Herb & supplement monograph

Devil's Club Drug Interactions, Uses, Safety & More

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Interaction report

Drugs 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.

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 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.
Monograph

Devil's Club: Uses, Safety & Side Effects

The bottom line

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
People commonly use it for
  • 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.

Safety at a glance
OverallUse caution

Limited human safety data exist, so use cautiously and under professional guidance.

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

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.

  1. 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.
  2. Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.
Reports by condition
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.

  1. 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.
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 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.

Pregnancy & Breastfeeding

Devil's Club & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Devil's Club & 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 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.

  1. Turner NJ, Thompson LC Thompson MT York AZ. Thompson Ethnobotany: Knowledge and Usage of Plants by the Thompson Indians of British Columbia. 1990.
  2. 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.
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 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.

Adren-L Aid by Mountain Meadow Herbs Liquid 4 fl. Oz. · 120 mL Off market View ingredients & interactions Adren-L-Aid by Mountain Meadow Herbs Liquid 4 Fluid Ounce Off market View ingredients & interactions Adrenal Support by BIOVEA Liquid 30 mL · 1 fl. Oz. Off market View ingredients & interactions Adrenal Support by BIOVEA Liquid 30 mL · 1 fl. Oz. Off market View ingredients & interactions Adrenal Support by BIOVEA Liquid 30 mL · 1 fl. Oz. Off market View ingredients & interactions Blood Sugar Balance by Eclectic Institute Capsule 45 Vegetarian Capsule(s) · 335 mg Off market View ingredients & interactions David Winston's Adrenal Balance Compound by Herbalist & Alchemist Liquid 2 fl. Oz. · 60 mL Off market View ingredients & interactions David Winston's Adrenal Balance Compound by Herbalist & Alchemist Liquid 2 fl. Oz. · 60 mL Off market View ingredients & interactions David Winston's Pancreaid by Herbalist & Alchemist Liquid 2 fl. Oz. · 60 mL Off market View ingredients & interactions Devil's Club by Herb Pharm Liquid 4 fl. Oz. · 120 mL Off market View ingredients & interactions Devil's Club by Herb Pharm Liquid 4 fl. Oz. · 118.4 mL Off market View ingredients & interactions Devil's Club by Herb Pharm Liquid 1 fl. Oz. · 29.6 mL Off market View ingredients & interactions Devil's Club by Herb Pharm Liquid 1 fl. Oz. · 30 mL Off market View ingredients & interactions Devil's Club by Herb Pharm Liquid 1 Fluid Ounce · 30 mL Off market View ingredients & interactions Devil's Club by Herbalist & Alchemist Liquid 2 fl. Oz. · 60 mL Off market View ingredients & interactions Devil's Club Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL Off market View ingredients & interactions Glycemic Assist by Herb Pharm Liquid 1 fl. Oz. · 30 mL Off market View ingredients & interactions Glycemic Assist by Herb Pharm Liquid 4 fl. Oz. · 120 mL Off market View ingredients & interactions Sugar Metabolism by Herb Pharm Liquid 1 fl. Oz. · 29.6 mL Off market View ingredients & interactions Sugar Metabolism by Herb Pharm Liquid 4 fl. Oz. · 118.4 mL Off market View ingredients & interactions Sugar Metabolism by Herb Pharm Liquid 1 fl. Oz. · 30 mL Off market View ingredients & interactions Sugar Metabolism by Herb Pharm Liquid 1 fl. Oz. · 30 mL Off market View ingredients & interactions Sugar Metabolism by Herb Pharm Liquid 1 fl. Oz. · 30 mL Off market View ingredients & interactions Sugar Metabolism by Herb Pharm Liquid 4 fl. Oz. · 120 mL Off market View ingredients & interactions
Pharmacist Counseling Corner

Devil's Club: Common Questions

Does Devil's Club interact with prescription medications?
We do not currently list any known drug interactions for Devil's Club. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Devil's Club 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 Devil's Club 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 Devil's Club 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 Devil's Club used for?
It is used in traditional medicine and as a supplement for blood sugar support, colds and respiratory symptoms, arthritis, and as a general tonic. Human evidence for these uses is very limited, so it is not proven to work.
Is Devil's Club safe to take?
Its safety has not been well studied in modern research. It may be reasonably tolerated by some people, but you should use it cautiously and talk with a pharmacist or doctor first, especially if you have a medical condition.
Can I take Devil's Club if I'm pregnant or breastfeeding?
No. There is not enough safety information for these groups, so it is best to avoid Devil's Club during pregnancy and while breastfeeding.
Does Devil's Club lower blood sugar?
Some laboratory and animal studies suggest it might affect blood sugar, but this has not been confirmed in good human trials. If you have diabetes, do not rely on it and monitor your blood sugar closely while talking with your provider.

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

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