Compound Monograph
Cinnamaldehyde
Cinnamaldehyde is the aromatic aldehyde that is cinnamon's smell, taste and burn — about 85% of cassia bark oil and the bulk of Ceylon bark oil. It is the most specific known activator of the TRPA1 pain channel, a broad-spectrum antimicrobial in vitro (Helicobacter pylori MIC 8–16 µg/mL) and an electrophilic Nrf2 inducer, but it has no human trials of its own; the cinnamon glucose trials tested whole bark, whose activity is largely credited to a different fraction.
Sources · 8
Where Does It Come From?
Cinnamaldehyde is a naturally occurring aromatic aldehyde (phenylpropanoid), found in Cassia cinnamon, Ceylon cinnamon, Indonesian cinnamon and 5 other sources. It is well tolerated orally (low toxicity).
Source Ceylon Cinnamon Cinnamomum verum Herb monograph → Concentration
Content by Source
Reported concentrations across the plants that contain cinnamaldehyde — the bar marks the typical level, the line shows the reported range.
Literature figures for varying plant parts and preparations. Read them as a comparative guide, not exact assays.
Cinnamaldehyde at a Glance
Cinnamaldehyde is what cinnamon smells and tastes of. It is a small aromatic aldehyde — a benzene ring carrying a three-carbon chain that ends in an aldehyde — and it makes up around 85% of hydro-distilled cassia bark oil and the greater part of Ceylon bark oil, which is why the two spices smell alike despite the differences elsewhere in their chemistry 1,
Pharmacologically it is best known for three things. It is the most specific natural activator of TRPA1, the sensory ion channel that registers cinnamon’s burn and, in the laboratory, noxious cold 3Reference 3In vitroNoxious cold ion channel TRPA1 is activated by pungent compounds and bradykinin — in vitro and mouse in vivoView study →; it is a broad-spectrum antimicrobial in vitro, inhibiting bacteria, yeasts, moulds and dermatophytes at tens to hundreds of micrograms per millilitre 1Reference 1In vitroAntimicrobial activities of cinnamon oil and cinnamaldehyde from the Chinese medicinal herb Cinnamomum cassia Blume — in vitroView study → and Helicobacter pylori at 8–16 µg/mL 5Reference 5In vitroCinnamaldehyde: An effective component of Cinnamomum cassia inhibiting Helicobacter pylori — in vitro and mouse in vivoView study →; and as a reactive electrophile it switches on the Nrf2 cell-protective response 9,
What it does not have is a human trial. The clinical evidence that cinnamon lowers blood glucose belongs to whole powdered bark, and the fraction usually credited with that effect is the water-soluble procyanidins rather than the volatile aldehyde 12Reference 12Meta-analysisCinnamon use in type 2 diabetes: an updated systematic review and meta-analysis — meta-analysisView study →. Cinnamaldehyde’s own record is chemistry, cells and rodents, plus a large body of safety data from its status as a food additive 15Reference 15AnimalNTP toxicology and carcinogenesis studies of trans-cinnamaldehyde (CAS NoView study →.
Why Cinnamon Burns: TRPA1
The tingling heat of cinnamon has a molecular address. TRPA1 is a transient-receptor-potential ion channel on pain-sensing neurons, first characterised as a detector of noxious cold. In 2004 it was shown that the pungent compounds of cinnamon, wintergreen, clove, mustard and ginger oils all open it, and that cinnamaldehyde is the most specific activator of the set: it excites a subset of sensory neurons enriched in cold-sensitive cells, and injected into a mouse paw it produces pain behaviour 3Reference 3In vitroNoxious cold ion channel TRPA1 is activated by pungent compounds and bradykinin — in vitro and mouse in vivoView study →. The same channel responds to the inflammatory peptide bradykinin, which is why TRPA1 became a target for new analgesics and why cinnamaldehyde is the standard tool for probing it.
That tool status has produced one of the few controlled human experiments on the molecule. Painting 10% cinnamaldehyde on the skin of healthy volunteers produces a reproducible local increase in dermal blood flow, and an oral TRPA1 antagonist reduced that response dose-dependently in 16 volunteers, establishing the cinnamaldehyde flare as a target-engagement biomarker for the channel 4Reference 4Clinical trialTRPA1 Antagonist LY3526318 Inhibits the Cinnamaldehyde-Evoked Dermal Blood Flow Increase: Translational Proof of Pharmacology — human volunteersView study →. It is a pharmacology experiment, not a therapeutic one — but it is direct evidence that topical cinnamaldehyde engages TRPA1 in people at the concentrations that also cause irritation.
