Drug & supplement interaction

Mercury Herb + Pramipexole

Pramipexole brand name: Mirapex.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Mercury Herb and Pramipexole 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 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

Mercury Herb and Pramipexole

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 Pramipexole and Mercury Herb 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 Mercury Herb at all — not against Pramipexole, 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.

Mercury Herb safety at a glance

Mercury Herb overall Avoid The plant is considered potentially toxic and has poorly defined safe doses.
Pregnancy Likely Unsafe When used orally; avoid using. Read the full pregnancy detail
Breastfeeding Likely Unsafe When used orally; 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 Pramipexole and Mercury Herb? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Mercury Herb and Pramipexole 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. 2 of them are worth acting on rather than waiting out — marked below.

  • Kidney problems Worth acting on Additional detail

    Mercury Herb

    “Orally, mercury herb might cause diarrhea and overactive bladder (18). Symptoms of poisoning might include nerve paralysis, liver and kidney failure, and death (18). The pollen has shown to be allergenic, and may be responsible for rhinitis and asthmatic symptoms.”

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

    3 sources cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
    2. 4143. Vallverdu A, Garcia-Ortega P, Martinez J, et al. Mercurialis annua: characterization of main allergens and cross- reactivity with other species. Int Arch Allergy Immunol 1997;112:356-64. PubMed
    3. 4144. Garcia-Ortega P, Martinez J, Martinez A, et al. Mercurialis annua pollen: a new source of allergic sensitization and respiratory disease. J Allergy Clin Immunol 1992;89:987-93.

    “Orally, mercury herb poisoning might cause kidney failure (18).”

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

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Pramipexole

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

  • An allergic reaction Worth acting on Additional detail

    Mercury Herb

    Recorded for Mercury Herb in the same Natural Medicines adverse-effect record shown under Kidney problems above.

    Pramipexole

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

  • A stuffy or runny nose Additional detail

    Mercury Herb

    Recorded for Mercury Herb in the same Natural Medicines adverse-effect record shown under Kidney problems above.

    Pramipexole

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

  • Diarrhea Additional detail

    Mercury Herb

    “Orally, mercury herb might cause diarrhea (18).”

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

    1 source cited
    1. 18. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

    Pramipexole

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

Effects for Pramipexole come from the ADVERSE REACTIONS section of its FDA label; effects for Mercury Herb come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 19,166 voluntary FDA FAERS reports for Pramipexole 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

Mercury Herb in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Unsafe

When used orally; 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

From our Q&A

Questions About Mercury Herb or Pramipexole

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Mercury Herb or Pramipexole, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Pramipexole

This page covers Mercury Herb only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Pramipexole page lists 21 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Ayahuasca (moderate), Black Horehound (moderate), Coffee Charcoal (moderate) and European Mandrake (moderate).

By severity: 1 major · 11 moderate · 9 minor.

From our pharmacist’s overview on the Pramipexole page

“Activated charcoal is the one entry rated major against pramipexole (Mirapex), and it is where I would start reading. Charcoal binds drugs in the gut and can shrink how much pramipexole actually reaches the bloodstream, and for someone counting on this medicine to steady Parkinson's tremor or calm restless legs, a weakened dose shows u…”

Reviewed by 2 · Jul 18, 2026

Open the Pramipexole interaction page

How much people look this up

Where Mercury Herb and Pramipexole 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 Mercury Herb
Steady interest

#1,326 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Pramipexole
Top half

#1,270 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 Mercury Herb reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Mercury Herb and Pramipexole 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 Mercury Herb

What is Mercury Herb?

  • Constipation
  • Mild skin irritation
  • Swelling or inflammation (topical)
  • Traditional folk remedy

Mercury Herb (Mercurialis annua) is a traditional European plant once used as a mild laxative and topical remedy, but it has very little modern scientific support and is considered potentially toxic. Because the plant can cause serious poisoning when misused, most herbal experts no longer recommend it, and you should talk to a pharmacist or doctor before considering it.

Mercurialis annua · Euphorbiaceae · Leaves and aerial (above-ground) parts · Dried herb, tea/infusion, poultice, traditional topical preparations

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

Mercury Herb: dosing

There is no established or standardized safe dose for Mercury Herb. Because of its toxicity concerns and the lack of modern research, no reliable amount can be recommended.We do not provide specific dosing for this plant. In most cases, safer and better-studied options are available for constipation and skin concerns.

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

Read the full Mercury Herb monograph & all interactions
Medication

About Pramipexole

What Is Pramipexole Used For?

Brand name: Mirapex

Pramipexole tablets (immediate-release) are approved to treat Parkinson's disease and moderate-to-severe primary restless legs syndrome (RLS). Pramipexole dihydrochloride extended-release tablets are approved only for Parkinson's disease.

For Parkinson's disease, pramipexole helps manage the motor symptoms of the condition. For RLS, the immediate-release tablet is taken to relieve the uncomfortable urge-to-move sensations that are the hallmark of the syndrome.

Most-Reported Side Effects for Pramipexole

From FAERS, the FDA’s public side-effect reporting system (19,749 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 1,419 reports
Fall 1,393 reports
Nausea 1,133 reports
Dizziness 1,003 reports
Hallucination 994 reports
See full Pramipexole drug information
Keep checking

Other Drugs & Mercury Herb

Browse every other medication we’ve checked against Mercury Herb — 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

Mercury Herb References

The 3 references that drive our Mercury Herb 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. Vallverdu A, Garcia-Ortega P, Martinez J, et al. Mercurialis annua: characterization of main allergens and cross- reactivity with other species. Int Arch Allergy Immunol 1997;112:356-64. PubMed
  3. Garcia-Ortega P, Martinez J, Martinez A, et al. Mercurialis annua pollen: a new source of allergic sensitization and respiratory disease. J Allergy Clin Immunol 1992;89:987-93.

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 Mercury Herb and Pramipexole Together: Common Questions

Is it safe to take Mercury Herb with Pramipexole?
We do not list a known interaction between Mercury Herb and Pramipexole. 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 Mercury Herb and Pramipexole 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.
Does Pramipexole interact with any supplements?
Yes. Pramipexole has documented interactions with 21 supplements in our database — Mercury Herb is not one of them. The Pramipexole 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 Pramipexole and Mercury Herb?

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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.