Bitter orange
What the research shows
Mostly no concerns
most studies in people found no harm or a benefit
A citrus fruit used to make oil and marmalade.
Its oil is used in foods and drinks, and it makes marmalade.1
What research says
Studies in people
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No harm found
Supplement side effects2
In people, animals and lab studies, bitter orange extract and p-synephrine showed no serious side effects directly linked to them.
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Concern
Blood pressure and weight loss3
In people, bitter orange raised blood pressure with longer use and did not help weight loss.
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No harm found
Heart effects4
About 30 human studies found bitter orange extract did not affect the heart at usual doses.
Single cases of misuse or overdose
One person or one incident, such as an accidental overdose or a mistake in a kitchen or factory. They are real, but a single case does not show what happens at normal amounts, so the signal does not count them.
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Gut health5
A woman got painful gut problems after taking bitter orange in a weight-loss supplement.
The signal at the top counts the findings in people and in animal and lab studies. A concern in studies of people outranks animal and lab studies, and “No concerns” needs at least one finding in people. When most findings in people point one way, the page leans that way (“Mostly”), and every finding is still shown. Findings whose study type is not stated are shown but not counted. This page is a reference, not medical advice. It describes what regulators and published research say. Talk to a doctor or dietitian about your own diet.
Products
The 6 most-scanned of 78 products on Open Food Facts that list bitter orange.
- Fine cut Oxford marmalade Frank Cooper's · 454 g 3 additives
- Frank Cooper's 'Oxford' Original Oxford Marmalade Frank Cooper's · 454 g 3 additives
- Orange Marmalade Fine Cut Tiptree · 340 g 1 additive
- Seville orange marmalade La Vieja Fábrica · 365 g 2 additives
- Marmelade D'oranges Et De Mandarines Avec écorce Fine Tiptree · 340.0 g 2 additives
- Vintage marmalade Mackays · 340 g 2 additives
References
- 1Bitter orange. Wikipedia. Accessed September 30, 2026. CC BY-SA 4.0.
- 2Stohs SJ, Preuss HG, Shara M. The safety of Citrus aurantium (bitter orange) and its primary protoalkaloid p-synephrine. Phytother Res. 2011;25(10):1421-8. doi:10.1002/ptr.3490
- 3Koncz D, Tóth B, Bahar MA, Roza O, Csupor D. The Safety and Efficacy of Citrus aurantium (Bitter Orange) Extracts and p-Synephrine: A Systematic Review and Meta-Analysis. Nutrients. 2022;14(19). doi:10.3390/nu14194019
- 4Stohs SJ. Safety, Efficacy, and Mechanistic Studies Regarding Citrus aurantium (Bitter Orange) Extract and p-Synephrine. Phytother Res. 2017;31(10):1463-1474. doi:10.1002/ptr.5879
- 5Sultan S, Spector J, Mitchell RM. Ischemic colitis associated with use of a bitter orange-containing dietary weight-loss supplement. Mayo Clin Proc. 2006;81(12):1630-1. doi:10.4065/81.12.1630