Herb & supplement monograph

Chaulmoogra Drug Interactions, Uses, Safety & More

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Interaction report

Drugs that interact with Chaulmoogra

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

We don’t currently list any known drug interactions for Chaulmoogra. 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 Chaulmoogra combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Chaulmoogra: Uses, Safety & Side Effects

The bottom line

Chaulmoogra oil is an old herbal remedy famous for being the main treatment for leprosy before modern antibiotics. Today it has been replaced by safer, more effective drugs, and there is little reliable modern evidence to support its use. If you are considering it, talk to a pharmacist or doctor first, and avoid it during pregnancy and breastfeeding.

Scientific name
Hydnocarpus kurzii
Family
Achariaceae
Part used
Seed oil (chaulmoogra oil) and seeds
Common forms
Seed oil, topical preparations, and historically injectable oil derivatives
People commonly use it for
  • Leprosy (historical)
  • Skin conditions and rashes
  • Wound and sore care
  • Eczema and psoriasis (traditional)
  • Rheumatic complaints (traditional)

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

Safety at a glance
OverallUse caution

Largely outdated remedy with limited modern safety data and a history of irritation and side effects.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; 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

Chaulmoogra is an oil pressed from the seeds of trees in the Hydnocarpus genus, which grow in parts of South and Southeast Asia, including India, Myanmar, and Thailand. The thick, fatty oil has been used in traditional medicine systems such as Ayurveda for a very long time.

Chaulmoogra is best known in medical history as the main treatment for leprosy (Hansen's disease) before modern antibiotics became available in the 20th century. It was applied to the skin and, at times, given by injection. Today it has been largely replaced by safer and more effective medicines, but it still appears in some traditional and folk skin remedies.

Uses & effectiveness

The most famous use of chaulmoogra was for leprosy. For decades it was the standard therapy, but it has since been replaced by modern multidrug antibiotic treatment, which is far more effective and reliable. Chaulmoogra is no longer recommended for leprosy.

People have also traditionally used chaulmoogra oil on the skin for conditions such as eczema, psoriasis, rashes, wounds, and sores, and sometimes for rheumatic aches. The modern scientific evidence for these uses is very limited. Much of what is known comes from historical reports and laboratory studies rather than well-designed human trials.

Overall, there is not enough good-quality evidence to recommend chaulmoogra for any health condition today.

How it works

Chaulmoogra oil is rich in unusual fatty acids, especially hydnocarpic acid and chaulmoogric acid. In laboratory studies, these compounds appear to slow the growth of certain bacteria, including the type that causes leprosy.

This antibacterial action is thought to be the reason the oil seemed helpful for leprosy in the past. However, most of this understanding is based on older and laboratory research, and the oil is much weaker and less dependable than modern antibiotics. Its proposed effects on skin conditions are not well understood.

Safety & precautions

Chaulmoogra is an old remedy with limited modern safety information. When used in the past, it was known to cause irritation, stomach upset, and other side effects, especially with internal or injected use. Because of this, internal use is not advised.

People with sensitive skin should be cautious with topical use, as the oil can cause irritation. Anyone with a chronic illness, or who is taking other medicines, should speak with a pharmacist or doctor before trying it.

Pregnancy and breastfeeding: There is not enough reliable information to consider chaulmoogra safe during pregnancy or while breastfeeding. To be safe, avoid it during these times.

Side effects

Historically, chaulmoogra was associated with side effects such as nausea, vomiting, and stomach upset when taken internally, and skin irritation when applied to the skin. Injected forms could cause pain, irritation, and other reactions at the injection site.

Because modern, controlled safety studies are lacking, the full side effect profile is not well defined. Stop using it and seek medical advice if you notice a rash, swelling, severe irritation, or any signs of an allergic reaction.

Chaulmoogra: Reported Adverse Effects

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

Orally, ingestion of the seed can cause cough, dyspnea, laryngospasms, nephrotoxicity, visual disorders, head and muscle pain, and central paralysis.

Topically, use can cause skin irritation.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 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 established, standardized dose for chaulmoogra in modern use, and it is not a recommended treatment today. Historical doses varied widely and were used under medical supervision in an era before modern drugs.

If you find a product that contains chaulmoogra, follow the directions on the label and do not use it internally. Talk with a pharmacist or doctor before using it, especially if you have a health condition or take other medicines.

Pregnancy & Breastfeeding

Chaulmoogra & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Chaulmoogra & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; 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 1 references that drive our Chaulmoogra 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
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

Pharmacist Counseling Corner

Chaulmoogra: Common Questions

Does Chaulmoogra interact with prescription medications?
We do not currently list any known drug interactions for Chaulmoogra. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Chaulmoogra 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 Chaulmoogra 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 Chaulmoogra 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 was Chaulmoogra used for?
It was historically the main treatment for leprosy before modern antibiotics, and it was also used in traditional medicine for various skin problems. Today it has largely been replaced by safer, more effective treatments.
Is Chaulmoogra still used to treat leprosy?
No. Leprosy is now treated with modern multidrug antibiotic therapy, which is much more effective and reliable. Chaulmoogra is considered an outdated remedy for this condition.
Is Chaulmoogra safe to use?
It has limited modern safety data and a history of side effects like stomach upset and skin irritation. Internal use is not advised, and you should check with a pharmacist or doctor before using any product containing it.
Can I use Chaulmoogra during pregnancy or breastfeeding?
No. There is not enough reliable safety information, so it is best to avoid Chaulmoogra during pregnancy and while breastfeeding.

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

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