The Cinnamyl Relatives: Acetate & Alcohol
Cinnamon bark oil is not only cinnamaldehyde. Alongside it sit three small molecules that share its carbon skeleton and differ only at the end of the side chain: cinnamyl acetate (the ester), cinnamyl alcohol (the alcohol) and cinnamic acid (the acid) 1Reference 1In vitroAntimicrobial activities of cinnamon oil and cinnamaldehyde from the Chinese medicinal herb Cinnamomum cassia Blume — in vitroView study →. In cassia and Ceylon bark oil all three are minor components measured in low single-digit percentages; cinnamyl acetate becomes the major volatile only in Ceylon cinnamon’s fruits, flowers and fruit stalks, which are not the spice 2Reference 2ReviewChemistry, biogenesis, and biological activities of Cinnamomum zeylanicum — reviewView study →.
They travel together in the body as well as the plant. Cinnamyl alcohol and cinnamaldehyde are interconverted by the same oxidoreductases, and the aldehyde is oxidised onward to cinnamic acid, so the three form one metabolic series with cinnamic acid as the common exit 13Reference 13AnimalStudies on trans-cinnamaldehydeView study →. In flavour and fragrance use they are handled as a family: cinnamyl acetate and cinnamyl alcohol are perfumery materials in their own right, milder and sweeter than the aldehyde.
The point where they part company is the skin. Cinnamyl alcohol has long been treated as a “prohapten” — a molecule with no reactivity of its own that sensitises only after the skin oxidises it to cinnamaldehyde. Reconstructed human epidermis says otherwise: incubated with carbon-13-labelled cinnamyl alcohol, the tissue formed no cinnamaldehyde at all, and the reactive species were an epoxy-alcohol and an allylic sulfate. Cinnamyl alcohol is therefore a skin sensitiser by its own route, not merely as a cinnamaldehyde precursor 17Reference 17In vitroIn Situ Metabolism of Cinnamyl Alcohol in Reconstructed Human Epidermis: New Insights into the Activation of This Fragrance Skin Sensitizer — in vitroView study →. Neither the acetate nor the alcohol has a pharmacology worth separating from the aldehyde’s; their appearance in the cinnamon literature is as composition markers and as co-allergens in the fragrance mix.
Cinnamaldehyde Is Not Cinnamon
Two distinctions keep the cinnamon literature honest, and both run against the grain of the marketing.
The glucose evidence is for bark, not for the aldehyde. A meta-analysis of ten randomised trials (543 patients with type 2 diabetes, 120 mg to 6 g of cinnamon a day for 4–18 weeks) found fasting glucose lower by about 25 mg/dL, with reductions in total cholesterol, LDL and triglycerides, but no significant change in HbA1c and very high heterogeneity between trials 12Reference 12Meta-analysisCinnamon use in type 2 diabetes: an updated systematic review and meta-analysis — meta-analysisView study →. Every one of those trials gave powdered bark or an aqueous extract. Cinnamaldehyde is volatile and poorly represented in a water extract, and the fraction most often credited with the insulin-sensitising activity is the non-volatile type-A procyanidin tannin, not the oil. The rodent studies of pure cinnamaldehyde do show glucose lowering 11Reference 11AnimalCinnamaldehyde—a potential antidiabetic agent — rat in vivoView study →, but they are a separate line of evidence, not the mechanism behind the human trials.
The coumarin problem is cassia’s, not cinnamaldehyde’s. Cassia bark carries variable and sometimes large amounts of the hepatotoxic lactone coumarin, which is why cassia has an intake cap and Ceylon does not. Cinnamaldehyde is not coumarin, does not turn into it, and is present in both species; the daily-intake advice on the cassia page is about a different molecule.
What It's Used For
Cinnamaldehyde’s evidence is almost entirely in vitro and rodent, but it is unusually mechanistic — a small electrophilic molecule with well-mapped targets rather than a diffuse “antioxidant”. No human trial of the isolated compound exists for any indication.
