Feverfew Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Feverfew interacts with medications. The heart of this page is the interaction list — every drug Feverfew is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Feverfew 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 Feverfew against your medication
Add one medicationFeverfew Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Feverfew drug interaction appears low for most people, because nearly all listed interactions are theoretical. None of the interactions are rated major, and although all are graded moderate, they rest almost entirely on laboratory findings that have not been confirmed in humans.
The combination most worth watching is feverfew with anticoagulant or antiplatelet drugs, often called blood thinners. Lab research suggests feverfew may make platelets less sticky, and one person taking a high daily dose for several months had abnormal vaginal bleeding. That is limited evidence, but bleeding risk is the kind of effect where even a small added push can matter, so anyone on these medicines should be more careful with feverfew than the average person.
The long list of interacting medications looks alarming, but almost all of it comes from a single idea: lab studies suggest feverfew might slow several enzymes the body uses to clear many common drugs. None of these enzyme effects has actually been reported to cause problems in people, so most combinations are flagged out of caution rather than proven harm.
Based on HelloPharmacist’s Feverfew interaction data and reviewed under our editorial standards.
Drugs that interact with Feverfew
929 medications have a known interaction with Feverfew, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Feverfew using our pharmacist-reviewed interaction data.
AI summaries are generated from our Feverfew 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 Feverfew 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 Feverfew affects
Every type of medication (drug category) Feverfew is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Anticoagulant/Antiplatelet Drugs
Theoretically, feverfew might have additive effects and increase the risk of bleeding when used with anticoagulant or antiplatelet drugs.
Laboratory research suggests that feverfew may inhibit platelet aggregation. Additionally, in one case report, a 36-year-old patient taking feverfew 2400 mg daily for 3 months experienced vaginal bleeding and a prolonged menstrual cycle, with a modest increase in partial thromboplastin time (PTT) and prothrombin time (PT).
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, feverfew might increase levels of drugs metabolized by CYP1A2.
Laboratory research shows that feverfew might inhibit CYP1A2. So far, this interaction has not been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, feverfew might increase levels of drugs metabolized by CYP2C19.
Laboratory research shows that feverfew might inhibit CYP2C19. So far, this interaction has not been reported in humans.
Cytochrome P450 2C8 (Cyp2C8) Substrates
Theoretically, feverfew might increase levels of drugs metabolized by CYP2C8.
Laboratory research shows that feverfew might inhibit CYP2C8. So far, this interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, feverfew might increase levels of drugs metabolized by CYP2C9.
Laboratory research shows that feverfew might inhibit CYP2C9. So far, this interaction has not been reported in humans.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, feverfew might increase levels of drugs metabolized by CYP2D6.
Laboratory research shows that feverfew might inhibit CYP2D6. So far, this interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, feverfew might increase levels of drugs metabolized by CYP3A4.
Laboratory research shows that feverfew might inhibit CYP3A4. So far, this interaction has not been reported in humans.
Feverfew: Uses, Safety & Side Effects
Feverfew is a daisy-family herb best known for migraine prevention, where some studies suggest it may modestly lower how often migraines occur, though the evidence is mixed. It is generally well tolerated for short-term use in most adults but should be avoided during pregnancy and breastfeeding and by people allergic to ragweed and related plants. Talk to your pharmacist or doctor before starting it.

- Scientific name
- Tanacetum parthenium
- Family
- Asteraceae
- Part used
- Leaves (dried or fresh); sometimes whole above-ground parts
- Common forms
- Capsules, tablets, dried leaf, liquid extracts, teas
- Migraine prevention
- Headache
- Fever (traditional)
- Arthritis and joint pain
- Menstrual discomfort
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally well tolerated short-term, but it can cause allergic reactions and mouth irritation in some people.
When used orally. Feverfew might cause uterine contractions and abortion; 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
Feverfew (Tanacetum parthenium) is a flowering plant in the daisy family. It is native to parts of Europe and Asia and now grows in many regions around the world. The plant has small, daisy-like flowers and a strong scent, and the leaves are the part most often used in supplements.
People have used feverfew for hundreds of years. As its name suggests, it was once used to help bring down fevers, but today it is most often taken to help prevent migraine headaches. It is also used in traditional medicine for general headaches, joint pain, and menstrual discomfort.
Feverfew is sold as capsules, tablets, dried leaf, liquid extracts, and teas. Many products are standardized to contain a set amount of a compound called parthenolide, which is thought to be one of its active ingredients.
How it works
Feverfew contains several plant compounds, with parthenolide being the most discussed. Laboratory and animal studies suggest parthenolide and related substances may affect chemicals in the body involved in inflammation and in the widening and tightening of blood vessels, such as serotonin and prostaglandins.
Because blood vessel changes and inflammation are thought to play a role in migraines, researchers believe feverfew might work by calming these processes. However, much of this is based on lab and animal research, and scientists do not fully understand exactly how feverfew works in people.
Does Feverfew work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Feverfew, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 4 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Prurigo nodularis
It is unclear if topical feverfew is beneficial for patients with this skin condition.
