Herb & supplement monograph

Black Walnut Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs 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.

Read The List Like a Pharmacist

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.
Monograph

Black Walnut: Uses, Safety & Side Effects

The bottom line

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
People commonly use it for
  • 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.

Safety at a glance
OverallUse caution

May be acceptable short-term for most adults, but human safety data are limited and long-term use is not well studied.

PregnancyLikely Safe

When the fruit (nut) is consumed in amounts normally found in foods.

Read the full pregnancy detail
BreastfeedingLikely Safe

When the fruit (nut) is consumed in amounts normally found in foods.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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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.

Effectiveness

Does Black Walnut work?

Evidence overview · 2 uses evaluated
2 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

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)
Rating & evidence shown verbatim from Natural Medicines

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
Rating & evidence shown verbatim from Natural Medicines

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.

Reports by condition
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.

  1. 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.

  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
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.

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.

Pregnancy & Breastfeeding

Black Walnut & Pregnancy

Likely Safe

When the fruit (nut) is consumed in amounts normally found in foods.

Possibly Unsafe

When the bark is used orally or topically; avoid using. There is insufficient reliable information available about the safety of black walnut leaf or hull when used orally in medicinal amounts during pregnancy or lactation; avoid using.

  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.

Black Walnut & Breastfeeding

Likely Safe

When the fruit (nut) is consumed in amounts normally found in foods.

Possibly Unsafe

When the bark is used orally or topically; avoid using. There is insufficient reliable information available about the safety of black walnut leaf or hull when used orally in medicinal amounts during pregnancy or lactation; avoid using.

  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
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

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.

  1. Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
  2. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  3. 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
Keep reading

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

Product directory

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.

"Green" Black Walnut Wormwood Complex by NOW Liquid 2 fl. Oz. · 59 mL View ingredients & interactions 7-Day Cleanse by Vitabase Capsule 21 Packet(s) View ingredients & interactions Absolute Cleanse by New Sun Capsule 140 Vegetarian Capsule(s) View ingredients & interactions Acai Berry by Infiniti Creations Capsule 60 Capsule(s) View ingredients & interactions Acai Berry by Official HCG Diet Plan Capsule 60 Capsule(s) View ingredients & interactions Advanced Candida Control by Healthy Choice Naturals Capsule 60 Capsule(s) View ingredients & interactions Advanced Colon Scrub by NutriRise Capsule 60 Capsule(s) View ingredients & interactions Advanced Turmeric/Bromelain Complex by New Sun Capsule 60 Capsule(s) View ingredients & interactions Alka Cleanse by B.E.S.T. Process Alka-Line Supplements Capsule 180 Capsule(s) View ingredients & interactions All Cell Detox by Nature's Sunshine Capsule View ingredients & interactions Aloe 22 by Health Concerns Capsule 90 Capsule(s) View ingredients & interactions Aloe 22 by Health Concerns Tablet Or Pill 90 Tablet(s) View ingredients & interactions AM Packet, NOON Packet by Nature's Sunshine Capsule 42 Packet(s) · 14 AM, NOON, PM Packet(s) View ingredients & interactions Anti-Yeast by Herb Stop Capsule 300 Veggie Capsule(s) View ingredients & interactions Appetite Formula by Christopher's Original Formulas Capsule 100 Vegetarian Cap(s) View ingredients & interactions AR-1 Powder by Christopher's Original Formulas Powder 16 Ounce(s) View ingredients & interactions Artemisia & Clove by Bioray Liquid 2 fl. Oz. · 59 mL View ingredients & interactions Artemisia & Clove by Bioray Liquid 2 Fluid Ounce(s) · 59 mL View ingredients & interactions Artemisiacom by Energique Liquid 2 Fluid Ounce(s) · 59 mL View ingredients & interactions Arth-Aid Plus by Dr. Rico Perez Capsule 90 Capsule(s) View ingredients & interactions B&NC-W by Pure Herbs Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions B&NC-W by Pure Herbs Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Balance Formula for Women by PureMax Labs YummyVite Capsule 60 Capsule(s) View ingredients & interactions BalanceMD by 1MD Nutrition Capsule 60 Capsule(s) View ingredients & interactions
Pharmacist Counseling Corner

Black Walnut: Common Questions

What is Black Walnut used for, and does it work?
People use Black Walnut for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Black Walnut interact with prescription medications?
We do not currently list any known drug interactions for Black Walnut. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Black Walnut interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Black Walnut with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Black Walnut interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Black Walnut used for?
People most often use Black Walnut hull products for intestinal parasites or worms, digestive upset, and as a natural antimicrobial. However, strong human evidence supporting these uses is lacking.
Is Black Walnut safe to take?
Short-term use may be tolerated by many healthy adults, but human safety data are limited, so long-term or high-dose use isn't recommended. Talk to your pharmacist or doctor first, especially if you have a tree nut allergy.
Can I take Black Walnut if I'm pregnant or breastfeeding?
No. There isn't enough reliable safety information, so it's best to avoid Black Walnut during pregnancy and breastfeeding.
Does Black Walnut really get rid of parasites?
Some lab studies suggest its compounds can affect certain parasites and microbes, but this hasn't been proven in well-designed human studies. If you think you have a parasite infection, see a healthcare provider for proper testing and treatment.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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