Herb Profile
Berberis
It is best framed around berberine bearing root bark with GI and medication interaction caution.
Last reviewed: •3 human studies cited
A StrongUse extra caution — Avoid pregnancy, breastfeeding, and use in neonates/infants due to berberine related bilirubin displacement/kernicterus concern. Details
- Evidence
- Strong Human Evidence
- Typical onset
- Varies by prep
- Safety rating
- High caution
- Best for
- Anti Inflammatory, Digestive, Metabolic, Inflammatory signaling
- Avoid / review if
- Pregnancy, Breastfeeding, Neonates/Infants
Monograph visual
Berberis
Generated profile category visual
Where to go next — guides & comparisons
Continue reading
- If you want to browse more herbs → All herbs
Safety & Cautions
Avoid pregnancy, breastfeeding, and use in neonates/infants due to berberine related bilirubin displacement/kernicterus concern. GI upset is common.
28%
High caution — review carefully
Detailed safety fields
Pregnancy, breastfeeding, and contraindications
- - Pregnancy
- - Breastfeeding
- - Neonates/Infants
- - Clinician Review For Liver Disease
- - Complex Medication Regimens
- - Or Hypoglycemia Prone Patients.
- - Antidiabetics
- - Antihypertensives
- - Anticoagulants/Antiplatelets
- - Cyclosporine/Tacrolimus
Safety classifications
- - Interaction-Aware: Medication or interaction context is explicitly noted.
- - Liver-Sensitive: Liver-related caution language appears in the profile.
- - Pregnancy/Breastfeeding Caution: Pregnancy or breastfeeding caution language is present.
Full safety note
- - Avoid pregnancy, breastfeeding, and use in neonates/infants due to berberine related bilirubin displacement/kernicterus concern. GI upset is common.
Safety labels
- - Interaction-Aware
- - Liver-Sensitive
- - Pregnancy/Breastfeeding Caution
Evidence-based safety
Caution when combined
These pairings share a flagged risk mechanism. They are additive-effect cautions derived from contraindication data, not confirmed clinical interactions. Consult a clinician before combining.
High-Priority Caution
147 flagged pairingsBleeding / anticoagulant risk
High-Priority Caution
147 flagged pairingsBleeding / anticoagulant risk
Browse the grouped cautions below. The list scrolls inside this card when long.
Bleeding / anticoagulant risk
- aescin
- Aged Garlic Extract
- ajoene
- Ajwain
- Allicin
- Garlic
- American Ginseng Extract
- Andrographis
- Angelica Archangelica
- Angelica Dahurica
- Angelica Pubescens
- Angelica Root
- Angelica Sinensis
- Arjuna
- Artemisia Capillaris
- Artichoke
- Ashitaba
- Ashitaba Extract
- Astaxanthin
- Black Seed
- Black Seed Oil
- Blueberry
- Boldo
- Boswellia
- Capsicum
- Caraway
- Carnitine L Tartrate
- Cayenne
- Chamomile
- Chinese Skullcap
- Chuanxiong
- Cissus
- Citicoline
- Clove
- Cnidium Monnieri
- Coleus Forskohlii
- Commiphora Mukul
- Coenzyme Q10
- Cordyceps
- Cranberry (Vaccinium macrocarpon)
- crocetin
- crocin
- cryptotanshinone
- Curcuma Wenyujin
- Curcumin
- Damiana
- Danshen
- Devils Claw Extract
- Dong Quai
- EGCG
- Epimedium
- Epimedium Brevicornum
- Evening Primrose (Oenothera biennis)
- Fenugreek
- Fenugreek Extract
- ferulic acid
- Feverfew
- Fisetin
- forskolin
- Fraxinus Rhynchophylla
- Fucoxanthin
- Galangal
- Reishi
- Garcinia Mangostana
- Garlic (Allium sativum)
- Garlic Aged Extract
- Garlic Extract
- Ginger (Zingiber officinale)
- Ginkgo
- Ginkgo Biloba Extract
- Ginkgo Extract EGb 761
- Panax Red Ginseng
- Panax White Ginseng
- ginsenoside rg3
- Glucosamine
- Goldenseal
- Lion's Mane
- Holy Basil / Tulsi (Ocimum tenuiflorum)
- Horse Chestnut
- hydroxytyrosol
- Japanese Knotweed
- Kudzu
- L-Carnitine
- Ligusticum Chuanxiong
- Magnolia
- Mangosteen
- Maral Root
- Chamomile
- Melatonin
- MSM
- Myrtle
- Nettle Root
- Nigella Sativa
- Noni
- Notoginseng
- Ocimum Basilicum
- Olive Leaf Extract
- Oregano
- Paeonia Lactiflora
- Asian Ginseng
- Panax Ginseng Extract
- Papaya Leaf
- Pastinaca Sativa
- Pau D'arco
- Perilla
- Phosphatidylserine
- Piper Longum
- Bifidobacterium Probiotic
- Lactobacillus Probiotic
- Probiotics - Bifidobacterium spp.
