Herb & supplement monograph

Damiana Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Damiana 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 Damiana drug interaction appears low for most people. None of the listed interactions are rated major, and the main concern comes from animal research rather than studies in people.

Interactions deserving the most attention

The interaction that deserves the most attention involves diabetes medications. Animal research shows damiana can lower blood glucose, so combining it with these medicines could in theory push blood sugar too low. Because blood sugar is a closely monitored measure, anyone taking insulin or other glucose-lowering drugs should be aware of this possibility, even though it has not been confirmed in human studies.

What the rest of the list means

Although damiana appears alongside a long list of medications, nearly all of those entries trace back to this single blood sugar effect seen in animals. A moderate rating here reflects what could happen in theory, not what has been shown to happen in people. So far, there is no human evidence that damiana causes meaningful problems with these medicines.

Check your medications against Damiana

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

Interaction report

Drugs that interact with Damiana

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

2,830 drugs
AcarboseGlucobay, Prandase, Precose› AcetohexamideDymelor› AlbiglutideTanzeum› AlogliptinNesina› Alogliptin, MetforminKazano› Alogliptin, PioglitazoneOseni› Antidiabetes, Dipeptidyl Peptidase-4 (dpp-iv) InhibitorGlyxambi› CanagliflozinInvokana› Canagliflozin, MetforminInvokamet› Canagliflozin, Metformin HydrochlorideInvokamet XR› ChlorpropamideChlorpropam, Diabinese› DapagliflozinFarxiga› Dapagliflozin Propanediol, MetforminXigduo XR› Dapagliflozin Propanediol, Saxagliptin HydrochlorideQtern› Dapagliflozin, Metformin Hydrochloride, Saxagliptin HydrochlorideQternmet XR› Dasiglucagon HydrochlorideZegalogue› DulaglutideTrulicity› EmpagliflozinJardiance› Empagliflozin, Linagliptin, Metformin HydrochlorideTrijardy XR› Empagliflozin, MetforminSynjardy› Empagliflozin, Metformin HydrochlorideSynjardy XR› ErtugliflozinSteglatro› Ertugliflozin, Metformin HydrochlorideSegluromet› ExenatideBydureon, Byetta› Exenatide SyntheticBydureon BCISE› GliclazideDiamicron› GlimepirideAmaryl› GlipizideGlucotrol, Glucotrol XL› Glipizide, MetforminMetaglip› GlucagonBaqsimi, Glucagon›
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 Damiana 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 Damiana affects

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

All 1 drug category Damiana interacts with
Antidiabetes Drugs
Antidiabetes Drugs

Theoretically, taking damiana with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research shows that taking damiana lowers blood glucose level.

Likelihood Possible Evidence D
Monograph

Damiana: Uses, Safety & Side Effects

The bottom line

Damiana is a traditional herb most famous as an aphrodisiac and mild mood-lifter, but solid human evidence for any of its uses is very limited. It is generally well tolerated in the small amounts found in teas, but quality studies are lacking, so talk with your pharmacist or doctor before using it—especially if you are pregnant, breastfeeding, or have a health condition.

Damiana
Scientific name
Turnera diffusa
Family
Passifloraceae
Part used
Leaves (and sometimes stems)
Common forms
Tea, capsules, tinctures, liquid extracts, dried leaf
People commonly use it for
  • Low libido / aphrodisiac
  • Anxiety and stress
  • Mood and mild low energy
  • Digestive upset
  • Headache and general tonic

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

Safety at a glance
OverallUse caution

Likely fine in food/tea amounts for most adults, but human safety data are limited.

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.

Jump to a section

Overview

Damiana is a small, aromatic shrub that grows in Mexico, parts of Central and South America, the Caribbean, and the southern United States. It produces small yellow flowers and fragrant leaves. The dried leaves are the part most commonly used.

People have used damiana for a very long time in traditional medicine. It is best known as a folk aphrodisiac, and it has also been used as a mild stimulant, a calming tonic, and a remedy for stomach complaints. Today you can find it as a tea, in capsules, and in liquid extracts or tinctures. It is sometimes added to herbal blends and even certain liqueurs.