The best-characterised property. Hydro-distilled cassia oil (85% cinnamaldehyde) and >98% pure cinnamaldehyde were tested side by side against Staphylococcus aureus and seven Gram-negative isolates including Pseudomonas aeruginosa, Vibrio cholerae and Salmonella typhimurium, four Candida species, three Aspergillus and a Fusarium, and three dermatophytes. MICs were 75–600 µg/mL for bacteria, 100–450 for yeasts, 75–150 for moulds and 18.8–37.5 for dermatophytes, and oil and pure compound differed only slightly — the oil’s spectrum is the aldehyde’s 1Reference 1In vitroAntimicrobial activities of cinnamon oil and cinnamaldehyde from the Chinese medicinal herb Cinnamomum cassia Blume — in vitroView study →.
The mechanisms collected across the literature are membrane damage, altered lipid profile, ATPase inhibition, blocked cell division and porins, loss of motility and biofilm, and quorum-sensing interference, with synergy reported alongside conventional antibiotics 7Reference 7ReviewAntibacterial mechanisms of cinnamon and its constituents: A review — reviewView study →.
The H. pylori work is the most developed. Cinnamaldehyde was identified as the active anti-H. pylori principle of cassia with a MIC of 8–16 µg/mL against sensitive and resistant strains, retained activity in acid, suppressed adhesion and biofilm, depleted bacterial ATP and raised ROS, and target-fishing pointed at DNA gyrase (GyrA/GyrB), ATP synthase and topoisomerase I. In a mouse acute-gastritis model, proton-pump inhibitor plus cinnamaldehyde outperformed standard triple therapy 5Reference 5In vitroCinnamaldehyde: An effective component of Cinnamomum cassia inhibiting Helicobacter pylori — in vitro and mouse in vivoView study →.
Gap: no human infection has been treated with cinnamaldehyde; the MICs are achievable topically or in the gut lumen, not systemically, and the mouse gastritis result is a single study.
Cinnamaldehyde damps the NF-κB pathway at concentrations below those that kill microbes. In H. pylori-infected gastric epithelial cells, non-cytotoxic cinnamaldehyde (≤125 µM) — which at that exposure was neither bactericidal nor anti-adhesive — prevented IκB degradation, blocked NF-κB activation and significantly reduced IL-8 secretion and expression, separating the anti-inflammatory effect from the antibacterial one 6Reference 6In vitroAnti-inflammatory effect of cinnamaldehyde in Helicobacter pylori induced gastric inflammation — in vitroView study →.
In vivo, trans-cinnamaldehyde at 100 mg/kg intraperitoneally from day 10 to day 35 of complete-Freund’s-adjuvant arthritis in mice reduced rheumatoid factor, paw swelling and arthritis index, and lowered TNF-α, NF-κB, COX-2, IL-1β, IL-6, IL-23 and IL-17 in paw tissue, to roughly the extent achieved by methotrexate 8Reference 8AnimalNovel anti-arthritic mechanisms of trans-cinnamaldehyde against complete Freund’s adjuvant-induced arthritis in mice: involvement of NF-кB/TNF-α and IL-6/IL-23/ IL-17 pathways in the immuno-inflammatory responses — mouse in vivoView study →.
Gap: the arthritis result is by injection, at a dose no diet approaches; no oral anti-inflammatory outcome exists in any species and none in people.
As an α,β-unsaturated aldehyde, cinnamaldehyde is a Michael acceptor, and its most distinctive cellular action follows from that chemistry. In human colon cancer cells and non-immortalised fetal colon cells it raised Nrf2 protein and the Nrf2 targets heme oxygenase-1 and γ-glutamylcysteine synthetase, strongly increased cellular glutathione, and protected against hydrogen-peroxide genotoxicity and arsenic; an ethanolic cassia extract standardised for cinnamaldehyde content was equipotent, implicating the aldehyde as the extract’s active 9Reference 9In vitroThe cinnamon-derived dietary factor cinnamic aldehyde activates the Nrf2-dependent antioxidant response in human epithelial colon cells — in vitroView study →.
