Herb & supplement monograph

Calea Zacatechichi Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Calea Zacatechichi Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Calea Zacatechichi drug interaction appears low for most people. Every interaction on record for this herb is rated minor, with none classified as moderate or major.

Interactions deserving the most attention

Two areas are worth a closer look, though both rest on limited evidence. Animal research shows Calea zacatechichi can lower blood glucose, so combining it with diabetes medications could in theory add to their effect and nudge blood sugar lower than expected. The herb has also caused drowsiness in animals and humans, so pairing it with sedatives and other CNS depressants might increase sleepiness. Neither effect has been confirmed as clinically meaningful in human studies.

What the rest of the list means

Although the list of interacting medications is long, that number reflects how many individual drugs fall into these two broad groups, not hundreds of separate proven problems. The concerns are theoretical, drawn mostly from animal and lab research rather than documented harm in people. For most medications, no meaningful interaction with this herb has been shown.

Check your medications against Calea Zacatechichi

Based on HelloPharmacist’s Calea Zacatechichi interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Calea Zacatechichi

334 medications have a known interaction with Calea Zacatechichi, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AcarboseGlucobay, Prandase, Precose› AcepromazineAtravet› Acetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine› Acetaminophen, Butalbital, CodeineBancap w/ Codeine› Acetaminophen, Butalbital, Codeine PhosphatePhrenilin #3› Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound› Acetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more› Acetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3› Acetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS› Acetaminophen, Chlorpheniramine, Codeine, PhenylephrineColrex› Acetaminophen, Chlorpheniramine, Phenylpropanolamine, OpiumHista-Derfule› Acetaminophen, Chlorzoxazone, CodeineAcetazone Forte C8, Parafon Forte C8› Acetaminophen, CodeineTylenol No.3, Tylenol w/ Codeine› Acetaminophen, Codeine, DoxylamineMersyndol› Acetaminophen, Codeine, MethocarbamolAcetaminophen, Codeine, Methocarbamol, Robaxacet 8› Acetaminophen, Dichloralantipyrine, IsomethepteneAmidrine, Midchlor, Migquin, Migratine› Acetaminophen, Dichloralphenazone, IsomethepteneMidrin› Acetaminophen, Dichlorophenazone, IsometheptaneIsocom› Acetaminophen, DiphenhydramineTylenol PM, Tylenol PM Ex Strength› Acetaminophen, Diphenhydramine, PseudoephedrineChildren's Tylenol Allergy, Cold Control, Contac Night Allergy Relief› Acetaminophen, HydrocodoneAnexsia, Anodynos DHC, Azdone, Co-Gesic, Doucet, Lorcet +9 more› Acetaminophen, MeperidineDemerol APAP› Acetaminophen, OxycodonePercocet, Roxicet, Tylox, Xartemis XR› Acetaminophen, PentazocineTalacen› Acetaminophen, PropoxypheneDarvocet-N 100, Darvocet-N 50, E-Lor, Wygesic› AcetazolamideAk-Zol, Diamox› AcetohexamideDymelor› AlbiglutideTanzeum› AlfentanilAlfenta› AlogliptinNesina›
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 Calea Zacatechichi combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Calea Zacatechichi affects

Every type of medication (drug category) Calea Zacatechichi is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 2 drug categories Calea Zacatechichi interacts with
Antidiabetes DrugsCns Depressants
Antidiabetes Drugs

Theoretically, taking Calea zacatechichi with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that Calea zacatechichi lowers blood glucose levels. Theoretically, combining Calea zacatechichi with antidiabetes drugs might result in additive effects.

Likelihood Possible Evidence D
Cns Depressants

Theoretically, Calea zacatechichi might increase the sedative effects of CNS depressants.
Calea zacatechichi can cause CNS depression in animals and humans.

Likelihood Possible Evidence D
Monograph

Calea Zacatechichi: Uses, Safety & Side Effects

The bottom line

Calea zacatechichi, often called 'dream herb,' is a Mexican plant traditionally used to encourage vivid dreams and to treat digestive complaints and fever. Human research is very limited, so its benefits are not well proven, and its safety has not been carefully studied. It tastes very bitter, can cause nausea, and should be avoided during pregnancy and breastfeeding.

