Plant Comparison
Butterbur vs Feverfew
A side-by-side comparison of two medicinal plants — every documented constituent, action, use, safety note and cited source, assembled automatically from the Omnia Sana database.
At a glance
Butterbur and Feverfew: both belong to the Asteraceae family; they share 3 indicated uses (fever, headache, migraine).
Evidence face-off — shared uses
| Condition | Butterbur | Feverfew | Verdict |
|---|---|---|---|
| Fever | 7/10 | 8/10 | Comparable evidence |
| Headache | 6/10 | 9/10 | Stronger for Feverfew |
| Migraine | 6/10 | 10/10 | Stronger for Feverfew |
Evidence scores (1–10) are computed from the tier of each cited source. “Comparable” means the two scores are within one point. Follow a score to its detailed sources.
Key Constituents
The anti-inflammatory and antispasmodic active principles; standardised in commercial extracts.
Naturally present but hepatotoxic and carcinogenic; must be removed to make a safe product.
Parthenolide is the principal active compound, to which extracts are often standardised; it is biosynthesised and stored in the glandular trichomes of the aerial parts.
Supporting antioxidant and aromatic constituents.
Pharmacological Actions
Relief of allergic rhinitis / hay fever (antihistaminic and leukotriene-inhibiting; systematic review found it superior to placebo and comparable to non-sedating antihistamines for intermittent allergic rhinitis)
Traditional & Indicated Uses
Relief of allergic rhinitis / hay fever (antihistaminic and leukotriene-inhibiting; systematic review found it superior to placebo and comparable to non-sedating antihistamines for intermittent allergic rhinitis)
inferred from anticancer action
Relief of allergic rhinitis / hay fever (antihistaminic and leukotriene-inhibiting; systematic review found it superior to placebo and comparable to non-sedating antihistamines for intermittent allergic rhinitis)
inferred from antispasmodic action
Migraine prophylaxis (reduces attack frequency; up to ~60% reduction vs placebo in a randomised controlled trial of a standardised CO2 root extract)
Traditional use for fever and for joint pain / arthritis
Traditional use for fever and for joint pain / arthritis
inferred from anti-inflammatory action
Migraine prophylaxis - reduces attack frequency (evidence favourable for some standardised preparations, though mixed); parthenolide is identified as the component responsible for the antimigraine effect in animal models
Traditional use for fever and for joint pain / arthritis
Safety, Cautions & Contraindications
Use ONLY certified pyrrolizidine-alkaloid (PA)-free, standardised extracts. Raw or unprocessed butterbur contains PAs that are toxic to the liver and potentially carcinogenic.
Avoid during pregnancy and breastfeeding. As a member of the daisy family (Asteraceae), it can cause allergic reactions in people sensitive to ragweed and related plants. Watch for and report any signs of liver problems.
As a member of the daisy family (Asteraceae), it can cause allergic reactions in people sensitive to ragweed and related plants. Chewing fresh leaves commonly causes mouth ulcers and oral soreness.
Stopping feverfew abruptly after prolonged use can cause a 'post-feverfew' rebound of headache, anxiety and muscle/joint stiffness. Avoid in pregnancy (uterine-stimulant) and breastfeeding, and use caution with anticoagulant/antiplatelet medicines.
External Ids
Botanical Description
Robust, rhizomatous perennial herb (Asteraceae) that flowers before the leaves emerge: thick, pinkish, scaly flower spikes push up from the ground in early spring, followed by enormous rounded to heart-shaped leaves - up to about 1 m across at maturity - on stout stalks, giving rise to the common name 'umbrella plant'.[2]
Aromatic perennial herb (Asteraceae), 20-60 cm tall, with much-branched, downy stems. Leaves are yellow-green, bipinnately divided and strongly scented. Small, daisy-like flower heads have white ray florets and a flat yellow disc, borne in loose clusters.[13]
Habitat
Native to damp, marshy ground across Europe and western Asia - riverbanks, ditches, wet meadows and damp woodland margins - favouring moist, nutrient-rich soils.[2]
Native to the Balkans and Caucasus region, now naturalised across Europe, North America and elsewhere; grows on disturbed ground, walls, roadsides and waste places, and is widely cultivated.[11]
Harvesting
Rhizome/root is dug in autumn or early spring; leaves are gathered during the growing season. Raw material naturally contains hepatotoxic pyrrolizidine alkaloids, so commercial products are manufactured to remove them (PA-free standardised extracts); home-gathered material should never be used medicinally.[11]
Leaves (aerial parts) are gathered during the growing season, ideally at flowering, and dried or used fresh.[13]
Traditional Uses
Butterbur has a long European folk-medicine history as a fever remedy - the name 'pestilence wort' reflects its historic use during plague outbreaks - and for asthma, cough and migraine-type headache. Modern clinical trials of standardised, pyrrolizidine-alkaloid-free extracts support its use for migraine prevention and allergic rhinitis.[2, 3, 4]
Feverfew has a long European folk tradition, its name derived from 'febrifuge' (fever-reducer), as a remedy for fevers, headaches and joint pain. Modern use and clinical research focus on migraine prevention, with parthenolide identified as the key active compound responsible for inhibiting the inflammatory pathways implicated in migraine.[11]
Preparations
Freeze-dried or standardised-parthenolide extract, the form used in most clinical trials.
