Herb & supplement monograph

Germander Drug Interactions, Uses, Safety & More

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Interaction report

Drugs 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.

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 Germander combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Germander: Uses, Safety & Side Effects

The bottom line

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
People commonly use it for
  • 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.

Safety at a glance
OverallBest avoided

Germander has been linked to serious, sometimes fatal liver injury and should be avoided.

PregnancyLikely Unsafe

When used orally.

Read the full pregnancy detail
BreastfeedingLikely Unsafe

When used orally.

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

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.

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 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.

Pregnancy & Breastfeeding
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 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.

  1. Bruneton J. Pharmacognosy, Phytochemistry, Medicinal Plants. Paris: Lavoisier Publishing, 1995. DOI
  2. 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.
  3. 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.
  4. 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.
  5. Mostefa-Kara N, Pauwels A, Pines E, et al. Fatal hepatitis after herbal tea. Lancet 1992;340:674. DOI
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

Pharmacist Counseling Corner

Germander: Common Questions

Does Germander interact with prescription medications?
We do not currently list any known drug interactions for Germander. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Germander 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 Germander 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 Germander 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 Germander used for?
Traditionally it was used for digestion, fever, gout, and weight loss, but there is no good evidence it works for any of these, and it carries serious liver risks.
Is Germander safe to take?
No. Germander has been linked to serious and sometimes fatal liver damage, and several countries have restricted or banned it. We advise against using it.
Can I use Germander to lose weight?
Germander was once promoted for weight loss, but it caused cases of severe liver injury when used this way. It should not be used for weight loss or anything else.
What are the warning signs of a problem with Germander?
Watch for jaundice (yellow skin or eyes), dark urine, pale stools, nausea, belly pain, and unusual fatigue, and seek medical care right away if they occur.

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

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