Mechanistically it modifies Keap1 cysteine-151, blocking Nrf2 ubiquitination and lengthening its half-life. Fed to mice in the azoxymethane/dextran-sulfate model of inflammation-driven colon cancer, dietary cinnamaldehyde suppressed carcinogenesis in Nrf2-competent mice but not in Nrf2-knockout mice, tying the protection to the pathway 10Reference 10AnimalNrf2-dependent suppression of azoxymethane/dextran sulfate sodium-induced colon carcinogenesis by the cinnamon-derived dietary factor cinnamaldehyde — mouse in vivoView study →.
Gap: an oral mouse result with a genetic control is stronger than most compound data, but there is no human colon outcome, and the same electrophilic reactivity is what makes cinnamaldehyde a contact allergen.
Bioassay-guided fractionation of Ceylon cinnamon for antidiabetic activity led to cinnamaldehyde. Given orally at 5, 10 or 20 mg/kg for 45 days to streptozotocin-diabetic rats, it lowered plasma glucose dose-dependently (63% at the top dose), reduced HbA1c, total cholesterol and triglycerides, and raised plasma insulin, hepatic glycogen and HDL, with a reference response from glibenclamide; the oral LD₅₀ was 1,850 mg/kg 11Reference 11AnimalCinnamaldehyde—a potential antidiabetic agent — rat in vivoView study →.
Gap: the human evidence — ten randomised trials, 543 patients, lower fasting glucose but no HbA1c effect and very high heterogeneity — is for powdered cinnamon bark, not for cinnamaldehyde, and the bark’s activity is usually attributed to its procyanidin fraction 12Reference 12Meta-analysisCinnamon use in type 2 diabetes: an updated systematic review and meta-analysis — meta-analysisView study →. No trial has given people the aldehyde.
A large cell-line literature reports apoptosis through caspase activation and mitochondrial damage, anti-proliferative and anti-angiogenic effects, and — somewhat contradictorily — both ROS generation in tumour cells and ROS scavenging in normal ones, collected in a 2024 review 18Reference 18ReviewThe role and mechanism of cinnamaldehyde in cancer — reviewView study →.
The one in-vivo chemoprevention result with a mechanistic control is the Nrf2-dependent colon study above 10Reference 10AnimalNrf2-dependent suppression of azoxymethane/dextran sulfate sodium-induced colon carcinogenesis by the cinnamon-derived dietary factor cinnamaldehyde — mouse in vivoView study →.
The rest remains pharmacology at concentrations that a rapidly cleared dietary aldehyde does not sustain in tissue 13Reference 13AnimalStudies on trans-cinnamaldehydeView study →.
Mechanisms
| Target / pathway | Effect | Relevant to |
|---|---|---|
| TRPA1 ion channel | Most specific natural agonist; excites cold-sensitive nociceptors; local vasodilation in human skin | Pungencyirritationpain-research tool |
| Bacterial membrane, ATPase, gyrase, biofilm and quorum sensing | Membrane damage and energy collapse; GyrA/GyrB/AtpA/TopA implicated in H. pylori | Antimicrobial |
| NF-κB / IκB | Prevents IκB degradation → lower IL-8, TNF-α, IL-6/IL-17 axis | Anti-inflammatory |
| Keap1 cysteine-151 → Nrf2 | Michael-acceptor modification stabilises Nrf2 → HO-1, γ-GCS, glutathione | Cytoprotectioncolon chemoprevention |
| Pancreatic β-cell / insulin release (rat) | Raised plasma insulin and hepatic glycogen, lower glucose in STZ rats | Glycaemic (rodent) |
| Protein thiols generally (haptenation) | Covalent binding to skin proteins | Contact allergy |
The thread through the table is the aldehyde group: a reactive electrophile that opens TRPA1, modifies Keap1, damages bacterial membranes and haptenates skin proteins. Cinnamaldehyde’s benefits and its irritancy are the same chemistry.
