Garden Cress Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Garden Cress interacts with medications. The heart of this page is the interaction list — every drug Garden Cress is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Garden Cress 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 Garden Cress against your medication
Add one medicationGarden Cress Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Garden Cress drug interaction appears low for most people. None of the listed interactions are rated major, and nearly all rest on animal research rather than documented effects in people.
The best-supported concern involves lithium, since garden cress may act like a diuretic and slow how the body clears lithium, raising its levels. Animal studies also suggest garden cress could raise levels of phenytoin, a seizure medicine with a narrow safety margin, and add to the effects of blood pressure medications such as amlodipine, losartan, and metoprolol. People taking blood thinners, diabetes medicines, or theophylline may also want to watch for changes, though none of these effects have been confirmed in humans.
A long list of possible interactions does not mean each combination is harmful. Most entries here are predictions from animal or lab studies, often based on how garden cress might affect the way the body absorbs or clears medicines. In some of that research, the predicted effect did not actually change how the drug worked, as seen with gliclazide and blood sugar.
Based on HelloPharmacist’s Garden Cress interaction data and reviewed under our editorial standards.
Drugs that interact with Garden Cress
398 medications have a known interaction with Garden Cress, graded by severity. Select any drug for the full evidence-based detail.
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Tell us the medications you take and we’ll check each one against Garden Cress using our pharmacist-reviewed interaction data.
AI summaries are generated from our Garden Cress 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 Garden Cress 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 Garden Cress affects
Every type of medication (drug category) Garden Cress is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Amlodipine (Norvasc)
Theoretically, taking garden cress seeds with amlodipine might increase the risk of hypotension.
Animal research indicates that giving garden cress seeds with amlodipine increases maximum concentrations of amlodipine by 83%. Blood pressure was also reduced when compared with amlodipine alone. However, the area under the curve was not significantly affected.
Anticoagulant/Antiplatelet Drugs
Theoretically, garden cress seed may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Animal research suggests that garden cress seed extract can increase bleeding time when used in combination with the antiplatelet agent clopidogrel. This has not been shown in humans and it is unclear if garden cress seed itself has anticoagulant or antiplatelet effects.
Antidiabetes Drugs
Theoretically, taking garden cress with antidiabetes drugs might increase the risk of hypoglycemia.
Evidence from animal research suggests that an extract of garden cress can reduce blood glucose levels. This has not been shown in humans.
Antihypertensive Drugs
Theoretically, taking garden cress with antihypertensive drugs might increase the risk of hypotension.
Garden cress has shown hypotensive effects in animal research and increases levels and effects of the antihypertensive medications amlodipine and losartan. This has not been shown in humans.
Carbamazepine (Tegretol)
Theoretically, garden cress might increase the absorption rate of carbamazepine and result in blood concentrations outside of the therapeutic window.
Animal research shows that taking garden cress seed daily for 8 days prior to a single dose of carbamazepine does not significantly affect maximum concentrations or area under the curve of carbamazepine. However, the absorption rate is increased, with a 50% reduction (2 hours) in time to peak concentration, resulting in increased plasma levels within 3 hours of dosing and then decreased plasma levels from 5-12 hours after dosing. This has not been shown in humans.
Clopidogrel (Plavix)
Theoretically, taking garden cress seed with clopidogrel might prolong bleeding.
Animal research shows that taking garden cress seed daily for 2 weeks prior to a single dose of clopidogrel does not affect the pharmacokinetics of clopidogrel. However, bleeding time was increased by 7%. This has not been shown in humans and the mechanism of action is unclear.
Diuretic Drugs
Theoretically, taking garden cress with diuretic drugs might increase the risk of hypokalemia.
Evidence from animal research suggests that garden cress has diuretic effects and can increase the urinary excretion of potassium. This has not been shown in humans. Initiation of potassium supplementation or an increase in potassium supplement dose may be necessary for some patients.
Gliclazide (Diamicron, Others)
Theoretically, taking garden cress seed with gliclazide might increase the risk of hypoglycemia.
Evidence from animal research suggests that garden cress seed increases the area under the curve of a single dose of gliclazide by approximately 70%. However, there was no statistically significant effect on maximum concentrations of gliclazide or on the effects of gliclazide on blood glucose. This has not been shown in humans.
Lithium
Theoretically, garden cress might reduce excretion and increase levels of lithium due to diuretic effects.
Animal research suggests that garden cress has diuretic properties.
Losartan (Cozaar)
Theoretically, garden cress seed might have additive hypotensive effects when used with losartan.
Animal research suggests that giving garden cress seed extract for two weeks before a single dose of losartan increases levels of plasma losartan by at least 2.4-fold and potentiates its blood pressure-lowering effects. Maximum concentrations of losartan were not significantly affected. So far, this interaction has not been reported in humans.
Metoprolol (Toprol)
Theoretically, garden cress seed might have additive hypotensive effects when used with metoprolol.
Animal research shows that garden cress seed for 2 weeks decreases systolic and diastolic blood pressure by 9% and 32%, respectively, when administered alone, and by 15% and 33%, respectively, when given with metoprolol 10 mg/kg. So far, this interaction has not been reported in humans.
