Herb & supplement monograph

Great Plantain Drug Interactions, Uses, Effectiveness, Safety & More

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Great Plantain Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Great Plantain drug interaction appears low for most people. Only a couple of interactions are known, none are rated major, and the concern rests on theoretical evidence rather than documented problems in people.

Interactions deserving the most attention

The one combination worth real attention involves warfarin, the blood thinner. Great plantain leaves naturally contain fairly high amounts of vitamin K, and vitamin K works against warfarin, so eating large amounts of the leaves could in theory make the medicine less effective at preventing clots. Because warfarin is a narrow-margin drug where even small changes in effect can matter, anyone taking it should treat this supplement with extra care, even though the interaction has not been confirmed in human studies.

What the rest of the list means

Great Plantain has a very short interaction list compared with many supplements. What is listed here is a predicted effect based on the plant's vitamin K content, not something shown to cause harm in people, and no interaction has been documented at the highest level of evidence.

Check your medications against Great Plantain

Based on HelloPharmacist’s Great Plantain interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Great Plantain

2 medications have a known interaction with Great Plantain, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
WarfarinWarfarin› Warfarin SodiumCoumadin, Panwarfin, Sofarin› "phentolamineOraVerse, Rogitine, Ryzumvi› 6-mercaptopurinePurinethol› Ado-trastuzumab EmtansineKadcyla› AbacavirZiagen› Abacavir Sulfate, Dolutegravir, LamivudineTriumeq› Abacavir, LamivudineEpzicom› AbaloparatideTymlos› AbametapirXeglyze› AbarelixPlenaxis› AbciximabReoPro› AbemaciclibVerzenio› Abiraterone› Abiraterone AcetateYonsa, Zytiga› AbrocitinibCibinqo› AcalabrutinibCalquence› AcamprosateCampral› AcarboseGlucobay, Prandase, Precose› AcebutololRhotral, Sectral› AcenocoumarolSintrom› AcepromazineAtravet› AcetaminophenChildren's Tylenol, Children's Tylenol Meltaways, Tylenol, Tylenol Ex Strength› Acetaminophen, AspirinGemnisyn› Acetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine› Acetaminophen, Brompheniramine, PhenylpropanolamineDimetapp Cold and Flu› Acetaminophen, ButalbitalAxocet, Bancap, Bucet, Butex Forte, Esgic CF, Orbivan CF +5 more› Acetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more› Acetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine› Acetaminophen, Butalbital, CodeineBancap w/ Codeine›
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 Great Plantain combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Great Plantain affects

Every type of medication (drug category) Great Plantain is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Great Plantain interacts with
Warfarin (coumadin)
Warfarin (Coumadin)

Theoretically, consuming large amounts of great plantain leaves, which contain vitamin K, might decrease the clinical effects of warfarin.
Great plantain leaves contain relatively high concentrations of vitamin K, which might interfere with the activity of warfarin.

Likelihood Possible Evidence D
Monograph

Great Plantain: Uses, Safety & Side Effects

The bottom line

Great Plantain is a common weed traditionally used on the skin for minor wounds and bites, and as a tea for coughs or stomach upset. Human evidence for most of these uses is limited, though the plant appears generally well tolerated. Talk with your pharmacist or doctor before using it, especially if you are pregnant, breastfeeding, or have a health condition.

Scientific name
Plantago major
Family
Plantaginaceae
Part used
Leaves and seeds
Common forms
Tea, capsules, tinctures, topical salves and ointments, fresh crushed leaves (poultice)
People commonly use it for
  • Minor wounds and skin irritation
  • Insect bites and stings
  • Coughs and sore throat
  • Digestive upset
  • Mild inflammation

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Generally considered well tolerated for most adults, but human safety data are limited.

PregnancyLikely Unsafe

When used orally because it can increase uterine tone.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

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

Great Plantain (Plantago major) is a low-growing weed with broad, oval leaves and tall thin seed spikes. It grows almost everywhere, often in lawns, sidewalks, fields, and along roadsides. It is not related to the banana-like cooking plantain.

People have used the leaves and seeds of this plant for centuries in traditional and folk medicine. The fresh leaves are sometimes crushed and placed on the skin, while the dried leaves are made into teas, tinctures, or salves. The seeds and seed coats of related Plantago species (like psyllium) are well known for fiber, but Great Plantain is used mostly as a topical and respiratory remedy.

How it works

Great Plantain contains several plant compounds that may explain its traditional uses. These include aucubin (an iridoid glycoside), mucilage (a soothing, gel-like fiber), tannins, flavonoids, and allantoin.

Researchers think the mucilage may coat and soothe irritated tissue, while tannins may have a mild astringent (tightening) effect that could help minor wounds. Aucubin and flavonoids have shown anti-inflammatory and antimicrobial activity in laboratory studies. Keep in mind that these mechanisms are mostly based on lab and animal research, and how well they apply to people is not fully known.