Dosage
Clinical trials have used standardised PA-free extracts (for example around 50-75 mg twice daily of a CO2 root extract for migraine prevention). Always use a certified PA-free commercial product, never raw plant material. Educational reference only, not a prescription.
Clinical trials for migraine prevention have most often used standardised extracts providing around 0.2-0.6% parthenolide, taken daily; do not stop abruptly after prolonged use given a documented 'post-feverfew' rebound syndrome. Educational reference only, not a prescription; avoid in pregnancy and with anticoagulants.
References
Lookalikes Review
Dangerous Lookalikes
Not documented
Drug Class Interactions
Not documented
Pairings
Not documented
Feverfew and ginger both reduce blood clotting/platelet stickiness, so taking them together may add up and raise the risk of bruising or bleeding — use caution, especially before surgery or alongside blood-thinning drugs.[14, 15, 16]
References & Sources
- Alhusayan, R.M., Aldahmash, B.A., El-Nagar, D.M., Rady, A. and others (2020) 'Butterbur (Petasites hybridus) Extract Ameliorates Hepatic Damage Induced by Ovalbumin in Mice', Oxidative Medicine and Cellular Longevity, 2020, pp. 3178214. doi:10.1155/2020/3178214 Preclinical
https://doi.org/10.1155/2020/3178214 - Kalin, P (2003) 'The common butterbur (Petasites hybridus)--portrait of a medicinal herb', Forschende Komplementarmedizin und Klassische Naturheilkunde, 10(Suppl 1), pp. 41-44. doi:10.1159/000071691 Meta-analysis / review
https://doi.org/10.1159/000071691 - Brattstrom, A (2003) 'A newly developed extract (Ze 339) from butterbur (Petasites hybridus L.) is clinically efficient in allergic rhinitis (hay fever)', Phytomedicine, 10(Suppl 4), pp. 50-52. doi:10.1078/1433-187x-00304 Meta-analysis / review
https://doi.org/10.1078/1433-187x-00304 - Lipton, R.B., Gobel, H., Einhaupl, K.M., Wilks, K. and Mauskop, A (2004) 'Petasites hybridus root (butterbur) is an effective preventive treatment for migraine', Neurology, 63(12), pp. 2240-2244. doi:10.1212/01.wnl.0000147290.68260.11 Randomized trial
https://doi.org/10.1212/01.wnl.0000147290.68260.11 - Apostolova, S., Oreshkova, T., Uzunova, V., Georgieva, I. and others (2023) 'A Standardized Extract of Petasites hybridus L., Containing the Active Ingredients Petasins, Acts as a Pro-Oxidant and Triggers Apoptosis through Elevating of NF-kB in a Highly Invasive Human Breast Cancer Cell Line', Frontiers in Bioscience (Landmark Edition), 28(6), pp. 111. doi:10.31083/j.fbl2806111 Preclinical
https://doi.org/10.31083/j.fbl2806111 - Danesch, U.C (2004) 'Petasites hybridus (Butterbur root) extract in the treatment of asthma--an open trial', Alternative Medicine Review, 9(1), pp. 54-62. Clinical study
https://scholar.google.com/scholar?q=Petasites%20hybridus%20%28Butterbur%20root%29%20extract%20in%20the%20treatment%20of%20asthma--an%20open%20trial - Aydin, A.A., Zerbes, V., Parlar, H. and Letzel, T (2013) 'The medical plant butterbur (Petasites): analytical and physiological (re)view', Journal of Pharmaceutical and Biomedical Analysis, 75, pp. 220-229. doi:10.1016/j.jpba.2012.11.028 Meta-analysis / review
https://doi.org/10.1016/j.jpba.2012.11.028 - Kulinowski, L., Luca, S.V., Minceva, M. and Skalicka-Wozniak, K (2022) 'A review on the ethnobotany, phytochemistry, pharmacology and toxicology of butterbur species (Petasites L.)', Journal of Ethnopharmacology, 293, pp. 115263. doi:10.1016/j.jep.2022.115263 Meta-analysis / review
