Fucus Vesiculosus Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Fucus Vesiculosus interacts with medications. The heart of this page is the interaction list — every drug Fucus Vesiculosus is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Fucus Vesiculosus 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 Fucus Vesiculosus against your medication
Add one medicationFucus Vesiculosus Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Fucus Vesiculosus drug interaction appears low for most people. None of its known interactions are rated major, and the vast majority are minor and theoretical.
The main concern is bladderwrack's naturally high iodine content, which can affect the thyroid. It deserves the most caution with amiodarone, a heart rhythm drug that is itself rich in iodine, since combining the two could push iodine too high and disturb thyroid function. There is also a reported case of hyperthyroidism in someone taking it with lithium, and it could change how well thyroid hormone or antithyroid medicines work. Anyone on these treatments should have thyroid levels watched closely.
The long list of minor interactions mostly reflects lab studies suggesting a seaweed compound called fucoidan may affect enzymes the body uses to clear many medications, but none of these effects have been reported in people. Similarly, a predicted bleeding risk with blood thinners has not shown up in human research, likely because the compound is poorly absorbed when taken by mouth.
Based on HelloPharmacist’s Fucus Vesiculosus interaction data and reviewed under our editorial standards.
Drugs that interact with Fucus Vesiculosus
893 medications have a known interaction with Fucus Vesiculosus, 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 Fucus Vesiculosus using our pharmacist-reviewed interaction data.
AI summaries are generated from our Fucus Vesiculosus 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 Fucus Vesiculosus 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 Fucus Vesiculosus affects
Every type of medication (drug category) Fucus Vesiculosus is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Amiodarone (Cordarone)
Theoretically, combining Fucus vesiculosus with amiodarone might cause excessively high iodine levels.
Fucus vesiculosus contains high concentrations of iodine. Amiodarone contains 37.3% iodine and can increase iodine levels. Concomitant use might increase the risk of having excessive iodine levels and adversely affecting thyroid function. Monitor thyroid function.
Antithyroid Drugs
Due to its iodine content, Fucus vesiculosus might alter the effects of antithyroid drugs.
Fucus vesiculosus contains high concentrations of iodine. Iodine in high doses has been reported to cause both hyperthyroidism and hypothyroidism, depending on the individual's past medical history. Taking Fucus vesiculosus while using antithyroid drugs could alter the effects of the antithyroid drugs.
Lithium
Concomitant use of Fucus vesiculosus and lithium has resulted in hyperthyroidism.
There is a case of hyperthyroidism occurring in a patient taking Fucus vesiculosus and lithium. Monitor thyroid hormones closely in patients taking lithium and Fucus vesiculosus concomitantly.
Thyroid Hormone
Due to its iodine content, Fucus vesiculosus might alter the effects of thyroid hormone.
Fucus vesiculosus contains high concentrations of iodine. Iodine in high doses has been reported to cause both hyperthyroidism and hypothyroidism, depending on the individual's past medical history. Taking Fucus vesiculosus while using thyroid hormone could alter the effects of thyroid hormone.
Anticoagulant/Antiplatelet Drugs
Theoretically, taking Fucus vesiculosus with antiplatelet or anticoagulant drugs might increase the risk of bruising and bleeding.
In vitro evidence suggests that a constituent of Fucus vesiculosus, known as fucoidan, has anticoagulant effects. However, in clinical research, fucoidan does not seem to have significant anticoagulant activity when taken orally, possibly due to poor absorption.
Cytochrome P450 2C8 (Cyp2C8) Substrates
Theoretically, concomitant use of Fucus vesiculosus with CYP2C8 substrates might increase the risk for adverse effects.
In vitro research shows that fucoidan, a constituent of Fucus vesiculosus, inhibits CYP2C8. This interaction has not been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, concomitant use of Fucus vesiculosus with CYP2C9 substrates might increase the risk for adverse effects.
In vitro research shows that fucoidan, a constituent of Fucus vesiculosus, inhibits CYP2C9. This interaction has not been reported in humans.
Cytochrome P450 2D6 (Cyp2D6) Substrates
Theoretically, concomitant use of Fucus vesiculosus with CYP2D6 substrates might alter the effects of these substrates.
In vitro research shows that fucoidan, a constituent of Fucus vesiculosus, both inhibits and induces CYP2D6. This interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, concomitant use of Fucus vesiculosus with CYP3A4 substrates might increase the risk for adverse effects.
In vitro research shows that fucoidan, a constituent of Fucus vesiculosus, inhibits CYP3A4. This interaction has not been reported in humans.