Insufficient Reliable Evidence To Rate Psoriasis
Although there has been interest in using oral feverfew for psoriasis, there is insufficient reliable information about the clinical effects of feverfew for this purpose.
Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
It is unclear if oral feverfew is beneficial for patients with RA.
Insufficient Reliable Evidence To Rate Tension headache
Oral feverfew 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 adults, feverfew appears to be reasonably well tolerated when used short-term. Still, there are important cautions.
Feverfew is in the same plant family as ragweed, chrysanthemums, marigolds, and daisies. If you are allergic to any of these plants, you may also react to feverfew and should avoid it. People scheduled for surgery may want to stop it beforehand because of possible effects on bleeding; check with your doctor.
Pregnancy: Avoid feverfew during pregnancy. It may stimulate the uterus, and its safety has not been established. Breastfeeding: There is not enough reliable information, so it is best to avoid it while nursing. Feverfew has not been well studied in children. As always, talk to your pharmacist or doctor before starting it, especially if you take other medications or have a health condition.
Side effects
Feverfew is usually well tolerated, but side effects can include stomach upset, nausea, bloating, and gas. When the fresh leaves are chewed, feverfew can cause mouth sores, mouth irritation, and swelling of the lips or tongue.
Some people who stop taking feverfew suddenly after using it for a long time report a "post-feverfew" effect with headaches, anxiety, tiredness, and muscle stiffness. To lower this risk, it may help to reduce the dose slowly rather than stopping all at once. Allergic reactions are also possible, especially in people sensitive to ragweed and related plants.
Feverfew: Reported Adverse Effects
Documented safety reports on Feverfew from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, feverfew is generally well tolerated. Chewing fresh feverfew leaves is more likely to cause mouth ulceration and other adverse effects of the mouth, lips, and tongue when compared with commercial feverfew preparations.
Most Common Adverse Effects:
Orally: Abdominal pain, bloating, constipation, diarrhea, flatulence, heartburn, and nausea. Skin rash may occur in sensitive individuals.
Topically: Dermatitis in sensitive individuals.
Anxiety Neurologic/CNS
Discontinuation of oral feverfew after long-term use may cause "post-feverfew syndrome", which includes symptoms such as anxiety, headaches, and insomnia.
Constipation Gastrointestinal
Orally, feverfew can cause gastrointestinal symptoms such as heartburn, nausea, diarrhea, constipation, abdominal pain and bloating, and flatulence. Oral numbness has also been reported when feverfew has been taken sublingually in combination with ginger. The traditional method of feverfew administration-chewing fresh feverfew leaves-can result in mouth ulceration, inflamed oral mucosa and tongue, swelling of the lips, and occasionally, loss of taste. Mouth ulceration might result from direct contact with feverfew leaves during chewing, possibly attributable to the sesquiterpene lactone constituent. Some researchers suggest that mouth ulceration is a systemic effect, but one study using dried feverfew capsules reported a higher incidence of mouth ulcers in subjects taking placebo than feverfew.
- Cady RK, Goldstein J, Nett R, et al. A double-blind placebo-controlled pilot study of sublingual feverfew and ginger (LipiGesic M) in the treatment of migraine. Headache 2011;51:1078-86.
- Johnson ES, Kadam NP, Hylands DM, Hylands PJ. Efficacy of feverfew as prophylactic treatment of migraine. Br Med J (Clin Res Ed) 1985;291:569-73.
Dermatitis Dermatologic
Orally, feverfew can cause skin rash. Topically, allergic contact dermatitis can occur. Allergic reactions to feverfew may be more likely in individuals sensitive to the Asteraceae/Compositae family. Members of this family include ragweed, chrysanthemums, marigolds, daisies, and many other herbs.
- Ernst E, Pittler MH. The efficacy and safety of feverfew (Tanacetum parthenium L.): an update of a systematic review. Public Health Nutr 2000;3:509-14.
- Lamminpaa A, Estlander T, Jolanki R, Kanerva L. Occupational allergic contact dermatitis caused by decorative plants. Contact Dermatitis 1996;34:330-5.
- Jovanovic, M. and Poljacki, M. [Compositae dermatitis]. Med Pregl. 2003;56(1-2):43-49.
- Burry, J. N. Compositae dermatitis in South Australia: contact dermatitis from Chrysanthemum parthenium. Contact Dermatitis 1980;6(6):445.
Myasthenia gravis Genitourinary
Orally, feverfew has been associated with menstrual changes in one patient in a clinical study and in one case report involving a 36-year-old patient taking 800 mg of feverfew three times daily for 3 months.
- Johnson ES, Kadam NP, Hylands DM, Hylands PJ. Efficacy of feverfew as prophylactic treatment of migraine. Br Med J (Clin Res Ed) 1985;291:569-73.
- Alenzi KA, Alharbi FH, Tawhari FM, Fradees GS. Alteration of Coagulation Test Results and Vaginal Bleeding Associated With the Use of Feverfew (Tanacetum parthenium). J Med Cases 2021;12(1):9-12.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no single official or proven dose for feverfew, and products vary widely in strength and how they are prepared. Many supplements are standardized to a certain amount of parthenolide, but the best dose is not firmly established.
