Myrrh Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Myrrh interacts with medications. The heart of this page is the interaction list — every drug Myrrh is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Myrrh 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 Myrrh against your medication
Add one medicationMyrrh Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, the overall risk of a clinically significant Myrrh drug interaction appears low for most people. None of the listed interactions are rated major, and nearly all rest on lab or animal research rather than solid human studies.
The interaction that deserves the most attention involves warfarin. In one reported case, a patient who was stable on warfarin had a notable drop in their INR, a blood test that tracks how well the medication is working, after taking a myrrh extract. Because warfarin has a narrow margin between too little and too much effect, even one report like this warrants caution. Myrrh may also lower blood sugar based on early research, so people taking diabetes medications should be aware that added blood sugar lowering is at least a theoretical concern.
Although myrrh is listed alongside a large number of medications, that does not mean every combination is harmful. Most of these entries come from the same two concerns, blood sugar and warfarin, applied across many individual drugs. The evidence behind them is largely theoretical, and predicted effects have not been confirmed in well-controlled human studies.
Based on HelloPharmacist’s Myrrh interaction data and reviewed under our editorial standards.
Drugs that interact with Myrrh
88 medications have a known interaction with Myrrh, graded by severity. Select any drug for the full evidence-based detail.
Don’t want to scroll the list? Just ask.
Tell us the medications you take and we’ll check each one against Myrrh using our pharmacist-reviewed interaction data.
AI summaries are generated from our Myrrh interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 Myrrh combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Myrrh affects
Every type of medication (drug category) Myrrh is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Antidiabetes Drugs
Theoretically, myrrh might increase the risk of hypoglycemia when taken with antidiabetes drugs.
In vitro and animal research suggests that myrrh has hypoglycemic effects.
Warfarin (Coumadin)
Theoretically, myrrh might decrease the effectiveness of warfarin.
In one case, a patient who was previously stable on warfarin had a significant decline in international normalized ratio (INR) following consumption of an aqueous extract of myrrh.
Myrrh: Uses, Safety & Side Effects
Myrrh is a fragrant gum resin from Commiphora trees that has long been used in mouthwashes, throat remedies, and skin care. Modern evidence for most of its uses is limited and comes mostly from laboratory or small studies, so it should be viewed as a traditional remedy rather than a proven treatment. Talk with your pharmacist or doctor before using it, and avoid it during pregnancy.

- Scientific name
- Commiphora myrrha
- Family
- Burseraceae
- Part used
- Gum resin (and essential oil distilled from the resin)
- Common forms
- Tincture, mouthwash/gargle, capsules, powder, essential oil, topical preparations, incense
- Mouth and gum irritation
- Sore throat
- Minor wound and skin care
- Digestive upset
- Antimicrobial/antiseptic uses
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Likely fine for short-term topical or mouth-rinse use, but oral safety is not well studied.
When used orally. Myrrh stimulates uterine tone and blood flow and may have an abortifacient effect. There is insufficient reliable information availa...
Read the full pregnancy detailInsufficient reliable information available; 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
Myrrh is a sticky gum resin that oozes from the bark of small thorny trees in the genus Commiphora, especially Commiphora myrrha. These trees grow in dry regions of northeast Africa and the Arabian Peninsula, including parts of Somalia, Ethiopia, and Yemen. When the bark is cut, the tree releases a fluid that hardens into reddish-brown lumps that are collected and used.
Myrrh has a warm, slightly bitter, and woody aroma. People have used it for thousands of years in incense, perfume, and traditional medicine. Today it appears in mouthwashes, throat sprays, tinctures, capsules, essential oils, and skin products.
How it works
Myrrh resin contains a mix of compounds, including terpenoids (such as furanoeudesma-diene and other sesquiterpenes), volatile oils, and gum and resin fractions. These substances are thought to give myrrh its aroma and its possible biological effects.
In laboratory and animal studies, myrrh compounds have shown antimicrobial, anti-inflammatory, antioxidant, and mild pain-relieving actions. Its astringent quality may also explain why it has traditionally been used to tighten and soothe irritated tissues in the mouth. It is important to remember that these mechanisms come mostly from test-tube and animal research, and they do not guarantee the same effects in people.
Does Myrrh work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
Likely Ineffective Schistosomiasis
Most research suggests that oral myrrh extract is not effective for treating schistosomiasis.
Also studied for 23 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Back pain
It is unclear if oral myrrh is beneficial in patients with back pain, and topical myrrh has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Cancer
Although there has been interest in using oral myrrh for cancer, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Canker sores
Although there has been interest in using topical myrrh for canker sores, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Common cold
Although there has been interest in using oral myrrh for the common cold, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Cough
Although there has been interest in using oral myrrh for cough, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Crohn disease
Oral myrrh has only been evaluated in combination with other ingredients, its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Dental peri-implantitis
It is unclear if rinsing with myrrh mouthwash solution is effective for the prevention of dental peri-implantitis.
Insufficient Reliable Evidence To Rate Diarrhea
Oral myrrh has only been evaluated in combination with other ingredients, its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Fasciolosis
It is unclear if oral myrrh extract is beneficial in patients with fasciolosis.
Insufficient Reliable Evidence To Rate Gingivitis
Although there has been interest in using topical myrrh for gingivitis, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Herniated disc
Oral myrrh has only been evaluated in combination with other ingredients; its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Intestinal parasite infection
It is unclear if oral myrrh extract is beneficial in children with intestinal parasite infections.
Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Oral myrrh has only been evaluated in combination with other ingredients, its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Miscarriage
It is unclear if oral myrrh is beneficial in patients with incomplete miscarriage.
