Wahoo Drug Interactions, Uses, Safety & More
What is this page for?
First and foremost: how Wahoo interacts with medications. The heart of this page is the interaction list — every drug Wahoo is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Wahoo 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
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Add one medicationWahoo Drug Interactions: The Bottom Line
From the HelloPharmacist Editorial Team · Updated July 2026Based on the available evidence, Wahoo drug interactions carry real risk, mainly because this plant contains heart-active compounds that can add to or worsen the effects of certain medications. One interaction is rated major and well documented in humans, and the rest are moderate concerns that nearly all trace back to the same heart-related risk.
The combination that matters most is digoxin, and this pairing is considered contraindicated because wahoo can duplicate the drug's effects and push it into toxic territory. Caution also applies to potassium-depleting diuretics such as furosemide and hydrochlorothiazide, and to stimulant laxatives, since losing potassium can make wahoo's heart effects more dangerous. Macrolide and tetracycline antibiotics, as well as quinine, raise a similar theoretical concern about heart toxicity.
Although the list of interacting medications is long, almost every entry reflects one shared worry rather than many separate problems: wahoo's natural heart-active compounds. Outside of digoxin, these interactions are theoretical, based on how the combinations could behave rather than on proven harm in people. Even so, the consistent heart-related theme is why so many moderate cautions appear.
Based on HelloPharmacist’s Wahoo interaction data and reviewed under our editorial standards.
Drugs that interact with Wahoo
133 medications have a known interaction with Wahoo, graded by severity. Select any drug for the full evidence-based detail.
1 major interaction. These combinations can be clinically significant — best avoided, or used only with close professional supervision. Always check with your pharmacist before combining them with Wahoo.
Don’t want to scroll the list? Just ask.
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AI summaries are generated from our Wahoo interaction data for education only — always confirm with your pharmacist. How we use AI
No drugs match “”.
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 Wahoo combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The kinds of drugs Wahoo affects
Every type of medication (drug category) Wahoo is known to interact with. Open any category for the detail — or search your exact drug in the checker above.
Digoxin (Lanoxin)
Contraindicated; using wahoo with digoxin increases risk of cardiac glycoside toxicity due to therapeutic duplication.
Diuretic Drugs
Theoretically, concomitant use of potassium-depleting diuretics with wahoo can increase the risk of cardiac glycoside toxicity due to potassium depletion. Some diuretics that can deplete potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, Hydrodiuril, Microzide), and others.
Macrolide Antibiotics
Theoretically, concomitant use may increase risk of cardiac glycoside toxicity.
Quinine
Theoretically, concomitant use of quinine and wahoo might increase risk of cardiac toxicity.
Stimulant Laxatives
Theoretically, use of stimulant laxatives with wahoo might have additive laxative effects, and can increase the risk of cardiac glycoside toxicity due to potassium depletion.
Tetracycline Antibiotics
Theoretically, concomitant use may increase risk of cardiac glycoside toxicity.
Wahoo: Uses, Safety & Side Effects
Wahoo is a North American shrub historically used as a laxative and 'liver tonic,' but it is a poisonous plant with no proven benefit and a real risk of serious harm. Because it contains heart-affecting and other toxic compounds, we do not recommend using it, and there is no established safe dose.

- Scientific name
- Euonymus atropurpureus
- Family
- Celastraceae
- Part used
- Dried root bark and stem bark (historically)
- Common forms
- Historically tinctures, extracts, and powdered bark; rarely available today
- Constipation (traditional laxative)
- Digestive complaints
- Liver and gallbladder support (folk use)
- Fluid retention (traditional diuretic)
- Skin irritations (folk use)
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
Wahoo is considered poisonous and can cause serious, even life-threatening effects.
Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Wahoo (Euonymus atropurpureus), also called Eastern wahoo or burning bush, is a deciduous shrub or small tree native to North America. It often grows in moist, shady woodlands and along streams, and is known for its bright pink-and-orange fruit in the fall.
