Skunk Cabbage + Ospemifene
Ospemifene brand name: Osphena.
We found no known interaction between Skunk Cabbage and Ospemifene 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 Ospemifene 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.
Skunk Cabbage and Ospemifene
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 Ospemifene and Skunk Cabbage 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 Skunk Cabbage at all — not against Ospemifene, 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.
Skunk Cabbage safety at a glance
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.
Skunk Cabbage in Pregnancy & Breastfeeding
When used orally; avoid using. It may affect the menstrual cycle, and its irritant properties may stimulate uterine contractions.
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
Some Ospemifene Products Have a Food Rule — Skunk Cabbage Should Not Break It
At least one FDA label for a product containing Ospemifene says to take it with food. If you take Skunk Cabbage on an empty stomach out of habit, keep them separate — and take Ospemifene 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 Ospemifene 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.
One tablet taken orally once daily with food.
From the Dosage and Administration section of the FDA label we read for Ospemifene — 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.
See Every Supplement That Interacts With Ospemifene
This page covers Skunk Cabbage only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ospemifene page lists 155 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), Tiratricol (major) and Acacia Rigidula (moderate).
By severity: 4 major · 112 moderate · 39 minor.
From our pharmacist’s overview on the Ospemifene page
“Women prescribed ospemifene (Osphena) for painful intercourse after menopause are often the same women reaching for St. John's wort for mood or grapefruit juice at breakfast, and both sit among the four major-rated interactions on this page, so the list deserves genuine care.”
Reviewed by 2 · Jul 18, 2026
Taking Skunk Cabbage as Part of a Dietary Supplement Product? Check It for Interactions
We hold 60 real supplement products containing Skunk Cabbage, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Skunk Cabbage. Even though Skunk Cabbage itself has no known interaction with Ospemifene, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:
Where Skunk Cabbage and Ospemifene 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.
#920 of 1,452 supplements looked up here in the last 7 days
#2,474 of 2,830 medications looked up here in the last 7 days
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 Skunk Cabbage reference on this page ↓
- Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Skunk Cabbage and Ospemifene 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.
About Skunk Cabbage
What is Skunk Cabbage?
- Cough and bronchitis
- Asthma and respiratory complaints
- Skin problems and wounds (poultice)
- Inflammation
- Nerve and muscle complaints
Skunk cabbage is a North American plant with a long history of traditional use for breathing and skin problems, but there is very little modern scientific evidence to support these uses or to confirm it is safe. The fresh plant contains sharp calcium oxalate crystals that can cause intense burning and irritation. Because safety is poorly understood, talk with a pharmacist or doctor before using it.
Symplocarpus foetidus · Araceae · Root (rhizome) and sometimes the leaves · Dried root, tincture, extract, poultice; rarely capsules or tea
An interaction check asks whether these two react with each other — it does not ask whether Skunk Cabbage is a good idea for someone in your situation. Here is what our Skunk Cabbage record says about it on its own.
Skunk Cabbage: dosing
There is no established or standardized dose for skunk cabbage. Traditional preparations varied widely, and there is not enough modern research to recommend a safe and effective amount.If you choose to use a commercial product, follow the directions on the label and do not exceed them.
From our Skunk Cabbage monograph — the full record covers uses, side effects and every documented interaction.
About Ospemifene
What Is Ospemifene Used For?
Brand name: Osphena
Osphena (ospemifene) is used to treat two specific symptoms of vulvar and vaginal atrophy — the thinning and drying of vaginal tissues that can happen after menopause. The first is moderate to severe dyspareunia (painful intercourse), and the second is moderate to severe vaginal dryness.
Both of these uses are for postmenopausal women only. Osphena is not used in children or in women who are pregnant or may become pregnant.
Most-Reported Side Effects for Ospemifene
From FAERS, the FDA’s public side-effect reporting system (2,601 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.
Other Drugs & Skunk Cabbage
Browse every other medication we’ve checked against Skunk Cabbage — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
No interaction 2,829 drugs checked — show the list
We also checked Skunk Cabbage against these medications and found no known interaction in our sources. Open any page to confirm.
- Apixaban ›
- Levothyroxine ›
- Amlodipine ›
- Methylphenidate ›
- Warfarin ›
- Sertraline ›
- Losartan Potassium ›
- Testosterone ›
- Ivermectin ›
- Abemaciclib ›
- Metoprolol ›
- Aspirin ›
- Acetaminophen ›
- Rosuvastatin ›
- Rivaroxaban ›
- Escitalopram ›
- Clopidogrel ›
- Atorvastatin ›
- Tadalafil ›
- Docusate ›
- Tirzepatide ›
- Ibuprofen ›
- Methamphetamine ›
- Hydroxyurea ›
- Warfarin Sodium ›
- Valacyclovir ›
- Sumatriptan ›
- Semaglutide ›
- Prednisone ›
- Lisdexamfetamine ›
- Propranolol ›
- Metformin ›
- Amitriptyline ›
- Lisinopril ›
- Amoxicillin ›
- Isotretinoin ›
- Methotrexate ›
- Amlodipine Besylate ›
- Bendamustine ›
- Bupropion ›
- Amphetamine ›
- Fluoxetine ›
- Doxycycline ›
- Acyclovir ›
- Azithromycin ›
- Lamotrigine ›
- Pregabalin ›
- Dextroamphetamine ›
- Gabapentin ›
- Acetaminophen, Codeine ›
- Quetiapine ›
- Clonazepam ›
- Levothyroxine, Liothyronine ›
- Naproxen ›
- Omeprazole ›
- Letrozole ›
- Methylene Blue ›
- Duloxetine ›
- Buspirone ›
- Citalopram ›
Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Skunk Cabbage list.
Skunk Cabbage References
The 4 references that drive our Skunk Cabbage 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.
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Duke JA. CRC handbook of medicinal herbs. 1st ed. Boca Raton, FL: CRC Press, LLC, 1985.
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.
Taking Skunk Cabbage and Ospemifene Together: Common Questions
Is it safe to take Skunk Cabbage with Ospemifene?
Do Skunk Cabbage and Ospemifene have any of the same side effects?
Should I take Skunk Cabbage and Ospemifene at the same time of day?
Does Ospemifene interact with any supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Keep Exploring
Still Have a Question About Ospemifene and Skunk Cabbage?
Our pharmacists answer your medication & supplement questions — free.
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.