Coltsfoot
Also known as: Tussilago farfara, Coltsfoot, Coughwort, Horsehoof
Overview
Coltsfoot (*Tussilago farfara*) is a perennial herb native to Europe and Asia, traditionally used for respiratory and anti-inflammatory purposes. It contains various compounds, including sesquiterpenoids, triterpenoids, flavonoids, phenolic acids, and pyrrolizidine alkaloids (PAs). While historically used to treat bronchitis and coughs, modern research reveals significant safety concerns due to the presence of hepatotoxic PAs. Most studies are in vitro or animal-based, with limited human clinical trials. Therefore, the evidence is not robust enough to support its widespread use. Its traditional applications are rooted in its potential anti-inflammatory and antioxidant properties, but these benefits must be weighed against the risks of liver damage. Due to the presence of PAs, coltsfoot is not considered safe for general consumption and should be avoided.
Benefits
In vitro and animal studies suggest that coltsfoot exhibits anti-inflammatory and antioxidant effects. These effects are attributed to the modulation of nitric oxide production and inhibition of nuclear factor kappa B cells. Some research indicates potential antimicrobial and anti-cancer properties, but these findings are preliminary and require further investigation. However, the lack of human clinical trials means that the clinical significance and effect sizes of these benefits are not well-quantified. No specific population benefits have been clearly established, and the time course of any potential benefits remains unknown. Due to safety concerns, the potential benefits do not outweigh the risks.
How it works
Coltsfoot's anti-inflammatory effects may involve the modulation of nitric oxide production and the inhibition of nuclear factor kappa B cells. It interacts with the respiratory and immune systems, potentially targeting cyclooxygenase, inflammatory cytokines, and tumor necrosis factor alpha. However, the exact mechanisms of action, absorption, and bioavailability are not well-studied. The presence of pyrrolizidine alkaloids (PAs) introduces a significant safety concern, as these compounds are known to be hepatotoxic and can cause liver damage. Therefore, while the herb may interact with various biological pathways, the risks associated with its use outweigh any potential benefits.
Side effects
Coltsfoot poses significant safety concerns due to the presence of hepatotoxic pyrrolizidine alkaloids (PAs). The most concerning potential side effect is liver damage, which can range from mild to severe liver injury. Common and uncommon side effects are not well-documented due to limited human studies, but the risk of liver toxicity is a major concern. Drug interactions are currently unknown, but given the potential for liver damage, interactions with other hepatotoxic substances are possible. Coltsfoot is contraindicated in pregnancy, breastfeeding, and individuals with pre-existing liver conditions. It should be avoided in vulnerable populations due to the risk of PA-induced liver damage. Overall, the safety profile of coltsfoot is unfavorable, and its use is generally discouraged.
Dosage
Due to significant safety concerns related to pyrrolizidine alkaloids (PAs), no dosage guidelines can be established for coltsfoot. There is no established minimum effective dose, optimal dosage range, or maximum safe dose. Timing considerations and form-specific recommendations are irrelevant given the safety risks. Absorption factors are not well-studied, but the presence of PAs makes any potential benefits irrelevant. There are no required cofactors that would mitigate the risks associated with coltsfoot use. Given the potential for liver toxicity, coltsfoot is not recommended for consumption in any form or dosage.
FAQs
Is coltsfoot safe to use?
No, coltsfoot is not considered safe for general use due to the presence of pyrrolizidine alkaloids (PAs), which can cause liver toxicity. Avoid using coltsfoot in any form.
When is the best time to take coltsfoot?
Due to safety concerns, coltsfoot is not recommended for consumption. Therefore, timing of administration is not applicable.
What are the expected results from taking coltsfoot?
Given the safety risks, coltsfoot is not recommended. Any potential benefits are outweighed by the risk of liver damage from pyrrolizidine alkaloids.
Is coltsfoot a safe herbal supplement for respiratory issues?
No, despite its traditional use for respiratory issues, coltsfoot is not a safe herbal supplement due to the risk of liver damage from pyrrolizidine alkaloids.
Research Sources
- https://pmc.ncbi.nlm.nih.gov/articles/PMC7561605/ – This review explores the ethnobotanical value and pharmacology of *Tussilago farfara*. It highlights the anti-inflammatory, antioxidant, and antimicrobial effects demonstrated in various studies. However, it also acknowledges the lack of human clinical trials, emphasizing the need for further research to validate these potential benefits.
- https://www.drugs.com/npp/coltsfoot.html – This resource provides general information about coltsfoot, including its traditional uses and potential benefits. It also mentions the safety concerns associated with pyrrolizidine alkaloids (PAs) and the need for caution when considering its use. The information is intended for educational purposes and should not be considered medical advice.
- https://pmc.ncbi.nlm.nih.gov/articles/PMC9210065/ – This study investigates the anti-inflammatory and antioxidant effects of coltsfoot through in vitro and animal models. The findings suggest potential mechanisms of action, but the limitations of these models highlight the necessity of human trials for validation. The research contributes to understanding the potential pharmacological activities of coltsfoot but does not establish its safety or efficacy for human use.
- https://www.ebsco.com/research-starters/health-and-medicine/coltsfoots-therapeutic-uses – This research starter provides an overview of coltsfoot's therapeutic uses in health and medicine. It discusses the historical applications of the herb and its potential benefits. However, it also emphasizes the importance of considering the safety concerns associated with its use, particularly the presence of pyrrolizidine alkaloids.
- https://www.sciencedirect.com/science/article/pii/S0944711322002446 – This article likely discusses various aspects of coltsfoot, potentially including its chemical composition, pharmacological activities, and safety concerns. Given the source, it is likely to provide detailed scientific information, but the specific content would need to be verified by accessing the full text.
Supplements Containing Coltsfoot

Lungwort and Coltsfoot
Hawaii Pharm

Lungwort and Coltsfoot
Hawaii Pharm

Herbal Lung Formula
Botanic Choice

Breathe Activator TCM Concentrate
Nature's Sunshine

Advanced Lung Formula
New Sun

Broncitone 900 mg
Nature's Answer

Broncitone
Nature's Answer

Breathe Activator
Nature's Sunshine