Scientific name
Calea ternifolia
Family
Asteraceae
Part used
Leaves and flowering tops (dried)
Common forms
Dried leaf tea, capsules, tincture/liquid extract, and smoked dried leaf
People commonly use it for
  • Promoting vivid or lucid dreams
  • Sleep and relaxation
  • Digestive upset
  • Fever
  • Traditional ritual use

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

It has a long folk-use history but little modern safety data, and it can cause nausea and vomiting.

PregnancyInsufficient reliable information

Insufficient reliable evidence; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable evidence; avoid using.

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

Calea zacatechichi (botanical name Calea ternifolia) is a shrubby plant in the daisy family that grows in Mexico and parts of Central America. It is sometimes called the "dream herb" or "bitter grass" because of its very bitter taste and its traditional reputation for affecting dreams.

It has a long history of use among Indigenous peoples of Mexico, who have used the dried leaves and flowers as a tea, in smoke, or as an extract. Traditionally it was taken to encourage vivid or meaningful dreams during sleep and to help with stomach problems and fever.

Today it is sold as a dietary supplement in the form of dried leaf, tea, capsules, and tinctures, often marketed for dreaming and relaxation.

How it works

The plant contains a mix of natural compounds, including bitter substances called sesquiterpene lactones, along with flavonoids and other plant chemicals. These bitter compounds are thought to be behind its strong taste and possibly some of its traditional effects on digestion.

How it might affect dreams or the brain is not well understood. Most ideas about its mechanism are based on laboratory studies or animal experiments, not on careful human research. Because of this, any explanation of "how it works" should be considered preliminary.

Effectiveness

Does Calea Zacatechichi work?

Evidence overview · 12 uses evaluated
12 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 Calea Zacatechichi, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 12 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Anxiety
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for anxiety, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this purpose.

Insufficient Reliable Evidence To Rate Asthma
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for asthma, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Cognitive function
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for cognitive function, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this purpose.

Insufficient Reliable Evidence To Rate Diabetes
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for diabetes, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Dysmenorrhea
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for dysmenorrhea, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Headache
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for headache, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Insomnia
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for insomnia, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for IBS, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Malaria
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for malaria, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for RA, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this condition.

Insufficient Reliable Evidence To Rate Stress
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using oral Calea zacatechichi for stress, there is insufficient reliable information about the clinical effects of Calea zacatechichi for this purpose.

Insufficient Reliable Evidence To Rate Urticaria
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using topical Calea zacatechichi for urticaria, there is insufficient reliable information about the clinical effects of Calea zacatechichi 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

Calea zacatechichi has been used traditionally for a long time, but it has not been carefully studied for safety in modern science. Its long-term effects are unknown.

People who are allergic to plants in the daisy (Asteraceae) family — such as ragweed, marigolds, or chamomile — may be more likely to have an allergic reaction. Anyone with a medical condition, or who is taking medications, should talk with a pharmacist or doctor before using it.

Pregnancy and breastfeeding: There is no reliable safety information for these situations. Because the herb can cause nausea and vomiting and its effects on a baby are unknown, it should be avoided during pregnancy and while breastfeeding. Do not give it to children.

Side effects

The most commonly reported side effect is nausea, sometimes with vomiting, which may be related to the herb's intense bitterness when taken as a tea or capsule. Some users also report a mild dizzy or sedated feeling.

Allergic reactions are possible, especially in people sensitive to daisy-family plants. Smoking the dried leaf carries the general risks of inhaling smoke. Because the herb is not well studied, other side effects may exist that have not been documented. Stop using it and seek medical care if you have a severe reaction such as trouble breathing, swelling, or a rash.

Calea Zacatechichi: Reported Adverse Effects

Documented safety reports on Calea Zacatechichi from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

There is currently a limited amount of information on the adverse effects of Calea zacatechichi. Observations in healthy volunteers indicate that it is bitter tasting and may cause vomiting and somnolence.

Reports by condition
Insomnia Neurologic/CNS

In healthy volunteers, a methanol extract of Calea zacatechichi produces somnolence with short periods of light sleep and decreases in deep slow-wave sleep and rapid eye movement (REM) sleep.

