Herb & supplement monograph

Poison Ivy Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Poison Ivy

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

We don’t currently list any known drug interactions for Poison Ivy. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

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

Poison Ivy: Uses, Safety & Side Effects

The bottom line

Poison ivy is a toxic plant best known for causing an itchy, blistering allergic rash on contact. In supplement form it is sold almost exclusively as an extremely dilute homeopathic remedy (Rhus tox) for joint and muscle pain, but reliable evidence that it works is lacking, and the raw plant should never be used or ingested.

Scientific name
Toxicodendron radicans
Family
Anacardiaceae
Part used
Leaves, stems, and root (used in highly diluted homeopathic preparations); fresh plant in traditional use
Common forms
Homeopathic pellets, tablets, and topical preparations (sold as 'Rhus tox' or 'Rhus toxicodendron')
People commonly use it for
  • Joint pain and stiffness
  • Muscle soreness or strains
  • Skin rashes and itching
  • Arthritis discomfort
  • Restlessness with body aches

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

Safety at a glance
OverallBest avoided

The raw plant is toxic and a potent allergen; only highly diluted homeopathic products are sold, and even these have no proven benefit.

PregnancyLikely Unsafe

When used orally or topically; avoid using.

Read the full pregnancy detail
BreastfeedingLikely Unsafe

When used orally or topically; 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

Poison ivy (often labeled Toxicodendron radicans or the older name Rhus toxicodendron) is a climbing or trailing plant native to North America. It is famous for the oil in its leaves and stems, called urushiol, which causes an itchy, blistering skin rash in most people who touch it.

Despite being a toxic plant, poison ivy is sold as a remedy in homeopathic form, where it is known as Rhus tox. In these products the plant is diluted so many times that little or none of the original substance usually remains. Homeopathic Rhus tox is traditionally promoted for joint pain, stiffness, muscle soreness, and certain skin complaints.

The fresh, raw plant is never used as a regular dietary supplement and should not be eaten or applied to the skin.

How it works

The poison ivy plant contains urushiol, an oily compound that triggers an allergic immune reaction in the skin. This is what causes the well-known rash—not a medicinal benefit.

Homeopathic Rhus tox is based on the idea of "like cures like," meaning a substance that causes certain symptoms in large amounts is thought to relieve similar symptoms when extremely diluted. However, because the product is usually diluted past the point where any plant molecules remain, there is no accepted scientific mechanism to explain how it would work in the body.

Any proposed actions are based on homeopathic theory rather than on confirmed laboratory or clinical findings.

Effectiveness

Does Poison Ivy work?

Evidence overview · 6 uses evaluated
6 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 Poison Ivy, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 6 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Back pain
Rating & evidence shown verbatim from Natural Medicines

Topical poison ivy has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

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

Topical poison ivy has only been evaluated in combination with other ingredients; its effect when used alone is unclear.

Insufficient Reliable Evidence To Rate Pain (acute)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral homeopathic preparations of poison ivy for acute pain, there is insufficient reliable evidence about the clinical effects of poison ivy for this purpose.

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

Although there has been interest in using oral homeopathic preparations of poison ivy for pruritic skin conditions, there is insufficient reliable evidence about the clinical effects of poison ivy for this purpose.

Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral homeopathic preparations of poison ivy for RA, there is insufficient reliable evidence about the clinical effects of poison ivy for this purpose.

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

Although there has been interest in using oral homeopathic preparations of poison ivy for sprains, there is insufficient reliable evidence about the clinical effects of poison ivy for this purpose.

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

The raw poison ivy plant is dangerous. Touching it can cause a painful, blistering rash, and burning the plant can release urushiol into smoke that may harm the eyes, skin, and airways. The raw plant should never be eaten or applied to skin.

Commercial homeopathic Rhus tox products are highly diluted and are generally considered low risk for direct toxicity. Still, these products are not standardized, quality can vary, and they have not been shown to provide real benefit.

People with known allergy to poison ivy or related plants (like mango skin, cashews, or sumac) should be cautious. Pregnant and breastfeeding women should avoid poison ivy in any form because safety has not been established. Do not give it to children without medical advice.

Always talk with a pharmacist or doctor before using any product made from poison ivy.

Side effects

The most serious effects come from the plant itself: contact with the leaves, stems, or oil can cause intense itching, redness, swelling, and fluid-filled blisters. Severe reactions, especially around the face or in widespread areas, may need medical care.

With diluted homeopathic Rhus tox, side effects are uncommon, but some people report skin irritation or a temporary worsening of symptoms. If a low-dilution product still contains active plant material, it could trigger an allergic skin reaction.

Stop use and seek medical help if you develop a rash, trouble breathing, swelling, or other signs of an allergic reaction.

Poison Ivy: Reported Adverse Effects

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

When used orally or topically, poison ivy may be unsafe.

Most Common Adverse Effects:

Orally: Diarrhea, dizziness, fever, intestinal colic, nausea, vomiting, severe mucous membrane irritation.

Topically: Contact dermatitis, herpes-like blisters, reddening, swelling.

Inhaled: Fever.

