Devil's Club Drug Interactions, Uses, Safety & More
What is this page for?
First and foremost: how Devil's Club interacts with medications. The heart of this page is the interaction list — every drug Devil's Club is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Devil's Club 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 Devil's Club against your medication
Add one medicationDrugs that interact with Devil's Club
0 medications have a known interaction with Devil's Club, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Devil's Club. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
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 Devil's Club combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Devil's Club: Uses, Safety & Side Effects
Devil's Club is a thorny shrub from the Pacific Northwest of North America that has long been used in Indigenous traditional medicine, especially for blood sugar and respiratory complaints. Scientific evidence in humans is very limited, so its benefits are not proven. Talk to your pharmacist or doctor before using it, and avoid it during pregnancy and breastfeeding.
- Scientific name
- Oplopanax horridus
- Family
- Araliaceae
- Part used
- Root bark, stem bark, and inner bark
- Common forms
- Tea or decoction, tincture, capsules, dried bark, topical salves
- Blood sugar support
- Respiratory and cold symptoms
- Arthritis and joint pain
- Digestive complaints
- General tonic and wellness
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Limited human safety data exist, so use cautiously and under professional guidance.
Insufficient reliable information available; avoid using.
Read the full pregnancy detailInsufficient reliable information available; avoid using.
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
Devil's Club (Oplopanax horridus) is a large, thorny shrub that grows in the moist forests of the Pacific Northwest of North America, including parts of Alaska, British Columbia, and the northwestern United States. Its stems and leaves are covered with sharp spines, which is how it earned its name.
It is a member of the ginseng family (Araliaceae) and is one of the most important traditional plants used by many Indigenous peoples of the region. The bark of the root and stem has been used in teas, tinctures, and salves for a wide range of health concerns.
Today some people take Devil's Club as a supplement in capsules, tinctures, or teas, often for blood sugar support, colds, or joint pain. It remains far more a traditional remedy than a well-studied modern medicine.
Uses & effectiveness
People use Devil's Club for many reasons, but it is important to understand that strong human evidence is lacking for nearly all of them.
One of the most common traditional and modern uses is to help with blood sugar in diabetes. Some early laboratory and animal studies have looked at this, but reliable human clinical trials are largely missing, so we cannot say it works or is safe for this purpose.
It has also been used traditionally for respiratory infections, coughs, and colds, for arthritis and joint pain, and as a general tonic. Laboratory studies suggest some of its compounds may have antimicrobial or anti-inflammatory activity, but this kind of test-tube research does not prove it helps people.
Overall, the evidence for Devil's Club is preliminary and insufficient. It should not be used as a substitute for proven treatments, especially for serious conditions like diabetes.
How it works
Devil's Club contains several natural compounds, including polyacetylenes, triterpenes, glycosides, and other plant chemicals found in the bark. These substances are thought to be responsible for its possible effects.
In laboratory and animal studies, extracts have shown possible anti-inflammatory, antimicrobial, and blood-sugar-lowering activity. The exact way it might work in the body is not well understood.
It is important to remember that most of this research is based on test-tube or animal studies, not on well-designed human trials. What happens in a lab does not always translate into a real benefit when a person takes the supplement.
Safety & precautions
There is limited modern safety research on Devil's Club, so its full safety profile is not well known. Traditional use suggests it has been taken for a long time, but that does not guarantee it is safe in supplement form.
People with diabetes should be especially careful, since the plant may affect blood sugar; monitor closely and talk with your healthcare provider. People with any chronic medical condition or who take regular medications should check with a pharmacist or doctor first.
Pregnancy and breastfeeding: There is not enough reliable safety information for these groups. To be safe, women who are pregnant or breastfeeding should avoid Devil's Club.
The plant itself has sharp spines that can cause skin injury and infection if handled raw, which is mainly a concern for people who harvest it themselves.
Side effects
Because Devil's Club has not been well studied in people, its side effects are not fully known. Reported or possible effects include digestive upset, such as stomach discomfort or diarrhea.
Since it may lower blood sugar, there is a theoretical risk of blood sugar dropping too low (hypoglycemia), with symptoms such as shakiness, sweating, or dizziness.
As with any plant product, an allergic reaction is possible. Stop using it and seek medical care if you notice rash, swelling, trouble breathing, or other signs of an allergic reaction.
Devil's Club: Reported Adverse Effects
Documented safety reports on Devil's Club from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, devil's club might cause diarrhea, nausea, vomiting, and lightheadedness. Topically, devil's club might cause allergic reactions.
- Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.
- Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.
Diarrhea Gastrointestinal
Orally, nausea and vomiting has been reported for an otherwise healthy patient who drank two 80-mL servings of devil's club 5 hours apart. The tea was prepared by boiling devil's club root, bark, and berries for 4-6 hours. Diarrhea and nausea have been reported in some individuals after chewing and swallowing the inner bark of 40 sticks of devil's club.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no established standard dose for Devil's Club. The right amount has not been determined in clinical studies, and product strength can vary widely between brands and forms (tea, tincture, or capsule).
If you choose to use it, follow the directions on the product label and do not exceed the suggested amount. Because doses are not standardized, it is wise to start low and watch how you feel.
Always check with a pharmacist or doctor before starting Devil's Club, especially if you have a health condition or take other medicines.
Devil's Club & Pregnancy
Devil's Club & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 2 references that drive our Devil's Club 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.
- Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.
- Thommasen HV, Wilson RA, McIlwain RG. Effect of Devil's Club Tea on Blood Glucose Levels in Diabetes Mellitus. Can Fam Physician. 1990;36:62-5.
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 Devil's Club
14 brands in our database make a supplement containing Devil's Club.
Supplement products with Devil's Club
49 products in our database contain Devil's Club. Open any to see its full ingredient list and every drug interaction we check.
Devil's Club: Common Questions
Does Devil's Club interact with prescription medications?
How are Devil's Club interactions rated?
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Is Devil's Club safe to take?
Can I take Devil's Club if I'm pregnant or breastfeeding?
Does Devil's Club lower blood sugar?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Devil's Club
A rotating sample of real supplements in our database that list Devil's Club — open any to see its full ingredients and every drug interaction we check.
- Adren-L Aid by Mountain Meadow Herbs
- Devil's Club Alcohol Free by Herbal Terra
- Adren-Aid by VitalBulk
- Devil's Club by Herbal Terra
- Arden-Aid by L.A. Naturals
- Glycemic Assist by Herb Pharm
- David Winston's Adrenal Balance Compound by Herbalist & Alchemist
- Adrenal Aid by Mountain Meadow Herbs
- Devil's Club by Hawaii Pharm
- Adren-Aid by Village Vitality
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