Boneset Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Boneset interacts with medications. The heart of this page is the interaction list — every drug Boneset is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Boneset 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 Boneset against your medication
Add one medicationBoneset Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Boneset drug interaction appears low for most people, since every listed concern is theoretical rather than proven in humans. None of the interactions are rated major, and all of them rest on lab-based reasoning rather than documented human harm.
The one concern worth knowing about involves medications that speed up a liver enzyme called CYP3A4. Boneset comes from a plant family that can contain compounds called pyrrolizidine alkaloids, and in theory, enzyme-inducing drugs could convert more of these compounds into forms that stress the liver. The clearest examples are the seizure medicines carbamazepine and phenytoin, along with the antibiotic rifampin and phenobarbital. This has not been shown to happen in people, but because the possible harm involves the liver, it deserves the most caution.
Although the number of listed medications looks large, every one of them traces back to this single theoretical mechanism. No human studies have confirmed that combining boneset with these drugs actually causes harm, so the long list reflects one shared prediction rather than dozens of separate proven problems.
Based on HelloPharmacist’s Boneset interaction data and reviewed under our editorial standards.
Drugs that interact with Boneset
87 medications have a known interaction with Boneset, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Boneset using our pharmacist-reviewed interaction data.
AI summaries are generated from our Boneset interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
AminoglutethimideCytadren
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Aminoglutethimide interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionApalutamideErleada
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Apalutamide interaction Apalutamide drug page: uses, dosage & side effectsAprepitantCinvanti, Emend
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Aprepitant interaction Aprepitant drug page: uses, dosage & side effectsAprobarbital, Butabarbital, PhenobarbitalTriple Barbital
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Aprobarbital, Butabarbital, Phenobarbital interactionAprocitentanTryvio
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Aprocitentan interaction Aprocitentan drug page: uses, dosage & side effectsArmodafinilNuvigil
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Armodafinil interaction Armodafinil drug page: uses, dosage & side effectsAspirin, Codeine Phosphate, PhenobarbitalPhenaphen
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Aspirin, Codeine Phosphate, Phenobarbital interactionAtropine, Hyoscyamine, PhenobarbitalHypnaldyne
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Atropine, Hyoscyamine, Phenobarbital interactionAtropine, Hyoscyamine, Phenobarbital, ScopolamineBarbidonna No. 2, Belladonna Phenobarbital
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Atropine, Hyoscyamine, Phenobarbital, Scopolamine interactionAtropine, Hyoscyamine, Scopolamine, PhenobarbitalBarbeloid, Donnatal #2, Donphen
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Atropine, Hyoscyamine, Scopolamine, Phenobarbital interactionAtropine, PhenobarbitalAnthrocol
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Atropine, Phenobarbital interactionBelladona Extract, PhenobarbitalChardonna-2
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Belladona Extract, Phenobarbital interactionBelladonna Alkaloids, Ergotamine Tartrate, PhenobarbitalBel Tabs, Bellamine-S, Bellaphen-S, Duragal S, Phenarbal S, Spastrin
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Belladonna Alkaloids, Ergotamine Tartrate, Phenobarbital interactionBelladonna Alkaloids, PhenobarbitalBarbidonna, Donnatal
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Belladonna Alkaloids, Phenobarbital interactionBelladonna Extract, PhenobarbitalBelap
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Belladonna Extract, Phenobarbital interactionBelladonna, Ergotamine Tartrate, Phenobarbital
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Belladonna, Ergotamine Tartrate, Phenobarbital interactionBelladonna, Ergotamine, PhenobarbitalBellergal-S
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Belladonna, Ergotamine, Phenobarbital interactionBelladonna, PhenobarbitalBellophen, Susano
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Belladonna, Phenobarbital interactionBellafoline, PhenobarbitalBelladenal, Belladenal-S
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Bellafoline, Phenobarbital interactionButabarbital, Phenobarbital, SecobarbitalS.B.P.
