Drug & supplement interaction

Laburnum + Doxepin

Doxepin brand names: Sinequan, Doxepin, Zonalon.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Laburnum and Doxepin 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

Laburnum and Doxepin

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 Doxepin and Laburnum 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 Laburnum at all — not against Doxepin, 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.

Laburnum safety at a glance

Laburnum overall Avoid All parts of the plant are poisonous and ingestion can cause severe toxicity.
Pregnancy Unsafe When used orally. All parts of the plant contain toxic alkaloids that are reported to cross the placenta and enter breast milk. Read the full pregnancy detail
Breastfeeding Unsafe When used orally. All parts of the plant contain toxic alkaloids that are reported to cross the placenta and enter breast milk. 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 Doxepin and Laburnum? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Laburnum Itself Has Been Linked To

This is not an interaction — nothing below involves Doxepin. It is the side-effect record for Laburnum on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Laburnum, this list is the first place to look. 4 entries are worth acting on rather than waiting out — marked below.

  • Unsteadiness / Confusion / Seizures Worth acting on Additional detail

    “Symptoms of laburnum poisoning include headache, dizziness, weakness, drowsiness, incoordination, ataxia, tremors, confusion, delirium, coma, and seizures.”

    Laburnum · Natural Medicines adverse-effect record, reported in cluster headache.

    2 sources cited
    1. 101220. Bramley A, Goulding R. Laburnum "poisoning". Br Med J (Clin Res Ed). 1981;283(6301):1220-1.
    2. 101221. Schep LJ, Slaughter RJ, Beasley DMG. Nicotinic plant poisoning. Clin Toxicol (Phila). 2009;47(8):771-81. doi: 10.1080/15563650903252186. PubMed
  • A slow heartbeat / Raised blood pressure Worth acting on Additional detail

    “Orally, the fatal adult dose of laburnum is estimated to be about 15-20 seeds or 3-4 unripe berries (18). Many cases of poisoning involve children who ingest small quantities of seeds and experience primarily gastrointestinal symptoms, with a relatively rapid recovery.”

    Laburnum · Natural Medicines adverse-effect record, reported in diarrhea.

    4 sources cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
    2. 101220. Bramley A, Goulding R. Laburnum "poisoning". Br Med J (Clin Res Ed). 1981;283(6301):1220-1.
    3. 101221. Schep LJ, Slaughter RJ, Beasley DMG. Nicotinic plant poisoning. Clin Toxicol (Phila). 2009;47(8):771-81. doi: 10.1080/15563650903252186. PubMed
    4. 101222. Musshoff F, Madea B. Fatal cytisine intoxication and analysis of biological samples with LC-MS/MS. Forensic Sci Int. 2009;186(1-3):e1-4. doi: 10.1016/j.forsciint.2009.01.011. PubMed

    “In the early phases of severe laburnum poisoning, hypertension and tachycardia occur, along with constriction of peripheral blood vessels leading to coldness in the limbs. In the later, delayed phase, hypotension, bradycardia, and cardiac arrhythmias are seen.”

    Laburnum · Natural Medicines adverse-effect record, reported in arrhythmia.

    2 sources cited
    1. 101220. Bramley A, Goulding R. Laburnum "poisoning". Br Med J (Clin Res Ed). 1981;283(6301):1220-1.
    2. 101221. Schep LJ, Slaughter RJ, Beasley DMG. Nicotinic plant poisoning. Clin Toxicol (Phila). 2009;47(8):771-81. doi: 10.1080/15563650903252186. PubMed
  • An irregular heartbeat Worth acting on Additional detail

    Recorded for Laburnum in the same Natural Medicines adverse-effect record shown under A slow heartbeat / Raised blood pressure above.

  • Shortness of breath Worth acting on Additional detail

    “Severe laburnum poisoning can lead to tachypnea, then dyspnea, respiratory failure, and death.”

    Laburnum · Natural Medicines adverse-effect record, reported in poisoning.

    3 sources cited
    1. 101220. Bramley A, Goulding R. Laburnum "poisoning". Br Med J (Clin Res Ed). 1981;283(6301):1220-1.
    2. 101221. Schep LJ, Slaughter RJ, Beasley DMG. Nicotinic plant poisoning. Clin Toxicol (Phila). 2009;47(8):771-81. doi: 10.1080/15563650903252186. PubMed
    3. 101222. Musshoff F, Madea B. Fatal cytisine intoxication and analysis of biological samples with LC-MS/MS. Forensic Sci Int. 2009;186(1-3):e1-4. doi: 10.1016/j.forsciint.2009.01.011. PubMed
  • Sweating Additional detail

    “Laburnum poisoning is associated with excessive sweating and clammy skin.”

    Laburnum · Natural Medicines adverse-effect record, reported in poisoning.