https://doi.org/10.1016/j.jep.2022.115263 - Alternative Medicine Review (2001) 'Monograph: Petasites hybridus', Alternative Medicine Review, 6(2), pp. 207-209. Meta-analysis / review
https://scholar.google.com/scholar?q=Monograph%3A%20Petasites%20hybridus - Kulinowski, L., Luca, S.V., Pecio, L., Minceva, M. and Skalicka-Wozniak, K (2023) 'Liquid-liquid chromatography isolation of Petasites hybridus sesquiterpenes and their LC-HR-MS/MS and NMR characterization', Journal of Pharmaceutical and Biomedical Analysis, 234, pp. 115529. doi:10.1016/j.jpba.2023.115529 Preclinical
https://doi.org/10.1016/j.jpba.2023.115529 - Sadler, C., Vanderjagt, L. and Vohra, S (2007) 'Complementary, holistic, and integrative medicine: butterbur', Pediatrics in Review. doi:10.1542/pir.28-6-235 Preclinical
https://doi.org/10.1542/pir.28-6-235 - Guo, R. and Pittler, M.H. and Ernst, E (2007) 'Herbal medicines for the treatment of allergic rhinitis: a systematic review', Annals of Allergy, Asthma & Immunology, 99(6), pp. 483--495. doi:10.1016/S1081-1206(10)60375-4 Meta-analysis / review
https://doi.org/10.1016/S1081-1206(10)60375-4 - Grossmann, M. and Schmidramsl, H (2000) 'An extract of Petasites hybridus is effective in the prophylaxis of migraine', International Journal of Clinical Pharmacology and Therapeutics, 38(9), pp. 430--435. doi:10.5414/cpp38430 Randomized trial
https://doi.org/10.5414/cpp38430 - Sperl, W. and Stuppner, H. and Gassner, I. and Judmaier, W. and Dietze, O. and Vogel, W (1995) 'Reversible hepatic veno-occlusive disease in an infant after consumption of pyrrolizidine-containing herbal tea', European Journal of Pediatrics, 154(2), pp. 112-6. doi:10.1007/BF01991912 Clinical study
https://doi.org/10.1007/BF01991912
- Ernst, E. and Pittler, M.H (2000) 'The efficacy and safety of feverfew (Tanacetum parthenium L.): an update of a systematic review', Public Health Nutrition, 3(4A), pp. 509-514. doi:10.1017/s1368980000000598 Meta-analysis / review
https://doi.org/10.1017/s1368980000000598 - Pittler, M.H., Vogler, B.K. and Ernst, E (2000) 'Feverfew for preventing migraine', Cochrane Database of Systematic Reviews, (3), pp. CD002286. doi:10.1002/14651858.CD002286 Meta-analysis / review
https://doi.org/10.1002/14651858.CD002286 - Pareek, A., Suthar, M., Rathore, G.S. and Bansal, V (2011) 'Feverfew (Tanacetum parthenium L.): A systematic review', Pharmacognosy Reviews, 5(9), pp. 103-110. doi:10.4103/0973-7847.79105 Meta-analysis / review
https://doi.org/10.4103/0973-7847.79105 - Lopresti, A.L., Smith, S.J. and Drummond, P.D (2020) 'Herbal treatments for migraine: A systematic review of randomised-controlled studies', Phytotherapy Research, 34(10), pp. 2493-2517. doi:10.1002/ptr.6701 Meta-analysis / review
https://doi.org/10.1002/ptr.6701 - Pfaffenrath, V., Diener, H.C., Fischer, M., Friede, M. and Henneicke-von Zepelin, H.H (2002) 'The efficacy and safety of Tanacetum parthenium (feverfew) in migraine prophylaxis - a double-blind, multicentre, randomized placebo-controlled dose-response study', Cephalalgia, 22(7), pp. 523-532. doi:10.1046/j.1468-2982.2002.00396.x Randomized trial
https://doi.org/10.1046/j.1468-2982.2002.00396.x - Shrivastava, R., Pechadre, J.C. and John, G.W (2006) 'Tanacetum parthenium and Salix alba (Mig-RL) combination in migraine prophylaxis: a prospective, open-label study', Clinical Drug Investigation, 26(5), pp. 287-296. doi:10.2165/00044011-200626050-00006 Clinical study