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Butabarbital, Phenobarbital, Secobarbital interactionButalbital, Phenobarbital, SecobarbitalTribarb
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Butalbital, Phenobarbital, Secobarbital interactionCamphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, ValerianNevrotose #3
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Camphor, Hyoscyamine, Passif, Phenobarbital, Scopolamine, Valerian interactionCarbamazepineCarbatrol, Carnexiv, Equetro, Tegretol, Tegretol XR
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Carbamazepine interaction Carbamazepine drug page: uses, dosage & side effectsCenobamateXcopri
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Cenobamate interaction Cenobamate drug page: uses, dosage & side effectsDabrafenibTafinlar
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Dabrafenib interaction Dabrafenib drug page: uses, dosage & side effectsDeferasiroxExjade, Jadenu
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Deferasirox interaction Deferasirox drug page: uses, dosage & side effectsDehydrocholic Acid, Homatropine Methylbromide, PhenobarbitalG.B.S.
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Dehydrocholic Acid, Homatropine Methylbromide, Phenobarbital interactionDexamethasoneDecadron, Dexone, Dextenza, Dexycu, Hemady, Hexadrol +1 more
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Dexamethasone interaction Dexamethasone drug page: uses, dosage & side effectsDicyclomine, PhenobarbitalBentyl w/ Pb
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Dicyclomine, Phenobarbital interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionEfavirenzSustiva
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Efavirenz interaction Efavirenz drug page: uses, dosage & side effectsEfavirenz, Lamivudine, Tenofovir Disoproxil FumarateSymfi
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Efavirenz, Lamivudine, Tenofovir Disoproxil Fumarate interaction Efavirenz, Lamivudine, Tenofovir Disoproxil Fumarate drug page: uses, dosage & side effectsElagolix SodiumOrilissa
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Elagolix Sodium interaction Elagolix Sodium drug page: uses, dosage & side effectsElagolix, Estradiol Norethindrone Acetate, ElagolixOriahnn
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Elagolix, Estradiol Norethindrone Acetate, Elagolix interaction Elagolix, Estradiol Norethindrone Acetate, Elagolix drug page: uses, dosage & side effectsEnzalutamideXtandi
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Enzalutamide interaction Enzalutamide drug page: uses, dosage & side effectsEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEphedrine, Phenobarbital, Potassium Iodide, TheophyllineMudrane, Quadrinal
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Ephedrine, Phenobarbital, Potassium Iodide, Theophylline interactionEphedrine, Phenobarbital, TheophyllineTedral
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Ephedrine, Phenobarbital, Theophylline interactionErdafitinibBalversa
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Erdafitinib interaction Erdafitinib drug page: uses, dosage & side effectsErgotamine, Belladonna, PhenobarbitalBellamine, Bellaspas, Eperbel-S
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Ergotamine, Belladonna, Phenobarbital interactionEslicarbazepine AcetateAptiom
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Eslicarbazepine Acetate interaction Eslicarbazepine Acetate drug page: uses, dosage & side effectsEthosuximideZarontin
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Ethosuximide interaction Ethosuximide drug page: uses, dosage & side effectsEtravirineIntelence
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Etravirine interaction Etravirine drug page: uses, dosage & side effectsFosaprepitantEmend Injection, Focinvez
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Fosaprepitant interactionFosphenytoinCerebyx
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Fosphenytoin interaction Fosphenytoin drug page: uses, dosage & side effectsFosphenytoin SodiumSesquient
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Fosphenytoin Sodium interactionGlutethimideDoriden
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Glutethimide interactionGriseofulvinFulvicin PG, Fulvicin-U/F, Grisactin, Grisactin Ultra
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Griseofulvin interaction Griseofulvin drug page: uses, dosage & side effectsHyoscyamine, PhenobarbitalLevsin Pb, Levsinex Pb Timecaps
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Hyoscyamine, Phenobarbital interactionIsoniazid, Pyrazinamide, RifampinRifater
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Isoniazid, Rifampin interactionIvacaftor, LumacaftorOrkambi