- Probiotics - Lactobacillus spp.
- Psoralea Corylifolia
- Pycnogenol
- Quercetin
- Quercetin Phytosome
- Red Clover
- Reishi (Ganoderma lucidum)
- Resveratrol
- Rhodiola Extract SHR-5
- Rose Hips
- Rosemary
- Saffron
- Saffron Extract
- Salvia miltiorrhiza
- Saw Palmetto (Serenoa repens)
- Saw Palmetto Extract
- Schisandra Berry
- Schisandra Chinensis
- Scutellaria Baicalensis
- Selaginella Tamariscina
- Soybean
- Syzygium Aromaticum
- Terminalia arjuna
- Thunder God Vine
- Thyme
- Tongkat Ali
- Trans-Resveratrol
- Fenugreek
- Tripterygium Wilfordii
- Turmeric (Curcuma longa)
- Turmeric Curcumin + Piperine
- Valerian
- Vitamin D3 + K2
- Grape
- White Peony
- Willow Bark Extract
- Yarrow
Moderate Caution
191 flagged pairingsBlood-sugar lowering · Blood-pressure effects
Moderate Caution
191 flagged pairingsBlood-sugar lowering · Blood-pressure effects
Browse the grouped cautions below. The list scrolls inside this card when long.
Blood-sugar lowering
- Acarbose
- ajoene
- Allicin
- Aloe Vera
- Alpha-Lipoic Acid
- American Ginseng Extract
- Andrographis
- Anemarrhena Asphodeloides
- Tarragon
- Ashoka
- Astragalus
- Astragalus Membranaceus
- Bael
- Berberis Vulgaris
- Black Seed
- Blueberry
- Buckwheat
- Burdock
- Caraway
- Cichorium Intybus
- Cinnamon
- Cinnamon extract
- Cissus
- Cistanche
- Cistanche Deserticola
- Citrus Bergamia
- Citrus Sinensis
- CJC-1295
- Coenzyme Q10
- Commiphora Mukul
- Coptis
- Coptis Chinensis
- Coriandrum Sativum
- Cornus Officinalis
- Curry Leaf
- D-Mannose
- D-Ribose
- Damiana
- Dandelion
- Dendrobium
- Devils Claw Extract
- Elderberry
- Elecampane
- Eucommia
- Fenugreek
- Fenugreek Extract
- Fingerroot
- Fisetin
- Fucoxanthin
- Garcinia Indica
- Garlic Extract
- Ginkgo Biloba Extract
- Panax Red Ginseng
- Panax White Ginseng
- Glucosamine
- Goldenseal
- Gudmar
- Gymnema
- Holy Basil / Tulsi (Ocimum tenuiflorum)
- Holy Basil Purple
- Holy Basil Seed
- Ipamorelin
- Jujube
- Kuding Tea
- Kudzu
- Banaba
- Luo Han Guo
- Mangifera Indica
- Marshmallow
- MCT Oil
- Bitter Melon
- Morinda Citrifolia
- Moringa
- Morus Alba
- Mulberry Leaf
- Myrtle
- Neem
- Nelumbo Nucifera
- Nettle Root
- Nigella Sativa
- Nicotinamide Mononucleotide
- Notoginseng
- Ocimum Basilicum
- Olive Leaf Extract
- Oregano
- Panax Ginseng Extract
- American Ginseng
- Papaya Leaf
- Phellodendron
- Phellodendron Amurense
- Psyllium
- Pueraria Lobata
- Pycnogenol
- Rehmannia Glutinosa
- Rehmannia Prepared
- Rice Bran
- Rooibos
- Roselle Seed
- Sage
- Salacia
- Semaglutide
- Serenoa Repens
- Shatavari
- Soursop
- Tamarind
- Tirzepatide
- Tongkat Ali
- Fenugreek
- Wild Yam
- Ashwagandha
Blood-pressure effects
- Agmatine sulfate
- ajoene
- Allicin
- American Ginseng Extract
- Andrographis
- Angelica Dahurica
- Astaxanthin
- Astragalus Membranaceus
- Beetroot extract
- Bicarbonate
- Black Seed
- Black Seed Oil
- Brassica Oleracea
- Buckwheat
- Caffeine
- Capsicum
- Caraway
- Chuanxiong
- Citicoline
- Citrus Bergamia
- Cnidium Monnieri
- Coenzyme Q10
- Coffee Cherry
- Coleus Forskohlii
- Hawthorn
- crocetin
- crocin
- Crocus Sativus
- Cymbopogon Citratus
- Dandelion
- Danshen
- Dendrobium
- Devils Claw Extract
- Electrolyte Mix
- Sodium electrolytes
- Eleuthero
- EGCG
- Epimedium
- Epimedium Brevicornum
- Eucommia
- ferulic acid
- forskolin
- Garlic Extract
- Gastrodia
- Panax Red Ginseng
- Panax White Ginseng
- Glycyrrhiza Glabra
- Guarana
- Guayusa
- Hibiscus
- Huperzia Serrata
- L-Tyrosine
- Lemongrass
- Licorice
- Ligusticum Chuanxiong
- Lobelia Inflata
- Luo Han Guo
- Moringa
- Mucuna
- Myristica Fragrans
- Nettle Root
- Nicotiana Glauca
- Nicotiana Tabacum
- Nigella Sativa
- Nicotinamide Mononucleotide
- Notoginseng
- Olive Leaf
- Olive Leaf Extract
- Panax Ginseng Extract
- Parsley
- Poria
- PT-141 (Bremelanotide)
- Punarnava
- Quercetin Phytosome
- Saffron Extract
- Sodium
- Soursop
- Ashwagandha
- Yerba Mate
- Yohimbe
- Yohimbine
Evidence Summary
Evidence lens
Most useful for practical interpretation when safety context also fits.
