Drug & supplement interaction

Devil's Club + Ribavirin Aerosol

Ribavirin Aerosol brand name: Virazole.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Devil's Club and Ribavirin Aerosol 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. Additionally, although there is no interaction, the label for Ribavirin Aerosol states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Devil's Club and Ribavirin Aerosol

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 Ribavirin Aerosol and Devil's Club 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 Devil's Club at all — not against Ribavirin Aerosol, 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.

Devil's Club safety at a glance

Devil's Club overall Use caution Limited human safety data exist, so use cautiously and under professional guidance.
Pregnancy Avoid Not enough safety information is available, so it is best avoided during pregnancy.
Breastfeeding Avoid Safety has not been studied in nursing mothers, so avoid use while breastfeeding.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Ribavirin Aerosol and Devil's Club? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Devil's Club and Ribavirin Aerosol May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Nausea / Vomiting / Diarrhea reported in 11.6% of FDA reports for Ribavirin Aerosol Additional detail

    Devil's Club

    “Orally, devil's club might cause diarrhea, nausea, vomiting, and lightheadedness. Topically, devil's club might cause allergic reactions.”

    Devil's Club · Natural Medicines adverse-effect record, reported in diarrhea.

    2 sources cited
    1. 95732. Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.
    2. 47178. Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.

    “Orally, nausea and vomiting has been reported for an otherwise healthy patient who drank two 80-mL servings of devil's club 5 hours apart. The tea was prepared by boiling devil's club root, bark, and berries for 4-6 hours. Diarrhea and nausea have been reported in some individuals after chewing and swallowing the inner bark of 40 sticks of devil's club.”

    Devil's Club · Natural Medicines adverse-effect record, reported in diarrhea.

    1 source cited
    1. 95732. Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.

    Ribavirin Aerosol

    Listed in the ADVERSE REACTIONS section of the FDA label for Ribavirin Aerosol, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Dizziness Additional detail

    Devil's Club

    Recorded for Devil's Club in the same Natural Medicines adverse-effect record shown under Nausea / Vomiting / Diarrhea above.

    Ribavirin Aerosol

    Listed in the ADVERSE REACTIONS section of the FDA label for Ribavirin Aerosol. Read the label on DailyMed ›

Reported for Devil's Club but not commonly for Ribavirin Aerosol: an allergic reaction.

Effects for Ribavirin Aerosol come from the ADVERSE REACTIONS section of its FDA label; effects for Devil's Club come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 63,877 voluntary FDA FAERS reports for Ribavirin Aerosol that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

How to take them

Some Ribavirin Aerosol Products Have a Food Rule — Devil's Club Should Not Break It

At least one FDA label for a product containing Ribavirin Aerosol says to take it with food. If you take Devil's Club on an empty stomach out of habit, keep them separate — and take Ribavirin Aerosol with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Ribavirin Aerosol products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

Ribavirin capsules should be taken with food [see Clinical Pharmacology (12.3) ].

From the Dosage and Administration section of the FDA label we read for Ribavirin Aerosol — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Everything else you take

See Every Supplement That Interacts With Ribavirin Aerosol

This page covers Devil's Club only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ribavirin Aerosol page lists 17 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Coffee Charcoal (moderate), European Mandrake (moderate), Glucomannan (moderate) and Guar Gum (moderate).

By severity: 1 major · 7 moderate · 9 minor.

From our pharmacist’s overview on the Ribavirin Aerosol page

“Ribavirin Aerosol (Virazole) is an inhaled antiviral used mostly in hospitals against severe RSV infection, and with an infection that serious, losing drug exposure is not a small problem, so I would approach this list with genuine care. Its one major-rated interaction, activated charcoal, can pull ribavirin out of the body even though…”

Reviewed by 2 · Jul 18, 2026

Open the Ribavirin Aerosol interaction page

One more smart check

Taking Devil's Club as Part of a Dietary Supplement Product? Check It for Interactions

We hold 48 real supplement products containing Devil's Club, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Devil's Club. Even though Devil's Club itself has no known interaction with Ribavirin Aerosol, 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 Devil's Club and Ribavirin Aerosol 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 Devil's Club
Steady interest

#1,226 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Ribavirin Aerosol
Top 10%

#185 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 Devil's Club reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Devil's Club and Ribavirin Aerosol records this page draws on were last updated July 10, 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 Devil's Club

What is Devil's Club?

  • Blood sugar support
  • Respiratory and cold symptoms
  • Arthritis and joint pain
  • Digestive complaints
  • General tonic and wellness

Devil's Club is a thorny shrub from the Pacific Northwest of North America that has long been used in Indigenous traditional medicine, especially for blood sugar and respiratory complaints. Scientific evidence in humans is very limited, so its benefits are not proven. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.

Oplopanax horridus · Araliaceae · Root bark, stem bark, and inner bark · Tea or decoction, tincture, capsules, dried bark, topical salves

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

Devil's Club: dosing

There is no established standard dose for Devil's Club. The right amount has not been determined in clinical studies, and product strength can vary widely between brands and forms (tea, tincture, or capsule).If you choose to use it, follow the directions on the product label and do not exceed the suggested amount.

From our Devil's Club monograph — the full record covers uses, side effects and every documented interaction.

Read the full Devil's Club monograph & all interactions
Medication

About Ribavirin

What Is Ribavirin Used For?

Brand name: Virazole

Ribavirin comes in different forms for different uses. Ribavirin capsules are used in combination with interferon alfa-2b (pegylated or non-pegylated) to treat chronic hepatitis C (CHC) in patients 3 years and older with compensated liver disease. Ribavirin tablets are used in combination with PEGASYS® (peginterferon alfa-2a) to treat chronic hepatitis C in patients 5 years and older with compensated liver disease who have not previously been treated with interferon — including adults who also have HIV. Ribavirin for inhalation solution is a separate product used to treat hospitalized infants and young children with severe lower respiratory tract infections caused by respiratory syncytial virus (RSV).

Ribavirin must never be used alone to treat hepatitis C — it only works as part of combination therapy. Only the most severe RSV infections requiring hospitalization should be treated with the inhaled form; mild RSV illness in children does not require this treatment.

See full Ribavirin drug information
Keep checking

Other Drugs & Devil's Club

Browse every other medication we’ve checked against Devil's Club — 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

Devil's Club References

The 2 references that drive our Devil's Club 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. Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.
  2. Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.

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 Devil's Club and Ribavirin Aerosol Together: Common Questions

Is it safe to take Devil's Club with Ribavirin Aerosol?
We do not list a known interaction between Devil's Club and Ribavirin Aerosol. 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.
Do Devil's Club and Ribavirin Aerosol have any of the same side effects?
Yes — our sources link each of them separately to 4 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Devil's Club and Ribavirin Aerosol at the same time of day?
At least one FDA label for a product containing Ribavirin Aerosol says to take it with food. If you take Devil's Club on an empty stomach out of habit, keep them separate and take Ribavirin Aerosol with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Ribavirin Aerosol products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Does Ribavirin Aerosol interact with any supplements?
Yes. Ribavirin Aerosol has documented interactions with 17 supplements in our database — Devil's Club is not one of them. The Ribavirin Aerosol 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 Ribavirin Aerosol and Devil's Club?

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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.