Evidence-based·Last reviewed May 30, 2026·How we grade evidence

Boneset

Botanical

Useful mainly for no well-supported modern use.

Quick decision guide

May help most

no well-supported modern use

Common dosing range

not established for evidence-based use

When to expect effects

Unknown

Watch out for

May contain hepatotoxic pyrrolizidine alkaloids; avoid prolonged or high-dose use

What is it

Boneset (Eupatorium perfoliatum) is a North American flowering herb traditionally used by Indigenous peoples and in folk medicine for fevers, colds, and influenza-like illness. Its aerial parts contain sesquiterpene lactones, flavonoids, and polysaccharides, and it also contains hepatotoxic pyrrolizidine alkaloids in some preparations. Modern controlled human evidence is essentially absent.

Is it worth it for you?

Use this as a quick fit check, not a diagnosis.

Worth considering if

there is no evidence-based reason to recommend it

Probably skip if

you want a proven cold or fever remedy
you are concerned about liver-toxic alkaloids
you need reliable safety data

Evidence at a glance

cold and influenza-like symptoms

Mixed Evidence
Effect
Not demonstrated in controlled human trials
Best fit
none established
Time
Unknown

Evidence for 1 use

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

cold and influenza-like symptoms

Mechanism only
Mixed Evidence

Boneset has a long traditional reputation for treating fevers and colds, and laboratory studies show immune-modulating and anti-inflammatory activity from its constituents. There are no robust controlled human trials demonstrating benefit for cold or flu, so its use rests on tradition and preclinical data only.

Effect size
Not demonstrated in controlled human trials
Time to effect
Unknown
Best fit
none established

Bottom line: Traditional fever/cold remedy with no credible human trial support.

How to take it

1. Typical dose
not established for evidence-based use
2. Timing
not established
3. With food
not established
4. How long to try
avoid prolonged use due to alkaloid concerns

What to track

any signs of GI upset or nausea
any signs of liver issues with prolonged use

Safety

Know the common side effects, key cautions, and who should avoid it.

Common side effects

nauseavomiting (especially at high doses)

Serious risks

  • potential liver toxicity from pyrrolizidine alkaloids

Who should avoid it

  • pregnant or breastfeeding people
  • people with liver disease
  • children

Pregnancy & breastfeeding

Avoid; pyrrolizidine alkaloid content makes it unsafe in pregnancy and breastfeeding.

Interactions

hepatotoxic drugsModerate

additive liver risk from pyrrolizidine alkaloids

Choosing a product

What to look for on the label — and what to be skeptical of.

Look for

verified botanical identity (Eupatorium perfoliatum)
preferably tested as free of pyrrolizidine alkaloids
clear plant part and preparation

Be skeptical of

flu or fever cure claims
immune-boosting guarantees
'bone-healing' claims implied by the name

References by claim

cold and influenza-like symptoms

Gassinger et al., 1981PubMed (1981) link

Track Boneset with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

Coming to App Store
Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.