Fucus Vesiculosus: Uses, Safety & Side Effects
Fucus vesiculosus (bladderwrack) is a brown seaweed rich in iodine that has been used traditionally for thyroid concerns, weight, and skin. There is little solid human evidence to support most of these uses, and its high and variable iodine content can actually harm the thyroid. Talk to a pharmacist or doctor before using it, especially if you have a thyroid condition.

- Scientific name
- Fucus vesiculosus
- Family
- Fucaceae
- Part used
- Whole plant (thallus/dried seaweed)
- Common forms
- Capsules, tablets, powder, tea, liquid extract, topical creams and gels
- Thyroid support
- Iodine source
- Weight management
- Joint and skin care (topical)
- Constipation and digestive support
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Variable, high iodine content can disrupt the thyroid and the plant may concentrate heavy metals.
When used orally because it may contain iodine and heavy metals; avoid using.
Read the full pregnancy detailWhen used orally because it may contain iodine and heavy metals; 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
Fucus vesiculosus, most often called bladderwrack, is a type of brown seaweed that grows along the rocky coastlines of the Atlantic and Pacific oceans, including the North Sea and Baltic Sea. It gets the name "bladderwrack" from the small gas-filled bladders that help it float in the water.
People have used bladderwrack for hundreds of years in traditional medicine. Because it naturally contains a lot of iodine, it was historically used to support the thyroid gland. Today it is sold as a dietary supplement in capsules, powders, and teas, and it is also added to some skin creams and gels.
It is often grouped together with "kelp" products, even though bladderwrack and kelp are different seaweeds. This can make labels confusing, so it helps to read product ingredients carefully.
How it works
Bladderwrack contains several compounds that researchers have studied, mostly in the lab. Its main active ingredient is iodine, which the body uses to make thyroid hormones. This is why it can affect thyroid function in both helpful and harmful ways.
It also contains fucoidan and alginates, which are types of complex sugars (polysaccharides) found in brown seaweed. In test-tube and animal studies, these have shown possible anti-inflammatory, antioxidant, and gel-forming effects. The alginates may also act like soluble fiber in the gut.
It is important to know that most of these proposed mechanisms come from laboratory or animal research. Showing an effect in a test tube does not mean the same thing happens in the human body at the amounts found in supplements.
Does Fucus Vesiculosus work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Fucus Vesiculosus, 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 Aging skin
Although there has been interest in using topical Fucus vesiculosus for aging skin, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
Insufficient Reliable Evidence To Rate Cardiovascular disease (CVD)
Although there has been interest in using oral Fucus vesiculosus for CVD, including atherosclerosis and hypertension, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
Insufficient Reliable Evidence To Rate Constipation
Although there has been interest in using oral Fucus vesiculosus for constipation, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
Insufficient Reliable Evidence To Rate Diarrhea
Although there has been interest in using oral Fucus vesiculosus for diarrhea, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
Insufficient Reliable Evidence To Rate Dyspepsia
Although there has been interest in using oral Fucus vesiculosus for dyspepsia, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
Insufficient Reliable Evidence To Rate Hypercholesterolemia
It is unclear if oral Fucus vesiculosus is beneficial in hypercholesterolemia.
Insufficient Reliable Evidence To Rate Hypothyroidism
Although there has been interest in using oral Fucus vesiculosus for hypothyroidism, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
Insufficient Reliable Evidence To Rate Impaired glucose tolerance (prediabetes)
Oral Fucus vesiculosus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Iodine deficiency
Although there has been interest in using oral Fucus vesiculosus for iodine deficiency and goiter, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
Insufficient Reliable Evidence To Rate Metabolic syndrome
Oral Fucus vesiculosus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Obesity
Oral Fucus vesiculosus has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Wound healing
Although there has been interest in using topical Fucus vesiculosus for wound healing, there is insufficient reliable information about the clinical effects of Fucus vesiculosus for this purpose.
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
The biggest safety concern with bladderwrack is its high and unpredictable iodine content. Different products can contain very different amounts, and too much iodine can cause both underactive (hypothyroid) and overactive (hyperthyroid) thyroid problems. People with any thyroid condition should avoid it unless a doctor specifically advises otherwise.
Seaweeds can also absorb and concentrate heavy metals such as arsenic from seawater. This adds another layer of risk, especially with long-term use or poorly tested products.
Pregnancy and breastfeeding: Avoid bladderwrack. Excess iodine can harm the developing or nursing baby's thyroid, and possible heavy metal contamination makes the risk worse. People with kidney disease, those allergic to iodine or seafood, and anyone scheduled for surgery or thyroid testing should also be cautious. Always talk to a pharmacist or doctor first.
Side effects
Common side effects are often related to iodine and may include changes in thyroid function, a metallic taste, increased saliva, stomach upset, or acne-like skin breakouts.
