Ozone Therapy - Contraindications

ALL METHODS OF APPLICATION

Thyrotoxicosis/ hyperthyroidism

In the case of an overactive thyroid, ozone may over-stimulate the thyroid gland.

G6PD deficiency (Favism) / hemolytic anemia

Glucose-6-phosphate dehydrogenase (G6PD) deficiency, also known as favism (after the fava bean), reduces the energy available to maintain the integrity of the red blood cell membrane. Oxidative stress may result in hemolytic anemia for those with G6PD deficiency. Please have your clients checked for the G6PD deficiency before proceeding with any form of Ozone Therapy.


Organ transplant patients, i.e. taking immune suppression medications

Ozone is contraindicated in organ transplant patients who are on immune suppression medication.


TRANSDERMAL OZONE APPLICATIONS

Transdermal Ozone, i.e. when ozone is applied to the skin, such as with an ozone sauna, ozone skin cupping, ozone limb bagging, etc. is contraindicated for:

Cutaneous porphyria

Porphyria is a group of disorders that can cause nerve or skin problems. Porphyria that affects the skin is called cutaneous porphyria. In some instances, transdermal ozone saunas may aggravate symptoms of cutaneous porphyria. This may be due to the ultraviolet rays that are emitted when ozone molecules break down in the chamber when mixing with the steam. While this beneficial for most people (promotes production of vitamin D, helps deal with skin infections, etc.) it is contraindicated for clients with cutaneous porphyria, as exposure to sunlight can trigger their symptoms.

If a client with cutaneous porphyria chooses to go ahead with a HOCATT session, it is at their own risk, and as a precaution they could opt to have a session without Transdermal Ozone, i.e. use the other HOCATT modalities such as the sauna, FIR, FSM, Essential Oil Infusions, etc. Women also have the option of doing Vaginal Ozone Insufflations, as long as the client has no other condition that contraindicates Ozone.

Vitiligo

This is a chronic condition causing pale white patches to develop on the skin due to lack of melanin. We have only had one reported case of a client’s Vitiligo patches getting larger after a few HOCATT sessions, therefore it is now part of our contraindications guide. Before this case was reported, clients were able to enjoy the many benefits of the HOCATT without any worsening of their Vitiligo.

If a client with Vitiligo chooses to go ahead with a session, it is at their own risk, and as a precaution they could opt to have a session without Transdermal Ozone, i.e. use the other HOCATT modalities such as the sauna, FIR, FSM, Essential Oil Infusions, etc. Women also have the option of doing Vaginal Ozone Insufflations, so long as the client has no other condition that contraindicates Ozone.

In a CO2 / carbonic acid sauna, all the contraindications of regular saunas apply.

However, as the CO2 amplifies the effects of the sauna on blood circulation, the following contraindications are emphasized:


Hypotension and/or taking blood pressure medication

When CO2 is added, it amplifies the effect of the sauna on blood circulation, i.e. it further dilates the pores and blood vessels and increases blood circulation which lowers blood pressure. A client that is already hypotensive (has low blood pressure) is at risk of dropping their blood pressure TOO LOW when using a sauna, which may lead to a feeling of light-headedness, dizziness, nausea or even fainting. The same goes for a client that is taking medication that lowers blood pressure, as there is a risk that blood pressure will drop TOO LOW during the sauna session. In addition, many blood pressure medications interfere with the body’s normal response to heat exposure.


This is why it is important to measure your client’s blood pressure before starting a session, and write it down on their session sheet. You might find that the client’s blood pressure may start changing over time the more sessions they have. You can refer the client back to their primary doctor, so they may adjust the client’s blood pressure medication as the doctor so desires.


If a client who is hypotensive and/or taking blood pressure medications chooses to go ahead with the session, it is at their own risk. Be sure to use a lower temperature setting (< 38ºC), set the CO2 time to ZERO minutes, and use a MAXIMUM session time of 15-minutes. If there is no light-headedness or dizziness after a few sessions, the client could opt to slowly start adding CO2 to the sessions, i.e. add 1-minute of CO2 for a few sessions, if all goes well then you can increase it to 2-minutes of CO2, etc. The same method can be applied for increasing the temperature and session duration (i.e. slowly!).