Lesser Celandine Drug Interactions, Uses, Safety & More
What is this page for?
First and foremost: how Lesser Celandine interacts with medications. The heart of this page is the interaction list — every drug Lesser Celandine is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Lesser Celandine 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 Lesser Celandine against your medication
Add one medicationDrugs 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.
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.
Lesser Celandine: Uses, Safety & Side Effects
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
- 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.
The fresh plant contains irritating compounds and is potentially toxic if taken raw or in large amounts.
When fresh parts of the plant are used orally; avoid using.
Read the full pregnancy detailWhen fresh parts of the plant are used orally; 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
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.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- 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.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Diarrhea Gastrointestinal
Orally, use of the plant is associated with severe gastrointestinal irritation, colic, and diarrhea.
- 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.
Skin irritation Dermatologic
Topically, use of the plant can cause mucous membrane and skin irritation. Extended contact with fresh, bruised plant can cause blisters.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
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.
Lesser Celandine & Pregnancy
Lesser Celandine & Breastfeeding
© 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.
- Newall CA, Anderson LA, Philpson JD. Herbal Medicine: A Guide for Healthcare Professionals. London, UK: The Pharmaceutical Press, 1996.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- 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
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
Lesser Celandine: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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