Bittersweet Nightshade Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Bittersweet Nightshade interacts with medications. The heart of this page is the interaction list — every drug Bittersweet Nightshade is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Bittersweet Nightshade is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Bittersweet Nightshade against your medication
Add one medicationDrugs that interact with Bittersweet Nightshade
0 medications have a known interaction with Bittersweet Nightshade, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Bittersweet Nightshade. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction 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.
- Possible. 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
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Bittersweet Nightshade combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Bittersweet Nightshade: Uses, Safety & Side Effects
Bittersweet nightshade is a traditional herb with toxic compounds, especially in its berries, and there is very little reliable human evidence that it works for any health condition. Because it can cause serious poisoning, it is not recommended for self-treatment, and it should be avoided during pregnancy and breastfeeding.

- Scientific name
- Solanum dulcamara
- Family
- Solanaceae
- Part used
- Stems (twigs), leaves, and sometimes berries
- Common forms
- Dried stems, teas, tinctures, topical ointments or creams, homeopathic preparations
- Skin conditions like eczema and warts
- Inflammation and joint discomfort
- Muscle spasms
- Respiratory complaints
- Mild fluid retention (traditional 'cleansing' use)
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
The plant contains toxic alkaloids and is generally considered unsafe to take by mouth without medical supervision.
When used orally. The alkaloids of the plant, solasodine, soladulcine, and related compounds have been linked to birth defects in animals; avoid using...
Read the full pregnancy detailWhen orally; avoid using. There is insufficient reliable information available about the safety of bittersweet nightshade when used topically; avoid u...
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Bittersweet nightshade (Solanum dulcamara) is a climbing or trailing vine in the nightshade family, the same plant family as tomatoes, potatoes, and peppers. It produces purple, star-shaped flowers and bright red berries. It grows widely across Europe, Asia, and North America, often in damp areas, hedges, and along fences.
It has a long history in folk and traditional medicine, where the stems and leaves were used for skin problems, inflammation, and other complaints. Today it is sometimes found in topical preparations and homeopathic products. Despite the name "bittersweet," the plant is toxic, and the bright berries are especially dangerous if eaten.
Note that bittersweet nightshade is sometimes confused with deadly nightshade (Atropa belladonna), which is a different and even more poisonous plant.
How it works
Bittersweet nightshade contains steroidal alkaloids (such as solanine and solasodine), glycoalkaloids, saponins, and tannins. Laboratory studies suggest some of these compounds may have anti-inflammatory, antimicrobial, or antispasmodic-like activity, but these findings come mainly from test-tube and animal research.
The same alkaloids that are studied for possible effects are also responsible for the plant's toxicity. In other words, the compounds that might be "active" are also the ones that can cause poisoning, which makes safe use difficult.
Overall, the way bittersweet nightshade might affect the human body is not well understood, and the proposed benefits have not been confirmed in people.
Does Bittersweet Nightshade work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Bittersweet Nightshade, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 5 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Acne
Although there has been interest in using oral bittersweet nightshade stem for acne, there is insufficient reliable information about the clinical effects of bittersweet nightshade for this purpose.
Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
Although there has been interest in using oral or topical bittersweet nightshade stem for eczema, there is insufficient reliable information about the clinical effects of bittersweet nightshade for this purpose.
Insufficient Reliable Evidence To Rate Furuncles (boils)
Although there has been interest in using oral bittersweet nightshade stem for boils, there is insufficient reliable information about the clinical effects of bittersweet nightshade for this purpose.
Insufficient Reliable Evidence To Rate Warts
Although there has been interest in using oral bittersweet nightshade stem for warts, there is insufficient reliable information about the clinical effects of bittersweet nightshade for this purpose.
Insufficient Reliable Evidence To Rate Wound healing
Although there has been interest in using oral bittersweet nightshade stem for abrasions, there is insufficient reliable information about the clinical effects of bittersweet nightshade for this purpose.
Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.
Safety & precautions
Bittersweet nightshade is considered unsafe to take by mouth outside of medical supervision. The berries are especially toxic, and eating them can cause serious poisoning. Children are at particular risk because the bright red berries may look like food.
People with digestive disorders, heart conditions, kidney problems, or any chronic illness should not use this plant. Anyone considering an herbal or homeopathic product containing it should speak with a pharmacist or doctor first.
