Herb & supplement monograph

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

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Sweet Woodruff Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Sweet Woodruff drug interaction appears low for most people. None of the listed interactions are rated major, and every one traces back to a single theoretical concern that current evidence suggests is unlikely to matter in real life.

Interactions deserving the most attention

The only interaction worth watching involves anticoagulant and antiplatelet drugs, the medications used to prevent blood clots. Sweet woodruff naturally contains coumarin, a compound related to some blood thinners, so in theory it could add to their effects and raise bleeding risk. In practice, the amount of coumarin in sweet woodruff is so small that a meaningful effect is doubtful. Because bleeding risk is closely watched with these medicines, we still suggest a cautious approach for anyone taking a blood thinner.

What the rest of the list means

Although the list of interacting medications looks long, it does not mean each combination is harmful. Nearly all of these entries come from that one theoretical bleeding concern applied across many blood-thinning drugs, and the predicted effect has not been shown to cause meaningful problems in people.

Check your medications against Sweet Woodruff

Based on HelloPharmacist’s Sweet Woodruff interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Sweet Woodruff

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

2,830 drugs
AbciximabReoPro› AbrocitinibCibinqo› AcenocoumarolSintrom› Acetaminophen, AspirinGemnisyn› Acetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine› Acetaminophen, IbuprofenCombogesic› Acetylsalicylic AcidEntrophen› Alteplase, TpaActilyse, Activase› Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2› Aluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin› Anacaulase-bcdbNexoBrid› AnagrelideAgrylin› AnisindioneMiradon› Antithrombin IiiThrombate III› ApixabanEliquis› ArgatrobanArgatroban› AspirinAngettes 75, ASA, Asaphen, Aspirin, Caprin, Cartia +8 more› Aspirin, Aluminum Hydroxide, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #3› Aspirin, ButalbitalAxotal› Aspirin, Butalbital, CaffeineFiorinal› Aspirin, Butalbital, Caffeine, Codeine PhosphateFiorinal w/ Codeine› Aspirin, Butalbital, Caffeine, PhenacetinMarnal› Aspirin, CaffeineAnacin› Aspirin, Caffeine, Codeine PhosphateAnacin w/ Codeine› Aspirin, Caffeine, Dihydrocodeine BitartrateSynalgos DC› Aspirin, Caffeine, Dover's PwdAcedoval, Dovacet› Aspirin, Caffeine, HydrocodoneDamason-P› Aspirin, Caffeine, Isobutylallylbarbituric Acid, PhenacetinLanorinal› Aspirin, Caffeine, OrphenadrineInvagesic, Invagesic Forte, Norgesic, Norgesic Forte, Orphengesic, Orphengesic Forte› Aspirin, Caffeine, Phenacetin, PropoxypheneMargesic Comp. 65›
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 Woodruff combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Sweet Woodruff affects

Every type of medication (drug category) Sweet Woodruff is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Sweet Woodruff interacts with
Anticoagulant/antiplatelet Drugs
Anticoagulant/Antiplatelet Drugs

Theoretically, concomitant use might increase the effects of some anticoagulant and antiplatelet drugs and increase the risk of bleeding.
Sweet woodruff contains coumarin and coumarin derivatives. However, the levels of coumarin found in sweet woodruff are so low that clinically relevant effects are doubtful. Until more is known, use with caution.

Likelihood Unlikely Evidence D
Monograph

Sweet Woodruff: Uses, Safety & Side Effects

The bottom line

Sweet woodruff is a fragrant European herb traditionally used for digestion, calming, and various other complaints, but solid human evidence for any of these uses is lacking. It contains coumarin, which can be harmful in large amounts, so it should be used only sparingly and avoided during pregnancy and breastfeeding. Talk to your pharmacist or doctor before using it.

Sweet Woodruff
Scientific name
Galium odoratum
Family
Rubiaceae
Part used
Above-ground parts (leaves, flowering tops, and stems)
Common forms
Dried herb, tea, tinctures, and traditional flavoring (for example in some wines and beverages)
People commonly use it for
  • Digestive upset
  • Anxiety, restlessness, and sleep
  • Liver and gallbladder complaints
  • Urinary tract problems
  • Respiratory complaints
  • As a flavoring agent

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

Safety at a glance
OverallUse caution

Generally used in small amounts as a flavoring, but its coumarin content can be harmful in larger or long-term doses.

