Black Walnut Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Black Walnut interacts with medications. The heart of this page is the interaction list — every drug Black Walnut is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Black Walnut 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 Black Walnut against your medication
Add one medicationDrugs that interact with Black Walnut
0 medications have a known interaction with Black Walnut, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Black Walnut. 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 Black Walnut combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Black Walnut: Uses, Safety & Side Effects
Black walnut is a tree whose green hulls are traditionally used as a natural antiparasitic and digestive remedy, but solid human evidence for these uses is lacking. It contains a compound called juglone that may be irritating, so use it cautiously, avoid long-term use, and check with your pharmacist or doctor first.
- Scientific name
- Juglans nigra
- Family
- Juglandaceae
- Part used
- Hulls (the green outer covering of the nut), bark, leaves, and nut
- Common forms
- Capsules, tinctures, liquid extracts, powders, and teas
- Intestinal parasites and worms
- Digestive complaints
- Antimicrobial and antifungal support
- Skin and topical washes
- Laxative or 'cleanse' products
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
May be acceptable short-term for most adults, but human safety data are limited and long-term use is not well studied.
When the fruit (nut) is consumed in amounts normally found in foods.
Read the full pregnancy detailWhen the fruit (nut) is consumed in amounts normally found in foods.
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
Black walnut comes from Juglans nigra, a large hardwood tree native to eastern North America. While the tree is prized for its wood and edible nuts, herbal products usually use the green outer hull (the covering around the nut), and sometimes the bark or leaves.
The hulls are rich in a dark-staining compound called juglone, along with tannins. People have used black walnut in traditional and folk medicine for hundreds of years, mostly as a remedy for intestinal worms and parasites, and as a digestive aid. Today you can find it in capsules, tinctures, teas, and combination 'parasite cleanse' or detox formulas.
How it works
The most studied compound in black walnut is juglone, a naturally occurring substance found mainly in the hulls and roots. In laboratory studies, juglone shows activity against some bacteria, fungi, and parasites, which is the basis for the herb's antimicrobial reputation.
Black walnut also contains tannins, which are astringent (they cause tissues to tighten) and may explain its traditional use for digestive upset and as a skin wash. The hulls contain other plant compounds with possible antioxidant effects as well.
It is important to know that most of these effects come from test-tube or animal research. Showing that a compound works in a lab dish does not prove it will work safely or effectively in the human body.
Does Black Walnut work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Black Walnut, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 2 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Coronary heart disease (CHD)
It is unclear if consuming black walnut as part of the diet can reduce the risk for CHD.
Insufficient Reliable Evidence To Rate Wound healing
Although there is interest in using topical black walnut hull and bark for wound healing, there is insufficient reliable information about the clinical effects of black walnut 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
Black walnut is generally only suggested for short-term use. Because of its tannin and juglone content, long-term or high-dose use is not recommended and has not been well studied for safety.
People with a tree nut allergy should be cautious or avoid black walnut, since it comes from a true tree nut. People with digestive conditions, kidney problems, or those taking multiple medications should talk to a pharmacist or doctor first.
Pregnancy and breastfeeding: There is not enough reliable safety information, and some traditional sources consider it potentially harmful. To be safe, avoid black walnut if you are pregnant, trying to become pregnant, or breastfeeding.
Juglone has raised some theoretical concerns in laboratory studies, so avoiding prolonged, heavy use is sensible. Always choose products from reputable manufacturers, since supplements are not tightly regulated.
Side effects
When used short-term, black walnut may be tolerated by many adults, but it can cause digestive side effects such as nausea, stomach upset, or loose stools, partly because of its tannins and laxative-like action.
Used on the skin, it can cause staining (the hulls leave a strong brown dye) and possible irritation. People allergic to tree nuts could have an allergic reaction, which in rare cases can be serious.
Because long-term safety data are lacking, stop using it and contact a healthcare provider if you notice any unusual or persistent symptoms.
Black Walnut: Reported Adverse Effects
Documented safety reports on Black Walnut from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, black walnut fruit (nut) is well tolerated. However, the leaf, bark, and hull of black walnut contain high quantities of tannins, which may cause adverse effects when used orally or topically.
Most Common Adverse Effects:
Orally: The leaf, bark, and hull can cause gastrointestinal upset.
Topically: Hull preparations may cause a temporary yellow or brown discoloration at the site of application. The leaf, bark, and hull can cause skin irritation.
Serious Adverse Effects (Rare):
Orally: The bark may increase the risk for tongue cancer or lip leukoplakia when used long-term.
All routes of administration: Allergic reactions, including anaphylaxis.
Allergic rhinitis (hay fever) Immunologic
Tree nuts, which include black walnuts, can cause allergic reactions in sensitive individuals. Due to the prevalence of this allergy in the general population, tree nuts are classified as a major food allergen in the United States.
- Food and Drug Administration. Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA); Public Law 108-282, Title II. Accessed on May 19, 2021. Available at: https://www.fda.gov/food/food-allergensgluten-free-guidance-documents-regulatory-infor
Cancer Gastrointestinal
Orally, black walnut leaf, bark, or hull may cause gastrointestinal upset due to tannin content. Also, daily use of the juglone-containing bark of a related species (English walnut) is associated with increased risk of tongue cancer and lip leukoplakia.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no well-established, standardized dose for black walnut. The amount of active compounds varies a lot between products and forms (capsule, tincture, or tea), which makes consistent dosing difficult.
If you choose to use it, follow the directions on the product label and do not exceed them. Use it only for a short period rather than continuously, and check with your pharmacist or doctor before starting, especially if you take other medicines or have a health condition.
Black Walnut & Pregnancy
Black Walnut & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 3 references that drive our Black Walnut 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.
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Food and Drug Administration. Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA); Public Law 108-282, Title II. Accessed on May 19, 2021. Available at: https://www.fda.gov/food/food-allergensgluten-free-guidance-documents-regulatory-infor
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 Black Walnut
234 brands in our database make a supplement containing Black Walnut.
Supplement products with Black Walnut
868 products in our database contain Black Walnut. Open any to see its full ingredient list and every drug interaction we check.
Black Walnut: Common Questions
What is Black Walnut used for, and does it work?
Does Black Walnut interact with prescription medications?
How are Black Walnut interactions rated?
Is it safe to take Black Walnut with my medications?
Where does this Black Walnut interaction information come from?
What is Black Walnut used for?
Is Black Walnut safe to take?
Can I take Black Walnut if I'm pregnant or breastfeeding?
Does Black Walnut really get rid of parasites?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Black Walnut
A rotating sample of real supplements in our database that list Black Walnut — open any to see its full ingredients and every drug interaction we check.
- Complete Tissue & Bone Syrup by Christopher's Original Formulas
- Life Source by New Sun
- Cleansing Formula Strawberry Flavor by TerraVita
- Paracide by Thymely Solutions
- Black Walnut by Herb Pharm
- Clark FX by Mountain Meadow Herbs
- Thyroid Support by Remedys Nutrition
- Black Walnut by Hawaii Pharm
- BDR-C by Pure Herbs
- Myco-ZX Plus by InfoWars Life
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