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Ivacaftor, Lumacaftor interaction Ivacaftor, Lumacaftor drug page: uses, dosage & side effectsIvosidenibTibsovo
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Ivosidenib interaction Ivosidenib drug page: uses, dosage & side effectsLesinuradZurampic
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Lesinurad interaction Lesinurad drug page: uses, dosage & side effectsLesinurad, AllopurinolDuzallo
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Lesinurad, Allopurinol interactionLonapegsomatropin-tcgdSkytrofa
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Lonapegsomatropin-tcgd interaction Lonapegsomatropin-tcgd drug page: uses, dosage & side effectsLorlatinibLorbrena
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Lorlatinib interaction Lorlatinib drug page: uses, dosage & side effectsLuliconazoleLuzu
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Luliconazole interaction Luliconazole drug page: uses, dosage & side effectsMephenytoinMesantoin
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Mephenytoin interactionMitapivatPyrukynd
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Mitapivat interaction Mitapivat drug page: uses, dosage & side effectsModafinilAlertec, Provigil, Sparlon
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Modafinil interaction Modafinil drug page: uses, dosage & side effectsNafcillinNallpen
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Nafcillin interaction Nafcillin drug page: uses, dosage & side effectsNafcillin SodiumUnipen
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Nafcillin Sodium interactionNevirapineViramune, Viramune XR
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Nevirapine interaction Nevirapine drug page: uses, dosage & side effectsOlutasidenibRezlidihia
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Olutasidenib interaction Olutasidenib drug page: uses, dosage & side effectsOmaveloxoloneSkyclarys
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Omaveloxolone interactionOritavancin DiphosphateKimyrsa, Orbactiv
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Oritavancin Diphosphate interaction Oritavancin Diphosphate drug page: uses, dosage & side effectsOxcarbazepineOxtellar XR, Trileptal
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Oxcarbazepine interaction Oxcarbazepine drug page: uses, dosage & side effectsPhenobarbitalLuminal, Phenobarbital, Solfoton
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Phenobarbital interaction Phenobarbital drug page: uses, dosage & side effectsPhenobarbital, PhenytoinDilantin with PB
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Phenobarbital, Phenytoin interactionPhenobarbital, Sodium NitrateSoniphen
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Phenobarbital, Sodium Nitrate interactionPhenytoinDi-Phen, Dilantin, Dilantin Infatabs, Dilantin injection, Dilantin Kapseals, Phenytek
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Phenytoin interaction Phenytoin drug page: uses, dosage & side effectsPrimidoneMysoline
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Primidone interaction Primidone drug page: uses, dosage & side effectsRepotrectinibAugtyro
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Repotrectinib interactionRifabutinMycobutin
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Rifabutin interaction Rifabutin drug page: uses, dosage & side effectsRifampinRifadin, Rifadin Injection, Rimactane, Rofactor
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Rifampin interaction Rifampin drug page: uses, dosage & side effectsRifapentinePriftin
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Rifapentine interaction Rifapentine drug page: uses, dosage & side effectsRufinamideBanzel
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Rufinamide interaction Rufinamide drug page: uses, dosage & side effectsSarilumabKevzara
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Sarilumab interaction Sarilumab drug page: uses, dosage & side effectsSomatrogon-ghlaNgenla
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Somatrogon-ghla interactionSotorasibLumakras
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Sotorasib interaction Sotorasib drug page: uses, dosage & side effectsTelotristat EtiprateXermelo
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Telotristat Etiprate interaction Telotristat Etiprate drug page: uses, dosage & side effectsTenofovir, Emtricitabine, EfavirenzAtripla
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Tenofovir, Emtricitabine, Efavirenz interactionZanubrutinibBrukinsa
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Zanubrutinib interaction Zanubrutinib drug page: uses, dosage & side effectsGivinostatDuvyzat
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Givinostat interactionTipranavirAptivus
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs).