Long-term or high-dose use can lead to thyroid problems, which may show up as fatigue, weight changes, neck swelling (goiter), or a racing heartbeat. Allergic reactions are possible, particularly in people sensitive to iodine or seafood.
Because the product can contain heavy metals, long-term use carries the risk of heavy metal buildup. Stop using it and seek medical advice if you notice swelling in the neck, unusual heart rhythm, or signs of an allergic reaction.
Fucus Vesiculosus: Reported Adverse Effects
Documented safety reports on Fucus Vesiculosus from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
When used orally, Fucus vesiculosus may be unsafe due to its iodine content. Topically, Fucus vesiculosus appears to be well tolerated.
Most Common Adverse Effects:
Orally: Goiter, hyperthyroidism, hypothyroidism.
Serious Adverse Effects (Rare):
Orally: Thyroid cancer.
Bipolar disorder Endocrine
Orally, Fucus vesiculosus can cause or exacerbate hyperthyroidism due to its high iodine content. One case of hyperthyroidism has been reported for a 60-year-old patient taking lithium for bipolar disorder and a combination product containing Fucus vesiculosus 0.125 grams, cascara 0.170 grams, and Frangula 0.222 grams per tablet for laxative purposes. The patient had been taking one tablet of the combination laxative product daily for several years. Following discontinuation of the supplement, thyroid levels normalized. Similar cases of hyperthyroidism have been reported for patients taking other seaweed-containing herbal supplements (Dream Shape; Ever Youth). Analyses of these supplements shows that these products contain triiodothyronine 1 mcg and thyroxine 3-4 mcg. In addition to seaweed, Dream Shape also contains hydrangea vine, maltose, chrysanthemum, Chinese matrimony vine, and sucrose, while Ever Youth contains radish, lotus leaf, chrysanthemum, hawthorn, senna tea, and Chinese matrimony vine.
Orally, prolonged use of Fucus vesiculosus has been associated with hypothyroidism. The iodine in Fucus vesiculosus can cause idiosyncratic reactions.
According to the Institute of Medicine Food and Nutrition Board, prolonged, high dietary intake of iodine is associated with goiter and an increased risk of thyroid cancer.
- Phaneuf D, Cote I, Dumas P, et al. Evaluation of the contamination of marine algae (Seaweed) from the St. Lawrence River and likely to be consumed by humans. Environ Res 1999;80:S175-S182.
- Ohye H, Fukata S, Kanoh M, et al. Thyrotoxicosis caused by weight-reducing herbal medicines. Arch Intern Med 2005;165:831-4.
- Arbaizar, B. and Llorca, J. [Fucus vesiculosus induced hyperthyroidism in a patient undergoing concomitant treatment with lithium]. Actas Esp.Psiquiatr. 2011;39(6):401-403.
- Okamura K, Inoue K, Omae T. A case of Hashimoto's thyroiditis with thyroid immunological abnormality manifested after habitual ingestion of seaweed. Acta Endocrinol (Copenh) 1978;88:703-12.
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
Obesity Cardiovascular
In one report, a young adult with obesity developed palpitations and syncope after taking an oral weight loss supplement containing a combination of Fucus vesiculosus, dandelion, and boldo for 3 weeks. The patient was found to have a prolonged QT interval on ECG and frequent episodes of sustained polymorphic ventricular tachycardia. It is not clear whether Fucus vesiculosus, another ingredient, or the combination of ingredients is responsible for this adverse effect. The product was not analyzed to determine the presence of any potential toxic contaminants.
Obesity Renal
A case of hemorrhagic cystitis characterized by dysuria and polyuria has been reported in a young adult who took a specific product (Slim-Kombu, Balestra and Mech) containing Fucus vesiculosus and 19 other herbal extracts orally for weight loss. Upon discontinuation, symptoms improved. It is unclear if this effect was due to Fucus vesiculosus or other ingredients in the supplement. Nephrotoxicity has been associated with oral intake of Fucus vesiculosus that was contaminated with arsenic.
- Catania, M. A., Oteri, A., Caiello, P., Russo, A., Salvo, F., Giustini, E. S., Caputi, A. P., and Polimeni, G. Hemorrhagic cystitis induced by an herbal mixture. South.Med.J. 2010;103(1):90-92.
- Conz PA, La Greca G, Benedetti P, et al. Fucus vesiculosus: a nephrotoxic alga? Nephrol Dial Transplant 1998;13:526-7.