How it works

Damiana leaves contain a mix of natural compounds, including flavonoids, essential oils, and other plant chemicals. Researchers have suggested that some of these may interact with the nervous system or with hormone-related pathways, which could in theory explain the traditional calming and aphrodisiac uses.

It is important to know that most of this work comes from laboratory and animal studies. We do not have a clear, proven mechanism for how damiana acts in the human body, and the active ingredients responsible for any effect are not well established.

Effectiveness

Does Damiana 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 Damiana, 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 Asthma
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral damiana for asthma, there is insufficient reliable information about the clinical effects of damiana for this purpose.

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

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

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

Although there has been interest in using oral damiana for constipation, there is insufficient reliable information about the clinical effects of damiana for this purpose.

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

Although there has been interest in using oral damiana for depression, there is insufficient reliable information about the clinical effects of damiana for this purpose.

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

Although there has been interest in using oral damiana for diabetes, there is insufficient reliable information about the clinical effects of damiana for this purpose.

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

Although there has been interest in using oral damiana for dyspepsia, there is insufficient reliable information about the clinical effects of damiana for this purpose.

Insufficient Reliable Evidence To Rate Erectile dysfunction (ED)
Rating & evidence shown verbatim from Natural Medicines

Oral damiana has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

Although there has been interest in using oral damiana for headache, there is insufficient reliable information about the clinical effects of damiana for this purpose.

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

Although there has been interest in using oral damiana for menopausal symptoms, there is insufficient reliable information about the clinical effects of damiana for this purpose.

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

Although there has been interest in using oral damiana for nocturnal enuresis, there is insufficient reliable information about the clinical effects of damiana for this purpose.

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

Oral damiana has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

Oral damiana has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

For most healthy adults, damiana used in the small amounts found in teas appears to be reasonably well tolerated. Still, it has not been carefully studied for safety, especially in concentrated extracts or with long-term use.

Use extra caution if you:

  • Have diabetes or low blood sugar, since some reports suggest damiana could lower blood sugar.
  • Have a liver condition, a seizure disorder, or any chronic illness.
  • Are taking other medicines or supplements (check with your pharmacist).

Pregnancy: Avoid damiana while pregnant. There is not enough safety information, and herbs with traditional "tonic" or stimulant reputations are best avoided during pregnancy.

Breastfeeding: Avoid damiana while breastfeeding because its safety for nursing infants has not been established.

Choose products from reputable companies, since herbal supplements are not tightly regulated and quality can vary.

Side effects

Reported side effects are usually mild and may include upset stomach, nausea, or headache. Because damiana may lower blood sugar, very large amounts could in theory cause symptoms like shakiness or dizziness in some people.

There have been rare reports of more serious reactions, including seizures, with very large doses. This is uncommon, but it is a reason to stick to normal amounts and stop using damiana if you feel unwell.

Stop use and seek medical care if you have signs of an allergic reaction, such as rash, swelling, or trouble breathing.

Damiana: Reported Adverse Effects

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

Reports by condition
Poisoning Neurologic/CNS

Orally, 200 grams of damiana extract has caused tetanus-like convulsions and paroxysms resulting in symptoms similar to rabies or strychnine poisoning.

  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no well-established standard dose for damiana. The amount people use varies widely depending on the form—tea, capsule, or tincture.

The safest approach is to follow the directions on the product label and not exceed the recommended amount. Because strength differs from product to product, a pharmacist can help you decide whether a particular product and dose make sense for you.

If you try damiana, start low, watch how you feel, and stop if you notice side effects.

