Drug & supplement interaction

Groundsel + Griseofulvin

Griseofulvin brand names: Fulvicin PG, Fulvicin-U/F, Grisactin Ultra, Grisactin.

Moderate Interaction
Medically reviewed by · Updated October 2026
The bottom line Moderate

Groundsel has a moderate interaction with Griseofulvin. Theoretically, taking CYP3A4 inducers with groundsel might increase the risk of pyrrolizidine alkaloid toxicity, such as hepatotoxicity.

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

Groundsel and Griseofulvin

Here is the interaction we found between these two, with the evidence behind it.

Moderate

CYTOCHROME P450 3A4 (CYP3A4) INDUCERS

Why this applies to Griseofulvin

Griseofulvin falls under CYTOCHROME P450 3A4 (CYP3A4) INDUCERS — the group Groundsel interacts with.

Theoretically, taking CYP3A4 inducers with groundsel might increase the risk of pyrrolizidine alkaloid toxicity, such as hepatotoxicity.
Pyrrolizidine alkaloids, constituents of groundsel, are converted to toxic metabolites by CYP3A4.
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 thing to understand with this pairing. Griseofulvin is one of those medicines that can speed up a liver enzyme called CYP3A4. Groundsel contains pyrrolizidine alkaloids, and the worry is that the liver uses that same CYP3A4 enzyme to turn those plant chemicals into toxic byproducts. So if griseofulvin revs up that enzyme, your liver might churn out more of those harmful metabolites, which could raise the risk of liver damage from the groundsel.

I'll be honest with you though: this concern is theoretical and comes from lab and animal data, not real patient cases. The bigger point is that groundsel simply isn't safe to take internally on its own. Please don't start it, and check with your pharmacist or doctor about anything you're taking.

Contact Dr. Brian directly if you have additional questions on this interaction
References
  1. Chojkier M. Hepatic sinusoidal-obstruction syndrome: toxicity of pyrrolizidine alkaloids. J Hepatol 2003;39:437-46. PubMed
  2. Wang YP, Yan J, Fu PP, Chou MW. Human liver microsomal reduction of pyrrolizidine alkaloid N-oxides to form the corresponding carcinogenic parent alkaloid. Toxicol Lett 2005;155:411-20. PubMed

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

Groundsel Also Interacts With Other Medications

Groundsel has 86 moderate known drug interactions in our database — the Griseofulvin one above is one of them. If you take anything else, check it against the full list below.

Moderate 86 No known interaction 2,744 (incl. Griseofulvin)
Taking anything else?

Check Another of Your Medications Against Groundsel

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

Everything else you take

See Every Supplement That Interacts With Griseofulvin

This page covers Groundsel only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Griseofulvin page lists 61 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Alfalfa (moderate), Alkanna (moderate), Alpine Ragwort (moderate) and Angelica Archangelica (moderate).

By severity: 1 major · 47 moderate · 13 minor.

From our pharmacist’s overview on the Griseofulvin page

“If you take griseofulvin for a fungal infection of the skin, scalp, or nails, give this list of 61 ingredients real attention. The single major entry is activated charcoal, which binds the drug in your gut so less of it reaches your blood and the infection gets less treatment.”

Reviewed by 2 · Jul 18, 2026

Open the Griseofulvin interaction page

How much people look this up

Where Groundsel and Griseofulvin 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 Groundsel
Steady interest

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

29 days ago today
Medication Griseofulvin
Steady interest

#2,487 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 Groundsel

What is Groundsel?

  • Menstrual complaints
  • Digestive upset
  • Minor wounds (topical)
  • Sore gums or mouth
  • Mild aches

Groundsel is a common weed traditionally used as a folk remedy, but it contains pyrrolizidine alkaloids that can cause serious liver damage. There is no reliable evidence that it works for any condition, and most health authorities consider it unsafe to take internally. We do not recommend using it.

Read the full Groundsel monograph & all interactions
Medication

About Griseofulvin

What Is Griseofulvin Used For?

Brand names: Fulvicin PG, Fulvicin-U/F, Grisactin Ultra, Grisactin

Griseofulvin treats fungal skin, hair and nail infections caused by dermatophytes (fungi that live on skin, hair and nails). These are often called ringworm. It is used when the infection is not adequately treated by creams or other topical products.

It does not work for bacterial infections, yeast infections (candidiasis) or tinea versicolor. The label says it is not justified for minor infections that a topical product alone will clear. Oral suspension and tablet products (Griseofulvin, Griseofulvin Microsize and Ultramicrosize Griseofulvin) share this same list of uses.

See full Griseofulvin drug information Griseofulvin NDC codes and packages
Keep checking

Other Drugs & Groundsel

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

0Major
86Moderate
0Minor
2,743No known interaction
86 Moderate 2,743 No interaction
Moderate

86 interactions

Showing 60 of 86 moderate interactions — see all 86 on the Groundsel page.

No interaction 2,743 drugs checked — show the list

We also checked Groundsel against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,743 medications checked with no known interaction — see the full Groundsel list.

See the full Groundsel interactions page
See every supplement checked against Griseofulvin, ranked by severity
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

Keep exploring
Groundsel monograph › Uses, safety, and every drug interaction in one place Griseofulvin supplement interactions › Every supplement checked against Griseofulvin, ranked by severity Griseofulvin drug information › The full plain-English guide to this medication Griseofulvin NDC codes and packages › Every package, labeler and price in the FDA directory Supplement interaction checker › Check any supplement or product against your medications Browse medications A–Z › Every drug we've checked against herbs & supplements Ask a pharmacist › Free, personal answer from our licensed team
Pharmacist Counseling Corner

Taking Groundsel and Griseofulvin Together: Common Questions

Can you take Groundsel with Griseofulvin?
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.
How serious is the Groundsel and Griseofulvin 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

Still Have a Question About Griseofulvin and Groundsel?

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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.