Ceylon Leadwort Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Ceylon Leadwort interacts with medications. The heart of this page is the interaction list — every drug Ceylon Leadwort is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Ceylon Leadwort 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
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Add one medicationCeylon Leadwort Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Ceylon Leadwort drug interaction appears low for most people, since none of its reported interactions have been confirmed in humans. Every listed interaction is rated moderate rather than major, and all rest on animal or lab research rather than human studies.
The combinations worth the most care involve medicines where small changes matter. Animal studies suggest Ceylon Leadwort may reduce platelet function, so people on anticoagulant or antiplatelet drugs should watch for unusual bleeding or bruising. It has both raised and lowered blood sugar in animals, which could affect how well diabetes medications work. It has also shown immune-dampening activity that could theoretically interfere with immunosuppressants, including closely monitored transplant medicines.
Most of the long list comes from lab findings that a compound in Ceylon Leadwort may block several enzymes the body uses to clear medications. If that happened in people, many drug levels could rise, but so far it has not been shown to, so most of these interactions remain theoretical rather than proven problems.
Based on HelloPharmacist’s Ceylon Leadwort interaction data and reviewed under our editorial standards.
Drugs that interact with Ceylon Leadwort
1099 medications have a known interaction with Ceylon Leadwort, graded by severity. Select any drug for the full evidence-based detail.
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Tell us the medications you take and we’ll check each one against Ceylon Leadwort using our pharmacist-reviewed interaction data.
AI summaries are generated from our Ceylon Leadwort interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 Ceylon Leadwort 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 Ceylon Leadwort affects
Every type of medication (drug category) Ceylon Leadwort is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Anticoagulant/Antiplatelet Drugs
There is some concern that Ceylon leadwort might potentiate the effects of anticoagulant and antiplatelet drugs and possibly increase the risk of bleeding. Ceylon leadwort root extract has been shown to decrease platelet adhesion and prolong bleeding in animals. However, this effect has not yet been demonstrated in humans. Until more is known, use cautiously in patients taking anticoagulant or antiplatelet drugs. Some of these drugs include aspirin, clopidogrel (Plavix), dalteparin (Fragmin), enoxaparin (Lovenox), heparin, ticlopidine (Ticlid), warfarin (Coumadin), and others.
Antidiabetes Drugs
Ceylon leadwort root extract has been shown to both increase and decrease blood glucose levels in animal research. This effect has not yet been demonstrated in humans. Theoretically, Ceylon leadwort might reduce or potentiate the effects of antidiabetes drugs. Monitor blood glucose levels closely. Medication dose adjustments may be necessary. Some antidiabetes drugs include glimepiride (Amaryl), glyburide (Diabeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), and others.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 1A2 (CYP1A2) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP1A2. Some substrates of CYP1A2 include clozapine (Clozaril), cyclobenzaprine (Flexeril), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), mexiletine (Mexitil), olanzapine (Zyprexa), pentazocine (Talwin), propranolol (Inderal), tacrine (Cognex), zileuton (Zyflo), zolmitriptan (Zomig), and others.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2B6 (CYP2B6) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2B6. Drugs that are metabolized by CYP2B6 include ketamine (Ketalar), phenobarbital, orphenadrine (Norflex), secobarbital (Seconal), and dexamethasone (Decadron).
Cytochrome P450 2C9 (Cyp2C9) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2C9 (CYP2C9) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2C9. Drugs that are metabolized by CYP2C9 include celecoxib (Celebrex), diclofenac (Voltaren), fluvastatin (Lescol), glipizide (Glucotrol), ibuprofen (Advil, Motrin), irbesartan (Avapro), losartan (Cozaar), phenytoin (Dilantin), piroxicam (Feldene), tamoxifen (Nolvadex), tolbutamide (Tolinase), torsemide (Demadex), and S-warfarin (Coumadin).
Cytochrome P450 2D6 (Cyp2D6) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2D6 (CYP2D6) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2D6. Some drugs metabolized by CYP2D6 include amitriptyline (Elavil), codeine, desipramine (Norpramin), flecainide (Tambocor), fluoxetine (Prozac), ondansetron (Zofran), tramadol (Ultram), and others.
Cytochrome P450 2E1 (Cyp2E1) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 2E1 (CYP2E1) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP2E1. Some drugs metabolized by CYP2E1 include acetaminophen, chlorzoxazone (Parafon Forte), ethanol, theophylline, and anesthetics such as enflurane (Ethrane), halothane (Fluothane), isoflurane (Forane), methoxyflurane (Penthrane).
