Drug & supplement interaction

Hemlock + Ribavirin Aerosol

Ribavirin Aerosol brand name: Virazole.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Hemlock 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

Hemlock 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 Hemlock 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 Hemlock 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.

Hemlock safety at a glance

Hemlock overall Avoid Hemlock is a deadly poison and should never be taken in any amount.
Pregnancy Unsafe When used orally because ingestion can be lethal; avoid using. Read the full pregnancy detail
Breastfeeding Unsafe When used orally because ingestion can be lethal; avoid using. Read the full breastfeeding detail

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 Ribavirin Aerosol and Hemlock? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Hemlock 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.

  • Tiredness / Dizziness reported in 15.0% of FDA reports for Ribavirin Aerosol Additional detail

    Hemlock

    “Orally, hemlock can cause drowsiness, fatigue, lethargy, dizziness, numbness, loss of speech, tremors, paralysis, seizures, encephalopathy, unconsciousness, and death. Death from hemlock toxicity is usually due to respiratory paralysis.

    A case report describes prolonged status epilepticus in a 41-year-old, previously healthy female who mistook hemlock root for parsnip.”

    Hemlock · Natural Medicines adverse-effect record, reported in epilepsy.

    6 sources cited
    1. 6340. Drummer OH, Roberts AN, Bedford PJ, et al. Three deaths from hemlock poisoning. Med J Aust 1995;162:592-3. PubMed
    2. 6341. Frank BS, Panter KE. Ingestion of poison hemlock (Conium maculatum). West J Med 1995;163:573-4.
    3. 10778. Carod-Artal FJ. [Neurological syndromes linked with the intake of plants and fungi containing a toxic component (I). Neurotoxic syndromes caused by the ingestion of plants, seeds and fruits]. Rev Neurol 2003;36:860-71.
    4. 54711. Foster, P. F., McFadden, R., Trevino, R., Galliardt, S., Kopczewski, L. A., Gugliuzza, K., Gonzalez, Z., and Wright, F. Successful transplantation of donor organs from a hemlock poisoning victim. Transplantation 9-15-2003;76(5):874-876. PubMed
    5. 54712. Vetter, J. Poison hemlock (Conium maculatum L.). Food Chem.Toxicol. 2004;42(9):1373-1382. PubMed
    6. 54716. Rizzi, D., Basile, C., Di Maggio, A., Sebastio, A., Introna, F., Jr., Rizzi, R., Scatizzi, A., De Marco, S., and Smialek, J. E. Clinical spectrum of accidental hemlock poisoning: neurotoxic manifestations, rhabdomyolysis and acute tubular necrosis. Nephr PubMed

    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 ›

  • Muscle pain Additional detail

    Hemlock

    “Hemlock is generally regarded as unsafe for use. Any benefits of therapy may not outweigh the risk of toxicity. Orally, hemlock can cause burning of the mouth, throat, and abdomen, nausea, vomiting, excessive urination, salivation, drowsiness, mydriasis, muscle pain, rapid muscle swelling and stiffness, rhabdomyolysis, and tachycardia followed by bradycardia.”

    Hemlock · Natural Medicines adverse-effect record, reported in muscle breakdown.

    6 sources cited
    1. 6340. Drummer OH, Roberts AN, Bedford PJ, et al. Three deaths from hemlock poisoning. Med J Aust 1995;162:592-3. PubMed
    2. 6341. Frank BS, Panter KE. Ingestion of poison hemlock (Conium maculatum). West J Med 1995;163:573-4.
    3. 54709. Biberci, E., Altuntas, Y., Cobanoglu, A., and Alpinar, A. Acute respiratory arrest following hemlock (Conium maculatum) intoxication. J.Toxicol.Clin.Toxicol. 2002;40(4):517-518.
    4. 54711. Foster, P. F., McFadden, R., Trevino, R., Galliardt, S., Kopczewski, L. A., Gugliuzza, K., Gonzalez, Z., and Wright, F. Successful transplantation of donor organs from a hemlock poisoning victim. Transplantation 9-15-2003;76(5):874-876. PubMed
    5. 54712. Vetter, J. Poison hemlock (Conium maculatum L.). Food Chem.Toxicol. 2004;42(9):1373-1382. PubMed
    6. 54716. Rizzi, D., Basile, C., Di Maggio, A., Sebastio, A., Introna, F., Jr., Rizzi, R., Scatizzi, A., De Marco, S., and Smialek, J. E. Clinical spectrum of accidental hemlock poisoning: neurotoxic manifestations, rhabdomyolysis and acute tubular necrosis. Nephr PubMed

    “Orally, hemlock can cause muscle pain, rapid muscle swelling and stiffness, and rhabdomyolysis. Plasma exchange effectively improved the signs of rhabdomyolysis in one case of hemlock poisoning.”

