Herb & supplement monograph

Sweet Sumac Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Sweet Sumac

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

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

Sweet Sumac: Uses, Safety & Side Effects

The bottom line

Sweet Sumac (Rhus aromatica) is a North American shrub used in traditional and folk medicine, mostly for urinary and digestive complaints. There is very little modern human research to confirm that it works for any condition, so its benefits remain unproven. Because it belongs to the same plant family as poison ivy, talk with a pharmacist or doctor before using it.

Scientific name
Rhus aromatica
Family
Anacardiaceae
Part used
Bark of the root, leaves, and berries
Common forms
Dried bark, tea, tincture, liquid extract
People commonly use it for
  • Urinary complaints
  • Diarrhea
  • Excessive urination or bedwetting
  • Sore throat and mouth rinse
  • Mild bleeding

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

Safety at a glance
OverallUse caution

Limited safety data exist, and it is related to plants that can cause skin reactions.

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

Sweet Sumac is a small, woody shrub known scientifically as Rhus aromatica. It belongs to the cashew family (Anacardiaceae), which also includes poison ivy and poison oak. The plant grows wild across much of North America, often in dry, rocky, or sandy areas.

It is sometimes called fragrant sumac because its crushed leaves give off a spicy or sweet smell. Traditionally, the bark of the root, the leaves, and the red berries have been used in folk and herbal medicine. The berries of related, non-toxic sumac species are also used to make a tart drink and seasoning, but Sweet Sumac itself has mostly been used as a medicinal herb.

People have historically prepared Sweet Sumac as a tea, tincture, or liquid extract, taken by mouth or used as a gargle.

How it works

Sweet Sumac contains tannins, which are plant compounds with an astringent effect. Astringents can tighten and dry tissues, and this is the traditional reasoning behind its use for diarrhea, mild bleeding, and as a mouth or throat rinse.

The plant also contains various plant acids and aromatic oils that give it its scent. Some related sumac plants have been studied in the laboratory for possible antioxidant and antimicrobial effects.

It is important to know that these proposed mechanisms are based mostly on the chemistry of the plant and on laboratory or animal research, not on solid studies in humans. We do not have good evidence showing how, or whether, Sweet Sumac produces meaningful effects in the body.

Effectiveness

Does Sweet Sumac work?

Evidence overview · 1 use evaluated
1 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 Sweet Sumac, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 1 condition — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Overactive bladder
Rating & evidence shown verbatim from Natural Medicines

Preliminary clinical research in women with overactive bladder shows that taking a specific combination product (Granu Fink femina, Omega Pharma) containing sweet sumac bark extract 56 mg, pumpkin seed oil 227 mg, and hops cone extract 18 mg three times daily for 12 weeks decreases the frequency of urination and leakage and improves quality of life when compared to baseline. The validity of these findings is limited by the lack of a control group. Additionally, it is unclear if these findings are due to sweet sumac, other ingredients, or the combination.

Sources Ref 103253

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

There is limited modern safety information for Sweet Sumac. Because it is in the same plant family as poison ivy and poison oak, some people may be sensitive to it, and handling the plant could cause skin irritation in sensitive individuals.

People with kidney problems, liver problems, or chronic digestive disorders should be cautious and check with a healthcare provider before using it. Tannin-rich herbs taken in large amounts or for long periods may upset the stomach.

Pregnancy and breastfeeding: There is not enough reliable safety information for these situations. To be safe, women who are pregnant or breastfeeding should avoid Sweet Sumac.

Do not confuse Sweet Sumac with poison sumac (Toxicodendron vernix), which is a different, toxic plant. Always buy herbal products from reputable sources so you know exactly what you are getting.

Side effects

Because Sweet Sumac has not been carefully studied, its full side effect profile is not well known. Possible effects, based on its tannin content and plant family, include:

  • Stomach upset or nausea, especially with large amounts
  • Mouth or throat dryness when used as a gargle
  • Skin irritation or allergic reactions in people sensitive to plants in this family

Stop using it and seek medical care if you have signs of an allergic reaction, such as rash, swelling, or trouble breathing.

Sweet Sumac: Reported Adverse Effects

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

Reports by condition
Overactive bladder Genitourinary

Orally, infections of the urogenital tract have been reported in women with overactive bladder who were taking a combination product (Granu Fink femina, Omega Pharma) containing sweet sumac bark extract, pumpkin seed oil, and hops cone extract. It is unclear if these adverse effects were due to sweet sumac, other ingredients, or the combination.

  1. Gauruder-Burmester A, Heim S, Patz B, Seibt S. Cucurbita pepo-Rhus aromatica-Humulus lupulus combination reduces overactive bladder symptoms in women - a noninterventional study. Planta Med. 2019;85(13):1044-53.
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, standardized dose for Sweet Sumac. It has traditionally been taken as a tea, tincture, or liquid extract made from the root bark or leaves, but reliable dosing guidelines from clinical research are not available.

If you choose to use a commercial product, follow the directions on the label and do not exceed the suggested amount. Because product strength can vary a lot, it is wise to check with a pharmacist or doctor first, especially if you take other medicines or have a health condition.

Pregnancy & Breastfeeding

Sweet Sumac & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Sweet Sumac & 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 1 references that drive our Sweet Sumac 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. Gauruder-Burmester A, Heim S, Patz B, Seibt S. Cucurbita pepo-Rhus aromatica-Humulus lupulus combination reduces overactive bladder symptoms in women - a noninterventional study. Planta Med. 2019;85(13):1044-53. PubMed
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

Sweet Sumac: Common Questions

What is Sweet Sumac used for, and does it work?
People use Sweet Sumac 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 Sweet Sumac interact with prescription medications?
We do not currently list any known drug interactions for Sweet Sumac. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Sweet Sumac 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 Sweet Sumac 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 Sweet Sumac 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 Sweet Sumac used for?
It has traditionally been used for urinary complaints, diarrhea, sore throat, and minor bleeding, mainly because of its astringent properties. However, there is little modern research to prove it works for any of these uses.
Is Sweet Sumac the same as poison sumac?
No. Sweet Sumac (Rhus aromatica) is a different plant from poison sumac, which is toxic. Still, Sweet Sumac is in the same family as poison ivy, so some people may react to it.
Is Sweet Sumac safe to take?
Its safety has not been well studied. It may cause stomach upset or, in sensitive people, allergic skin reactions, so it is best to talk with a pharmacist or doctor before using it.
Can I use Sweet Sumac during pregnancy or while breastfeeding?
There is not enough reliable safety information, so it is best to avoid Sweet Sumac if you are pregnant or breastfeeding.

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

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