    2 sources cited
    1. 101221. Schep LJ, Slaughter RJ, Beasley DMG. Nicotinic plant poisoning. Clin Toxicol (Phila). 2009;47(8):771-81. doi: 10.1080/15563650903252186. PubMed
    2. 101222. Musshoff F, Madea B. Fatal cytisine intoxication and analysis of biological samples with LC-MS/MS. Forensic Sci Int. 2009;186(1-3):e1-4. doi: 10.1016/j.forsciint.2009.01.011. PubMed
  • A fast or pounding heartbeat / Low blood pressure Additional detail

    Recorded for Laburnum in the same Natural Medicines adverse-effect record shown under A slow heartbeat / Raised blood pressure above.

Showing the 10 most notable of 17 recorded effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

Everything above comes from the Natural Medicines adverse-effect record for Laburnum — expand a row for the licensed statement it rests on. We haven’t matched Doxepin to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Doxepin.

Special populations

Laburnum in Pregnancy & Breastfeeding

Pregnancy And Lactation Unsafe

When used orally. All parts of the plant contain toxic alkaloids that are reported to cross the placenta and enter breast milk.

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 Doxepin

This page covers Laburnum only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Doxepin page lists 186 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), American Hellebore (major), Arsenic (major) and Beer (major).

By severity: 15 major · 145 moderate · 26 minor.

From our pharmacist’s overview on the Doxepin page

“Doxepin is a sedating tricyclic prescribed for depression, anxiety, and often sleep itself, and the people taking it tend to shop the same shelf where the trouble sits. Of the 186 supplements on file, 78 deepen its drowsiness, with alcohol (beer and wine carry major, well-documented ratings) and kava the clearest examples, and I would…”

Reviewed by 2 · Jul 18, 2026

Open the Doxepin interaction page

One more smart check

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

We hold 11 real supplement products containing Laburnum, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Laburnum. Even though Laburnum itself has no known interaction with Doxepin, 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 Laburnum and Doxepin 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 Laburnum
Steady interest

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

29 days ago today
Medication Doxepin
Top half

#994 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 Laburnum reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Laburnum and Doxepin 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 Laburnum

What is Laburnum?

  • Historically explored as a smoking-cessation aid (due to cytisine content)
  • Traditional folk use as a purgative or emetic
  • Ornamental garden plant
  • Source of the alkaloid cytisine

Laburnum is a poisonous ornamental tree, not a safe dietary supplement. All parts of the plant—especially the seeds—contain the toxic alkaloid cytisine and can cause serious poisoning. Do not eat or take any part of the Laburnum plant; consult a doctor or poison control immediately if ingestion is suspected.

Laburnum anagyroides · Fabaceae · Seeds, flowers, bark, and other plant parts (all considered toxic) · Not used as a commercial supplement; the plant is grown as an ornamental tree

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

Laburnum: dosing

There is no safe or established dose of Laburnum. It is not a dietary supplement, and no amount of the raw plant is considered safe to consume.Any information you may see about cytisine doses refers to purified, prescription-type products used under medical supervision in certain countries—not to the Laburnum plant. Do not attempt to make or take anything from this tree.

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

Read the full Laburnum monograph & all interactions
Medication

About Doxepin (Insomnia)

What Is Doxepin (Insomnia) Used For?

Brand names: Sinequan, Doxepin, Zonalon

This product is marketed to temporarily relieve occasional trouble sleeping when it's brought on by anxiety, restlessness, stress, or sensitivity to caffeine.

It is a homeopathic remedy — meaning its claims are based on traditional homeopathic practice, not accepted medical evidence, and it has not been evaluated by the FDA for effectiveness.

Most-Reported Side Effects for Doxepin

From FAERS, the FDA’s public side-effect reporting system (12,553 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Toxicity to various agents 988 reports
Completed suicide 828 reports
Fatigue 793 reports
Nausea 679 reports
Headache 642 reports
See full Doxepin (Insomnia) drug information
Keep checking

Other Drugs & Laburnum

Browse every other medication we’ve checked against Laburnum — 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

Laburnum References

The 4 references that drive our Laburnum 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Bramley A, Goulding R. Laburnum "poisoning". Br Med J (Clin Res Ed). 1981;283(6301):1220-1.
  3. Schep LJ, Slaughter RJ, Beasley DMG. Nicotinic plant poisoning. Clin Toxicol (Phila). 2009;47(8):771-81. doi: 10.1080/15563650903252186. PubMed
  4. Musshoff F, Madea B. Fatal cytisine intoxication and analysis of biological samples with LC-MS/MS. Forensic Sci Int. 2009;186(1-3):e1-4. doi: 10.1016/j.forsciint.2009.01.011. 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 Laburnum and Doxepin Together: Common Questions

Is it safe to take Laburnum with Doxepin?
We do not list a known interaction between Laburnum and Doxepin. 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 Doxepin interact with any supplements?
Yes. Doxepin has documented interactions with 186 supplements in our database — Laburnum is not one of them. The Doxepin 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 Doxepin and Laburnum?

Our pharmacists answer your medication & supplement questions — free.

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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.