The cold sores are a highly prevalent viral infection caused by herpes simplex virus type 1 (HSV-1). After a primary infection that often occurs in childhood, the virus remains latent in the body and can reactivate intermittently, especially during periods of fatigue, stress, or reduced immune defenses. These reactivations present as tingling or burning sensations, followed by the appearance of painful vesicles clustered around the lips. Although benign in immunocompetent individuals, labial herpes is contagious, recurrent, and can be a source of aesthetic and functional discomfort, which is why it is important to begin treatment at the onset of the first symptoms.
Although it may be tempting, it is essential not to manipulate a cold sore. If it happens, wash your hands immediately and avoid touching your eyes to prevent keratitis.
Theoretically, the nigella oil could be beneficial against cold sores due to its immunomodulatory properties. Several studies suggest that the oil extracted from Nigella sativa has the capacity to influence certain immune responses, notably by modulating the balance between Th1 and Th2 inflammatory pathways. Furthermore, several studies indicate that nigella oil can act on key cells of adaptive immunity, particularly T lymphocytes. Animal and human research has shown an increase in regulatory T cells (CD4+CD25+) and a modulation of the CD4/CD8 ratio following supplementation with nigella oil, associated with a decrease in systemic inflammatory markers such as CRP.
However, HSV-1 reactivation is promoted by periods of immune stress or local inflammation. By helping to reduce certain pro-inflammatory mediators—such as IL-4, IL-5, and IL-6, as demonstrated in various animal models—and by supporting a more balanced immune response, black seed oil could help prevent the flare-ups that lead to cold sores.
Furthermore, an experimental study examined the antiviral activity of compounds isolated from the seeds of Nigella damascena against herpes simplex virus type 1. The researchers extracted and characterized several dolabellane-type diterpenes, then assessed their capacity to inhibit viral replication in vitro using a plaque-reduction assay on Vero cells. Several of these compounds showed a significant inhibition of HSV-1, with effects detected at low concentrations. Some diterpenes exhibited activity comparable to or slightly higher than oleanolic acid—a natural reference compound known for its anti-HSV-1 properties—although their efficacy remained lower than that of acyclovir, the benchmark antiviral treatment.
Inhibitory effects of compounds isolated from Nigella damascena against HSV-A in Vero cells.
Source: OGAWA K. & al. New diterpenes from Nigella damascena seeds and their antiviral activities against herpes simplex virus type-1. Journal of Natural Medicines (2018).
However, these results should be interpreted with caution.
On the one hand, these arein vitro data obtained from purified molecules rather than from a plant oil applied to the skin. On the other hand, the species studied is not Nigella sativa, which is commonly used in cosmetics and phytotherapy, butNigella damascena, an ornamental plant whose chemical composition differs significantly. The active diterpenes identified are not known to be present in the nigella oil derived fromNigella sativa. Thus, although this study confirms that certain molecules from the genusNigella can interact with HSV-1, it does not allow a conclusion on the efficacy of the oil extracted from Nigella sativa against cold sores.
If you are still considering using black seed oil for a cold sore, be aware that this oil should never be applied undiluted, as it has been associated with several adverse reactions when used without dilution. If you experience symptoms suggestive of oral herpes, we recommend consulting a pharmacist or other healthcare professional instead.