Effectiveness

Does Great Plantain work?

Evidence overview · 9 uses evaluated
9 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Great Plantain, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 9 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Burns
Rating & evidence shown verbatim from Natural Medicines

It is unclear if topical great plantain is beneficial for burns.

Insufficient Reliable Evidence To Rate Cough
Rating & evidence shown verbatim from Natural Medicines

Oral great plantain has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Diabetic foot ulcers
Rating & evidence shown verbatim from Natural Medicines

It is unclear if topical great plantain is beneficial for diabetic foot ulcers.

Insufficient Reliable Evidence To Rate Menorrhagia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral great plantain leaf extract is beneficial in patients with menorrhagia.

Insufficient Reliable Evidence To Rate Nonalcoholic fatty liver disease (NAFLD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral great plantain seed is beneficial in patients with NAFLD.

Insufficient Reliable Evidence To Rate Obesity
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral great plantain leaf is beneficial in patients with obesity.

Insufficient Reliable Evidence To Rate Oral mucositis
Rating & evidence shown verbatim from Natural Medicines

Small clinical studies suggest that oral great plantain extract might reduce the severity of oral mucositis, but rinsing with great plantain solution does not seem to be superior to sodium bicarbonate or chlorhexidine for improving healing time.

Insufficient Reliable Evidence To Rate Pressure ulcers
Rating & evidence shown verbatim from Natural Medicines

It is unclear if topical great plantain is beneficial in patients with pressure ulcers.

Insufficient Reliable Evidence To Rate Ulcerative colitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral great plantain seed is beneficial in patients with ulcerative colitis.

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

Great Plantain is generally considered well tolerated when used as a food-like tea or applied to the skin, but solid human safety data are limited. Use clean, properly identified plant material, since lookalike weeds and roadside plants may be contaminated with pesticides, pollution, or animal waste.

People with known allergies to plants in the Plantago family should be cautious. If you have a chronic health condition or take regular medications, check with your pharmacist or doctor first.

Pregnancy and breastfeeding: There is not enough reliable safety information for these situations. To be safe, avoid medicinal amounts of Great Plantain if you are pregnant or breastfeeding.

Side effects

When used in typical amounts, Great Plantain is usually well tolerated. Possible side effects can include mild digestive upset when taken by mouth and skin irritation or allergic reaction when applied topically.

Rarely, sensitive people may have an allergic reaction. Stop using it and seek medical care right away if you notice rash, swelling, trouble breathing, or other signs of a serious allergy.

Great Plantain: Reported Adverse Effects

Documented safety reports on Great Plantain from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Orally and topically, great plantain seems to be well tolerated. However, a thorough evaluation of safety outcomes has not been conducted.

Most Common Adverse Effects:

Topically: Contact dermatitis in sensitive individuals.

Reports by condition
Dermatitis Dermatologic

Topically, application can cause allergic contact dermatitis in some individuals.

  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
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 well-established standardized dose for Great Plantain. Traditional use varies widely, and the amount of active compounds differs between products and plant sources.

If you choose to use it, follow the directions on the product label and do not exceed the recommended amount. A pharmacist or doctor can help you decide whether it is appropriate for you and review your other medications and health conditions first.

Pregnancy & Breastfeeding

Great Plantain & Pregnancy

Likely Unsafe

When used orally because it can increase uterine tone.

  1. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.

Great Plantain & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

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 3 references that drive our Great Plantain 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. Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
  2. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
  3. Adom MB, Taher M, Mutalabisin MF, et al. Chemical constituents and medical benefits of Plantago major. Biomed Pharmacother. 2017;96:348-360. PubMed
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

Great Plantain: Common Questions

What is Great Plantain used for, and does it work?
People use Great Plantain for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Great Plantain interact with prescription medications?
Yes. We list 2 medications with a known interaction with Great Plantain. Use the checker above to see how Great Plantain interacts with a specific drug.
How are Great Plantain 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 Great Plantain 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 Great Plantain 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 Great Plantain used for?
It is traditionally used on the skin for minor wounds, scrapes, and insect bites, and as a tea for coughs, sore throat, and stomach upset. Human evidence for most of these uses is limited.
Is Great Plantain the same as the banana-like plantain?
No. Great Plantain is a small broad-leaf weed (Plantago major) and is not related to the starchy cooking plantain that looks like a banana.
Is Great Plantain safe to take?
It appears generally well tolerated for most adults, but human safety data are limited. Use properly identified, clean plant material and check with your pharmacist or doctor first.
Can I use Great Plantain while pregnant or breastfeeding?
There is not enough safety information, so it is best to avoid medicinal use of Great Plantain during pregnancy and breastfeeding.

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

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