Pregnancy and breastfeeding: Avoid bittersweet nightshade entirely if you are pregnant or breastfeeding. Its toxic compounds and the lack of safety data make it too risky for the parent and baby.
If you suspect that you or someone else (especially a child or pet) has eaten any part of the plant, contact a poison control center or seek emergency medical care right away.
Side effects
Taking bittersweet nightshade can cause stomach and gut symptoms such as nausea, vomiting, diarrhea, and abdominal cramping. Topical use may cause skin irritation in some people.
In larger amounts, the plant's alkaloids can cause more serious poisoning, with symptoms that may include dizziness, weakness, dry mouth, headache, slowed or irregular heartbeat, low body temperature, trouble breathing, confusion, seizures, and in severe cases collapse. Eating the berries can be life-threatening, particularly for children.
Because the line between a "traditional" amount and a toxic amount is unclear, any use carries a real risk of harm.
Bittersweet Nightshade: Reported Adverse Effects
Documented safety reports on Bittersweet Nightshade from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
When used orally, the leaves and berries of bittersweet nightshade may be unsafe. There is limited information available about the adverse effects of the stem of bittersweet nightshade when used in medicinal amounts.
Serious Adverse Effects (Rare):
Orally: The leaves and berries can cause toxicity, including circulatory and respiratory depression, convulsions, cyanosis, diarrhea, dilated pupils, gastrointestinal bleeding, headache, scratchy throat, speech difficulties, subnormal temperature, vertigo, vomiting, and even death.
Cluster headache Neurologic/CNS
Orally, bittersweet nightshade leaf and berry can cause convulsions, headache, speech difficulties, subnormal temperature, and vertigo.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Depression Cardiovascular
Orally, bittersweet nightshade leaf and berry can cause circulatory depression.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Depression Pulmonary/Respiratory
Orally, bittersweet nightshade leaf and berry can cause cyanosis and respiratory depression.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Diarrhea Gastrointestinal
Orally, bittersweet nightshade leaf and berry can cause diarrhea, gastrointestinal bleeding, scratchy throat, vomiting and.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no established safe or standardized dose for bittersweet nightshade. Because the plant is toxic and the amount of active alkaloids can vary widely, it is not possible to give a reliable, safe amount to take by mouth.
If you encounter a commercial product (such as a topical cream or a homeopathic remedy), follow the label exactly and do not exceed the recommended use. Before trying any product that contains this herb, check with a pharmacist or doctor. We do not recommend taking bittersweet nightshade internally for self-treatment.
Bittersweet Nightshade & Pregnancy
Bittersweet Nightshade & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 1 references that drive our Bittersweet Nightshade 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.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
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.
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
Brands that make products with Bittersweet Nightshade
6 brands in our database make a supplement containing Bittersweet Nightshade.
Supplement products with Bittersweet Nightshade
15 products in our database contain Bittersweet Nightshade. Open any to see its full ingredient list and every drug interaction we check.
Bittersweet Nightshade: Common Questions
What is Bittersweet Nightshade used for, and does it work?
Does Bittersweet Nightshade interact with prescription medications?
How are Bittersweet Nightshade interactions rated?
Is it safe to take Bittersweet Nightshade with my medications?
Where does this Bittersweet Nightshade interaction information come from?
Is Bittersweet Nightshade poisonous?
What do people use Bittersweet Nightshade for?
Is it safe to take during pregnancy or while breastfeeding?
Is Bittersweet Nightshade the same as deadly nightshade?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Bittersweet Nightshade
A rotating sample of real supplements in our database that list Bittersweet Nightshade — open any to see its full ingredients and every drug interaction we check.
- Arthritin by VAXA
- Bai Ying by Herbal Terra
- Bai Ying Alcohol Free by Herbal Terra
- Bai Ying Non-Alcohol by Hawaii Pharm
- Appetite Improvement Complex Powder by TerraVita Premium Collection
- Bai Ying by Hawaii Pharm
- Bittersweet Powder by TerraVita Premium Collection
- Bai Ying by Herbal Terra
- Bai Ying by Herbal Terra
- Hard by Image Sports
Have a question about Bittersweet Nightshade?
Our pharmacists answer your medication & supplement questions — free.