Phenytoin (Dilantin)
Theoretically, garden cress might increase levels and side effects of phenytoin.
Animal research shows that garden cress seed for 1 week increases maximum concentrations and the area under the curve of a single dose of phenytoin by 16% and 49%, respectively. This seems to be related to decreased clearance. So far, this interaction has not been reported in humans.
Sildenafil (Viagra)
Theoretically, concurrent use of sildenafil and L-arginine might reduce levels and therapeutic effects of sildenafil.
Animal research shows that garden cress seed for 1 week reduces maximum concentrations and the area under the curve of a single dose of sildenafil by 40% and 51%, respectively. So far, this interaction has not been reported in humans.
Theophylline
Theoretically, concurrent use of sildenafil and theophylline might increase levels and adverse effects of theophylline.
Animal research shows that garden cress can increase theophylline concentrations by approximately 37%. It is hypothesized that this increase is due to possible inhibition of cytochrome P450 (CYP) 1A2. So far, this interaction has not been reported in humans.
Garden Cress: Uses, Safety & Side Effects
Garden cress is a nutritious leafy herb and seed used widely in cooking and traditional medicine, providing vitamins, minerals, and fiber. While it has a long history of use for digestion, bone health, and lactation, strong human research supporting most medicinal claims is limited. It is generally safe as a food, but concentrated seed supplements should be used cautiously and avoided in pregnancy.

- Scientific name
- Lepidium sativum
- Family
- Brassicaceae
- Part used
- Seeds and leaves
- Common forms
- Fresh leaves, seeds, seed powder, sprouts
- Digestive support
- Bone health
- Iron and vitamin source
- Cough and respiratory comfort
- Boosting breast milk (traditional)
- Constipation relief
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Generally safe as a food, but concentrated seed amounts have limited safety data.
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
Garden cress (Lepidium sativum) is a fast-growing leafy herb in the mustard and cabbage family (Brassicaceae). It is native to parts of Europe and Asia and is now grown around the world. The plant has a peppery, slightly spicy flavor.
People eat the young leaves and sprouts in salads, sandwiches, and as a garnish. The small reddish-brown seeds are also widely used, especially in South Asian and Middle Eastern cooking and traditional medicine. The seeds form a gel-like coating when soaked in water, similar to chia or flax seeds.
Garden cress is valued as a nutritious food. It supplies vitamin C, folate, vitamin K, iron, calcium, and dietary fiber, among other nutrients.
How it works
Garden cress contains a range of plant compounds, including glucosinolates (sulfur-containing compounds found in many cabbage-family plants), flavonoids, and antioxidants. It is also a source of vitamins, minerals, and soluble fiber.
The fiber and the gel that the seeds form when soaked may help soften stools and support digestion. Its antioxidant compounds are thought to help reduce inflammation in laboratory settings. Some animal research suggests possible effects on blood sugar and bone repair, but how these results translate to people is not clear.
Most proposed mechanisms are based on test-tube and animal studies, so they should be viewed as early science rather than proven effects in humans.
Does Garden Cress work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
For Garden Cress, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.
Also studied for 5 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Asthma
It is unclear if oral garden cress is beneficial for asthma.
Insufficient Reliable Evidence To Rate Diabetes
Although there has been interest in using oral garden cress for diabetes, there is insufficient reliable information about the clinical effects of garden cress for this condition.
Insufficient Reliable Evidence To Rate Hemorrhoids
Although there has been interest in using oral garden cress for hemorrhoids, there is insufficient reliable information about the clinical effects of garden cress for this condition.
Insufficient Reliable Evidence To Rate Hypertension
Although there has been interest in using oral garden cress for hypertension, there is insufficient reliable information about the clinical effects of garden cress for this condition.
Insufficient Reliable Evidence To Rate Lactation
It is unclear if oral garden cress is beneficial for stimulating lactation.
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
Garden cress eaten in normal food amounts is generally considered safe for most people. Larger, concentrated amounts of seeds or seed supplements have less safety information available.
Pregnancy: Garden cress seeds are traditionally believed to have effects that may stimulate the uterus. Because of this, medicinal or large amounts should be avoided during pregnancy. Stick to ordinary food amounts only if your doctor approves.
Breastfeeding: Small food amounts are likely fine, but the safety of concentrated supplements during breastfeeding has not been well studied, so use caution.
People with thyroid conditions should be aware that, like other cabbage-family plants, large amounts of garden cress contain goitrogens that may affect thyroid function. Those with kidney problems, low potassium, or who are on fluid restriction should also check with a healthcare provider before using concentrated amounts. Always talk to your pharmacist or doctor before starting any supplement.
Side effects
When eaten as food, garden cress is usually well tolerated. Eating large amounts may cause digestive upset such as bloating, gas, or stomach discomfort, partly because of its fiber content.
Because garden cress can have a mild fluid-shifting (diuretic) effect in larger amounts, drinking enough water is sensible. As with any plant food, allergic reactions are possible but uncommon. If you notice rash, itching, swelling, or trouble breathing, stop using it and seek medical care.
Dosing
There is no official, standardized medicinal dose for garden cress. It is most often consumed as a food—fresh leaves, sprouts, or soaked seeds added to meals or drinks.
