubatan & beraroma. Selangor, Malaysia: MARDI, 2005; p. 135-140.
  3. Carson CF, Hammer KA, Riley TV. Melaleuca alternifolia (Tea Tree) oil: A review of antimicrobial and other medicinal properties. Clin Microbiol Rev. 2006;19(1):50-62.
  4. Cribb AB, Cribb JW. Useful wide plants in Australia. Sydney: Fontana/Collins; 1981.
  5. Penfold AR, Morrison FR. Tea tree oils. In: Guenther E, editor. The essential oils. Vol IV. New York: D. Van Norstrand Co., 1950; p. 60-72.
  6. Southwell I, Lowe R, editors. Tea tree. The genus Melaleuca. Sydney: Harwood Academic Publishers; 1999.
  7. Sabir S, Arshad M, Zahara K, Tabassum S, Khalil S. Pharmacological attributes and nutritional benefits of tea tree oil. Int J Biosci (IJB). 2014;5(2):80-91.
  8. Ahmad Puat N, Abd Rahman Azmil I, Mansor P, Ahmad AW. Effect of plant density, nitrogen fertiliser and harvesting frequency on the performance of tea tree (Melaleuca alternifolia). Paper presented at: Workshop RMK7 Research Project Achievements; 2002 August 20-21; Terengganu. Organiser: MARDI.
  9. Engku Ismail EA, Wan Zaki WM. Response of organic and inorganic fertilisers on growth and yield of tea tree on sandy bris soil. Paper presented at: Seminar on Medicinal and Aromatic Plants 2004; 2004 July 20-21; Kepong, Selangor. Organiser: FRIM.
  10. Engku Ismail EA, Wan Zaki WM. Prestasi tanaman tea tree di tanah Bris. Paper presented at: Seminar Kebangsaan Teknologi Pengeluaran Tanaman Di Tanah Bris; 2005 September 6-7; Kota Bharu, Kelantan.
  11. Guenther E. Australian tea tree oils. Perf Essent Oil Rec., 1968:642-644.
  12. Swords G, Hunter GLK. Composition of Australian tea tree oil (Melaleuca alternifolia). J Agric Food Chem. 1978;26(3):734-737.
  13. Brophy JJ, Davies NW, Southwell IA, Stiff IA, Williams LR. Gas chromatographic quality control for oil of Melaleuca terpinen-4-ol type (Australian tea tree). J Agric Food Chem. 1989;37(5):1330-1335.
  14. Barceloux DG. Medical toxicology of natural substances: Foods, fungi, medicinal herbs, plants and venomous animals. Hoboken, New Jersey: John Wiley & Sons, 2008; p. 658-661.
  15. Wilson R. Aromatherapy: Essential oils for vibrant health and beauty. New York: Avery, 2002; p. 124.
  16. Calcabrini A, Stringaro A, Toccacieli L, et al. Terpinen-4-ol, the main component of Melaleuca alternifolia (tea tree) oil inhibits the in vitro growth of human melanoma cells. J Invest Dermatol. 2004;122(2):349-360.
  17. Greay SJ, Ireland DJ, Kissick HT, et al. Induction of necrosis and cell cycle arrest in murine cancer cell lines by Melaleuca alternifolia (tea tree) oil and terpinen-4-ol. Cancer Chemother Pharmacol. 2010;65(5):877-888.
  18. Caldefie-Chézet F, Guerry M, Chalchat JC, Fusillier C, Vasson MP, Guillot J. Anti-inflammatory effects of Melaleuca alternifolia essential oil on human polymorphonuclear neutrophils and monocytes. Free Radic Res. 2004;38(8):805-811.
  19. Caldefie-Chézet F, Fusillier C, Jarde T, et al. Potential anti-inflammatory effects of Melaleuca alternifolia essential oil on human peripheral blood leukocytes. Phytother Res. 2006;20(5):364-370.
  20. Brand C, Ferrante A, Prager RH, et al. The water-soluble components of the essential oil of Melaleuca alternifolia (tea tree oil) suppress the production of superoxide by human monocytes, but not neutrophils, activated in vitro. Inflamm Res. 2001;50(4):213-219.
  21. Walton SF, Myerscough MR, Currie BJ. Studies in vitro on the relative efficacy of current acaricides for Sarcoptes scabiei var. hominis. Transact R Soc Trop Med Hyg. 2000;94(1):92-96.
  22. Mills C1, Cleary BJ, Gilmer JF, Walsh JJ. Inhibition of acetylcholinesterase by tea tree oil. J Pharm Pharmacol. 2004;56(3):375-379.
  23. Iori A, Grazioli D, Gentile E, Marano G, Salvatore G. Acaricidal properties of the essential oil of Melaleuca alternifolia Cheel (tea tree oil) against nymphs of Ixodes ricinus. Vet Parasitol. 2005;129(1-2):173-176.
  24. Garozzo A, Timpanaro R, Bisignano B, Furneri PM, Bisignano G, Castro A. In vitro antiviral activity of Melaleuca alternifolia essential oil. Lett Appl Microbiol. 2009;49(6):806-808.
  25. Nenoff P, Haustein UF, Brandt W. Antifungal activity of the essential oil of Melaleuca alternifolia (tea tree oil) against pathogenic fungi in vitro. Skin Pharmacol. 1996;9(6):388-394.