StrongStrong Human Evidence
Human clinical evidence: Present in source signals
Mechanistic / preclinical: Mechanism mapped — Inflammatory Signaling Modulation · Metabolic Regulation · AMPK Signaling
Research maturity: Preliminary or mixed — Long Term Human Evidence May Be Limited.
Safety boundary: Safety note available — Avoid pregnancy, breastfeeding, and use in neonates/infants due to berberine related bilirubin displacement/kernicterus concern.
This profile cites 3 human studies.
How evidence grades work
Each grade reflects the strength and consistency of published human evidence — not marketing claims. Grades are based on study count, design quality, effect size, consistency, and recency.
A
Strong
Multiple RCTs, consistent direction, adequate effect size
B
Moderate
Some RCTs or consistent observational data in humans
C
Preliminary / Mixed
Animal or in-vitro only, or conflicting human data
D
Traditional / Theoretical
Traditional use only; no controlled human trials
Clinical Study Summaries (3)Cited studies informing this profile. RCTs and reviews shown first.
| Study | Type | Sample | Source |
|---|---|---|---|
Biological properties and clinical applications of berberine Song D et al. (2020) | — | — | PubMed → |
Berberine and barberry (Berberis vulgaris): A clinical review Imenshahidi M et al. (2019) | — | — | PubMed → |
Berberine and Its Role in Chronic Disease Cicero AF et al. (2016) | — | — | PubMed → |
Dosing & Timing
Dose guidance
Preparation specific; use standardized product label for Root/bark extracts containing berberine and require source backed dosage review before therapeutic claims.
How Berberis Works
Simplified mechanism pathway based on preclinical and pharmacological evidence. Does not confirm clinical efficacy.
Mechanism Pathway — How Berberis Works
CompoundTarget / ReceptorMechanismEffect / Outcome
Mechanisms & Biological Pathways
Preclinical pathways
Proposed mechanisms from in vitro and animal research; these do not confirm clinical outcomes in humans.
Inflammatory Signaling ModulationMetabolic RegulationAMPK SignalingNF KB ModulationGlucose Metabolism SupportLipid Metabolism Support
Active Compounds
Key constituents studied in Berberis, with full pharmacology and safety profiles.
Condition guides
Compare & Sourcing
Compare side-by-side tradeoffs or verify active marker guidelines.
Review available sources for Berberis
Independent database mapping — evaluated separately from safety and efficacy scores.
Affiliate Disclosure: Shopping links may earn this site a commission at no cost to you. Links are chosen on quality and availability, never commission tiers; safety warnings and evidence ratings stay independent.
Compare herbs
Safety first · Harm reduction
This information is educational and not medical advice. Start low, avoid risky combinations, and consult a licensed clinician before making health decisions—especially if you use medications, have diagnosed conditions, or are pregnant/breastfeeding.
Learn how we evaluate confidence, safety, and intensity on the methodology page.
Editorial Review
Checked against primary sources, cited evidence, and contraindication language before publication. Evidence claims, safety language, and affiliate modules are reviewed independently. Not personal medical advice.
Free safety checklist
Get the Berberis research notes
Evidence summaries, dosing context, and safety updates for this herb — straight to your inbox.
We use your email to send the checklist and occasional evidence-first supplement updates. Unsubscribe anytime. Privacy policy.
Botanical profile context
How to interpret Berberis
Berberis dosage ranges, effects, drug interactions, and harm-reduction safety guide for anti inflammatory. Strong Human Evidence research evidence. Use this herb profile as a starting point for evidence review, not as a recommendation to start a new supplement. Botanical products can vary by plant part, extract ratio, standardization, dose, and contaminant testing, so two labels with the same common name may not behave the same way.
When reviewing Berberis, compare the traditional-use context against the human evidence, mechanism notes, and safety cautions. Pay special attention to pregnancy, breastfeeding, liver or kidney disease, blood-pressure effects, sedation, stimulation, anticoagulant use, antidepressants, and any prescription medication overlap.
For product decisions, prefer transparent labels, named extracts, clear serving sizes, and third-party quality testing. Avoid treating a long list of possible mechanisms as proof that an herb will solve a specific condition.