Germander Drug Interactions, Uses, Safety & More
What is this page for?
First and foremost: how Germander interacts with medications. The heart of this page is the interaction list — every drug Germander is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Germander 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 Germander against your medication
Add one medicationDrugs that interact with Germander
0 medications have a known interaction with Germander, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Germander. 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 Germander combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Germander: Uses, Safety & Side Effects
Germander is a traditional herb that was once used for weight loss and digestion, but it has been linked to serious and sometimes fatal liver damage. Because of these well-documented liver risks, germander has been banned or restricted in several countries, and we strongly advise against using it.
- Scientific name
- Teucrium chamaedrys
- Family
- Lamiaceae
- Part used
- Above-ground parts (leaves and flowering tops)
- Common forms
- Tea, capsules, tinctures, dried herb
- Weight loss aids
- Digestive complaints
- Appetite stimulation
- Gout and arthritis (traditional)
- Fever and infections (traditional)
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Germander has been linked to serious, sometimes fatal liver injury and should be avoided.
Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Germander (Teucrium chamaedrys) is a small flowering plant in the mint family. It grows in parts of Europe, the Mediterranean region, and Western Asia. The leaves and flowering tops have been used in traditional herbal medicine for centuries.
In the past, germander was made into teas, capsules, and tinctures and was promoted for digestion, fever, and especially for weight loss. However, this herb is now best known for a serious safety problem: it has been linked to liver damage. Because of this, several countries have restricted or banned its sale.
Uses & effectiveness
People have traditionally used germander for a wide range of complaints, including digestive upset, poor appetite, gout, fever, and as a supposed weight-loss aid. Despite this long history of folk use, there is no reliable scientific evidence that germander is effective for any of these conditions.
Most of what we know about germander comes from reports of harm rather than studies of benefit. Because high-quality human research is lacking and the safety concerns are serious, germander cannot be recommended for any use.
How it works
Germander contains plant compounds called diterpenoids (such as teucrin A), along with flavonoids and other substances. Laboratory research suggests these diterpenoids can be turned into reactive, toxic products in the liver, which may damage liver cells.
This proposed mechanism helps explain why germander can cause liver injury. Most of this understanding comes from laboratory studies and case reports rather than well-controlled human trials, and there is no proven mechanism behind its traditional uses.
Safety & precautions
Germander is considered unsafe. It has been linked to serious liver damage (hepatitis), including cases that led to liver failure and death. Liver injury has been reported even with short-term use and at amounts found in some commercial products.
Because of these risks, several countries have removed germander from the market or restricted its sale. People with any liver condition, those who drink alcohol heavily, and anyone taking medicines that affect the liver are at especially high risk.
Pregnancy and breastfeeding: Germander should be avoided. Its toxicity and the lack of safety data make it inappropriate during these times.
Side effects
The most serious concern is liver damage. Warning signs can include yellowing of the skin or eyes (jaundice), dark urine, pale stools, nausea, vomiting, loss of appetite, abdominal pain, and unusual tiredness. These symptoms require immediate medical attention.
Liver injury from germander can be severe and, in some reported cases, fatal. If you have taken germander and notice any of these symptoms, stop using it and seek medical care right away.
Germander: Reported Adverse Effects
Documented safety reports on Germander from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, germander has been associated with hepatitis, liver cell necrosis, and death.
- Bruneton J. Pharmacognosy, Phytochemistry, Medicinal Plants. Paris: Lavoisier Publishing, 1995.
- Larrey D, Vial T, Pauwels A, et al. Hepatitis after germander (Teucrium chamaedrys) administration: another instance of herbal medicine hepatotoxicity. Ann Intern Med 1992;117:129-32.
- Pauwels A, Thierman-Duffaud D, Azanowsky JM, et al. [Acute hepatitis caused by wild germander. Hepatotoxicity of herbal remedies. Two cases]. Gastroenterol Clin Biol 1992;16:92-5.
- Castot A, Djezzar S, Deleau N, et al. [Pharmacovigilance off the beaten track: herbal surveillance or pharmacovigilance of medicinal plants]. Therapie 1997;52:97-103.
- Mostefa-Kara N, Pauwels A, Pines E, et al. Fatal hepatitis after herbal tea. Lancet 1992;340:674.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no safe or established dose for germander. Because the herb has been linked to serious liver harm, we do not recommend taking it in any amount or form.
If you are considering germander or find it in a product, please talk with a pharmacist or doctor first. A safer, evidence-based option is almost always available.
Germander & Pregnancy
Germander & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 5 references that drive our Germander 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.
- Bruneton J. Pharmacognosy, Phytochemistry, Medicinal Plants. Paris: Lavoisier Publishing, 1995. DOI
- Larrey D, Vial T, Pauwels A, et al. Hepatitis after germander (Teucrium chamaedrys) administration: another instance of herbal medicine hepatotoxicity. Ann Intern Med 1992;117:129-32.
- Pauwels A, Thierman-Duffaud D, Azanowsky JM, et al. [Acute hepatitis caused by wild germander. Hepatotoxicity of herbal remedies. Two cases]. Gastroenterol Clin Biol 1992;16:92-5.
- Castot A, Djezzar S, Deleau N, et al. [Pharmacovigilance off the beaten track: herbal surveillance or pharmacovigilance of medicinal plants]. Therapie 1997;52:97-103.
- Mostefa-Kara N, Pauwels A, Pines E, et al. Fatal hepatitis after herbal tea. Lancet 1992;340:674. DOI
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
Germander: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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