HerbMate

Herb comparison

Andrographis (Andrographis paniculata) vs Boneset (Eupatorium perfoliatum)

Both plants are listed as traditional remedies for 1 of the same condition, which is why they are easy to confuse. Their descriptions and full safety notes are below, free.

Andrographis (Andrographis paniculata) plant

Andrographis (Andrographis paniculata)

Boneset (Eupatorium perfoliatum) plant

Boneset (Eupatorium perfoliatum)

Boneset (Eupatorium perfoliatum) is restricted

Preparation amounts are not shown for this herb. It is toxic, restricted, or otherwise unsafe to self-dose - the margin between a traditional dose and a harmful one is too small to publish as reference material. If you are considering it, that conversation belongs with a doctor or a qualified practitioner, not a website.

About
Andrographis, commonly known as Green Chiretta or King of Bitters, is an upright annual herb reaching approximately 3 feet in height. Native to India and cultivated throughout northern regions of India and China, this bitter medicinal plant has been valued in Ayurvedic and traditional Chinese medicine for centuries. MSK notes that it has been studied mostly for colds, flu and upper respiratory infections. The plant thrives on plains and in forest undergrowth, where its spotted pale brown or purple flowers and long seed capsules distinguish it from other medicinal herbs.
Boneset (Eupatorium perfoliatum) is a bitter-tasting, upright perennial that can reach about 5 ft (1.5 m). It has lance-shaped leaves and clusters of small white or sometimes purple florets.
Safety & precautions
Pregnancy & Breastfeeding: Avoid, because andrographis may affect fertility and uterine contractions. High doses can cause nausea, vomiting, and gastrointestinal upset. Medicines: MSK notes laboratory signs of reduced platelet clumping (although a rat study found no interaction with warfarin), possible added blood-pressure lowering, possible interference with some chemotherapy drugs, and a possible rise in side effects from aminophylline. Whether andrographis meaningfully blocks drug-processing enzymes is uncertain: MSK cites laboratory inhibition of CYP1A2, CYP2C9 and CYP3A4, while a 2015 review judged the data too limited to call it an inhibitor. Professional supervision is recommended for long-term use.
Pregnancy: Use cautiously during pregnancy. Long-Term Use: Not recommended for prolonged usage. Fresh plant material, large amounts, or chronic intake can cause nausea, diarrhea, and possible liver stress, as boneset contains pyrrolizidine alkaloids (similarly to comfrey). Emetic & Laxative Effects: Boneset infusion may cause vomiting and can have a laxative effect.

Safety text above is printed in full and is never abbreviated. For each plant’s complete precautions, drug and food interactions and preparation notes, open its own page - both are free.

Conditions that list both