In traditional and folk medicine, the bark of the root and stem was used as a laxative, a 'liver tonic,' and a remedy for many other complaints. Today it is rarely used, and most health experts warn against it because the plant is poisonous.
Uses & effectiveness
People have traditionally used wahoo for constipation, digestive problems, liver and gallbladder concerns, fluid retention, and skin irritations. None of these uses are backed by good-quality human studies.
The evidence is essentially insufficient for all uses. There are no reliable clinical trials showing that wahoo is safe or effective for any condition. Because the plant is toxic, the possible risks clearly outweigh any unproven benefits.
How it works
Wahoo contains a mix of natural compounds, including cardiac (heart-active) substances called cardenolides and possibly alkaloids. These are believed to be responsible for both its strong laxative effect and its toxicity.
The exact 'active' ingredient and how it works in the body are not well understood. What is clear from poisoning reports is that these compounds can irritate the gut and affect the heart and circulation. Most of this understanding comes from older reports and the plant's known chemistry, not from modern controlled research.
Safety & precautions
Wahoo is widely considered a poisonous plant. The seeds, fruit, bark, and leaves can all be harmful, and serious poisonings have been reported, especially in children who eat the attractive berries.
Because of its heart-active compounds, wahoo may be especially dangerous for people with heart conditions, kidney or liver problems, or anyone who is dehydrated or has electrolyte imbalances. Children, older adults, and anyone who is medically fragile are at higher risk.
Pregnancy: Avoid wahoo. It is toxic and has historically been associated with stimulating the uterus, which could be dangerous. Breastfeeding: Avoid wahoo, since its safety is unknown and its toxic compounds could pass to the baby. If you have taken or been exposed to this plant, contact a poison control center or your doctor right away.
Side effects
Even small amounts can cause unpleasant effects, and larger amounts can be dangerous. Reported effects include severe stomach pain, nausea, vomiting, and watery or bloody diarrhea.
More serious poisoning has been linked to fever, shortness of breath, weakness, changes in heart rhythm, circulation problems, loss of consciousness, and convulsions. These reactions can be life-threatening. If poisoning is suspected, seek emergency medical care immediately.
Wahoo: Reported Adverse Effects
Documented safety reports on Wahoo from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.
Wahoo is considered poisonous. Several hours after ingesting wahoo seeds, people experience severe upset stomach, sometimes with bloody diarrhea, fever, shortness of breath, circulatory problems, signs of collapse, stupor increasing to unconsciousness, alternating with motor restlessness, severe tonic-clonic spasms with locked jaw muscles and coma.
- Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
Adverse-effects data: Natural Medicines, Therapeutic Research Center
Dosing
There is no established safe or effective dose of wahoo, and we do not recommend using it. It is a poisonous plant, and even traditional preparations could cause harm.
If you ever see a product that contains wahoo, talk with a pharmacist or doctor before using it and read the label carefully. In most cases the safest choice is to avoid it entirely and use a better-studied, safer option instead.
Wahoo & Pregnancy
Wahoo & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 4 references that drive our Wahoo 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.
- Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Trans. S. Klein. Boston, MA: American Botanical Council, 1998.
- Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
- Burnham TH, ed. Drug Facts and Comparisons, Updated Monthly. Facts and Comparisons, St. Louis, MO.
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 Wahoo
3 brands in our database make a supplement containing Wahoo.
Supplement products with Wahoo
9 products in our database contain Wahoo. Open any to see its full ingredient list and every drug interaction we check.
Wahoo: Common Questions
Does Wahoo interact with prescription medications?
How are Wahoo interactions rated?
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Where does this Wahoo interaction information come from?
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What did people traditionally use Wahoo for?
Are the berries dangerous?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Products that contain Wahoo
A rotating sample of real supplements in our database that list Wahoo — open any to see its full ingredients and every drug interaction we check.
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