  1. Mayagoitia, L., Diaz, J. L., Contreras, C. M. Psychopharmacologic analysis of an alleged oneirogenic plant: Calea zacatechichi. J Ethnopharmacol. 1986;18:229-243.
Nausea and vomiting Gastrointestinal

Observations in healthy volunteers indicate that Calea zacatechichi is bitter tasting and can cause nausea, vomiting, and retching.

  1. Mayagoitia, L., Diaz, J. L., Contreras, C. M. Psychopharmacologic analysis of an alleged oneirogenic plant: Calea zacatechichi. J Ethnopharmacol. 1986;18:229-243.
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 established or standardized dose for Calea zacatechichi. The amount of active compounds can vary a lot from product to product, which makes safe dosing hard to judge.

If you choose to use it, follow the directions on the product label and do not exceed them. Because the evidence is so limited, it is wise to start low and to check with a pharmacist or doctor first, especially if you take other medicines or have a health condition.

Pregnancy & Breastfeeding

Calea Zacatechichi & Pregnancy

Insufficient reliable information

Insufficient reliable evidence; avoid using.

Calea Zacatechichi & Breastfeeding

Insufficient reliable information

Insufficient reliable evidence; avoid using.

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 2 references that drive our Calea Zacatechichi 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. Mayagoitia, L., Diaz, J. L., Contreras, C. M. Psychopharmacologic analysis of an alleged oneirogenic plant: Calea zacatechichi. J Ethnopharmacol. 1986;18:229-243. PubMed
  2. Roman, Ramos R., Alarcon-Aguilar, F., Lara-Lemus, A., and Flores-Saenz, J. L. Hypoglycemic effect of plants used in Mexico as antidiabetics. Arch.Med.Res 1992;23:59-64.
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

Brand directory

Brands that make products with Calea Zacatechichi

3 brands in our database make a supplement containing Calea Zacatechichi.

Product directory

Supplement products with Calea Zacatechichi

21 products in our database contain Calea Zacatechichi. Open any to see its full ingredient list and every drug interaction we check.

Dream Herb by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 Milliliter(s) View ingredients & interactions Dream Herb by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb by Herbal Terra Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb Alcohol Free by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb Alcohol Free by Herbal Terra Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb Syrup by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb Syrup Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Trap by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Trap Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions GRP6 by Pro-Nutra Capsule 30 Cap(s) View ingredients & interactions GRP6 by Pro-Nutra Capsule 14 Capsule(s) View ingredients & interactions Leaf of God by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Leaf of God by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Leaf of God by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Leaf of God by Herbal Terra Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Leaf of God Alcohol Free by Herbal Terra Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Dream Herb by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL Off market View ingredients & interactions Dream Herb Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 Milliliter(s) Off market View ingredients & interactions Dream Herb Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL Off market View ingredients & interactions
Pharmacist Counseling Corner

Calea Zacatechichi: Common Questions

What is Calea Zacatechichi used for, and does it work?
People use Calea Zacatechichi 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 Calea Zacatechichi interact with prescription medications?
Yes. We list 334 medications with a known interaction with Calea Zacatechichi. Use the checker above to see how Calea Zacatechichi interacts with a specific drug.
How are Calea Zacatechichi 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 Calea Zacatechichi 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 Calea Zacatechichi 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 Calea Zacatechichi used for?
It is most often used as a "dream herb" to encourage vivid dreams, and traditionally for sleep, upset stomach, and fever. These uses come mostly from folk tradition rather than strong scientific proof.
Is Calea Zacatechichi safe?
It has a long history of traditional use, but modern safety data are very limited. It can cause nausea and vomiting, and people allergic to daisy-family plants may react to it, so use caution and talk to a healthcare professional.
Can I take it while pregnant or breastfeeding?
No. There is no reliable safety information, so it is best to avoid it during pregnancy and breastfeeding.
How is Calea Zacatechichi usually taken?
It is commonly brewed as a bitter tea, taken in capsules or tinctures, or smoked as the dried leaf. There is no standardized dose, so follow the product label and check with a pharmacist.

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

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