Butterbur
Butterbur is an herb used to support respiratory health and prevent migraines.
Butterbur (Petasites hybridus) is a perennial shrub native to Europe and Asia, traditionally used for migraines, allergies, and asthma. Its root extracts are believed to have anti-inflammatory and antispasmodic effects.
Modern butterbur supplements are processed to remove pyrrolizidine alkaloids (PAs), which can be toxic to the liver. Standardized extracts like Petadolex are often used for migraine prevention.
Butterbur is taken for migraines and seasonal allergies. Only PA-free products should be used to ensure safety. It may cause mild gastrointestinal upset in some individuals.
Other names & forms of Butterbur supplement : petasites hybridus, butterbur root, butterbur extract
Possible Benefits
Butterbur contains petasins, which are thought to reduce inflammation and prevent spasms in blood vessels and smooth muscle tissues.
- Helps reduce the frequency and severity of migraines, supporting Pain Relief for headache disorders.
- May support Lung Health by reducing histamine release and alleviating allergy symptoms.
- Used to promote General Health through its anti-inflammatory effects.
Side Effects
Butterbur can help ease migraine pain and support respiratory health, but some users notice mild effects as their system adapts. Keep an eye out for:
- Possible mild gastrointestinal upset, nausea, stomach cramps, or diarrhea, especially with PA-containing extracts
- Occasional headache or fatigue during initial use
- Mild dizziness or lightheadedness in sensitive individuals
- Rare allergic skin reactions, rash or itching, in those sensitive to Asteraceae family plants
- Temporary mild changes in liver enzymes with high-dose or long-term use; use PA-free formulations to minimize risk
Interactions
Possible interactions include:
- Antihistamines and decongestants: Butterbur’s petasin may potentiate effects of loratadine or pseudoephedrine, increasing drowsiness or dry mouth, use with caution.
- NSAIDs and anti-inflammatories: Combined anti-inflammatory action with ibuprofen or Turmeric & Curcumin may heighten GI irritation, monitor for discomfort.
- Liver-metabolized drugs: Butterbur may alter CYP450 activity, affecting medications like statins or CoQ10; consider liver function monitoring.
- Topical migraine treatments: When used with ergotamine creams, petasin may enhance vasoconstriction; avoid simultaneous topical applications.
Precautions
Before incorporating Butterbur into your routine, confirm none of the following apply to you. If they do, consult your healthcare provider:
- Individuals with liver disease: Use only PA-free extracts to reduce hepatotoxic risk; monitor liver function if used long term
- People with ragweed or pollen allergies: High risk of cross-reactive allergic reactions; avoid if sensitive
- Those on blood-thinning medications: Potential to increase bleeding risk; monitor clotting parameters
- Pregnant or breastfeeding women: Limited safety data; best to avoid unless under professional guidance
- Patients scheduled for surgery: Discontinue at least two weeks prior, possible interactions with anesthesia and bleeding risk
Studies
These studies provide scientific insights into Butterbur benefits:
A 2011 randomized, double-blind crossover trial in 77 migraine sufferers found 75 mg butterbur extract twice daily for 16 weeks reduced migraine frequency by 48% versus 26% with placebo, but concerns over hepatotoxicity remain.
A 2013 meta-analysis of three RCTs concluded butterbur reduces migraine days by 2.3 days/month versus placebo, though quality of evidence was moderate.
Despite traditional use for allergic rhinitis, no RCTs have assessed butterbur’s efficacy in seasonal allergy symptoms versus standard antihistamines.
No trials have evaluated its effects on asthma or atopic dermatitis in humans.
Disclaimer: This page is for educational purposes and does not replace medical advice. If you're pregnant, have a condition, or take medication, speak with a qualified professional.
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