The safest approach is to follow the directions on the product label and not take more than recommended. Because products differ so much, it is a good idea to ask your pharmacist or doctor for guidance before starting, and to choose products from reputable brands. If you have used feverfew for a while, do not stop it suddenly without checking first.
Feverfew & Pregnancy
Feverfew & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 18 references that drive our Feverfew 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.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Awang DVC. Prescribing therapeutic feverfew (Tancetum pathrnium (L.) Schultz Bip., syn. Chrysanthemumparthenium (L.) Bernh). Int Med 1998;1:11-3.
- Heptinstall S, Groenewegen WA, Spangenberg P, Loesche W. Extracts of feverfew may inhibit platelet behaviour via neutralization of sulphydryl groups. J Pharm Pharmacol 1987;39:459-65. PubMed
- Heptinstall S, White A, Williamson L, Mitchell JR. Extracts of feverfew inhibit granule secretion in blood platelets and polymorphonuclear leucocytes. Lancet 1985;1:1071-4. PubMed
- Makheja AN, Bailey JM. A platelet phospholipase inhibitor from the medicinal herb feverfew (Tanacetum parthenium). Prostaglandins Leukot Med 1982;8:653-60.
- Groenewegen WA, Heptinstall S. A comparison of the effects of an extract of feverfew and parthenolide, a component of feverfew, on human platelet activity in-vitro. J Pharm Pharmacol 1990;42:553-7. PubMed
- Heptinstall S, Groenewegen WA, Spangenberg P, Losche W. Inhibition of platelet behaviour by feverfew: a mechanism of action involving sulphydryl groups. Folia Haematol Int Mag Klin Morphol Blutforsch 1988;115:447-9.
- Biggs MJ, Johnson ES, Persaud NP, Ratcliffe DM. Platelet aggregation in patients using feverfew for migraine. Lancet 1982;2:776. PubMed
- Lamminpaa A, Estlander T, Jolanki R, Kanerva L. Occupational allergic contact dermatitis caused by decorative plants. Contact Dermatitis 1996;34:330-5. PubMed
- Johnson ES, Kadam NP, Hylands DM, Hylands PJ. Efficacy of feverfew as prophylactic treatment of migraine. Br Med J (Clin Res Ed) 1985;291:569-73. PubMed
- Pittler MH, Ernst E. Feverfew for preventing migraine. Cochrane Database Syst Rev 2004;(1):CD002286. PubMed
- Ernst E, Pittler MH. The efficacy and safety of feverfew (Tanacetum parthenium L.): an update of a systematic review. Public Health Nutr 2000;3:509-14.
- Unger M, Frank A. Simultaneous determination of the inhibitory potency of herbal extracts on the activity of six major cytochrome P450 enzymes using liquid chromatography/mass spectrometry and automated online extraction. Rapid Commun Mass Spectrom 2004;1 PubMed
- Sil'vestrov VP, Kinitin AV, and Chesnokova, IV. [Immunological and metabolic disorders and the means for their correction in patients with chronic bronchitis]. Ter.Arkh. 1991;63:7-11.
- Cady RK, Goldstein J, Nett R, et al. A double-blind placebo-controlled pilot study of sublingual feverfew and ginger (LipiGesic M) in the treatment of migraine. Headache 2011;51:1078-86.
- Jovanovic, M. and Poljacki, M. [Compositae dermatitis]. Med Pregl. 2003;56(1-2):43-49. PubMed
- Burry, J. N. Compositae dermatitis in South Australia: contact dermatitis from Chrysanthemum parthenium. Contact Dermatitis 1980;6(6):445.
- Alenzi KA, Alharbi FH, Tawhari FM, Fradees GS. Alteration of Coagulation Test Results and Vaginal Bleeding Associated With the Use of Feverfew (Tanacetum parthenium). J Med Cases 2021;12(1):9-12.
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 Feverfew
168 brands in our database make a supplement containing Feverfew.
Supplement products with Feverfew
520 products in our database contain Feverfew. Open any to see its full ingredient list and every drug interaction we check.
Feverfew: Common Questions
What is Feverfew used for, and does it work?
Does Feverfew interact with prescription medications?
How are Feverfew interactions rated?
Is it safe to take Feverfew with my medications?
Where does this Feverfew interaction information come from?
What is Feverfew most commonly used for?
Does Feverfew really help with migraines?
Is Feverfew safe during pregnancy or breastfeeding?
Can Feverfew cause side effects?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Feverfew
A rotating sample of real supplements in our database that list Feverfew — open any to see its full ingredients and every drug interaction we check.
- Liver Cleanse by dr.bo
- Joint Lube Glucosamine Delicious Cherry Flavor by Windmill
- Duramet by Pathway To Healing
- Feverfew Herb 450 mg by TerraVita Premium Collection
- DAN-C by Pure Herbs
- Butterbur by NOW
- Feverfew by Indiana Botanic Gardens
- Feverfew Extract by BulkSupplements.com
- Life of the Party by Love Me Nutrition
- intraMAX 2.0 Peach Mango Flavor by Drucker Labs
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