Pharmacokinetics
Cinnamaldehyde is absorbed rapidly and cleared almost as fast. In rats and mice given radiolabelled trans-cinnamaldehyde, about 94% of the dose was recovered in excreta within 72 hours, 75–81% of it in the first day’s urine, with less than 2% left in the carcass; the pattern was the same whether the dose was 2 or 250 mg/kg, by injection or by mouth, and in either sex 13Reference 13AnimalStudies on trans-cinnamaldehydeView study →. The aldehyde is oxidised to cinnamic acid and then β-oxidised like a fatty acid to benzoic acid, so the major urinary metabolite is hippuric acid (benzoylglycine), with 3-hydroxy-3-phenylpropionic acid, benzoic acid and benzoyl glucuronide alongside; a second pathway, conjugation with glutathione, accounted for about 7% of urinary radioactivity 13Reference 13AnimalStudies on trans-cinnamaldehydeView study →. In rats dosed orally at 5–500 mg/kg, 81–85% of the label was in the urine at 24 hours and only 3–5% in faeces; tissue residue was mainly gut, liver and kidney, with a small fraction in fat, and at repeated 500 mg/kg the metabolite profile shifted toward benzoic acid, suggesting glycine conjugation saturates at high dose 14Reference 14AnimalTissue distribution and excretion of 14C-labelled cinnamic aldehyde following single and multiple oral administration in male Fischer 344 rats — rat in vivoView study →. There is no human pharmacokinetic study, but the rodent picture — near-complete absorption, one-day elimination, no accumulation — is consistent with decades of use as a flavour.
Clinical Trials
No trial has given isolated cinnamaldehyde to people for any indication. The human data touching it are the TRPA1 dermal-flare studies, in which 10% topical cinnamaldehyde is the probe rather than the treatment 4Reference 4Clinical trialTRPA1 Antagonist LY3526318 Inhibits the Cinnamaldehyde-Evoked Dermal Blood Flow Increase: Translational Proof of Pharmacology — human volunteersView study →, and the whole-cinnamon glucose trials, which did not measure or standardise the aldehyde 12Reference 12Meta-analysisCinnamon use in type 2 diabetes: an updated systematic review and meta-analysis — meta-analysisView study →.
| Completed | Planned | Terminated | Preclinical |
|---|---|---|---|
| None(isolate); topical cinnamaldehyde as a TRPA1 biomarker; whole-bark RCTs for glucose | — | — | Antimicrobial, anti-inflammatory, Nrf2/colon, glycaemic (rodent) |
Last checked: September 2026.
Isolate vs. Plant Studies
The mechanistic evidence is mostly isolate and transfers well to the oil: cassia oil and pure cinnamaldehyde were interchangeable against microbes 1Reference 1In vitroAntimicrobial activities of cinnamon oil and cinnamaldehyde from the Chinese medicinal herb Cinnamomum cassia Blume — in vitroView study →, and a cassia extract standardised for cinnamaldehyde matched the pure compound as an Nrf2 inducer 9Reference 9In vitroThe cinnamon-derived dietary factor cinnamic aldehyde activates the Nrf2-dependent antioxidant response in human epithelial colon cells — in vitroView study →. In those settings the aldehyde is the active, and the cinnamon essential oil can be read as a cinnamaldehyde preparation.
The reverse is not true for the spice. Powdered bark is only a few percent volatile oil, aqueous cinnamon extracts carry little aldehyde, and the human glucose trials therefore say nothing about cinnamaldehyde 12Reference 12Meta-analysisCinnamon use in type 2 diabetes: an updated systematic review and meta-analysis — meta-analysisView study →. The clean division is: essential oil and topical use — cinnamaldehyde pharmacology; bark powder and tea — a different, tannin-led chemistry. The cassia coumarin caution belongs to the second category and not to the molecule at all.
Its Role in Plants
Cinnamaldehyde is a phenylpropanoid, made from the amino acid phenylalanine: phenylalanine ammonia-lyase gives cinnamic acid, which is activated to its CoA thioester and reduced to the aldehyde by cinnamoyl-CoA reductase — the same first steps the plant uses to build lignin, from which cinnamon’s bark oil branches off 2Reference 2ReviewChemistry, biogenesis, and biological activities of Cinnamomum zeylanicum — reviewView study →. Its concentration in the bark, its broad antimicrobial activity and its irritant pungency all fit a defensive role against microbes and browsing animals, though this has been inferred from its chemistry rather than tested ecologically.
