Lime

Traditional standing is strong and old across West Africa, but human evidence is limited. Only vitamin C supply and scurvy prevention are well proven

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What is Lime? Lime is the small, green, very sour citrus fruit of Citrus aurantifolia. In Twi it is called ankaa twadeɛ. Across West Africa the juice, the peel and the whole fruit are used in cooking and in home remedies. It is a food first. The juice is sharp and acidic and carries vitamin C. In home use it is mixed with water, honey, ginger or herbal drinks for coughs, colds, fevers and upset stomach. Here is the short verdict. Lime is a genuine source of vitamin C, and vitamin C prevents and treats scurvy. For colds, fever, malaria, skin problems and weight loss, good human evidence is thin or missing. Long traditional use is not proof that something works. It is also not proof that it is safe. That caveat applies to every section below, so this page states it once. One real hazard is worth knowing before you start. Lime juice or lime peel oil on skin, followed by sunlight, can cause a painful blistering burn. Lime juice must also never be put inside the vagina, a practice sometimes claimed to prevent pregnancy or infection. How does Lime work? Only one part of lime's action is settled in people: it supplies vitamin C, and vitamin C prevents and treats scurvy. Everything else below is less certain. Lime juice is strongly acidic, mainly from citric acid. In test tubes, this acidity kills or slows several gut bacteria, including the one that causes cholera. Whether that protects a person who drinks it is not established. The peel oil contains limonene and other aroma compounds. In laboratory tests these slow some bacteria and fungi. Skin and throat effects in people have not been shown. Citrus juices raise the amount of citrate in urine. In small human studies with lemon juice, this changed the chemistry that lets some kidney stones form. Lime has been studied much less. Lime also contains furanocoumarins, the compounds behind the grapefruit drug problem. In laboratory and some human studies, these block a gut enzyme called CYP3A4, which normally breaks down many medicines. That can raise drug levels in the blood. The same furanocoumarins make skin react badly to sunlight. This effect is well documented in people and causes real burns. What forms does Lime come in? Most people use lime as fresh fruit, and that is the form behind almost all traditional use. Common forms: Fresh whole limes, squeezed for juice. Bottled lime juice. It keeps less vitamin C than fresh juice, especially once opened. Dried peel or fresh zest, used in cooking and in herbal mixes. Lime essential oil, pressed from the peel. It is for scent and flavour use, not for swallowing. Home preparations such as lime with honey, lime with ginger, or lime added to bitters and herbal drinks. Soaps, creams and hair products containing lime oil or extract. Capsules and powders of lime are sold, but there is no good human evidence that they do more than the fruit. Where it comes from: Lime has been grown and used in West Africa for centuries, after reaching the region through trade. In Ghana it is ankaa twadeɛ in Twi. Healers and households used the juice for coughs, sore throats, fevers and poor appetite. It was often combined with ginger, honey, garlic or bitter herbs. The fruit was also rubbed on skin for blemishes and rinsed through hair for dandruff. Lime was squeezed over food and into water where clean water was scarce. This use later drew research attention during cholera outbreaks. Citrus fruit also has a famous place in sea travel. Ships carried lime and lemon juice against scurvy. Lime juice turned out to be the weaker of the two, and some crews still fell ill. One traditional practice must be named plainly. Lime juice has been used in parts of West Africa as a vaginal wash, to try to prevent pregnancy or infection. Research found it damages the vaginal lining and does not work as claimed.

Helps

What does Lime help with? Vitamin C intake and scurvy prevention: This is the one settled use. Vitamin C prevents and treats scurvy, and lime juice supplies it. Fresh juice is a better source than bottled, since vitamin C breaks down with heat, light and time. Lime holds less vitamin C than lemon or orange, so it is a useful source rather than an outstanding one. Coughs, colds and sore throat: Tradition used lime with honey or ginger for coughs and colds. The honey part has some trial support for easing night-time cough in children over one year. Lime itself has not been tested for this. A warm, sweet drink may soothe the throat for a short time, but there is no evidence it shortens a cold. Indigestion, nausea and poor appetite: Sour drinks were used to settle the stomach and wake up appetite. Human trials on lime for these problems are essentially absent. For some people the acid makes heartburn and reflux worse rather than better. Fever and malaria (traditional use): Lime appears in many West African fever and malaria mixtures. Laboratory studies have tested citrus extracts against malaria parasites, with mixed results. There is no human trial showing lime treats malaria. Malaria can kill, so suspected malaria needs a test and proper medicine, not a home drink. Food and water hygiene during cholera outbreaks: This has the most interesting evidence after vitamin C. Lime juice kills the cholera bacterium in test tubes and in food. In an outbreak in Guinea-Bissau, people whose rice sauce contained lime juice were less likely to fall ill. That study was observational, so it suggests protection but does not prove it. Lime is not a substitute for clean water, handwashing or vaccination. Kidney stone prevention: Citrus juice raises citrate in the urine, and citrate can make some stones less likely to form. Most of the small human studies used lemon juice, not lime. Whether lime helps people who form stones is not established. Anyone with repeat stones should be guided by a doctor. Skin blemishes and dandruff (traditional use): Lime juice has long been rubbed on spots, dark marks and the scalp. Laboratory tests show lime oil slows some skin bacteria and fungi. No trial shows this works on human skin. This use also carries the clearest risk on the page, because lime juice plus sunlight can burn the skin badly.