Cytochrome P450 3A4 (Cyp3A4) Substrates
Plumbagin, a constituent of Ceylon leadwort, has been shown to inhibit cytochrome P450 3A4 (CYP3A4) in vitro. So far, this interaction has not been reported in humans. Theoretically, Ceylon leadwort might increase the levels of drugs metabolized by CYP3A4. Some drugs metabolized by CYP3A4 include lovastatin (Mevacor), clarithromycin (Biaxin), indinavir (Crixivan), sildenafil (Viagra), triazolam (Halcion), and numerous others.
Estrogens
Laboratory research suggests that Ceylon leadwort root extract has anti-estrogenic activity. Theoretically, Ceylon leadwort may interfere with hormone therapy.
Immunosuppressants
Plumbagin, a constituent of Ceylon leadwort, has demonstrated immunosuppressant activity in animal research. Theoretically, Ceylon leadwort might interfere with immunosuppressive therapy. Immunosuppressant drugs include azathioprine (Imuran), basiliximab (Simulect), cyclosporine (Neoral, Sandimmune), daclizumab (Zenapax), muromonab-CD3 (OKT3, Orthoclone OKT3), mycophenolate (CellCept), tacrolimus (FK506, Prograf), sirolimus (Rapamune), prednisone (Deltasone, Orasone), corticosteroids (glucocorticoids), and others.
Ceylon Leadwort: Uses, Safety & Side Effects
Ceylon Leadwort (Plumbago zeylanica) is a plant long used in Ayurvedic and other traditional medicine systems, mainly for digestion, skin problems, and pain. Solid human studies are lacking, and the plant contains plumbagin, a compound that can irritate skin and tissues and may be unsafe in larger amounts. Talk to a pharmacist or doctor before using it, and avoid it in pregnancy.
- Scientific name
- Plumbago zeylanica
- Family
- Plumbaginaceae
- Part used
- Mainly the root and root bark; sometimes leaves
- Common forms
- Dried root powder, decoctions, traditional pastes and oils, and capsules
- Digestive complaints and poor appetite
- Skin conditions and wounds (applied to the skin)
- Joint pain and swelling
- Traditional 'metabolism-boosting' tonics
- Antimicrobial folk remedy
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
It contains plumbagin, which can irritate skin and the gut and may be toxic in higher doses.
When used orally or topically. Ceylon leadwort is traditionally used orally and intravaginally as an abortifacient or for permanent sterilization; avo...
Read the full pregnancy detailWhen used orally or topically. Ceylon leadwort is traditionally used orally and intravaginally as an abortifacient or for permanent sterilization; avo...
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
Ceylon Leadwort (Plumbago zeylanica) is a flowering plant in the leadwort family. It grows in tropical and subtropical parts of the world, including South and Southeast Asia and Africa. It has small white flowers and a long history of use in traditional systems of medicine such as Ayurveda.
The root is the part most often used. Traditional healers have used it for digestion, skin disorders, and pain. The root contains a yellow-orange compound called plumbagin, which gives the plant much of its activity and also explains some of its safety concerns.
Today it is sometimes sold as a dried powder, a decoction (boiled root tea), or in combination herbal products. It is not a mainstream supplement, and quality and labeling can vary a lot between products.
How it works
The most studied compound in Ceylon Leadwort is plumbagin, a naphthoquinone. In laboratory research, plumbagin has shown anti-inflammatory, antimicrobial, antioxidant, and cell-growth-affecting (including possible anticancer) activity.
Researchers think plumbagin may interact with cell signaling pathways and may create reactive molecules inside cells. These same actions that look promising in a test tube can also damage normal cells and irritate tissues, which is part of why the plant can be harmful.
It is important to remember that these mechanisms are based mostly on cell and animal studies. How they translate to people taking the whole plant is not well understood.
Does Ceylon Leadwort work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Ceylon Leadwort, 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 Asthma
Preliminary clinical research in children 5 years of age and older with asthma shows that taking an Ayurvedic medicine (amrita bindu) containing Ceylon leadwort and other herbs for 12 months reduces the need for asthma medications, improves expiration by up to 65%, and improves symptoms when compared to baseline. The validity of this finding is limited by the lack of a comparator group. Additionally, it is not clear if these effects are due to Ceylon leadwort, the other ingredients, or the combination.
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
Ceylon Leadwort should be used with caution. The plumbagin in the root can irritate the skin, mouth, and digestive tract, and larger amounts may be toxic. Applying the raw plant to skin can cause blistering and irritation.
Pregnancy: Avoid it. The plant has traditionally been used to cause abortion (as an abortifacient), so it may be dangerous during pregnancy.
Breastfeeding: Avoid it. There is not enough information to know whether it is safe, so the cautious choice is to not use it.
