Tree Tobacco Drug Interactions, Uses, Safety & More
What is this page for?
First and foremost: how Tree Tobacco interacts with medications. The heart of this page is the interaction list — every drug Tree Tobacco is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Tree Tobacco 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 Tree Tobacco against your medication
Add one medicationDrugs that interact with Tree Tobacco
0 medications have a known interaction with Tree Tobacco, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Tree Tobacco. 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 Tree Tobacco combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Tree Tobacco: Uses, Safety & Side Effects
Tree tobacco is a poisonous shrub that contains the toxic alkaloid anabasine, and it is not a safe dietary supplement. There is no reliable evidence that it treats any condition, and swallowing it can cause severe poisoning or death. We strongly recommend avoiding internal use entirely.
- Scientific name
- Nicotiana glauca
- Family
- Solanaceae
- Part used
- Leaves
- Common forms
- Crushed leaves, poultices, traditional topical preparations
- Topical use on wounds or sores (folk use)
- Joint and muscle pain (folk use)
- Headache relief (traditional poultice)
- Insect or pest control
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Tree tobacco is toxic and has caused serious poisonings and deaths when eaten.
When tree tobacco is used orally. Tree tobacco contains anabasine, which is poisonous and teratogenic.
Read the full pregnancy detailWhen tree tobacco is used orally. Tree tobacco contains anabasine, which is poisonous and teratogenic.
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
Tree tobacco (Nicotiana glauca) is a tall, woody shrub or small tree in the nightshade family. It has bluish-green leaves and yellow, tube-shaped flowers. Although it is called tobacco, it is a different plant from the tobacco grown for cigarettes.
It is originally from South America but now grows as a weed in many warm, dry regions around the world, including the southwestern United States, Mexico, and parts of the Mediterranean. It is often found along roadsides, riverbeds, and disturbed soil.
In some folk traditions, the crushed leaves have been applied to the skin for pain, swelling, or wounds. However, the plant is well known to be poisonous, and we do not consider it a safe supplement or remedy.
Uses & effectiveness
People have traditionally used tree tobacco leaves on the skin for joint pain, headaches, swelling, and wounds. It has also been used as a natural insecticide.
There is no reliable human evidence that tree tobacco safely or effectively treats any health condition. The little research that exists is mostly laboratory work looking at its chemical compounds, not studies in people.
Because the plant is poisonous, the main thing the medical literature reports about it is cases of poisoning in people who mistakenly ate it (sometimes confusing it with edible greens). We cannot recommend it for any use.
How it works
The main active compound in tree tobacco is anabasine, an alkaloid that is chemically similar to nicotine. The plant also contains other related alkaloids.
Anabasine acts on nicotinic receptors in the nervous system, similar to how nicotine does. At high enough levels it can overstimulate these receptors and then block them, which disrupts nerve and muscle function—including the muscles needed for breathing.
These effects are why the plant is dangerous rather than helpful. The information about its compounds comes mostly from laboratory studies and poisoning reports, not from controlled research on benefits.
Safety & precautions
Tree tobacco is considered toxic. Eating the leaves has caused severe poisoning and death. Symptoms of poisoning can come on quickly and may include nausea, vomiting, dizziness, confusion, muscle weakness, trouble breathing, abnormal heart rhythm, and seizures.
Anabasine, the key toxin, has also been associated with birth defects in animals. Pregnant and breastfeeding people should not use this plant in any form.
Children, older adults, and people with heart, lung, or nervous system conditions are at especially high risk. Because the plant can be confused with edible wild greens, never forage or eat it. If you suspect someone has swallowed tree tobacco, contact Poison Control or seek emergency care right away.
Side effects
Even small amounts taken internally can cause poisoning. Reported effects include nausea, vomiting, drooling, dizziness, headache, sweating, muscle twitching, weakness, and a fast or irregular heartbeat.
Serious poisoning can lead to paralysis of the breathing muscles, respiratory failure, and death. Handling the plant or applying it to the skin may also cause irritation, and toxins can potentially be absorbed.
