Sulfur
Sulfur

Background

Sulfur is a chemical element that is present in all living tissues. After calcium and phosphorus, it is the third most abundant mineral in the human body. Sulfur is also found in garlic, onions, and broccoli.

Sulfur is applied to the skin for dandruff and an itchy skin infection caused by mites (scabies). It is also applied to the skin for acne and skin redness (rosacea), and taken orally for many other conditions, but there is limited scientific evidence to support these uses.
When taken by mouth: There isn't enough reliable information to know if sulfur is safe or what the side effects might be. It might cause diarrhea in some people.

When applied to the skin: Sulfur is POSSIBLY SAFE when applied to the skin appropriately, short-term. Products containing sulfur in concentrations up to 10% have been used safely for up to 8 weeks. In some people, applying sulfur products to the skin may cause the skin to become dry.

Special Precautions & Warnings:

Pregnancy and breast-feeding: Sulfur is POSSIBLY SAFE when applied to the skin appropriately, short-term. Products containing sulfur in concentrations up to 6% have been applied safely every night for up to 6 nights. There isn't enough reliable information to know if sulfur is safe to take by mouth when pregnant or breast-feeding. Stay on the safe side and don't take it by mouth.

Children: Sulfur is POSSIBLY SAFE when applied to the skin appropriately, short-term. Products containing sulfur in concentrations up to 6% have been used safely when applied nightly in children and adolescents for up to 6 nights. Products containing sulfur in concentrations up to 2% have been used safely when applied for 3 hours daily for up to 6 days in infants.

Sulfa allergy: It is commonly thought that people who are allergic to sulfa drugs might be allergic to sulfur containing products. This is not true. People with an allergy to "sulfa" react to the sulfonamide in some antibiotics and related drugs. They do not react to elemental sulfur.

Effectiveness

NatMed Pro rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate.
Likely effective Effectiveness definitions
Possibly effective Effectiveness definitions
  • Dandruff. Sulfur is an FDA-approved ingredient used in common over-the-counter products to treat dandruff. However, available research on its effectiveness is limited. Some research shows that using a shampoo containing sulfur and/or salicylic acid twice daily for 5 weeks reduces dandruff. Shampoo containing both sulfur and salicylic acid seems to be most effective.
  • Itchy skin infection caused by mites (scabies). Applying a jelly containing sulfur to the skin appears to be an effective treatment for scabies in most people. Sulfur treatments are usually applied overnight for 3 to 6 nights. But this treatment is not pleasant due to the smell. Also, there are better and cheaper treatments available, including the drugs ivermectin and permethrin.
Likely ineffective Effectiveness definitions
Possibly ineffective Effectiveness definitions
Insufficient evidence Effectiveness definitions
  • Acne. Sulfur is an FDA-approved ingredient used in common over-the-counter products to treat acne. However, there is limited research available on its effectiveness. Most products include sulfur in combination with benzoyl peroxide, salicylic acid, or sodium sulfacetamide.
  • Hay fever. Early research shows that using a nasal spray containing homeopathic (diluted) amounts of sulfur, luffa, Galphimia glauca, and histamine for 42 days is as effective as common cromolyn sodium nasal spray.
  • A lung disease that makes it harder to breathe (chronic obstructive pulmonary disease or COPD). Early research shows that breathing in the air from warm sulfur water does not help the lungs to function in people with COPD.
  • Common cold. Early research suggests that taking a homeopathic (diluted) product containing sulfur and German ipecac (Engystol, Heel GmbH) by mouth for up to 2 weeks during a cold helps relieve symptoms.
  • High levels of cholesterol or other fats (lipids) in the blood (hyperlipidemia). Early research suggests that drinking water from a sulfurous spring three times daily for 4 weeks reduces total cholesterol, low-density lipoprotein (LDL or "bad") cholesterol, and triglyceride levels. However, it's not clear from this study alone if sulfur might reduce cholesterol.
  • A skin condition that causes redness on the face (rosacea). Early research suggests that applying a cream containing sulfur to the face once daily for up to 8 weeks reduces fluid-filled bumps on the face and other symptoms caused by rosacea. Some early research shows that sulfur cream may be as effective as the antibiotic tetracycline.
  • Shortness of breath.
  • Sore throat (pharyngitis).
  • Symptoms of menopause.
  • Lice.
  • Cold sores (herpes labialis).
  • Warts.
  • Rough, scaly skin on the scalp and face (seborrheic dermatitis).
  • Poison oaky, ivy, and sumac infections.
  • Other conditions.
More evidence is needed to rate sulfur for these uses.

Dosing & administration

ADULTS

APPLIED TO THE SKIN:
  • For dandruff: Shampoos containing 2% sulfur, alone or with 2% salicylic acid, have been used twice weekly for 5 weeks.
  • For scabies: Treatments containing between 2% and 20% sulfur in jelly have been applied overnight for 3 to 6 nights.
CHILDREN

APPLIED TO THE SKIN:
  • For scabies: Shampoos containing 2% sulfur, alone or with 2% salicylic acid, have been used twice weekly for 5 weeks.

Interactions with pharmaceuticals

It is not known if this product interacts with any medicines.

Before taking this product, talk with your health professional if you take any medications.

Interactions with herbs & supplements

There are no known interactions with herbs and supplements.

Interactions with foods

There are no known interactions with foods.

Action

Sulfur is present in all living tissues. It is the third most abundant mineral in the human body. Sulfur seems to have antibacterial effects against the bacteria that cause acne. It also might help promote the loosening and shedding of skin. This is believed to help treat skin conditions such as seborrheic dermatitis or acne.
Engystol
5.0 (3 pracs)
4.5 (2 clients)
Practitioner product
Mucosa Compositum
5.0 (1 prac)
4.0 (2 clients)
Per tablet:
Practitioner product
vital.ly has licensed monographs from TRC Healthcare.
This monograph was last reviewed on 27/01/2023 19:10:15 and last updated on 26/10/2020 22:28:32. Monographs are reviewed and/or updated multiple times per month and at least once per year.
Natural Medicines disclaims any responsibility related to medical consequences of using any medical product. Effort is made to ensure that the information contained in this monograph is accurate at the time it was published. Consumers and medical professionals who consult this monograph are cautioned that any medical or product related decision is the sole responsibility of the consumer and/or the health care professional. A legal License Agreement sets limitations on downloading, storing, or printing content from this Database. No reproduction of this monograph or any content from this Database is permitted without written permission from the publisher. It is unlawful to download, store, or distribute content from this site.