Poison Ivy Drug Interactions, Uses, Effectiveness, Safety & More
What is this page for?
First and foremost: how Poison Ivy interacts with medications. The heart of this page is the interaction list — every drug Poison Ivy is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Poison Ivy 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 Poison Ivy against your medication
Add one medicationDrugs 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.
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.
Poison Ivy: Uses, Safety & Side Effects
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')
- 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.
The raw plant is toxic and a potent allergen; only highly diluted homeopathic products are sold, and even these have no proven benefit.
When used orally or topically; 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
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.
Does Poison Ivy work?
How to read these evidence grades
Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.
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
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
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)
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
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)
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
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.
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.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Kollef, M. H. Adult respiratory distress syndrome after smoke inhalation from burning poison ivy. JAMA 7-26-1995;274(4):358-359.
- 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.
- 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.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- 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.
- 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.
- Lee, N. P. and Arriola, E. R. Poison ivy, oak, and sumac dermatitis. West J.Med. 1999;171(5-6):354-355.
- 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.
- 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.
- Resnick, S. D. Poison-ivy and poison-oak dermatitis. Clin.Dermatol. 1986;4(2):208-212.
- Baer, R. L. Poison ivy dermatitis. Cutis 1986;37(6):434-436.
- Sasseville, D. and Nguyen, K. H. Allergic contact dermatitis from Rhus toxicodendron in a phytotherapeutic preparation. Contact Dermatitis 1995;32(3):182-183.
- Epstein, W. L. Occupational poison ivy and oak dermatitis. Dermatol.Clin. 1994;12(3):511-516.
- 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.
- Werchniak, A. E. and Schwarzenberger, K. Poison ivy: an underreported cause of erythema multiforme. J Am Acad.Dermatol. 2004;51(5 Suppl):S159-S160.
- Schwartz, R. S. and Downham, T. F. Erythema multiforme associated with Rhus contact dermatitis. Cutis 1981;27(1):85-86.
- Smith HD, Williams B, Beck LA, De Benedetto A. Erythema Multiforme Secondary to Poison Ivy Contact Dermatitis. Dermatitis 2023.
- Rabinovich EP, Barquin JN, Abernathy RE, Koester RJ. Black-Spot Toxicodendron Dermatitis With Varied Presentation. Wilderness Environ Med 2022;33(3):351-354.
- 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.
- 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.
- 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.
- 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.
- 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, 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.
Poison Ivy & Pregnancy
Poison Ivy & Breastfeeding
© 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.
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- 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.
- Lee, N. P. and Arriola, E. R. Poison ivy, oak, and sumac dermatitis. West J.Med. 1999;171(5-6):354-355.
- 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
- 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.
- 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
- 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
- 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
- Resnick, S. D. Poison-ivy and poison-oak dermatitis. Clin.Dermatol. 1986;4(2):208-212. PubMed
- Baer, R. L. Poison ivy dermatitis. Cutis 1986;37(6):434-436.
- 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
- Schwartz, R. S. and Downham, T. F. Erythema multiforme associated with Rhus contact dermatitis. Cutis 1981;27(1):85-86.
- 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
- Kollef, M. H. Adult respiratory distress syndrome after smoke inhalation from burning poison ivy. JAMA 7-26-1995;274(4):358-359. DOI
- Sasseville, D. and Nguyen, K. H. Allergic contact dermatitis from Rhus toxicodendron in a phytotherapeutic preparation. Contact Dermatitis 1995;32(3):182-183.
- Epstein, W. L. Occupational poison ivy and oak dermatitis. Dermatol.Clin. 1994;12(3):511-516. DOI
- 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. DOI
- Woolery S, Willner J, Prahlow JA, Douglas E. Death After Poison Ivy Smoke Inhalation. Am J Forensic Med Pathol 2022;43(4):359-362. PubMed
- Rabinovich EP, Barquin JN, Abernathy RE, Koester RJ. Black-Spot Toxicodendron Dermatitis With Varied Presentation. Wilderness Environ Med 2022;33(3):351-354. PubMed
- Smith HD, Williams B, Beck LA, De Benedetto A. Erythema Multiforme Secondary to Poison Ivy Contact Dermatitis. Dermatitis 2023. 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 Poison Ivy
2 brands in our database make a supplement containing Poison Ivy.
Supplement products with Poison Ivy
3 products in our database contain Poison Ivy. Open any to see its full ingredient list and every drug interaction we check.
Poison Ivy: Common Questions
What is Poison Ivy used for, and does it work?
Does Poison Ivy interact with prescription medications?
How are Poison Ivy interactions rated?
Is it safe to take Poison Ivy with my medications?
Where does this Poison Ivy interaction information come from?
Is Poison Ivy used as a real medicine?
Is it safe to take Poison Ivy supplements?
Can Poison Ivy cure my arthritis or back pain?
Can I use Poison Ivy products during pregnancy or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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