Read the full Boneset + Tipranavir interaction Tipranavir drug page: uses, dosage & side effectsWhat 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 Boneset combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Boneset affects
Every type of medication (drug category) Boneset is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Cytochrome P450 3A4 (Cyp3A4) Inducers
Boneset belongs to the genus Eupatorium, and many species of this genus contain hepatotoxic pyrrolizidine alkaloids (PAs). Hepatotoxic PAs are substrates of cytochrome P450 3A4 (CYP3A4). Theoretically, drugs that induce CYP3A4 might increase the conversion of PAs to toxic metabolites. Some drugs that induce CYP3A4 include carbamazepine (Tegretol), phenobarbital, phenytoin (Dilantin), rifampin, rifabutin (Mycobutin), and others.
Boneset: Uses, Safety & Side Effects
Boneset is a traditional North American herb long used in teas for fevers, colds, and flu, but modern human studies are very limited. It contains compounds (pyrrolizidine alkaloids) that may harm the liver, so it should be used cautiously and avoided during pregnancy and breastfeeding.
- Scientific name
- Eupatorium perfoliatum
- Family
- Asteraceae
- Part used
- Dried above-ground parts (leaves and flowering tops)
- Common forms
- Tea, tincture, capsules, dried herb
- Colds and flu
- Fever
- Body aches
- Congestion
- Immune support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Limited safety data and possible liver-toxic alkaloids mean it should be used carefully and short-term, if at all.
When used orally. Hepatotoxic PAs are common in this genus of plants; however, the alkaloids in boneset have not been adequately characterized to dete...
Read the full pregnancy detailWhen used orally. Hepatotoxic PAs are common in this genus of plants; however, the alkaloids in boneset have not been adequately characterized to dete...
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
Boneset (Eupatorium perfoliatum) is a flowering plant in the daisy family (Asteraceae) that grows naturally in wet meadows, marshes, and along streams across eastern North America. It has clusters of small white flowers and distinctive leaves that wrap around the stem.
Native American and early American settlers used boneset widely as a folk remedy, especially as a hot tea to treat fevers, colds, and flu-like illness. The name "boneset" is thought to come from its traditional use during a flu nicknamed "break-bone fever," not because it heals broken bones.
Today it is sold as a dried herb, tea, tincture, or capsule, mostly within herbal and traditional medicine circles.
How it works
Boneset contains a mix of plant compounds, including flavonoids, sesquiterpene lactones, and polysaccharides, that researchers think may be responsible for any effects.
In laboratory and animal studies, some of these compounds have shown anti-inflammatory and immune-cell-stimulating activity, which is the basis for its traditional cold-and-flu reputation. It is also thought to act as a diaphoretic, meaning it may promote sweating that some traditions believe helps "break" a fever.
Importantly, these mechanisms are largely theoretical or based on early research, and it is not clear that they translate into real benefits in people.
Does Boneset work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Boneset, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 1 condition — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Common Cold
Preliminary clinical research shows that taking a specific homeopathic product (Eupatorium perfoliatum D2) derived from boneset has a similar effect to aspirin on symptoms of the common cold.
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
Boneset may contain pyrrolizidine alkaloids (PAs), a class of natural compounds that can be toxic to the liver and may be cancer-causing with high or long-term exposure. For this reason, many experts advise against prolonged use and recommend caution overall.
People with liver disease should avoid boneset. Those allergic to plants in the daisy/ragweed family (Asteraceae), such as ragweed, marigolds, or chamomile, may also react to boneset and should be careful.
Pregnancy and breastfeeding: Avoid boneset during pregnancy and while breastfeeding. There is not enough safety information, and the possibility of liver-toxic alkaloids makes it an unnecessary risk for both parent and baby.
Always talk with a pharmacist or doctor before using boneset, especially if you take other medications or have a health condition.
Side effects
At typical traditional amounts, boneset may cause nausea, vomiting, or diarrhea, particularly with large or fresh-plant doses.
More serious concerns relate to its possible pyrrolizidine alkaloid content, which over time could cause liver damage. Signs of liver problems include yellowing of the skin or eyes, dark urine, severe stomach pain, or unusual tiredness — stop using it and seek medical care if these occur.
