Drug & supplement interaction

Bay Leaf + Butorphanol

Butorphanol brand name: Stadol.

Moderate Interaction
The bottom line Moderate

Butorphanol falls into 2 drug categories that Bay Leaf can interact with; the most serious is rated moderate. Theoretically, taking bay leaf in large amounts may enhance the therapeutic and adverse effects of sedatives.

Read the full interaction report
SeverityModerate
LikelihoodPossible
Interactions2
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Bay Leaf and Butorphanol

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Bay Leaf interacts with whole categories of medication. Butorphanol falls into 2 of those categories, so it can interact with Bay Leaf in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

CNS DEPRESSANTS

1 of 2

Why this applies to Butorphanol

Butorphanol falls under CNS DEPRESSANTS — the group Bay Leaf interacts with.

Theoretically, taking bay leaf in large amounts may enhance the therapeutic and adverse effects of sedatives.
Bay leaf contains methyl eugenol. Animal research shows that methyl eugenol has sedative properties. Avoid concomitant use.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist for butorphanol (Stadol): it's already a strong pain reliever that can make you drowsy, dizzy, and slow your breathing. Bay leaf contains a compound called methyl eugenol that, in animal studies, seemed to have a mild sedating effect. The concern is that stacking the two could add up and leave you more sleepy or out of it than expected.

I want to be honest with you, though: this is a theoretical concern based on lab and animal work, not real human cases. The pinch of bay leaf in your soup won't do anything. Concentrated bay leaf supplements or essential oils are the only thing worth a second thought. If you use those, just give your pharmacist or doctor a heads-up before combining them.

References
  1. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
Moderate

NARCOTIC DRUGS

2 of 2

Butorphanol also falls under NARCOTIC DRUGS.

Theoretically, taking bay leaf in large amounts may enhance the therapeutic and adverse effects of narcotics. Avoid concomitant use.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist for bay leaf and butorphanol (Stadol). Butorphanol is a strong opioid pain reliever, not a prodrug, so it doesn't need an enzyme to switch it on. The concern on file is theoretical: taking bay leaf in large, concentrated supplement amounts might add to the calming, sedating effects of opioids. If that happened, you could feel more of butorphanol's usual effects, like extra drowsiness, dizziness, slowed breathing, or feeling foggy.

I want to be honest, though, this is based on pharmacology theory, not solid human studies. The bay leaf you sprinkle in soup is very unlikely to matter. Concentrated capsules or essential oils are where caution makes sense. Before mixing them, just check with your pharmacist or doctor.

References
  1. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Bay Leaf Also Interacts With Other Medications

Bay Leaf has 334 moderate known drug interactions in our database — the Butorphanol one above is among them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Bay Leaf

Covers the 2,830 medications we’ve checked against Bay Leaf. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Butorphanol

This page covers Bay Leaf only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Butorphanol page lists 100 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Kava (major).

By severity: 7 major · 78 moderate · 15 minor.

From our pharmacist’s overview on the Butorphanol page

“Slowed breathing and deep sedation are the risks that tower over any opioid, and most of this list threatens to push butorphanol (Stadol), an opioid pain reliever, in exactly that direction. Of the 100 supplement and herbal ingredients on file, 78 add their own sedative pull, so this page deserves genuine care, not a skim.”

Reviewed by 2 · Jul 18, 2026

Open the Butorphanol interaction page

How much people look this up

Where Bay Leaf and Butorphanol Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Bay Leaf
Top 25%

#322 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Butorphanol
Top half

#722 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Bay Leaf

What is Bay Leaf?

Bay Leaf
  • Cooking and flavoring
  • Digestive upset
  • Blood sugar support
  • Colds and congestion
  • Joint and muscle discomfort

Bay leaf is a common culinary herb that is safe in the small amounts used in cooking. Some people take it for digestion, blood sugar, or colds, but strong human evidence for these uses is lacking. Talk to your pharmacist or doctor before using concentrated supplements or essential oils.

Read the full Bay Leaf monograph & all interactions
Medication

About Butorphanol Injection

What Is Butorphanol Injection Used For?

Brand name: Stadol

Butorphanol Tartrate Injection is used to manage pain severe enough to require an opioid when other treatments are not adequate. It is also used as a preoperative or pre-anesthetic medication and as a supplement to balanced anesthesia during surgical procedures.

Butorphanol Tartrate Injection is also indicated for relief of pain during labor in patients at full term in early labor. Because of serious risks including addiction, misuse, and overdose, it is reserved for situations where alternative treatments are ineffective or not tolerated.

See full Butorphanol Injection drug information
Keep checking

Other Drugs & Bay Leaf

Browse every other medication we’ve checked against Bay Leaf — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
334Moderate
0Minor
2,495No known interaction
Moderate

334 interactions

Showing 60 of 334 moderate interactions — see all 334 on the Bay Leaf page.

No interaction 2,495 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Bay Leaf and Butorphanol Together: Common Questions

Can you take Bay Leaf with Butorphanol?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
Why are there 2 interactions listed for Bay Leaf and Butorphanol?
Butorphanol belongs to more than one drug category, and Bay Leaf interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Bay Leaf and Butorphanol interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.