    Hemlock · Natural Medicines adverse-effect record, reported in muscle breakdown.

    5 sources cited
    1. 6340. Drummer OH, Roberts AN, Bedford PJ, et al. Three deaths from hemlock poisoning. Med J Aust 1995;162:592-3. PubMed
    2. 6341. Frank BS, Panter KE. Ingestion of poison hemlock (Conium maculatum). West J Med 1995;163:573-4.
    3. 54712. Vetter, J. Poison hemlock (Conium maculatum L.). Food Chem.Toxicol. 2004;42(9):1373-1382. PubMed
    4. 110410. Boskabadi J, Askari Z, Zakariaei Z, Fakhar M, Tabaripour R. Mild-to-severe poisoning due to Conium maculatum as toxic herb: A case series. Clin Case Rep. 2021 Jul 23;9(7):e04509.
    5. 54727. Montemurro, N. E., Di Maggio, A., Strippoli, P., Coviello, F., Godino, F., Miloro, G., and Scatizzi, A. Combined dialysis and plasma-exchange in acute renal failure. Biomater.Artif.Cells Immobilization Biotechnol. 1993;21(2):283-287. PubMed

    Ribavirin Aerosol

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

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

    Hemlock

    “Orally, hemlock causes burning of the mouth, throat, and abdomen. It can also cause nausea, vomiting, and increased salivation.”

    Hemlock · Natural Medicines adverse-effect record, reported in nausea and vomiting.

    5 sources cited
    1. 6341. Frank BS, Panter KE. Ingestion of poison hemlock (Conium maculatum). West J Med 1995;163:573-4.
    2. 96877. Konca C, Kahramaner Z, Bosnak M, Kocamaz H. Hemlock (Conium Maculatum) poisoning in a child. Turk J Emerg Med. 2016;14(1):34-6. DOI
    3. 54712. Vetter, J. Poison hemlock (Conium maculatum L.). Food Chem.Toxicol. 2004;42(9):1373-1382. PubMed
    4. 96878. Chen HY, Horng H, Rowley F, Smollin C. Rapid respiratory arrest after ingestion of poison hemlock mistaken for wild celery. Clin Toxicol (Phila). 2017;55(2):155-156. PubMed
    5. 110410. Boskabadi J, Askari Z, Zakariaei Z, Fakhar M, Tabaripour R. Mild-to-severe poisoning due to Conium maculatum as toxic herb: A case series. Clin Case Rep. 2021 Jul 23;9(7):e04509.

    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 ›

  • Vomiting reported in 6.0% of FDA reports for Ribavirin Aerosol Additional detail

    Hemlock

    Recorded for Hemlock in the same Natural Medicines adverse-effect record shown under Muscle pain above.

    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 ›

Reported for Hemlock but not commonly for Ribavirin Aerosol: seizures, kidney problems, severe muscle breakdown and raised blood pressure.

Effects for Ribavirin Aerosol come from the ADVERSE REACTIONS section of its FDA label; effects for Hemlock 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.

Special populations

Hemlock in Pregnancy & Breastfeeding

Pregnancy And Lactation Unsafe

When used orally because ingestion can be lethal; avoid using.

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

How to take them

Some Ribavirin Aerosol Products Have a Food Rule — Hemlock Should Not Break It

At least one FDA label for a product containing Ribavirin Aerosol says to take it with food. If you take Hemlock 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 Hemlock 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 Hemlock as Part of a Dietary Supplement Product? Check It for Interactions

We hold 9 real supplement products containing Hemlock, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Hemlock. Even though Hemlock 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 Hemlock 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 Hemlock
Steady interest

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

29 days ago today
Medication Ribavirin Aerosol
Top 10%

#254 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 Hemlock reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Hemlock 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 Hemlock

What is Hemlock?

  • Historical sedative or pain reliever
  • Traditional treatment for muscle spasms
  • Folk use for joint and nerve pain
  • Historical execution poison
  • Homeopathic preparations

Hemlock (Conium maculatum) is a highly poisonous plant that has no safe or proven medicinal use today. Even small amounts can cause paralysis and death, so it should never be consumed or applied to the body. Do not use hemlock or any product containing it.

Conium maculatum · Apiaceae · Whole plant, including leaves, seeds, stems, and roots (all parts are poisonous) · Not safely used in any form; historically prepared as extracts, tinctures, or poultices

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

Hemlock: dosing

There is no safe dose of hemlock. It is not a supplement and should never be measured out or taken. Even a small amount of plant material or seeds can be fatal to humans and animals.Do not buy, prepare, or consume any product that contains Conium maculatum.