Pregnancy & Breastfeeding

Damiana & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Damiana & 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 2 references that drive our Damiana 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. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. Alarcon-Aquilar FJ, Roman-Ramos R, Perez-Gutierrez S, et al. Study of the anti-hyperglycemic effect of plants used as antidiabetics. J Ethnopharmacol 1998;61:101-10. PubMed
Keep reading

This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Product directory

Supplement products with Damiana

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

Women by Nature's Plus Source of Life Tablet Or Pill 60 Tablet(s) Off market View ingredients & interactions Women's 50+ Multi-Vitamin Complex by Superior Source Tablet Or Pill 90 MicroLingual(R) Instant Dissolve Tablet(s) Off market View ingredients & interactions Women's Formula by BN Baseline Nutritionals Liquid 2 fl. Oz. · 59 mL Off market View ingredients & interactions Women's Libido by Gaia Herbs Capsule 60 Vegan Liquid Phyto-Cap(s)(R) Off market View ingredients & interactions Women's Libido by Gaia Herbs SystemSupport Capsule 60 Vegetarian Liquid Phyto-Cap(s)(TM) Off market View ingredients & interactions Women's Libido by Gaia Herbs Capsule 60 Vegan Liquid Phyto-Cap(s)(R) Off market View ingredients & interactions Women's Longevity Rhythms Gold by ecoNugenics Capsule 240 Vegetable Capsule(s) Off market View ingredients & interactions Women's Multi by Nature's Plus AgeLoss Tablet Or Pill 90 Tablet(s) Off market View ingredients & interactions Women's Multi by Nature's Plus AgeLoss Tablet Or Pill 90 Tablet(s) Off market View ingredients & interactions Women's Multi by Nature's Plus AgeLoss Tablet Or Pill 90 Tablet(s) Off market View ingredients & interactions Women's Multi by Natures Plus AgeLoss Tablet Or Pill 90 Tablet(s) Off market View ingredients & interactions Women's Multi by Natures Plus AgeLoss Tablet Or Pill 90 Tablet(s) Off market View ingredients & interactions Women's Vitali-T by LifeSeasons Capsule 70 Vegetarian Capsule(s) Off market View ingredients & interactions Women's X-Action by Nature's Sunshine Capsule 100 Capsule(s) Off market View ingredients & interactions Women's X-Action by Nature's Sunshine Capsule 100 VegCap(s) Off market View ingredients & interactions X-A by Nature's Sunshine Capsule 100 Capsule(s) Off market View ingredients & interactions X-A by Nature's Sunshine Capsule 100 VegCap(s) Off market View ingredients & interactions Xcalibur Platinum 11000 by Medieval Group Capsule 1 Capsule(s) Off market View ingredients & interactions Yohimbe-Plus by Irwin Naturals Softgel Capsule 100 Liquid Softgel(s) Off market View ingredients & interactions Yohimbe-Plus by Irwin Naturals Softgel Capsule 100 Liquid Softgel(s) Off market View ingredients & interactions Yohimbe-Plus Maximum Enhancement by Irwin Naturals Softgel Capsule 100 Liquid Softgel(s) Off market View ingredients & interactions Zenofem by Ellison-Gray Laboratories Capsule 90 Capsule(s) Off market View ingredients & interactions
Pharmacist Counseling Corner

Damiana: Common Questions

What is Damiana used for, and does it work?
People use Damiana 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 Damiana interact with prescription medications?
Yes. We list 86 medications with a known interaction with Damiana. Use the checker above to see how Damiana interacts with a specific drug.
How are Damiana 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 Damiana 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 Damiana 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 Damiana used for?
It is most commonly used as a traditional aphrodisiac and to support mood, relaxation, and digestion. These uses come mainly from tradition, and strong human evidence is lacking.
Does Damiana actually work as an aphrodisiac?
Some animal studies hint at effects on sexual behavior, but there is not enough good human research to confirm that Damiana improves libido or sexual function.
Is Damiana safe to take?
In small tea-like amounts it appears generally well tolerated, but it has not been carefully studied. Use cautiously, follow the label, and check with your pharmacist or doctor first.
Can I use Damiana while pregnant or breastfeeding?
No—there is not enough safety data, so it is best to avoid Damiana during pregnancy and breastfeeding.

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

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