Allergic reactions are possible in people sensitive to the daisy family. Fresh (uncooked or unprocessed) plant material is considered more likely to cause stomach upset and toxicity than properly dried, prepared products.
Boneset: Reported Adverse Effects
Documented safety reports on Boneset from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, boneset is reported to cause nausea and severe diarrhea and vomiting. Additionally, other plants in the Eupatorium genus contain the hepatotoxic pyrrolizidine alkaloids (PAs). However, the alkaloids in boneset have not been adequately characterized to determine their toxic potential. Liver toxicity and liver damage may be possible in high doses.
- Roeder E. Medicinal plants in Europe containing pyrrolizidine alkaloids. Pharmazie 1995;50:83-98.
- Colegate SM, Upton R, Gardner DR, Panter KE, Betz JM. Potentially toxic pyrrolizidine alkaloids in Eupatorium perfoliatum and three related species. Implications for herbal use as boneset. Phytochem Anal. 2018;29(6):613-626.
Diarrhea Gastrointestinal
Orally, boneset has been reported to cause nausea and severe diarrhea and vomiting.
- Roeder E. Medicinal plants in Europe containing pyrrolizidine alkaloids. Pharmazie 1995;50:83-98.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no well-established, standardized dose for boneset. Traditional preparations were usually made as a hot tea from the dried herb, but reliable modern dosing guidelines are not available.
If you choose to use a commercial product, follow the directions on the label and do not exceed them. Because of liver-safety concerns, any use should be short-term rather than ongoing.
Talk with a pharmacist or doctor before starting boneset so they can help you weigh the risks and decide whether it is appropriate for you.
Boneset & Pregnancy
Boneset & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 5 references that drive our Boneset 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.
- Chojkier M. Hepatic sinusoidal-obstruction syndrome: toxicity of pyrrolizidine alkaloids. J Hepatol 2003;39:437-46. PubMed
- Roeder E. Medicinal plants in Europe containing pyrrolizidine alkaloids. Pharmazie 1995;50:83-98.
- Wang YP, Yan J, Fu PP, Chou MW. Human liver microsomal reduction of pyrrolizidine alkaloid N-oxides to form the corresponding carcinogenic parent alkaloid. Toxicol Lett 2005;155:411-20. PubMed
- Gassinger, C. A., Wunstel, G., and Netter, P. [A controlled clinical trial for testing the efficacy of the homeopathic drug eupatorium perfoliatum D2 inthe treatment of common cold (author's transl)]. Arzneimittelforschung. 1981;31(4):732-736.
- Colegate SM, Upton R, Gardner DR, Panter KE, Betz JM. Potentially toxic pyrrolizidine alkaloids in Eupatorium perfoliatum and three related species. Implications for herbal use as boneset. Phytochem Anal. 2018;29(6):613-626.
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 Boneset
39 brands in our database make a supplement containing Boneset.
Supplement products with Boneset
118 products in our database contain Boneset. Open any to see its full ingredient list and every drug interaction we check.
Boneset: Common Questions
What is Boneset used for, and does it work?
Does Boneset interact with prescription medications?
How are Boneset interactions rated?
Is it safe to take Boneset with my medications?
Where does this Boneset interaction information come from?
What is Boneset used for?
Is Boneset safe to take?
Can I take Boneset while pregnant or breastfeeding?
Does Boneset help heal broken bones?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Boneset
A rotating sample of real supplements in our database that list Boneset — open any to see its full ingredients and every drug interaction we check.
- Sinus Blaster by Village Vitality
- Boneset Powder by TerraVita Premium Collection
- Maximum Immune Formula by SeniorLife Health
- Optimal Immune Support by Nature's Magic
- Detox Support - Burdock, Boneset And Walnut Powder by TerraVita
- Sinus Blaster by VitalBulk
- Wellness Formula by Source Naturals
- Immune Boost by Microbe Formulas
- Boneset by Hawaii Pharm
- Boneset Alcohol Free by Herbal Terra
Have a question about Boneset?
Our pharmacists answer your medication & supplement questions — free.