  26. Concha JM, Moore LS, Holloway WJ. Antifungal activity of Melaleuca alternifolia (tea-tree) oil against various pathogenic organisms. J Am Podiatr Med Assoc. 1998;88(10):489-492.
  27. Hammer KA, Carson CF, Riley TV. In-vitro activity of essential oils, in particular Melaleuca alternifolia (tea tree) oil and tea tree oil products, against Candida spp. J Antimicrob Chemother. 1998;42(5):591-595.
  28. Hammer KA, Carson CF, Riley TV. Susceptibility of transient and commensal skin flora to the essential oil of Melaleuca alternifolia (tea tree oil). Am J Infect Control. 1996;24(3):186-189.
  29. Carson CF, Hammer KA, Riley TV. Broth micro-dilution method for determining the susceptibility of Escherichia coli and Staphylococcus aureus to the essential oil of Melaleuca alternifolia (tea tree oil). Microbios. 1995;82(332):181-185.
  30. Carson CF, Cookson BD, Farrelly HD, Riley TV. Susceptibility of methicillin-resistant Staphylococcus aureus to the essential oil of Melaleuca alternifolia. J Antimicrob Chemother. 1995;35(3):421-424.
  31. Chan CH, Loudon KW. Activity of tea tree oil on methicillin-resistant Staphylococcus aureus (MRSA). J Hosp Infect. 1998;39(3):244-245.
  32. Hada T, Furuse S, Matsumoto Y, et al. Comparison of the effects in vitro of tea tree oil and plaunotol on methicillin-susceptible and methicillin-resistant strains of Staphylococcus aureus. Microbios. 2001;106 Suppl 2:133-141.
  33. Nelson RR. In-vitro activities of five plant essential oils against methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus faecium. J Antimicrob Chemother. 1997;40(2):305-306.
  34. Belaiche P. Letter to the editor. Phytother Res. 1988;2(3):157.
  35. Pena EF. Melaleuca alternifolia oil and its use for trichomonal vaginitis and other vaginal infections. Obstet Gynecol. 1962;19:793-795.
  36. Bassett IB, Pannowitz DL, Barnetson RS. A comparative study of tea tree oil versus benzoyl peroxide in the treatment of acne. Med J Aust. 1990;153(8):455-458.
  37. Tong MM, Altman PM, Barnetson RS. Tea tree oil in the treatment of tinea pedis. Australas J Dermatol. 1992;33(3):145-149.
  38. Syed TA, Qureshi ZA, Ali SM, Ahmad S, Ahmad SA. Treatment of toenail onychomycosis with 2% butenafine and 5% Melaleuca alternifolia (tea tree) oil in cream. Trop Med Int Health. 1999;4(4):284-287.
  39. Buck DS, Nidorf DM, Addino JG. Comparison of two topical preparations for the treatment of onychomycosis: Melaleuca alternifolia (tea tree) oil and clotrimazole. J Fam Pract. 1994;38(6):601-605.
  40. Millar BC, Moore JE. Successful topical treatment of hand warts in a paediatric patient with tea tree oil (Melaleuca alternifolia). Complement Ther Clin Pract. 2008;14(4):225-227.
  41. Barker SC, Altman PM. A randomised, assessor blind, parallel group comparative efficacy trial of three products for the treatment of head lice in children-melaleuca oil and lavender oil, pyrethrins and piperonyl butoxide, and a “suffocation” product. BMC Dermatol. 2010;10:6.
  42. Koh KJ, Pearce AL, Marshman G, Finlay-Jones JJ, Hart PH. Tea tree oil reduces histamine-reduced skin inflammation. Br J Dermatol. 2002;147(6):1212-1217.
  43. Vazquez JA, Zawawi AA. Efficacy of alcohol-based and alcohol-free melaleuca oral solution for the treatment of fluconazole-refractory oropharyngeal candidiasis in patients with AIDS. HIV Clin Trials. 2002;3(5):379-385.
  44. Bagg J, Jackson MS, Petrina Sweeney M, Ramage G, Davies AN. Susceptibility to Melaleuca alternifolia (tea tree) oil of yeasts isolated from the mouths of patients with advanced cancer. Oral Oncol. 2006;42(5):487-492.
  45. Knight TE, Hausen BM. Melaleuca oil (tea tree oil) dermatitis. J Am Acad Dermatol. 1994;30(3):423-427.
  46. Khanna M, Qasem K, Sasseville D. Allergic contact dermatitis to tea tree oil with erythema multiforme-like reaction. Am J Contact Dermat. 2000;11(4):238-242.
  47. Jacobs MR. Hornfeldt CS. Melaleuca oil poisoning. J. Toxicol Clin Toxicol. 1994;32(4):461-464.
  48. Del Beccaro MA. Melaleuca oil poisoning in a 17-month-old. Vet Hum Toxicol. 1995;37(6):557-558.
  49. Morris MC, Donoghue A, Markowitz JA, Osterhoudt KC. Ingestion of tea tree oil (Melaleuca oil) by a 4-year-old boy. Pediatr Emerg Care. 2003;19(3):169-171.
  50. van Vuuren SF, Suliman S, Viljoen AM. The antimicrobial activity of four commercial essential oils in combination with conventional antimicrobials. Lett Appl Microbiol. 2009;48(4):440-446.