Herb & supplement monograph

Lesser Celandine Drug Interactions, Uses, Safety & More

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Interaction report

Drugs that interact with Lesser Celandine

0 medications have a known interaction with Lesser Celandine, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Lesser Celandine. 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 Lesser Celandine combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Lesser Celandine: Uses, Safety & Side Effects

The bottom line

Lesser Celandine is a small spring wildflower with a long folk reputation for treating hemorrhoids (one of its old names is 'pilewort'). There is very little modern scientific evidence that it works for any condition, and the fresh plant is irritating and can be toxic if used improperly. It is best avoided as an internal supplement, and you should talk to a pharmacist or doctor before using it.

Scientific name
Ficaria verna
Family
Ranunculaceae
Part used
Aerial parts (leaves and flowers) and root
Common forms
Traditional ointments, tinctures, and dried herb preparations
People commonly use it for
  • Hemorrhoids
  • Skin sores and itching
  • Scurvy (historically, as a spring green)
  • Minor wounds

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

Safety at a glance
OverallUse caution

The fresh plant contains irritating compounds and is potentially toxic if taken raw or in large amounts.

PregnancyLikely Unsafe

When fresh parts of the plant are used orally; avoid using.

Read the full pregnancy detail
BreastfeedingLikely Unsafe

When fresh parts of the plant are used orally; 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

Lesser Celandine (Ficaria verna, sometimes still listed as Ranunculus ficaria) is a low-growing perennial plant in the buttercup family. It has glossy, heart-shaped leaves and bright yellow, star-like flowers that appear in early spring. It grows widely across Europe, parts of Asia, and has spread to North America, where it is often considered an invasive weed.

One of its traditional names is pilewort, because folk healers used it to treat hemorrhoids ("piles"). The plant has also been used in old herbal medicine for skin problems and, long ago, eaten as an early spring green to ward off scurvy. Today it is mostly of historical and traditional interest rather than a mainstream supplement.

Uses & effectiveness

People have traditionally used Lesser Celandine mainly for hemorrhoids, applied as an ointment or used in a poultice. It has also been used on the skin for sores, scratches, and itching.

Despite this long folk history, modern scientific evidence is very limited. There are no high-quality human clinical trials showing that it effectively treats hemorrhoids or any other condition. Most of what is known comes from tradition and a small amount of laboratory research. Because of this, it is best to think of its uses as traditional rather than proven.

How it works

Lesser Celandine contains plant compounds such as saponins, tannins, and protoanemonin (a substance formed when the fresh plant is crushed). Tannins have a drying, astringent effect, which is one reason the plant was historically applied to hemorrhoids and irritated skin.

The plant also contains protoanemonin, an irritating compound common in the buttercup family. Traditional preparation often involves drying or heating the plant, which converts protoanemonin into a less irritating substance called anemonin. These ideas are based mostly on chemistry and older observations rather than modern clinical studies, so the real effects in people are not well understood.

Safety & precautions

The fresh plant can be irritating and is potentially toxic if eaten raw or used in large amounts, because of protoanemonin. Eating the fresh plant may cause mouth and stomach irritation. Drying or proper preparation reduces this risk, which is why traditional use relied on processed forms.

People with sensitive skin may react to topical use. Because the plant is in the buttercup family, those with allergies to related plants should be cautious.

There is not enough reliable safety information to recommend Lesser Celandine during pregnancy or breastfeeding, so it should be avoided in both situations. Children and people with chronic health conditions should not use it without medical advice. Always talk to a pharmacist or doctor before trying it.

Side effects

When the fresh or improperly prepared plant is taken by mouth, it can cause mouth, throat, and stomach irritation, nausea, and digestive upset. Applied to the skin, it may cause redness, burning, or irritation in some people.

Serious poisoning is possible if large amounts of the raw plant are eaten. If someone develops severe mouth pain, vomiting, or other serious symptoms after using it, seek medical care promptly.

Lesser Celandine: Reported Adverse Effects

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

Orally, lesser celandine may cause severe gastrointestinal irritation, colic, diarrhea, and irritation of the urinary tract. One report associates the use of lesser celandine with a case of recurrent, acute hepatitis.

Topically, lesser celandine can cause mucous membrane and skin irritation. Extended contact with fresh, bruised plant can cause blisters. Some Ranunculus species also cause photodermatitis.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Yilmaz B, Yilmaz B, Aktas B, Unlu O, Roach EC. Lesser celandine (pilewort) induced acute toxic liver injury: The first case report worldwide. World J Hepatol. 2015;7(2):285-8.
  3. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Reports by condition
Diarrhea Gastrointestinal

Orally, use of the plant is associated with severe gastrointestinal irritation, colic, and diarrhea.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
Hepatitis Hepatic

There is a case of a 36-year old woman with acute hepatitis and jaundice probably related to use of lesser celandine. She consumed one cup per day as tea for 3 days. Alanine transaminase (ALT) levels were elevated by at least 174-fold and aspartate aminotransferase (AST) by at least 34-fold. Alkaline phosphatase and total bilirubin were also elevated. Elevated liver enzyme levels rapidly decreased following discontinuation of the product, returning to normal within 3 weeks.

  1. Yilmaz B, Yilmaz B, Aktas B, Unlu O, Roach EC. Lesser celandine (pilewort) induced acute toxic liver injury: The first case report worldwide. World J Hepatol. 2015;7(2):285-8.
Skin irritation Dermatologic

Topically, use of the plant can cause mucous membrane and skin irritation. Extended contact with fresh, bruised plant can cause blisters.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
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 established or standardized dose for Lesser Celandine. It is not a common commercial supplement, and reliable dosing information from clinical research does not exist.

If you are considering a traditional product that contains it, follow the product label exactly and do not use the fresh plant on your own. Because of the toxicity risk and lack of evidence, it is safest to check with a pharmacist or doctor before using any preparation.

Pregnancy & Breastfeeding

Lesser Celandine & Pregnancy

Likely Unsafe

When fresh parts of the plant are used orally; avoid using.

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

Lesser Celandine & Breastfeeding

Likely Unsafe

When fresh parts of the plant are used orally; avoid using.

  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.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 4 references that drive our Lesser Celandine 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
  4. Yilmaz B, Yilmaz B, Aktas B, Unlu O, Roach EC. Lesser celandine (pilewort) induced acute toxic liver injury: The first case report worldwide. World J Hepatol. 2015;7(2):285-8. 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

Lesser Celandine: Common Questions

Does Lesser Celandine interact with prescription medications?
We do not currently list any known drug interactions for Lesser Celandine. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Lesser Celandine 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 Lesser Celandine 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 Lesser Celandine 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 Lesser Celandine used for?
It has been used traditionally for hemorrhoids (which is why it is also called pilewort) and for minor skin problems. There is little modern evidence proving it works for any of these uses.
Is Lesser Celandine safe to eat?
The fresh plant can be irritating and is potentially toxic raw because of a compound called protoanemonin. It should not be eaten raw, and it is safest to avoid using it as food or supplement.
Can I use Lesser Celandine during pregnancy or breastfeeding?
No. There is not enough safety information, so it should be avoided during pregnancy and while breastfeeding.
Why is it called pilewort?
"Piles" is an old word for hemorrhoids, and the plant was traditionally used to treat them, so it earned the name pilewort. This is a traditional use, not a proven treatment.

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

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