Prevalence in Nature
Cinnamaldehyde is a Cinnamomum signature. In cassia (C. cassia) bark it is the overwhelming volatile — 85% of a hydro-distilled oil in a direct GC-MS analysis, with 70–90% the usual range 1Reference 1In vitroAntimicrobial activities of cinnamon oil and cinnamaldehyde from the Chinese medicinal herb Cinnamomum cassia Blume — in vitroView study → — accompanied by cinnamyl acetate, cinnamic acid, cinnamyl alcohol, a little eugenol and caryophyllene. Ceylon cinnamon (C. verum) bark oil is also cinnamaldehyde-dominated, at a somewhat lower share (roughly 50–75%) with proportionally more eugenol and a characteristic linalool note; in that species the leaf oil is eugenol-dominated, the root-bark oil camphor-dominated, and cinnamyl acetate leads in the fruits and flowers, so which part is distilled decides whether the oil is a cinnamaldehyde oil at all 2Reference 2ReviewChemistry, biogenesis, and biological activities of Cinnamomum zeylanicum — reviewView study →. Indonesian (C. burmannii) and Saigon (C. loureiroi) cinnamons, the other commercial barks, carry it in comparable proportions. Outside the genus it appears only in traces.
Discovery & Synthesis
Cinnamaldehyde was isolated from cinnamon oil in 1834 by Jean-Baptiste Dumas and Eugène Péligot, and it became one of the earliest natural products to be made in the laboratory when Luigi Chiozza synthesised it in 1854 by condensing benzaldehyde with acetaldehyde — the aldol-type reaction now called the Claisen–Schmidt condensation. That reaction remains the industrial route, and synthetic cinnamaldehyde dominates the flavour and fragrance market; natural material is obtained by fractionating cassia bark or leaf oil, and is sold at a premium for “natural flavour” labelling. Its regulatory identity is as a food additive: it is an approved flavouring in the United States and was nominated for the full National Toxicology Program bioassay on the strength of that use 15Reference 15AnimalNTP toxicology and carcinogenesis studies of trans-cinnamaldehyde (CAS NoView study →.
Toxicity & Safety
Cinnamaldehyde carries a low flag. It has one of the more complete safety dossiers of any flavour compound, and the two real hazards — skin sensitisation and mucosal irritation — are concentration-dependent effects of undiluted or concentrated material, not of the spice.
The Two-Year Bioassay
The National Toxicology Program fed microencapsulated trans-cinnamaldehyde to rats and mice for two years at 1,000–4,100 ppm — about 50–200 mg/kg/day in rats and 125–550 mg/kg/day in mice, many hundred times a human flavour intake. There was no evidence of carcinogenic activity in either species or sex. In mice the only exposure-related finding was pigmentation of the olfactory epithelium; three-month studies at far higher doses (up to 4,000–5,000 mg/kg/day) produced forestomach hyperplasia and inflammation, consistent with a local irritant rather than a systemic toxin 15Reference 15AnimalNTP toxicology and carcinogenesis studies of trans-cinnamaldehyde (CAS NoView study →. The genetic-toxicology package was mixed in the way reactive aldehydes often are: mutagenic in one Salmonella strain only with mouse-liver activation, positive for sister-chromatid exchange in hamster cells, negative for chromosomal aberrations, and negative in the mouse micronucleus test in vivo 15Reference 15AnimalNTP toxicology and carcinogenesis studies of trans-cinnamaldehyde (CAS NoView study →. Rapid metabolism to hippuric acid is the plausible reason in-vitro reactivity does not translate into in-vivo genotoxicity 13Reference 13AnimalStudies on trans-cinnamaldehydeView study →.
Contact Allergy
The clinically important hazard. Cinnamaldehyde is a direct hapten — its aldehyde binds skin proteins — and “cinnamal” is a constituent of the fragrance-mix patch test and a labelled allergen in cosmetics. Its prevalence has fallen sharply as the fragrance industry limited it: in 25,545 patients patch-tested in London from 1980 to 1996, positive reactions to the fragrance mix ran at 8.5% of women and 6.7% of men, but sensitivity to cinnamic aldehyde declined by 18% a year and to cinnamic alcohol by 9% a year over the period, making both uncommon fragrance allergens by the end of it 16Reference 16ObservationalThe frequency of fragrance allergy in a patch-test population over a 17-year period — observationalView study →. Cinnamyl alcohol is a sensitiser by its own metabolic route rather than through conversion to the aldehyde 17Reference 17In vitroIn Situ Metabolism of Cinnamyl Alcohol in Reconstructed Human Epidermis: New Insights into the Activation of This Fragrance Skin Sensitizer — in vitroView study →. Practical implications: neat cinnamon oil should not go on skin; diluted oil can still sensitise in the predisposed; and an established cinnamaldehyde allergy is a reason to check toothpaste, chewing gum and flavoured foods, which are the commonest sources of oral and perioral reactions.