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

Read the full Hemlock 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 & Hemlock

Browse every other medication we’ve checked against Hemlock — 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
2,829 No interaction
No interaction 2,829 drugs checked — show the list

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

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Hemlock list.

See the full Hemlock interactions page
See every supplement checked against Ribavirin Aerosol, ranked by severity
Evidence & sources

Hemlock References

The 18 references that drive our Hemlock 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. Lopez TA, Cid MS, Bianchini ML. Biochemistry of hemlock (Conium maculatum L.) alkaloids and their acute and chronic toxicity in livestock. A review. Toxicon 1999;37:841-65. PubMed
  2. Drummer OH, Roberts AN, Bedford PJ, et al. Three deaths from hemlock poisoning. Med J Aust 1995;162:592-3. PubMed
  3. Frank BS, Panter KE. Ingestion of poison hemlock (Conium maculatum). West J Med 1995;163:573-4.
  4. Carod-Artal FJ. [Neurological syndromes linked with the intake of plants and fungi containing a toxic component (I). Neurotoxic syndromes caused by the ingestion of plants, seeds and fruits]. Rev Neurol 2003;36:860-71.
  5. Biberci, E., Altuntas, Y., Cobanoglu, A., and Alpinar, A. Acute respiratory arrest following hemlock (Conium maculatum) intoxication. J.Toxicol.Clin.Toxicol. 2002;40(4):517-518.
  6. Foster, P. F., McFadden, R., Trevino, R., Galliardt, S., Kopczewski, L. A., Gugliuzza, K., Gonzalez, Z., and Wright, F. Successful transplantation of donor organs from a hemlock poisoning victim. Transplantation 9-15-2003;76(5):874-876. PubMed
  7. Vetter, J. Poison hemlock (Conium maculatum L.). Food Chem.Toxicol. 2004;42(9):1373-1382. PubMed
  8. Rizzi, D., Basile, C., Di Maggio, A., Sebastio, A., Introna, F., Jr., Rizzi, R., Scatizzi, A., De Marco, S., and Smialek, J. E. Clinical spectrum of accidental hemlock poisoning: neurotoxic manifestations, rhabdomyolysis and acute tubular necrosis. Nephr PubMed
  9. Rizzi, D., Basile, C., Di Maggio, A., Sebastio, A., Introna, F., Jr., Rizzi, R., Bruno, S., Scatizzi, A., and De Marco, S. Rhabdomyolysis and acute tubular necrosis in coniine (hemlock) poisoning. Lancet 12-16-1989;2(8677):1461-1462. PubMed
  10. Rizzi, D., Introna, F., Jr., Gagliano, Candela R., Di Nunno, C., Ricco, R., Recchia, R., and De, Michele, V. [Toxic rhabdomyolysis and tubular necrosis in hemlock poisoning. 4 case reports]. Clin.Ter. 2-15-1988;124(3):193-201.
  11. Montemurro, N. E., Di Maggio, A., Strippoli, P., Coviello, F., Godino, F., Miloro, G., and Scatizzi, A. Combined dialysis and plasma-exchange in acute renal failure. Biomater.Artif.Cells Immobilization Biotechnol. 1993;21(2):283-287. PubMed
  12. Scatizzi, A., Di Maggio, A., Rizzi, D., Sebastio, A. M., and Basile, C. Acute renal failure due to tubular necrosis caused by wildfowl-mediated hemlock poisoning. Ren Fail. 1993;15(1):93-96. PubMed
  13. Brtalik D, Stopyra J, Hannum J. Intravenous poison hemlock injection resulting in prolonged respiratory failure and encephalopathy. J Med Toxicol. 2017;13(2):180-182. PubMed
  14. Konca C, Kahramaner Z, Bosnak M, Kocamaz H. Hemlock (Conium Maculatum) poisoning in a child. Turk J Emerg Med. 2016;14(1):34-6. DOI
  15. Chen HY, Horng H, Rowley F, Smollin C. Rapid respiratory arrest after ingestion of poison hemlock mistaken for wild celery. Clin Toxicol (Phila). 2017;55(2):155-156. PubMed

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 Hemlock and Ribavirin Aerosol Together: Common Questions

Is it safe to take Hemlock with Ribavirin Aerosol?
We do not list a known interaction between Hemlock 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 Hemlock and Ribavirin Aerosol have any of the same side effects?
Yes — our sources link each of them separately to 5 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 Hemlock 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 Hemlock 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 — Hemlock 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

Where next

Keep Exploring

Hemlock monograph Uses, safety profile, and every drug interaction in one place Ribavirin drug information The full plain-English guide to this medication Ribavirin Aerosol supplement interactions Every supplement checked against Ribavirin Aerosol, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 18 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Ribavirin Aerosol and Hemlock?

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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.