Drug & supplement interaction

Buckhorn Plantain + Sulfasalazine

Sulfasalazine brand names: SAS, Azulfidine EN-Tabs, Azulfidine.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Buckhorn Plantain and Sulfasalazine in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Buckhorn Plantain and Sulfasalazine

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Sulfasalazine and Buckhorn Plantain in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Buckhorn Plantain at all — not against Sulfasalazine, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Buckhorn Plantain safety at a glance

Buckhorn Plantain overall Use caution Generally considered low-risk for short-term use, but human safety data are limited.
Pregnancy Likely Unsafe When used orally or topically. Some evidence suggests buckhorn plantain affects muscle tone of the uterus. Read the full pregnancy detail
Breastfeeding Avoid Safety while breastfeeding is unknown, so avoid unless cleared by your provider.

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Sulfasalazine and Buckhorn Plantain? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Sulfasalazine’s Own FDA Label Lists

This is not an interaction — none of it involves Buckhorn Plantain. These are the most notable effects listed in the ADVERSE REACTIONS section of Sulfasalazine’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you take both. 10 of them are worth acting on rather than waiting out — marked below.

  • Kidney stones Worth acting on
  • Hearing loss Worth acting on
  • Severe muscle breakdown Worth acting on
  • Unsteadiness Worth acting on
  • Low blood sugar Worth acting on
  • Hallucinations Worth acting on
  • Pancreatitis Worth acting on
  • Yellowing of the skin or eyes Worth acting on
  • A severe skin reaction Worth acting on
  • Seizures Worth acting on

Showing the 10 most notable of 43 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Sulfasalazine. Read the label on DailyMed › Where a percentage is shown, it is the share of 77,785 voluntary FDA FAERS reports for Sulfasalazine that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Buckhorn Plantain’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Buckhorn Plantain side to compare — that is a limit of the record, not a statement that Buckhorn Plantain has no side effects.

Special populations

Buckhorn Plantain in Pregnancy & Breastfeeding

Pregnancy Likely Unsafe

When used orally or topically. Some evidence suggests buckhorn plantain affects muscle tone of the uterus.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Sulfasalazine

This page covers Buckhorn Plantain only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Sulfasalazine page lists 39 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Alfalfa (moderate), Angelica Archangelica (moderate), Arrach (moderate) and Bergamot (moderate).

By severity: 1 major · 28 moderate · 10 minor.

From our pharmacist’s overview on the Sulfasalazine page

“Activated charcoal is the single major-rated risk for sulfasalazine (Azulfidine), because charcoal can bind the drug in the gut and cut how much your body absorbs, weakening a medicine people rely on for rheumatoid arthritis or ulcerative colitis. That entry alone earns this list of 39 supplements and herbs a careful read.”

Reviewed by 2 · Jul 18, 2026

Open the Sulfasalazine interaction page

One more smart check

Taking Buckhorn Plantain as Part of a Dietary Supplement Product? Check It for Interactions

We hold 4 real supplement products containing Buckhorn Plantain, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Buckhorn Plantain. Even though Buckhorn Plantain itself has no known interaction with Sulfasalazine, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Buckhorn Plantain and Sulfasalazine 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 Buckhorn Plantain
Steady interest

#1,102 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Sulfasalazine
Top half

#793 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.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Buckhorn Plantain reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 27, 2026. The Buckhorn Plantain and Sulfasalazine records this page draws on were last updated July 11, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Buckhorn Plantain

What is Buckhorn Plantain?

Buckhorn Plantain
  • Cough and sore throat
  • Respiratory irritation
  • Wound and skin care
  • Digestive upset
  • Mild inflammation

Buckhorn plantain is a common weed-like herb used traditionally for coughs, sore throats, and minor skin wounds. Some lab and small studies suggest it has soothing and mild anti-inflammatory effects, but high-quality human evidence is limited. It is generally considered low-risk for short-term use, but pregnant and breastfeeding people should be cautious and check with a healthcare provider.

Plantago lanceolata · Plantaginaceae · Leaves (above-ground parts) · Tea, tincture, syrup, capsules, topical creams or ointments, fresh crushed leaves

An interaction check asks whether these two react with each other — it does not ask whether Buckhorn Plantain is a good idea for someone in your situation. Here is what our Buckhorn Plantain record says about it on its own.

Buckhorn Plantain: dosing

There is no official standardized dose for buckhorn plantain. Traditional preparations include teas made from the dried leaves, syrups, tinctures, and topical products.Because product strength varies a lot between brands and forms, the best approach is to follow the directions on the product label.

From our Buckhorn Plantain monograph — the full record covers uses, side effects and every documented interaction.

Read the full Buckhorn Plantain monograph & all interactions
Medication

About Sulfasalazine

What Is Sulfasalazine Used For?

Brand names: SAS, Azulfidine EN-Tabs, Azulfidine

All sulfasalazine tablets are used for ulcerative colitis. That includes mild to moderate disease, add-on treatment in severe disease, and lengthening the time between flares.

The delayed-release tablets (Azulfidine EN-tabs and Sulfasalazine Delayed Release Tablets) are also used for rheumatoid arthritis when salicylates or NSAIDs (anti-inflammatory pain relievers) have not worked well enough. They are also used for polyarticular-course juvenile rheumatoid arthritis in children with the same inadequate response. The regular (uncoated) tablets are labeled only for ulcerative colitis.

Most-Reported Side Effects for Sulfasalazine

From FAERS, the FDA’s public side-effect reporting system (77,785 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Rheumatoid arthritis 19,529 reports
Drug intolerance 13,762 reports
Arthralgia 13,481 reports
Fatigue 13,318 reports
Joint swelling 12,744 reports
See full Sulfasalazine drug information
Keep checking

Other Drugs & Buckhorn Plantain

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

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Buckhorn Plantain References

The 1 references that drive our Buckhorn Plantain monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Shipochliev T. Uterotonic action of extracts from a group of medicinal plants. Vet Med Nauki 1981;18:94-8.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Buckhorn Plantain and Sulfasalazine Together: Common Questions

Is it safe to take Buckhorn Plantain with Sulfasalazine?
We do not list a known interaction between Buckhorn Plantain and Sulfasalazine. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Sulfasalazine interact with any supplements?
Yes. Sulfasalazine has documented interactions with 39 supplements in our database — Buckhorn Plantain is not one of them. The Sulfasalazine interaction page linked on this page lists every one, ranked by severity.

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

Still Have a Question About Sulfasalazine and Buckhorn Plantain?

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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.