Herb & supplement monograph

Pyrethrum Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Pyrethrum

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

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

Pyrethrum: Uses, Safety & Side Effects

The bottom line

Pyrethrum is a daisy-like flower whose extracts (called pyrethrins) are widely used as a natural insecticide for plants, pets, and lice. It is not a supplement meant to be taken by mouth, and there is no good evidence supporting any internal health use. If you use pyrethrum products, treat them as pesticides and follow label directions carefully.

Scientific name
Tanacetum cinerariifolium
Family
Asteraceae
Part used
Dried flower heads
Common forms
Insecticide powders, sprays, and extracts (pyrethrins); rarely used internally
People commonly use it for
  • Natural insect repellent
  • Killing fleas, lice, and other pests
  • Garden and household insecticide
  • Traditional use against parasites

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

Safety at a glance
OverallUse caution

Pyrethrum is an insecticide, not a dietary supplement, and should not be taken internally.

PregnancyInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; 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

Pyrethrum comes from the dried flower heads of a daisy-like plant in the chrysanthemum family, often grown in parts of Africa, Australia, and other warm regions. The flowers contain natural chemicals called pyrethrins that are toxic to insects.

For more than a century, pyrethrum has been used as a natural insecticide. You may find it in products to control fleas on pets, head lice, garden pests, and household bugs. It is valued because it breaks down quickly in sunlight and is considered less persistent in the environment than many synthetic pesticides.

It is important to understand that pyrethrum is mainly a pest-control product, not a supplement meant to be swallowed. Despite some historical folk uses, it is not a vitamin, herb tonic, or health remedy.

How it works

The active compounds are pyrethrins, a group of natural oils made by the flowers. These chemicals affect the nervous system of insects by interfering with how nerve channels open and close. This causes paralysis and death in the insect.

Because insects are small and process these chemicals differently than people do, pyrethrins are far more toxic to bugs than to humans at the levels used in approved products. Still, large or improper exposures can affect people, especially the nervous system.

Most of what we know about pyrethrum comes from pest-control research and laboratory studies, not from studies of human health benefits.

Effectiveness

Does Pyrethrum work?

Evidence overview · 2 uses evaluated
1 Effective 1 Ineffective
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.
Effective Lice
Rating & evidence shown verbatim from Natural Medicines

Applying pyrethrins topically and appropriately in concentrations of 0.17% to .0.33% for 12-24 hours is effective for treating head lice and crab lice. They are usually combined with piperonyl butoxide (2% to 4%).

Sources Ref 272
Ineffective Scabies
Rating & evidence shown verbatim from Natural Medicines

Applying pyrethrum flowers topically is not effective for treating scabies.

Sources Ref 4084

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 as directed in approved insecticide and lice products, pyrethrins are generally considered low in toxicity for people. However, pyrethrum is not meant to be taken by mouth, and swallowing it can be harmful.

People with allergies to ragweed, chrysanthemums, marigolds, or daisies may react to pyrethrum, since they are all in the same plant family. Those with asthma or other breathing problems should be careful, as sprays and powders can irritate the lungs.

Keep all pyrethrum products away from children and pets, and store them as you would any pesticide. During pregnancy and breastfeeding, avoid internal use and limit your exposure to insecticide products, since safety has not been established. Always talk with a pharmacist or doctor before using any pyrethrum product on the skin of a child or during pregnancy.

Side effects

Skin or eye contact can cause irritation, redness, itching, or a rash. Breathing in sprays or powders may cause coughing, wheezing, or worsening of asthma.

Allergic reactions are possible, especially in people sensitive to related plants. In rare or severe cases—usually from large exposures or swallowing—symptoms can include nausea, vomiting, headache, dizziness, tingling, or nervous system effects.

If you have trouble breathing, severe swelling, or signs of a serious allergic reaction, seek medical care right away. For accidental swallowing or major exposure, contact a poison control center.

Pyrethrum: Reported Adverse Effects

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

Pyrethrum has limited toxicity. The symptoms of overdose include headache, tinnitus, nausea, tingling of fingers and toes, respiratory disturbances, and other symptoms of neurotoxicity. The pyrethrum flower or derivatives of it might cause an allergic reaction in individuals sensitive to the Asteraceae/Compositae family. Members of this family include ragweed, chrysanthemums, marigolds, daisies, and many other herbs.

  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 recommended internal dose for pyrethrum, and it should not be taken as a supplement. For insecticide, lice, or flea products, the correct amount depends entirely on the specific product.

Always follow the directions on the product label exactly, and do not use more or more often than directed. If you have questions about using a lice or pest product safely—especially for children, pets, or during pregnancy—check with your pharmacist or doctor first.

Pregnancy & Breastfeeding

Pyrethrum & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Pyrethrum & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

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 3 references that drive our Pyrethrum 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. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  2. Covington TR, et al. Handbook of Nonprescription Drugs. 11th ed. Washington, DC: American Pharmaceutical Association, 1996.
  3. Drugs in Pregnancy and Lactation. 4th ed. Baltimore, MD: Williams & Wilkins, 1994.
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

Pyrethrum: Common Questions

What is Pyrethrum used for, and does it work?
People use Pyrethrum for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Pyrethrum for Lice. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Pyrethrum interact with prescription medications?
We do not currently list any known drug interactions for Pyrethrum. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Pyrethrum 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 Pyrethrum 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 Pyrethrum 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 Pyrethrum used for?
Pyrethrum is mainly used as a natural insecticide and repellent to control fleas, lice, garden pests, and household bugs. It is not a proven remedy for human health conditions taken by mouth.
Is it safe to take Pyrethrum by mouth?
No. Pyrethrum is a pest-control product, not a supplement, and swallowing it can be harmful. It should only be used as directed in approved insecticide or lice-treatment products.
Can I use Pyrethrum products during pregnancy or while breastfeeding?
It is best to avoid internal use and limit your exposure to insecticide products, since safety has not been established. Talk with your doctor or pharmacist before using any Pyrethrum product.
Who should be especially careful with Pyrethrum?
People allergic to ragweed, chrysanthemums, marigolds, or daisies may react to it, and those with asthma should avoid breathing in sprays or powders. Keep all products away from children and pets.

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

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