Insufficient Reliable Evidence To Rate Muscle cramps
Although there has been interest in using oral myrrh for muscle cramps, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Oral mucositis
Although there has been interest in using topical myrrh for oral mucositis, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Peptic ulcers
Although there has been interest in using oral myrrh for peptic ulcers, there is insufficient reliable information about the clinical effects of myrrh for this purpose.
Insufficient Reliable Evidence To Rate Sciatica
Oral myrrh has only been evaluated in combination with other ingredients, its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Tooth extraction
It is unclear if rinsing with myrrh extract solution is beneficial in patients undergoing tooth extraction.
Insufficient Reliable Evidence To Rate Trichomoniasis
It is unclear if oral myrrh extract is beneficial in patients with trichomoniasis.
Insufficient Reliable Evidence To Rate Ulcerative colitis
Oral myrrh has only been evaluated in combination with other ingredients, its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Urinary tract infections (UTIs)
Oral myrrh has only been evaluated in combination with other ingredients, its effect when used alone is unclear.
Insufficient Reliable Evidence To Rate Wound healing
It is unclear if topical myrrh extract is beneficial for wound healing.
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
When used short-term as a mouth rinse, gargle, or in small topical amounts, myrrh is generally considered acceptable for most adults. The safety of taking larger amounts by mouth over a long time is not well established.
Pregnancy: Avoid myrrh. It has traditionally been used to stimulate the uterus and may increase the risk of miscarriage. Breastfeeding: Avoid it as well, because there is not enough safety information.
People with diabetes should be cautious, as some reports suggest myrrh may affect blood sugar. Those with heart problems, kidney issues, or a history of allergic skin reactions should also use care. Stop use and seek help if you notice signs of an allergic reaction. As always, check with your pharmacist or doctor before starting myrrh, especially if you take regular medications or have a chronic condition.
Side effects
Myrrh is usually well tolerated in small amounts, but side effects can occur. These may include stomach upset, diarrhea, or skin irritation when applied topically. Some people may have an allergic reaction such as rash or itching.
Taking large amounts by mouth has been linked to more serious effects, including changes in heart rate, kidney irritation, or low blood sugar. Because the safe oral dose is not well defined, it is best not to swallow large amounts. Stop using myrrh and get medical care if you have trouble breathing, swelling, or a severe reaction.
Myrrh: Reported Adverse Effects
Documented safety reports on Myrrh from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Reports by conditionDermatitis Dermatologic
Topically, myrrh has been reported to cause dermatitis.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
Diarrhea Gastrointestinal
Orally, myrrh may cause diarrhea in some patients when taken at doses of 2-4 grams.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
Pain Genitourinary
Severe lower abdominal pain has been reported in a pregnant woman drinking myrrh resin dissolved in 500 mL of water twice daily as prescribed by a traditional practitioner. This adverse effect resolved one day after discontinuing myrrh. The investigators suggest that this acute abdominal pain was related to myrrh's activity as a uterine stimulant.
Pruritus Immunologic
Orally, myrrh has been reported to cause severe allergic skin reactions, with redness, swelling, and itching, in two case reports of individuals using oral traditional Chinese medicines containing myrrh.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no well-established standard dose of myrrh for any condition. Strengths vary widely between tinctures, mouthwashes, capsules, and essential oils.
The safest approach is to follow the directions on the product label and not exceed them. Mouthwashes and gargles are usually diluted and not swallowed. Essential oil should never be swallowed and must be diluted before applying to the skin. If you are unsure how much to use, ask your pharmacist or doctor for guidance.
Myrrh & Pregnancy
Myrrh & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 8 references that drive our Myrrh 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.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Al Faraj S. Antagonism of the anticoagulant effect of warfarin caused by the use of Commiphora molmol as a herbal medication: a case report. Ann Trop Med Parasitol 2005;99:219-20.
- Al-Jaroudi D, Kaddour O, Al-Amin N. Risks of myrrh use in pregnancy. JBRA Assist Reprod 2016;20(4):257-8.
- Xu YY, Li L, Xuan L, Guan K. Patch test diagnosis of non-immediate cutaneous reaction to myrrh following oral intake of a traditional Chinese medicine decoction. Contact Dermatitis. 2019;80(2):135-136. PubMed
- Al-Romaiyan A, Huang GC, Jones P, Persaud S. Commiphora myrrha stimulates insulin secretion from mouse and human islets of Langerhans. J Ethnopharmacol. 2021 Jan 10;264:113075. 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
Brands that make products with Myrrh
92 brands in our database make a supplement containing Myrrh.
Supplement products with Myrrh
474 products in our database contain Myrrh. Open any to see its full ingredient list and every drug interaction we check.
Myrrh: Common Questions
What is Myrrh used for, and does it work?
Does Myrrh interact with prescription medications?
How are Myrrh interactions rated?
Is it safe to take Myrrh with my medications?
Where does this Myrrh interaction information come from?
What is Myrrh commonly used for?
Is Myrrh safe to take?
Can I use Myrrh while pregnant or breastfeeding?
Can Myrrh essential oil be swallowed?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Myrrh
A rotating sample of real supplements in our database that list Myrrh — open any to see its full ingredients and every drug interaction we check.
- Aroma Resins Alcohol Free by Herbal Terra
- Bio-HPF by Biotics Research Corporation
- Aroma Resins by Herbal Terra
- Immune Support by Crystal Star
- Muscle Calmer by Herb Pharm
- Echinacea & Myrrh Full Spectrum by Swanson
- Red Vessel Teapills by Plum Flower
- Shatavari Rasayana - 23 by Ayurvedic Rasayanas
- Immunattack by Herb Pharm
- Mouth Tonic by Herbs Etc.
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