Lime

Quick Facts

  • What it is: Lime is the sour green citrus fruit Citrus aurantifolia, known in Twi as ankaa twadeɛ, used in West Africa as both food and home remedy.
  • Main uses: Vitamin C in the diet, Soothing drinks for coughs and colds, Flavouring and food hygiene, Traditional use for fever and skin problems
  • Active ingredients: Vitamin C (ascorbic acid), Citric acid, Furanocoumarins (bergapten, bergamottin), Limonene, Flavonoids such as hesperidin
  • Forms: Fresh fruit, Fresh or bottled juice, Zest and dried peel, Peel essential oil (not for swallowing), Capsules and powders
  • Time to effect: Soothing feels immediate but brief; vitamin C deficiency improves over days to weeks.
  • Side effects: Usually mild heartburn and tooth enamel wear; juice plus sunlight on skin can cause a serious burn.

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What is Lime?

Lime is the small, green, very sour citrus fruit of Citrus aurantifolia. In Twi it is called ankaa twadeɛ. Across West Africa the juice, the peel and the whole fruit are used in cooking and in home remedies.

It is a food first. The juice is sharp and acidic and carries vitamin C. In home use it is mixed with water, honey, ginger or herbal drinks for coughs, colds, fevers and upset stomach.

Here is the short verdict. Lime is a genuine source of vitamin C, and vitamin C prevents and treats scurvy. For colds, fever, malaria, skin problems and weight loss, good human evidence is thin or missing.

Long traditional use is not proof that something works. It is also not proof that it is safe. That caveat applies to every section below, so this page states it once.

One real hazard is worth knowing before you start. Lime juice or lime peel oil on skin, followed by sunlight, can cause a painful blistering burn. Lime juice must also never be put inside the vagina, a practice sometimes claimed to prevent pregnancy or infection.

How does Lime work?

Only one part of lime's action is settled in people: it supplies vitamin C, and vitamin C prevents and treats scurvy. Everything else below is less certain.

Lime juice is strongly acidic, mainly from citric acid. In test tubes, this acidity kills or slows several gut bacteria, including the one that causes cholera. Whether that protects a person who drinks it is not established.

The peel oil contains limonene and other aroma compounds. In laboratory tests these slow some bacteria and fungi. Skin and throat effects in people have not been shown.

Citrus juices raise the amount of citrate in urine. In small human studies with lemon juice, this changed the chemistry that lets some kidney stones form. Lime has been studied much less.

Lime also contains furanocoumarins, the compounds behind the grapefruit drug problem. In laboratory and some human studies, these block a gut enzyme called CYP3A4, which normally breaks down many medicines. That can raise drug levels in the blood.

The same furanocoumarins make skin react badly to sunlight. This effect is well documented in people and causes real burns.

What forms does Lime come in?

Most people use lime as fresh fruit, and that is the form behind almost all traditional use.

Common forms:

Fresh whole limes, squeezed for juice.

Bottled lime juice. It keeps less vitamin C than fresh juice, especially once opened.

Dried peel or fresh zest, used in cooking and in herbal mixes.

Lime essential oil, pressed from the peel. It is for scent and flavour use, not for swallowing.

Home preparations such as lime with honey, lime with ginger, or lime added to bitters and herbal drinks.

Soaps, creams and hair products containing lime oil or extract.

Capsules and powders of lime are sold, but there is no good human evidence that they do more than the fruit.

Where it comes from:

Lime has been grown and used in West Africa for centuries, after reaching the region through trade. In Ghana it is ankaa twadeɛ in Twi.

Healers and households used the juice for coughs, sore throats, fevers and poor appetite. It was often combined with ginger, honey, garlic or bitter herbs. The fruit was also rubbed on skin for blemishes and rinsed through hair for dandruff.

Lime was squeezed over food and into water where clean water was scarce. This use later drew research attention during cholera outbreaks.

Citrus fruit also has a famous place in sea travel. Ships carried lime and lemon juice against scurvy. Lime juice turned out to be the weaker of the two, and some crews still fell ill.

One traditional practice must be named plainly. Lime juice has been used in parts of West Africa as a vaginal wash, to try to prevent pregnancy or infection. Research found it damages the vaginal lining and does not work as claimed.

Who should avoid Lime?

  • Never put lime juice, lime slices or lime oil inside the vagina. It burns the lining, does not prevent pregnancy, and may raise the risk of catching infections including HIV.
  • Do not put lime juice or lime peel oil on skin that will meet sunlight. This causes a blistering burn and long-lasting dark marks.
  • Do not swallow lime essential oil, and do not give it to children.
  • Never put lime juice in the eyes, on open wounds or on broken skin.
  • Avoid neat lime juice if you have GORD (acid reflux), gastritis (an inflamed stomach lining) or a peptic ulcer (a sore in the stomach lining).
  • Do not sip neat lime juice through the day if you have worn or sensitive teeth.
  • Do not use lime juice on a baby's or young child's skin.
  • Do not drink lime juice in large or daily amounts if you take ciclosporin or tacrolimus after a transplant, unless your transplant team agrees.
  • Do not use lime in place of malaria testing and treatment, or in place of oral rehydration salts for diarrhoea.
  • Avoid lime altogether if you have had an allergic reaction to citrus fruit.

When should you see a doctor?

Stop using lime and see a doctor if you get mouth or stomach pain that does not settle, ongoing heartburn, or tooth sensitivity.

See a doctor the same day if a lime burn blisters, covers a large area, or looks infected.

Get urgent medical care for a fever that lasts more than two days, a fever with chills or confusion, or any suspected malaria.

Get urgent care for watery diarrhoea with signs of dehydration, such as sunken eyes, no urine or extreme weakness.

Call emergency services for swelling of the lips, face or throat, or trouble breathing after contact with lime.

Is Lime legal where you live?

Lime is an ordinary food. It is sold freely as fruit and juice in Ghana, Nigeria, the UK, the EU, the US and elsewhere, with no medicine licence.

Lime peel oil is restricted in cosmetics in the EU and under industry fragrance rules, because it can burn skin in sunlight. No health claim for treating disease is approved for lime anywhere.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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