Tree Tobacco: Reported Adverse Effects
Documented safety reports on Tree Tobacco from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Orally, tree tobacco is generally regarded as unsafe for use. Any benefits of therapy may not outweigh the risk of toxicity. Tree tobacco can cause nausea, vomiting, diarrhea, abdominal pain, changes in blood pressure and heart rate, muscle weakness and paralysis, respiratory distress, and neurological symptoms including vertigo, confusion, fatigue, headache, hallucinations, spasms, weakness, and coma. Death has occurred in up to 40% of reported cases of tree tobacco poisoning.
- Mizrachi, N., Levy, S., and Goren, Z. Q. Fatal poisoning from Nicotiana glauca leaves: identification of anabasine by gas-chromatography/mass spectrometry. J Forensic Sci 2000;45(3):736-741.
- Mellick, L. B., Makowski, T., Mellick, G. A., and Borger, R. Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca). Ann Emerg Med 1999;34(1):101-104.
- Sims, D. N., James, R., and Christensen, T. Another death due to ingestion of Nicotiana glauca. J Forensic Sci 1999;44(2):447-449.
- Castorena, J. L., Garriott, J. C., Barnhardt, F. E., and Shaw, R. F. A fatal poisoning from Nicotiana glauca. J Toxicol Clin Toxicol 1987;25(5):429-435.
- Manoguerra, A. S. and Freeman, D. Acute poisoning from the ingestion of Nicotiana glauca. J Toxicol Clin Toxicol 1982;19(8):861-864.
- Bardas SL. Short-term intubation after ingestion of Nicotiana glauca. Am J Health Syst Pharm. 2011;68(18):1678-9.
- Sercan Y, Selahattin KG. Respiratory failure due to plant poisoning: Nicotiana glauca Graham. J Emerg Med. 2018;55(3):e61-e63.
- Kear BM, Lee RW, Church SB, Youssef FA, Arguija A. Ingestion of a common plant's leaves leads to acute respiratory arrest and paralysis: a case report. Clin Pract Cases Emerg Med 2020;4(3):371-4.
Acute respiratory distress syndrome (ARDS) Pulmonary/Respiratory
Orally, the mistaken and intentional intake of tree tobacco has been reported to cause acute respiratory distress requiring short-term intubation in elderly females. It has also been reported to cause rapid or slowed breathing.
- Bardas SL. Short-term intubation after ingestion of Nicotiana glauca. Am J Health Syst Pharm. 2011;68(18):1678-9.
- Sercan Y, Selahattin KG. Respiratory failure due to plant poisoning: Nicotiana glauca Graham. J Emerg Med. 2018;55(3):e61-e63.
- Kear BM, Lee RW, Church SB, Youssef FA, Arguija A. Ingestion of a common plant's leaves leads to acute respiratory arrest and paralysis: a case report. Clin Pract Cases Emerg Med 2020;4(3):371-4.
- Steenkamp, P. A., van Heerden, F. R., and van Wyk, B. E. Accidental fatal poisoning by Nicotiana glauca: identification of anabasine by high performance liquid chromatography/photodiode array/mass spectrometry. Forensic Sci Int 2002;127(3):208-217.
Cluster headache Neurologic/CNS
Orally, tree tobacco has been reported to cause vertigo, confusion, fatigue, headache, photophobia, spasms, tingling, severe sweating, progressively worsening aphasia, neuromuscular blockage, seizures, coma, and bulbar palsy. Dizziness and confusion tend to occur early, within 4 hours of consumption. Weakness, coma, and paralysis occur later.
- Steenkamp, P. A., van Heerden, F. R., and van Wyk, B. E. Accidental fatal poisoning by Nicotiana glauca: identification of anabasine by high performance liquid chromatography/photodiode array/mass spectrometry. Forensic Sci Int 2002;127(3):208-217.
- Bardas SL. Short-term intubation after ingestion of Nicotiana glauca. Am J Health Syst Pharm. 2011;68(18):1678-9.
- Sercan Y, Selahattin KG. Respiratory failure due to plant poisoning: Nicotiana glauca Graham. J Emerg Med. 2018;55(3):e61-e63.
- Kear BM, Lee RW, Church SB, Youssef FA, Arguija A. Ingestion of a common plant's leaves leads to acute respiratory arrest and paralysis: a case report. Clin Pract Cases Emerg Med 2020;4(3):371-4.
Diarrhea Gastrointestinal
Orally, tree tobacco has been reported to cause nausea, vomiting, diarrhea, dry mouth, salivation, and abdominal pain. Nausea and vomiting tend to occur early, within 4 hours of consumption.
