The ozone paradox: ozone is a strong oxidant as well as a medical drug

Bocci V, Borrelli E, Travagli V, et al. Medicinal Research Reviews, 2009.

View the abstract on PubMed

Study type
Review
People studied
No participants of its own (review)
Published
2009, Medicinal Research Reviews
Identifiers
PMID 19260079, DOI 10.1002/med.20150
Group
Background science and mechanism studies

What the authors reported

Explains that prolonged ozone inhalation is toxic to the lungs and body, whereas a single, precisely calibrated ozone dose dissolved in blood ex vivo triggers antioxidant and biochemical responses in blood cells and endothelium that the authors describe as therapeutically useful without toxicity in selected diseases.

What limits this result

Narrative review by long-time ozone-therapy proponents that synthesizes prior mechanistic work rather than presenting new controlled data.

How ozone acts on blood and cells, how blood filters work, the laboratory and device-development studies behind the EBOO circuit, and studies that measure markers in the blood rather than how patients fare. None of these shows whether EBO2 helps patients. One study rarely settles a medical question; our guides weigh each paper against the rest of the evidence.

How the study was done

Design
Review (publication type label on the Europe PMC record)
Setting
Department of Physiology, University of Siena, Siena, Italy
Read from
Read from the abstract only; where this page says nothing about an item, the abstract does not report it. Read on September 28, 2026.

Sources: Abstract on Europe PMC, Abstract on PubMed

What it measured

Review statement on prolonged ozone inhalation
Can be very deleterious first for the lungs and successively for the whole organism
Review statement on a small, well-calibrated ozone dose against the antioxidant capacity of blood
Can trigger several useful biochemical mechanisms and reactivate the antioxidant system
Review statement on single ozone doses in selected human diseases
Can be therapeutically used without any toxicity or side effects
Review statement on fields of application
Beneficial effect said to be evident in orthopedics, cutaneous, and mucosal infections as well as in dentistry

Source: Abstract on PubMed

Safety as reported

States that single ozone doses can be used therapeutically in selected human diseases without any toxicity or side effects

Source: Abstract on PubMed

Where we cite this study

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