Serious Adverse Effects (Rare):

Orally: Fever, hematuria, nephritis, stupor, unconsciousness.

Topically: Erythema multiforme, black spot poison ivy dermatitis. Eye contact can cause severe conjunctivitis, corneal inflammations, or loss of sight.

Inhaled: Lung infection, respiratory distress syndrome, throat swelling.

Reports by condition
Acute respiratory distress syndrome (ARDS) Pulmonary/Respiratory

Inhaled, urushiol in the smoke from burning of poison ivy can result in life-threatening throat swelling, fever, and secondary lung infections. Respiratory distress syndrome after smoke inhalation from burning poison ivy has also been reported. Two fatal cases of acute respiratory distress and anaphylaxis after inhaling burned poison ivy are reported in patients with known allergies to poison ivy.

  1. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  2. Kollef, M. H. Adult respiratory distress syndrome after smoke inhalation from burning poison ivy. JAMA 7-26-1995;274(4):358-359.
  3. Woolery S, Willner J, Prahlow JA, Douglas E. Death After Poison Ivy Smoke Inhalation. Am J Forensic Med Pathol 2022;43(4):359-362.
Conjunctivitis Ocular/Otic

Topically, eye contact with urushiol from poison ivy can cause severe conjunctivitis, corneal inflammation, and potentially loss of sight.

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

Topically, poison ivy can cause contact dermatitis, reddening, swelling, and herpes-like blisters. These reactions occur at the area of contact, usually within a few hours, but are sometimes delayed for several days. Sometimes papules and vesicles develop and can spread beyond the area of initial contact, but are generally self-limiting and eventually form crusts.. In a few cases, small white papules known as milia have developed on an area of poison ivy exposure after the typical skin reaction has subsided. Occasionally, poison ivy causes more severe dermatologic reactions such as erythema multiforme. Black spot poison ivy dermatitis also occurs in rare cases, with black lacquer-like lesions on the skin that cannot be washed off, followed by the typical pruritic papules. The black lesions are concentrated urushiol oleoresin that has darkened with exposure to oxygen and moisture. They eventually peel off and the skin heals normally.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. CASPERS, A. P. Poison ivy (Rhus toxicodendron); a survey of the poison ivy problem in Canada and some independent observations on the value of zirconium products in prophylaxis and treatment. Can.Med Assoc.J 5-15-1957;76(10):852-860.
  3. Cohen LM, Cohen JL. Erythema multiforme associated with contact dermatitis to poison ivy: three cases and a review of the literature. Cutis 1998;62:139-42.
  4. Lee, N. P. and Arriola, E. R. Poison ivy, oak, and sumac dermatitis. West J.Med. 1999;171(5-6):354-355.
  5. Kurlan, J. G. and Lucky, A. W. Black spot poison ivy: A report of 5 cases and a review of the literature. J.Am.Acad.Dermatol. 2001;45(2):246-249.
  6. Cardinali, C., Francalanci, S., Giomi, B., Caproni, M., Sertoli, A., and Fabbri, P. Contact dermatitis from Rhus toxicodendron in a homeopathic remedy. J Am Acad.Dermatol. 2004;50(1):150-151.
  7. Resnick, S. D. Poison-ivy and poison-oak dermatitis. Clin.Dermatol. 1986;4(2):208-212.
  8. Baer, R. L. Poison ivy dermatitis. Cutis 1986;37(6):434-436.
  9. Sasseville, D. and Nguyen, K. H. Allergic contact dermatitis from Rhus toxicodendron in a phytotherapeutic preparation. Contact Dermatitis 1995;32(3):182-183.
  10. Epstein, W. L. Occupational poison ivy and oak dermatitis. Dermatol.Clin. 1994;12(3):511-516.
  11. Berk DR, Hurt MA, Reese LT, Wagner L, Bayliss SJ. Milia after allergic contact dermatitis from poison ivy: two cases. Dermatitis 2010;21(3):E16-8.
  12. Werchniak, A. E. and Schwarzenberger, K. Poison ivy: an underreported cause of erythema multiforme. J Am Acad.Dermatol. 2004;51(5 Suppl):S159-S160.
  13. Schwartz, R. S. and Downham, T. F. Erythema multiforme associated with Rhus contact dermatitis. Cutis 1981;27(1):85-86.
  14. Smith HD, Williams B, Beck LA, De Benedetto A. Erythema Multiforme Secondary to Poison Ivy Contact Dermatitis. Dermatitis 2023.
  15. Rabinovich EP, Barquin JN, Abernathy RE, Koester RJ. Black-Spot Toxicodendron Dermatitis With Varied Presentation. Wilderness Environ Med 2022;33(3):351-354.
  16. Schram, S. E., Willey, A., Lee, P. K., Bohjanen, K. A., and Warshaw, E. M. Black-spot poison ivy. Dermatitis 2008;19(1):48-51.
  17. Hurwitz, R. M., Rivera, H. P., and Guin, J. D. Black-spot poison ivy dermatitis. An acute irritant contact dermatitis superimposed upon an allergic contact dermatitis. Am.J.Dermatopathol. 1984;6(4):319-322.
  18. Mallory, S. B., Miller, O. F., III, and Tyler, W. B. Toxicodendron radicans dermatitis with black lacquer deposit on the skin. J.Am.Acad.Dermatol. 1982;6(3):363-368.
Diarrhea Gastrointestinal

Orally, poison ivy can cause severe mucous membrane irritation, nausea, vomiting, and diarrhea.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
Vertigo Neurologic/CNS

Orally, poison ivy can cause dizziness, fever, stupor, and unconsciousness.