Irritation and Overdose
Undiluted cinnamon oil irritates skin and mucous membranes, and cinnamaldehyde’s TRPA1 agonism is the reason: the same channel that gives the flavour its warmth gives the concentrate its burn 3,
- Low intrinsic toxicity. Two-year NTP feed studies in rats and mice found no carcinogenic activity at up to 550 mg/kg/day; cleared as hippuric acid within a day.
- Skin sensitiser. A direct hapten and fragrance-mix allergen; neat cinnamon oil should never be applied to skin, and diluted oil can sensitise.
- Mucosal irritant. TRPA1 agonism makes concentrated cinnamaldehyde a burn hazard on lips, mouth and eyes; flavoured products are the usual trigger for oral reactions in the sensitised.
- Not the coumarin story. Cassia’s hepatotoxicity cap is about coumarin, a different molecule; cinnamaldehyde is present in Ceylon and cassia alike.
Dosage
There is no human dose of isolated cinnamaldehyde. Figures below are research doses in animals and the whole-spice doses used in the cinnamon trials; none is a personal recommendation.
| Context | Form | Dose |
|---|---|---|
| Glycaemic (STZ-diabetic rats) | Oral cinnamaldehyde | 5–20 mg/kg/day, 45 days 11Reference 11AnimalCinnamaldehyde—a potential antidiabetic agent — rat in vivoView study → |
| Adjuvant arthritis (mice) | Intraperitoneal trans-cinnamaldehyde | 100 mg/kg, days 10–35 8Reference 8AnimalNovel anti-arthritic mechanisms of trans-cinnamaldehyde against complete Freund’s adjuvant-induced arthritis in mice: involvement of NF-кB/TNF-α and IL-6/IL-23/ IL-17 pathways in the immuno-inflammatory responses — mouse in vivoView study → |
| Colon chemoprevention (mice) | Dietary cinnamaldehyde | Supplemented feed regimen, Nrf2-dependent 10Reference 10AnimalNrf2-dependent suppression of azoxymethane/dextran sulfate sodium-induced colon carcinogenesis by the cinnamon-derived dietary factor cinnamaldehyde — mouse in vivoView study → |
| NTP two-year safety (rats / mice) | Microencapsulated in feed | ~50–200 / 125–550 mg/kg/day, no carcinogenicity 15Reference 15AnimalNTP toxicology and carcinogenesis studies of trans-cinnamaldehyde (CAS NoView study → |
| TRPA1 biomarker (humans, topical) | 10% v/v on forearm skin | Local flare only 4Reference 4Clinical trialTRPA1 Antagonist LY3526318 Inhibits the Cinnamaldehyde-Evoked Dermal Blood Flow Increase: Translational Proof of Pharmacology — human volunteersView study → |
| Cinnamon glucose trials (humans) | Powdered bark or aqueous extract | 120 mg–6 g/day, 4–18 weeks — whole spice, not the aldehyde 12Reference 12Meta-analysisCinnamon use in type 2 diabetes: an updated systematic review and meta-analysis — meta-analysisView study → |
References
- Ooi LS, Li Y, Kam SL, et al. (2006). Antimicrobial activities of cinnamon oil and cinnamaldehyde from the Chinese medicinal herb Cinnamomum cassia Blume — in vitro. Am J Chin Med. https://pubmed.ncbi.nlm.nih.gov/16710900/
- Jayaprakasha GK, Rao LJ (2011). Chemistry, biogenesis, and biological activities of Cinnamomum zeylanicum — review. Crit Rev Food Sci Nutr. https://pubmed.ncbi.nlm.nih.gov/21929331/
- Bandell M, Story GM, Hwang SW, et al. (2004). Noxious cold ion channel TRPA1 is activated by pungent compounds and bradykinin — in vitro and mouse in vivo. Neuron. https://pubmed.ncbi.nlm.nih.gov/15046718/