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 woodruff (Galium odoratum) is a low-growing perennial herb in the bedstraw family (Rubiaceae). It is native to Europe and parts of Asia and grows in shady woodlands. It is also widely grown as a garden ground cover.

When the plant is dried, it develops a sweet, hay-like or vanilla scent because of a natural compound called coumarin. Because of this pleasant smell, sweet woodruff has traditionally been used to flavor certain drinks (such as the German "Maiwein" or May wine) and to scent linens.

In folk medicine, the above-ground parts have been used to make teas and other preparations for a range of complaints, including digestive, urinary, and nervous problems. Today it is much more popular as a flavoring and ornamental plant than as a medicine.

How it works

The most notable compound in sweet woodruff is coumarin, which is responsible for its sweet smell. The plant also contains other substances such as tannins (which give an astringent effect), flavonoids, and small amounts of iridoid compounds.

In traditional use, the astringent tannins were thought to help with digestive and skin complaints, while the plant was also believed to have mild calming and diuretic effects. These ideas are based largely on tradition and laboratory observations rather than well-designed human studies.

It is important to know that coumarin is not the same as the blood thinner "warfarin," although the names sound similar. Still, large amounts of coumarin can be hard on the liver, which is one reason this herb should be used carefully.

Effectiveness

Does Sweet Woodruff work?

Evidence overview · 10 uses evaluated
10 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 Woodruff, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 10 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Angina
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral sweet woodruff for angina, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

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

Although there has been interest in using oral sweet woodruff for arrhythmia, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

Insufficient Reliable Evidence To Rate Chronic venous insufficiency (CVI)
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral sweet woodruff for CVI, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

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

Although there has been interest in using oral and topical sweet woodruff for hemorrhoids, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

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

Although there has been interest in using oral sweet woodruff for hypertension, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

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

Although there has been interest in using oral sweet woodruff for insomnia, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

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

Although there has been interest in using oral sweet woodruff for migraine headache, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

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

Although there has been interest in using oral sweet woodruff for neuropathic pain, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

Insufficient Reliable Evidence To Rate Respiratory tract infections
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral sweet woodruff for respiratory tract infections, there is insufficient reliable information about the clinical effects of sweet woodruff for this purpose.

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

Although there has been interest in using topical sweet woodruff for wound healing, there is insufficient reliable information about the clinical effects of sweet woodruff 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

Used in very small amounts as a flavoring, sweet woodruff is generally considered low-risk for most healthy adults. However, larger doses or long-term use may be harmful because of its coumarin content, which can affect the liver.

People with liver disease should avoid it. Anyone with a bleeding disorder, or who is preparing for surgery, should also be cautious and check with a healthcare provider first.

Pregnancy: Avoid sweet woodruff during pregnancy. There is not enough safety information, and the possible effects of coumarin are a concern.

Breastfeeding: Avoid it while breastfeeding, since its safety has not been established.

Always tell your pharmacist or doctor about any herbal products you take, especially if you have an ongoing health condition or take other medicines.

Side effects

When used in small amounts, sweet woodruff usually does not cause problems. In larger or long-term doses, the main concern is the coumarin content, which has been linked to liver problems and, in some cases, dizziness or headache.

As with any plant product, allergic reactions are possible. Stop using it and seek medical care if you develop a rash, swelling, trouble breathing, or signs of liver trouble such as yellowing of the skin or eyes, dark urine, or severe stomach pain.

Sweet Woodruff: Reported Adverse Effects

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

Orally, sweet woodruff is generally well tolerated. However, a thorough evaluation of safety outcomes has not been conducted.

Most Common Adverse Effects:

Orally: Headache.

Serious Adverse Effects (Rare):

Orally: Liver disease.

Reports by condition
Cluster headache Neurologic/CNS

Orally, sweet woodruff can cause headache, stupor, or dizziness, especially in larger amounts.

  1. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Stuart, M. The Encyclopedia of Herbs and Herbalism. 1979.
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 well-established, standardized medicinal dose for sweet woodruff, and good clinical research is lacking. Because of its coumarin content, experts generally recommend keeping any use to small amounts and short periods of time.

If you choose to use a product that contains sweet woodruff, follow the directions on the label and do not exceed the recommended amount. Check with your pharmacist or doctor before starting, especially if you have a health condition, are pregnant or breastfeeding, or take other medicines.