https://doi.org/10.2165/00044011-200626050-00006 - Sur, R., Martin, K., Liebel, F., Lyte, P. and others (2009) 'Anti-inflammatory activity of parthenolide-depleted Feverfew (Tanacetum parthenium)', Inflammopharmacology, 17(1), pp. 42-49. doi:10.1007/s10787-008-8040-9 Preclinical
https://doi.org/10.1007/s10787-008-8040-9 - Darbahani, M., Rahaie, M., Ebrahimi, A. and Khosrowshahli, M (2022) 'The effects of several abiotic elicitors on the expression of genes of key enzymes involved in the parthenolide biosynthetic pathway and its content in feverfew plant (Tanacetum parthenium L.)', Natural Product Research, 36(23), pp. 6132-6136. doi:10.1080/14786419.2022.2055555 Preclinical
https://doi.org/10.1080/14786419.2022.2055555 - Jin, P., Madieh, S. and Augsburger, L.L (2008) 'Selected physical and chemical properties of Feverfew (Tanacetum parthenium) extracts important for formulated product quality and performance', AAPS PharmSciTech, 9(1), pp. 22-30. doi:10.1208/s12249-007-9017-5 Preclinical
https://doi.org/10.1208/s12249-007-9017-5 - Studzinska-Sroka, E., Znajdek-Awizen, P. and Gawron-Gzella, A (2013) 'Studies on the antimigraine action of Feverfew (Tanacetum parthenium (L.) Sch. Bip.)', Wiadomosci Lekarskie, 66(2 Pt 2), pp. 195-199. Meta-analysis / review
https://scholar.google.com/scholar?q=Studies%20on%20the%20antimigraine%20action%20of%20Feverfew%20%28Tanacetum%20parthenium%20%28L.%29%20Sch.%20Bip.%29 - Wider, B., Pittler, M.H. and Ernst, E (2015) 'Feverfew for preventing migraine', Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD002286.pub3 Meta-analysis / review
https://doi.org/10.1002/14651858.CD002286.pub3 - Tassorelli, C. and Greco, R. and Morazzoni, P. and Riva, A. and Sandrini, G. and Nappi, G (2005) 'Parthenolide is the component of Tanacetum parthenium that inhibits nitroglycerin-induced Fos activation: studies in an animal model of migraine', Cephalalgia, 25(8), pp. 612--621. doi:10.1111/j.1468-2982.2005.00915.x Randomized trial
https://doi.org/10.1111/j.1468-2982.2005.00915.x - Majdi, M. and Liu, Q. and Karimzadeh, G. and Malboobi, M.A. and Beekwilder, J. and Cankar, K. and de Vos, R. and Todorovic, S. and Simonovic, A. and Bouwmeester, H (2011) 'Biosynthesis and localization of parthenolide in glandular trichomes of feverfew (Tanacetum parthenium L. Schulz Bip.)', Phytochemistry, pp. 1739--1750. doi:10.1016/j.phytochem.2011.04.021 Preclinical
https://doi.org/10.1016/j.phytochem.2011.04.021 - Groenewegen, W.A. and Heptinstall, S (1990) 'A comparison of the effects of an extract of feverfew and parthenolide, a component of feverfew, on human platelet activity in-vitro', Journal of Pharmacy and Pharmacology, 42(8), pp. 553-557. doi:10.1111/j.2042-7158.1990.tb07057.x Preclinical
https://doi.org/10.1111/j.2042-7158.1990.tb07057.x - Ang-Lee, M.K., Moss, J. and Yuan, C.S (2001) 'Herbal medicines and perioperative care', JAMA, 286(2), pp. 208-216. doi:10.1001/jama.286.2.208 Meta-analysis / review
https://doi.org/10.1001/jama.286.2.208 - Jiang, X., Williams, K.M., Liauw, W.S., Ammit, A.J., Roufogalis, B.D., Duke, C.C., Day, R.O. and McLachlan, A.J (2005) 'Effect of ginkgo and ginger on the pharmacokinetics and pharmacodynamics of warfarin in healthy subjects', British Journal of Clinical Pharmacology, 59(4), pp. 425-432. doi:10.1111/j.1365-2125.2005.02322.x Randomized trial
https://doi.org/10.1111/j.1365-2125.2005.02322.x
Generated automatically from the Omnia Sana plant database and its cited sources. For educational purposes only — not medical advice. Always consult a qualified practitioner before using medicinal plants.