- Bamps D, Blockeel AJ, Dreesen E, et al. (2023). TRPA1 Antagonist LY3526318 Inhibits the Cinnamaldehyde-Evoked Dermal Blood Flow Increase: Translational Proof of Pharmacology — human volunteers. Clin Pharmacol Ther. https://pubmed.ncbi.nlm.nih.gov/37562824/
- Li CY, Liao LJ, Yang SX, et al. (2024). Cinnamaldehyde: An effective component of Cinnamomum cassia inhibiting Helicobacter pylori — in vitro and mouse in vivo. J Ethnopharmacol. https://pubmed.ncbi.nlm.nih.gov/38663778/
- Muhammad JS, Zaidi SF, Shaharyar S, et al. (2015). Anti-inflammatory effect of cinnamaldehyde in Helicobacter pylori induced gastric inflammation — in vitro. Biol Pharm Bull. https://pubmed.ncbi.nlm.nih.gov/25744466/
- Vasconcelos NG, Croda J, Simionatto S (2018). Antibacterial mechanisms of cinnamon and its constituents: A review — review. Microb Pathog. https://pubmed.ncbi.nlm.nih.gov/29702210/
- El-Tanbouly GS, Abdelrahman RS (2022). Novel anti-arthritic mechanisms of trans-cinnamaldehyde against complete Freund’s adjuvant-induced arthritis in mice: involvement of NF-кB/TNF-α and IL-6/IL-23/ IL-17 pathways in the immuno-inflammatory responses — mouse in vivo. Inflammopharmacology. https://pubmed.ncbi.nlm.nih.gov/35648328/
- Wondrak GT, Villeneuve NF, Lamore SD, et al. (2010). The cinnamon-derived dietary factor cinnamic aldehyde activates the Nrf2-dependent antioxidant response in human epithelial colon cells — in vitro. Molecules. https://pubmed.ncbi.nlm.nih.gov/20657484/
- Long M, Tao S, Rojo de la Vega M, et al. (2015). Nrf2-dependent suppression of azoxymethane/dextran sulfate sodium-induced colon carcinogenesis by the cinnamon-derived dietary factor cinnamaldehyde — mouse in vivo. Cancer Prev Res (Phila). https://pubmed.ncbi.nlm.nih.gov/25712056/
- Subash Babu P, Prabuseenivasan S, Ignacimuthu S (2007). Cinnamaldehyde—a potential antidiabetic agent — rat in vivo. Phytomedicine. https://pubmed.ncbi.nlm.nih.gov/17140783/
- Allen RW, Schwartzman E, Baker WL, et al. (2013). Cinnamon use in type 2 diabetes: an updated systematic review and meta-analysis — meta-analysis. Ann Fam Med. https://pubmed.ncbi.nlm.nih.gov/24019277/
- Peters MM, Caldwell J (1994). Studies on trans-cinnamaldehyde. 1. The influence of dose size and sex on its disposition in the rat and mouse — animal in vivo. Food Chem Toxicol. https://pubmed.ncbi.nlm.nih.gov/7959441/
- Sapienza PP, Ikeda GJ, Warr PI, et al. (1993). Tissue distribution and excretion of 14C-labelled cinnamic aldehyde following single and multiple oral administration in male Fischer 344 rats — rat in vivo. Food Chem Toxicol. https://pubmed.ncbi.nlm.nih.gov/8477915/
- National Toxicology Program (2004). NTP toxicology and carcinogenesis studies of trans-cinnamaldehyde (CAS No. 14371-10-9) in F344/N rats and B6C3F1 mice (feed studies) — animal in vivo. Natl Toxicol Program Tech Rep Ser. https://pubmed.ncbi.nlm.nih.gov/15146216/
- Buckley DA, Wakelin SH, Seed PT, et al. (2000). The frequency of fragrance allergy in a patch-test population over a 17-year period — observational. Br J Dermatol. https://pubmed.ncbi.nlm.nih.gov/10730761/
- Moss E, Debeuckelaere C, Berl V, et al. (2016). In Situ Metabolism of Cinnamyl Alcohol in Reconstructed Human Epidermis: New Insights into the Activation of This Fragrance Skin Sensitizer — in vitro. Chem Res Toxicol. https://pubmed.ncbi.nlm.nih.gov/27281158/
- Peng J, Song X, Yu W, et al. (2024). The role and mechanism of cinnamaldehyde in cancer — review. J Food Drug Anal. https://pubmed.ncbi.nlm.nih.gov/38934689/
