Digitalis Leaf — Safety & Interactions

Yang Di Huang Ye · Folium Digitalis

Contraindications

  • Any unsupervised self-medication
  • Known bradyarrhythmia, advanced heart block, or unstable ventricular rhythm without specialist oversight
  • Hypokalemia, hypomagnesemia, or significant renal impairment
  • Pregnancy

Cautions

  • All parts of the foxglove plant are toxic, and dried leaf remains dangerous despite processing.
  • Modern therapeutic use belongs to standardized prescription glycosides, not crude herbal preparations.
  • Visual disturbance, nausea, vomiting, confusion, bradycardia, and arrhythmia are classic toxicity warnings that require urgent medical attention.

Drug Interactions

Drug Class / Substrate Mechanism Severity Source
Loop or thiazide diuretics and other potassium-depleting therapies - electrolyte loss increases digitalis toxicity risk.
Verapamil, amiodarone, quinidine, and other conduction-slowing or interacting cardiovascular drugs - may raise toxicity risk or worsen rhythm disturbances.
Other cardiac glycosides or unmonitored stimulant-laxative use - additive cardiotoxic or electrolyte-mediated danger.

Pregnancy

Not recommended during pregnancy. Consult a qualified practitioner before any use.

This information is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before using herbal medicines, especially if you take prescription medications.