If you use a seed powder or supplement, follow the directions on the product label and do not exceed the recommended amount. Because product strengths vary and reliable dosing studies are lacking, it is best to check with your pharmacist or doctor before using concentrated forms, especially if you have a health condition or take medications.
Garden Cress & Pregnancy
Garden Cress & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 12 references that drive our Garden Cress 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.
- Eddouks, M. and Maghrani, M. Effect of Lepidium sativum L. on renal glucose reabsorption and urinary TGF-beta 1 levels in diabetic rats. Phytother.Res 2008;22(1):1-5.
- Maghrani, M, Zeggwagh, NA, Michel, JB, and Eddouks, M. Antihypertensive effect of <it>Lepidium sativum</it> L. in spontaneously hypertensive rats. Journal of Ethnopharmacology (Ireland) 2005;100:193-197.
- Al-Jenoobi FI, Ahad A, Mahrous GM, Al-Mohizea AM, AlKharfy KM, Al-Suwayeh SA. Effects of fenugreek, garden cress, and black seed on theophylline pharmacokinetics in beagle dogs. Pharm Biol 2015;53(2):296-300. PubMed
- Alkharfy KM, Al-Jenoobi FI, Alam MA, et al. Lepidium sativum but not Nigella sativa affects carbamazepine disposition in an animal model. Drug Metab Lett 2013;7:47-51. PubMed
- Chen X, Yuan H, Shi F, Zhu Y. Effect of garden cress in reducing blood glucose, improving blood lipids, and reducing oxidative stress in a mouse model of diabetes induced by a high-fat diet and streptozotocin. J Sci Food Agric 2020;100(5):2074-2081. PubMed
- Alkharfy K, Jan B, Alotaibi K, et al. Clopidogrel-herb Interactions: A Pharmacokinetic and Pharmacodynamic Assessment in a Rat Model. Curr Drug Metab 2021;22(12):969-977. PubMed
- Bin Jardan YA, Ahad A, Raish M, Alam MA, Al-Mohizea AM, Al-Jenoobi FI. Effects of garden cress, fenugreek and black seed on the pharmacodynamics of metoprolol: an herb-drug interaction study in rats with hypertension. Pharm Biol 2021;59(1):1088-1097. PubMed
- Ramadan S, Hegab AM, Al-Awthan YS, Al-Duais MA, Tayel AA, Al-Saman MA. Comparison of the efficiency of Lepidium sativum, Ficus carica, and Punica granatum methanolic extracts in relieving hyperglycemia and hyperlipidemia of streptozotocin-induced diabetic
- I Al-Suwaydani A, Alam MA, Raish M, A Bin Jardan Y, Ahad A, I Al-Jenoobi F. Effect of C. cyminum and L. sativum on pharmacokinetics and pharmacodynamics of antidiabetic drug gliclazide. Curr Drug Metab 2022;23(10):842-849.
- Alam MA, Bin Jardan YA, Raish M, Al-Mohizea AM, Ahad A, Al-Jenoobi FI. Herb-drug interaction: pharmacokinetics and pharmacodynamics of anti-hypertensive drug amlodipine besylate in presence of Lepidium sativum and Curcuma longa. Xenobiotica 2022;52(2):177
- Ahad A, Raish M, Abdelrahman IA, et al. Changes in pharmacokinetics and pharmacodynamics of losartan in experimental diseased rats treated with Curcuma longa and Lepidium sativum. Pharmaceuticals (Basel) 2022;16(1):33. PubMed
- Doghmane A, Aouacheri O, Laouaichia R, Saka S. The investigation of the efficacy ratio of cress seeds supplementation to moderate hyperglycemia and hepatotoxicity in streptozotocin-induced diabetic rats. J Diabetes Metab Disord 2021;20(1):447-459. PubMed
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 Garden Cress
3 brands in our database make a supplement containing Garden Cress.
Supplement products with Garden Cress
16 products in our database contain Garden Cress. Open any to see its full ingredient list and every drug interaction we check.
Garden Cress: Common Questions
What is Garden Cress used for, and does it work?
Does Garden Cress interact with prescription medications?
How are Garden Cress interactions rated?
Is it safe to take Garden Cress with my medications?
Where does this Garden Cress interaction information come from?
What is Garden Cress used for?
Is Garden Cress safe to eat?
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Are Garden Cress seeds the same as chia or flax seeds?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Garden Cress
A rotating sample of real supplements in our database that list Garden Cress — open any to see its full ingredients and every drug interaction we check.
- Psyllium Pre & Probiotic Fiber Original by Organic India
- Herbal Laxative by Organic India
- Kyo-Green Harvest Blend by Kyo-Green
- Bowelcare by Organic India
- Psyllium Pre & Probiotic Fiber Cinnamon Spice by Organic India
- Psyllium Pre & Probiotic Fiber Cinnamon Spice by Organic India
- Psyllium Pre & Probiotic Fiber Orange by Organic India
- Psyllium Pre & Probiotic Fiber Orange by Organic India
- Psyllium Pre & Probiotic Fiber Original by Organic India
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