People with stomach or bowel problems, liver or kidney disease, or those taking other medicines should be especially careful and should talk with a healthcare professional first. Children should not use it. Because herbal products are not tightly regulated, there is also a risk of contamination or mislabeling.
Side effects
Reported and expected side effects relate mostly to its irritating nature. These can include:
- Skin irritation, redness, or blistering when applied to the skin
- Stomach upset, nausea, vomiting, or diarrhea when taken by mouth
- Mouth or throat irritation
In higher amounts, plumbagin may be more seriously toxic. Because of this, larger or long-term use is not advised. Stop using it and seek medical care if you have severe stomach pain, persistent vomiting, or a strong skin reaction.
Dosing
There is no well-established or standardized dose for Ceylon Leadwort. Traditional preparations vary widely, and the amount of plumbagin in a product can be hard to know.
If you choose to use a commercial product, follow the directions on the label and do not exceed them. Because of safety concerns, it is best to start only after talking with a pharmacist or doctor. Do not use the raw plant on your skin or take homemade preparations without guidance.
Ceylon Leadwort & Pregnancy
Ceylon Leadwort & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 10 references that drive our Ceylon Leadwort 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.
- Mandavkar, YD, Jalalpure, SS. A comprehensive review on Plumbago zeylanica Linn. African J. Pharmacy and Pharmacology. 2011;5(25):2738-2747. DOI
- Kumar SS, Shanmugasundaram KR. Amrita Bindu-an antioxidant inducer therapy in asthma children. J. Ethnopharmacol. 2004;90:105-114. PubMed
- Sandeep G, Dheeraj A, Sharma NK, Jhade D, Bharti A. Effect of plumbagin free alcohol extract of Plumbago zeylanica Linn. root on reproductive system of female Wistar rats. Asian Pac J Trop Med. 2011 Dec;4(12):978-84. PubMed
- Vijayakumar R, Senthilvelan M, Ravindran R, Devi RS. Plumbago zeylanica action on blood coagulation profile with and without blood volume reduction. Vascul Pharmacol. 2006 Aug;45(2):86-90. PubMed
- Olagunju JA, Jobi AA, Oyedapo OO. An investigation into the biochemical basis of the observed hyperglycaemia in rats treated with ethanol root extract of plumbago zeylanica. Phytother Res. 1999 Jun;13(4):346-8.
- Chen A, Zhou X, Tang S, Liu M, Wang X. Evaluation of the inhibition potential of plumbagin against cytochrome P450 using LC-MS/MS and cocktail approach. Sci Rep. 2016 Jun 22;6:28482. PubMed
- Sunil C, Duraipandiyan V, Agastian P, Ignacimuthu S. Antidiabetic effect of plumbagin isolated from Plumbago zeylanica L. root and its effect on GLUT4 translocation in streptozotocin-induced diabetic rats. Food Chem Toxicol. 2012 Dec;50(12):4356-63. PubMed
- Checker R, Sharma D, Sandur SK, Khanam S, Poduval TB. Anti-inflammatory effects of plumbagin are mediated by inhibition of NF-kappaB activation in lymphocytes. Int Immunopharmacol. 2009 Jul;9(7-8):949-58. PubMed
- Jia Y, Jing J, Bai Y, Li Z, Liu L, Luo J, Liu M, Chen H. Amelioration of experimental autoimmune encephalomyelitis by plumbagin through down-regulation of JAK-STAT and NF-?B signaling pathways. PLoS One. 2011;6(10):e27006. PubMed
- Poosarla A, D N R, Athota RR, Sunkara VG. Modulation of T cell proliferation and cytokine response by Plumbagin, extracted from Plumbago zeylanica in collagen induced arthritis. BMC Complement Altern Med. 2011 Nov 16;11:114. PubMed
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 Ceylon Leadwort
15 brands in our database make a supplement containing Ceylon Leadwort.
Supplement products with Ceylon Leadwort
96 products in our database contain Ceylon Leadwort. Open any to see its full ingredient list and every drug interaction we check.
Ceylon Leadwort: Common Questions
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How are Ceylon Leadwort interactions rated?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Ceylon Leadwort
A rotating sample of real supplements in our database that list Ceylon Leadwort — open any to see its full ingredients and every drug interaction we check.
- Yogaraj Guggulu by Banyan Botanicals
- Legend JC Watermelon Ice by Cutler Nutrition
- Healthy Kapha by Banyan Botanicals
- Clean Colon by Harmony Nutraceuticals
- Trim Support by Banyan Botanicals
- Go by BPI
- 1.M.R Vortex Snow Cone by BPI Sports
- Digesthills by Herbal Hills
- Chitrak by Hawaii Pharm
- Chitrak Powder by Banyan Botanicals
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