Pregnancy & Breastfeeding

Sweet Woodruff & Pregnancy

Insufficient reliable information

Insufficient reliable information available; avoid using.

Sweet Woodruff & 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 6 references that drive our Sweet Woodruff 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. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  2. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
  3. Sulma, T. and Wierzchowska, K. [Studies on the content of coumarin in the herbs of the woodruff (Herba Asperulae odoratae) throughout the vegetative period of the plant.]. Acta Pol.Pharm 1963;20:77-82.
  4. Kovac-Besovic, E. E. and Duric, K. Thin layer chromatography-application in qualitative analysis on presence of coumarins and flavonoids in plant material. Bosn.J Basic Med.Sci. 2003;3(3):19-26. PubMed
  5. Stuart, M. The Encyclopedia of Herbs and Herbalism. 1979.
  6. Kahkeshani N, Farahanikia B, Mahdaviani P, et al. Antioxidant and burn healing potential of Galium odoratum extracts. Res Pharm Sci 2013;8(3):197-203.
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 Sweet Woodruff

5 brands in our database make a supplement containing Sweet Woodruff.

Product directory

Supplement products with Sweet Woodruff

27 products in our database contain Sweet Woodruff. Open any to see its full ingredient list and every drug interaction we check.

Cholesterol Maintenance Complex by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Cholesterol Maintenance Complex 450 mg by TerraVita Premium Collection Capsule 100 Capsule(s) View ingredients & interactions Cholesterol Maintenance Complex Chocolate Flavor by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Cholesterol Maintenance Complex Mint Flavor by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Cholesterol Maintenance Complex Powder by TerraVita Premium Collection Powder 4 Ounce(s) View ingredients & interactions Cholesterol Maintenance Complex Powder by TerraVita Premium Collection Powder 1 Ounce(s) View ingredients & interactions Cholesterol Maintenance Complex Strawberry Flavor by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Cholesterol Maintenance Complex Vanilla Flavor by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions H Heart by Systemic Formulas Bio Function Capsule 60 Capsule(s) View ingredients & interactions Sweet Woodruff by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Sweet Woodruff by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Sweet Woodruff by Herbal Terra Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Sweet Woodruff by Herbal Terra Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Sweet Woodruff by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Sweet Woodruff by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Sweet Woodruff 450 mg by TerraVita Premium Collection Capsule 100 Capsule(s) View ingredients & interactions Sweet Woodruff Alcohol Free by Herbal Terra Liquid 2 Fluid Ounce(s) · 60 mL View ingredients & interactions Sweet Woodruff Alcohol Free by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Sweet Woodruff Chocolate Flavor by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Sweet Woodruff Mint Flavor by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Sweet Woodruff Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Sweet Woodruff Powder by TerraVita Premium Collection Powder 4 Ounce(s) View ingredients & interactions Sweet Woodruff Powder by TerraVita Premium Collection Powder 1 Ounce(s) View ingredients & interactions Sweet Woodruff Strawberry Flavor by TerraVita Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions
Pharmacist Counseling Corner

Sweet Woodruff: Common Questions

What is Sweet Woodruff used for, and does it work?
People use Sweet Woodruff 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 Woodruff interact with prescription medications?
Yes. We list 122 medications with a known interaction with Sweet Woodruff. Use the checker above to see how Sweet Woodruff interacts with a specific drug.
How are Sweet Woodruff 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 Woodruff 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 Woodruff 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 Woodruff used for?
Traditionally it has been used for digestive upset, to calm the nerves and aid sleep, and for liver, gallbladder, and urinary complaints. It is also widely used simply as a flavoring because of its sweet, vanilla-like scent, but there is little solid evidence it treats any medical condition.
Is Sweet Woodruff safe?
In small amounts, such as a flavoring, it is generally considered low-risk for healthy adults. Larger or long-term use can be harmful because it contains coumarin, which may affect the liver, so it should be used sparingly and not by people with liver problems.
Can I use Sweet Woodruff during pregnancy or while breastfeeding?
No. There is not enough safety information, and the coumarin it contains is a concern, so it is best to avoid Sweet Woodruff during pregnancy and breastfeeding.
Is the coumarin in Sweet Woodruff the same as the blood thinner warfarin?
No. Coumarin and warfarin have similar-sounding names but are not the same substance. Still, consuming a lot of coumarin can be hard on the liver, which is why this herb should be used carefully.

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

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