Obesity Genitourinary
A case of hemorrhagic cystitis characterized by dysuria and polyuria has been reported in a young adult who took a specific product (Slim-Kombu, Balestra and Mech) containing Fucus vesiculosus and 19 other herbal extracts orally for weight loss. Upon discontinuation, symptoms improved. It is unclear if this effect was due to Fucus vesiculosus or other ingredients in the supplement.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no well-established, standardized dose for bladderwrack, partly because its iodine content varies so much from product to product. This makes safe dosing very difficult to judge.
If you choose to use it, follow the directions on the product label and do not exceed them. Because of the iodine and possible heavy metal concerns, it is wise to choose products from companies that test for purity and to use the lowest amount for the shortest time.
Always check with a pharmacist or doctor before starting bladderwrack, especially if you have a thyroid condition or take any medicines.
Fucus Vesiculosus & Pregnancy
Fucus Vesiculosus & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 15 references that drive our Fucus Vesiculosus 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.
- Goodman GA, Rall TW, Nies AS, Taylor P. The Pharmacological Basis of Therapeutics, 9th ed.
- Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: National Academy Press, 2002.
- Phaneuf D, Cote I, Dumas P, et al. Evaluation of the contamination of marine algae (Seaweed) from the St. Lawrence River and likely to be consumed by humans. Environ Res 1999;80:S175-S182. PubMed
- Durig J, Bruhn T, Zurborn KH, et al. Anticoagulant fucoidan fractions from Fucus vesiculosus induce platelet activation in vitro. Thromb Res 1997;85:479-91. PubMed
- Conz PA, La Greca G, Benedetti P, et al. Fucus vesiculosus: a nephrotoxic alga? Nephrol Dial Transplant 1998;13:526-7.
- Ohye H, Fukata S, Kanoh M, et al. Thyrotoxicosis caused by weight-reducing herbal medicines. Arch Intern Med 2005;165:831-4. PubMed
- Okamura K, Inoue K, Omae T. A case of Hashimoto's thyroiditis with thyroid immunological abnormality manifested after habitual ingestion of seaweed. Acta Endocrinol (Copenh) 1978;88:703-12. PubMed
- Agarwal SC, Crook JR, Pepper CB. Herbal remedies -- how safe are they? A case report of polymorphic ventricular tachycardia/ventricular fibrillation induced by herbal medication used for obesity. Int J Cardiol 2006;106:260-1. PubMed
- Sterling JB, Heymann WR. Potassium iodide in dermatology: a 19th century drug for the 21st century-uses, pharmacology, adverse effects, and contraindications. J Am Acad Dermatol 2000;43:691-7. PubMed
- Catania, M. A., Oteri, A., Caiello, P., Russo, A., Salvo, F., Giustini, E. S., Caputi, A. P., and Polimeni, G. Hemorrhagic cystitis induced by an herbal mixture. South.Med.J. 2010;103(1):90-92. PubMed
- Cumashi, A., Ushakova, N. A., Preobrazhenskaya, M. E., D'Incecco, A., Piccoli, A., Totani, L., Tinari, N., Morozevich, G. E., Berman, A. E., Bilan, M. I., Usov, A. I., Ustyuzhanina, N. E., Grachev, A. A., Sanderson, C. J., Kelly, M., Rabinovich, G. A., I
- Irhimeh, M. R., Fitton, J. H., and Lowenthal, R. M. Pilot clinical study to evaluate the anticoagulant activity of fucoidan. Blood Coagul.Fibrinolysis 2009;20(7):607-610. PubMed
- Arbaizar, B. and Llorca, J. [Fucus vesiculosus induced hyperthyroidism in a patient undergoing concomitant treatment with lithium]. Actas Esp.Psiquiatr. 2011;39(6):401-403.
- Church FC, Meade JB, Treanor RE, and et al. Antithrombin activity of fucoidan. The interaction of fucoidan with heparin cofactor II, antithrombin III, and thrombin. J Biol Chem 2-25-1989;264(6):3618-3623. DOI
- Mathew L, Burney M, Gaikwad A, et al. Preclinical evaluation of safety of fucoidan extracts from Undaria pinnatifida and Fucus vesiculosus for use in cancer treatment. Integr Cancer Ther 2017;16(4):572-84.
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
Fucus Vesiculosus: Common Questions
What is Fucus Vesiculosus used for, and does it work?
Does Fucus Vesiculosus interact with prescription medications?
How are Fucus Vesiculosus interactions rated?
Is it safe to take Fucus Vesiculosus with my medications?
Where does this Fucus Vesiculosus interaction information come from?
What is bladderwrack (Fucus Vesiculosus) used for?
Is bladderwrack safe to take?
Can I take bladderwrack if I'm pregnant or breastfeeding?
Does bladderwrack help you lose weight?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Have a question about Fucus Vesiculosus?
Our pharmacists answer your medication & supplement questions — free.