- Steenkamp, P. A., van Heerden, F. R., and van Wyk, B. E. Accidental fatal poisoning by Nicotiana glauca: identification of anabasine by high performance liquid chromatography/photodiode array/mass spectrometry. Forensic Sci Int 2002;127(3):208-217.
- Mellick, L. B., Makowski, T., Mellick, G. A., and Borger, R. Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca). Ann Emerg Med 1999;34(1):101-104.
- Bardas SL. Short-term intubation after ingestion of Nicotiana glauca. Am J Health Syst Pharm. 2011;68(18):1678-9.
- Sercan Y, Selahattin KG. Respiratory failure due to plant poisoning: Nicotiana glauca Graham. J Emerg Med. 2018;55(3):e61-e63.
- Kear BM, Lee RW, Church SB, Youssef FA, Arguija A. Ingestion of a common plant's leaves leads to acute respiratory arrest and paralysis: a case report. Clin Pract Cases Emerg Med 2020;4(3):371-4.
Hypertension Cardiovascular
Orally, tree tobacco has been reported to cause hypertension, hypotension, bradycardia, tachycardia, and asystole. Hypertension tends to occur early, within 4 hours of consumption.
- Mizrachi, N., Levy, S., and Goren, Z. Q. Fatal poisoning from Nicotiana glauca leaves: identification of anabasine by gas-chromatography/mass spectrometry. J Forensic Sci 2000;45(3):736-741.
- Sercan Y, Selahattin KG. Respiratory failure due to plant poisoning: Nicotiana glauca Graham. J Emerg Med. 2018;55(3):e61-e63.
- Kear BM, Lee RW, Church SB, Youssef FA, Arguija A. Ingestion of a common plant's leaves leads to acute respiratory arrest and paralysis: a case report. Clin Pract Cases Emerg Med 2020;4(3):371-4.
Poisoning Other
Orally, tree tobacco poisoning has resulted in death in as many as 40% of reported cases.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no safe or established dose for tree tobacco. It is not sold or recommended as a standardized dietary supplement, and no amount is known to be safe to swallow.
Because of its toxicity, we recommend avoiding it entirely. If you are looking for a remedy for pain, wounds, or another condition, please talk with a pharmacist or doctor about safer, proven options.
Tree Tobacco & Pregnancy
Tree Tobacco & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 9 references that drive our Tree Tobacco 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.
- Steenkamp, P. A., van Heerden, F. R., and van Wyk, B. E. Accidental fatal poisoning by Nicotiana glauca: identification of anabasine by high performance liquid chromatography/photodiode array/mass spectrometry. Forensic Sci Int 2002;127(3):208-217. PubMed
- Mizrachi, N., Levy, S., and Goren, Z. Q. Fatal poisoning from Nicotiana glauca leaves: identification of anabasine by gas-chromatography/mass spectrometry. J Forensic Sci 2000;45(3):736-741. DOI
- Mellick, L. B., Makowski, T., Mellick, G. A., and Borger, R. Neuromuscular blockade after ingestion of tree tobacco (Nicotiana glauca). Ann Emerg Med 1999;34(1):101-104. PubMed
- Sims, D. N., James, R., and Christensen, T. Another death due to ingestion of Nicotiana glauca. J Forensic Sci 1999;44(2):447-449.
- Castorena, J. L., Garriott, J. C., Barnhardt, F. E., and Shaw, R. F. A fatal poisoning from Nicotiana glauca. J Toxicol Clin Toxicol 1987;25(5):429-435.
- Manoguerra, A. S. and Freeman, D. Acute poisoning from the ingestion of Nicotiana glauca. J Toxicol Clin Toxicol 1982;19(8):861-864.
- Bardas SL. Short-term intubation after ingestion of Nicotiana glauca. Am J Health Syst Pharm. 2011;68(18):1678-9.
- Sercan Y, Selahattin KG. Respiratory failure due to plant poisoning: Nicotiana glauca Graham. J Emerg Med. 2018;55(3):e61-e63. PubMed
- Kear BM, Lee RW, Church SB, Youssef FA, Arguija A. Ingestion of a common plant's leaves leads to acute respiratory arrest and paralysis: a case report. Clin Pract Cases Emerg Med 2020;4(3):371-4. 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
Tree Tobacco: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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