  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, science-based dose for poison ivy. The raw plant has no safe oral or topical dose and should never be used.

Homeopathic Rhus tox is sold in various "potencies" (such as 6C or 30C) and forms, including pellets and tablets. Because these products are not standardized and are not proven effective, the only practical guidance is to follow the product label exactly and not exceed the suggested amount.

Before starting any poison ivy or Rhus tox product, check with a pharmacist or doctor, especially if you have allergies, are pregnant or breastfeeding, or are giving it to a child.

Pregnancy & Breastfeeding

Poison Ivy & Pregnancy

Likely Unsafe

When used orally or topically; avoid using.

  1. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.

Poison Ivy & Breastfeeding

Likely Unsafe

When used orally or topically; avoid using.

  1. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
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 21 references that drive our Poison Ivy 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. The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Cohen LM, Cohen JL. Erythema multiforme associated with contact dermatitis to poison ivy: three cases and a review of the literature. Cutis 1998;62:139-42.
  4. Lee, N. P. and Arriola, E. R. Poison ivy, oak, and sumac dermatitis. West J.Med. 1999;171(5-6):354-355.
  5. Kurlan, J. G. and Lucky, A. W. Black spot poison ivy: A report of 5 cases and a review of the literature. J.Am.Acad.Dermatol. 2001;45(2):246-249. PubMed
  6. CASPERS, A. P. Poison ivy (Rhus toxicodendron); a survey of the poison ivy problem in Canada and some independent observations on the value of zirconium products in prophylaxis and treatment. Can.Med Assoc.J 5-15-1957;76(10):852-860.
  7. Cardinali, C., Francalanci, S., Giomi, B., Caproni, M., Sertoli, A., and Fabbri, P. Contact dermatitis from Rhus toxicodendron in a homeopathic remedy. J Am Acad.Dermatol. 2004;50(1):150-151. PubMed
  8. Werchniak, A. E. and Schwarzenberger, K. Poison ivy: an underreported cause of erythema multiforme. J Am Acad.Dermatol. 2004;51(5 Suppl):S159-S160. PubMed
  9. Schram, S. E., Willey, A., Lee, P. K., Bohjanen, K. A., and Warshaw, E. M. Black-spot poison ivy. Dermatitis 2008;19(1):48-51. DOI
  10. Resnick, S. D. Poison-ivy and poison-oak dermatitis. Clin.Dermatol. 1986;4(2):208-212. PubMed
  11. Baer, R. L. Poison ivy dermatitis. Cutis 1986;37(6):434-436.
  12. Hurwitz, R. M., Rivera, H. P., and Guin, J. D. Black-spot poison ivy dermatitis. An acute irritant contact dermatitis superimposed upon an allergic contact dermatitis. Am.J.Dermatopathol. 1984;6(4):319-322. PubMed
  13. Schwartz, R. S. and Downham, T. F. Erythema multiforme associated with Rhus contact dermatitis. Cutis 1981;27(1):85-86.
  14. Mallory, S. B., Miller, O. F., III, and Tyler, W. B. Toxicodendron radicans dermatitis with black lacquer deposit on the skin. J.Am.Acad.Dermatol. 1982;6(3):363-368. PubMed
  15. Kollef, M. H. Adult respiratory distress syndrome after smoke inhalation from burning poison ivy. JAMA 7-26-1995;274(4):358-359. 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

Brand directory

Brands that make products with Poison Ivy

2 brands in our database make a supplement containing Poison Ivy.

Pharmacist Counseling Corner

Poison Ivy: Common Questions

What is Poison Ivy used for, and does it work?
People use Poison Ivy 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 Poison Ivy interact with prescription medications?
We do not currently list any known drug interactions for Poison Ivy. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Poison Ivy 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 Poison Ivy 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 Poison Ivy 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.
Is Poison Ivy used as a real medicine?
Not as a standard medicine. It is sold mainly as a highly diluted homeopathic remedy called Rhus tox for joint and muscle pain, but there is no strong evidence that it works.
Is it safe to take Poison Ivy supplements?
Diluted homeopathic products are generally low risk for direct harm, but they are unproven and unregulated for effectiveness. The raw plant is toxic and should never be eaten or put on the skin.
Can Poison Ivy cure my arthritis or back pain?
There is no reliable proof that Poison Ivy or Rhus tox cures or reliably relieves arthritis, back pain, or muscle aches. Talk to your doctor about treatments that have stronger evidence.
Can I use Poison Ivy products during pregnancy or breastfeeding?
No. Safety has not been established, so Poison Ivy in any form should be avoided during pregnancy and breastfeeding.

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

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