HerbsRx
Strong evidence

Butterbur

A perennial shrub containing petasins (petasin and isopetasin) that exert potent anti-spasmodic and anti-inflammatory actions by blocking leukotriene synthesis and L-type calcium channels. It is clinically established for migraine prophylaxis and allergic rhinitis.

What Butterbur is used for

  • Headaches
  • Migraines
  • Allergies
  • Asthma
  • Hay Fever
  • Allergic rhinitis
  • COPD

Pharmaceuticals Butterbur is studied as a natural alternative to

  • Advil
  • Zyrtec
  • Claritin
  • Albuterol
  • Diphenhydramine
  • Sumatriptan
  • Singulair (Montelukast)

Educational information only — never stop or change a prescribed medication without talking to your prescriber first.

Safety and warnings

⚠️

MUST strictly use certified Pyrrolizidine Alkaloid-Free (PA-free) formulations to prevent irreversible liver damage and hepatotoxicity. Avoid in patients with Asteraceae/ragweed allergies. Contraindicated during pregnancy and lactation.

Evidence level: Strong

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