8 mins read

Overview: Yarrow (Achillea millefolium) is an herbal supplement made from a flowering plant in the daisy (Asteraceae/Compositae) family. Yarrow is taken by mouth for digestive problems, menstrual cramps, and inflammation. It is applied to the skin for wound healing, skin inflammation, and other minor skin conditions. However, the benefits of yarrow are not well defined. Yarrow may cause allergic reactions, especially if you are allergic to plants in the daisy family (such as ragweed, chamomile, chrysanthemums, or marigolds). Talk to your health care provider about all of your health conditions and any medicines you take before using yarrow.

Uses

What is yarrow used for?

Yarrow (Achillea millefolium) is commonly used for many reasons, but the benefits for any use are not well defined.

Some reasons for using yarrow herbal supplements include the following.

Some reasons for applying yarrow to the skin include the following.

  • Wounds (minor wounds, cuts, abrasions, and sores)
  • Skin inflammation, including hemorrhoids
  • Skin care

Note: The FDA has not reviewed yarrow for safety and effectiveness. Learn more about dietary supplements here.

How does yarrow work (mechanism of action)?

Yarrow (Achillea millefolium) is in the Asteraceae (daisy) family. Yarrow dietary supplements can be made from the flowers, leaves, and stems of the plant.

Yarrow naturally contains many different chemicals, including:

  • Monoterpenes
  • Sesquiterpene lactones
  • Flavonoids
  • Phenolic acids
  • Alkaloids

Some of these chemicals are thought to reduce inflammation by blocking certain enzymes in the body. Hydrocarbon monoterpenes and flavonoids may have anti-inflammatory effects. The sesquiterpene lactones may help relax blood vessels. The flavonoids and phenolic acids may also act as antioxidants and contribute to anti-inflammatory effects.

Laboratory studies show that yarrow extracts, when applied to the skin, increase the growth of human skin cells and affect wound closure. These effects may help explain its traditional use for wound healing. Yarrow oil extracts may also have anti-inflammatory effects on the skin, which may help restore normal skin hydration and pH after irritation. Yarrow extracts have also shown antimicrobial activity in laboratory studies, which may contribute to their wound-healing effects.

The benefits of yarrow for any use are not well defined. While laboratory and animal studies have shown anti-inflammatory, antioxidant, and antimicrobial effects, human research is limited.

Herbal products, such as yarrow, naturally contain many different chemicals. The amounts of each chemical in a specific yarrow product may vary. Some, none, or all of these chemicals may have effects on the body. These effects may change depending on how much of each chemical is found in the product you are using.

How should I store yarrow?

You should store yarrow according to the product label. Most dietary supplements should be kept in a cool, dry location that is out of the reach of children and pets and not in direct sunlight.

Side Effects

What are the most common side effects of yarrow?

Yarrow seems to be well tolerated when taken by mouth or applied to the skin. But there is not enough research to know what common side effects may be. Tell your health care provider if you have any side effects that bother you.

Contact your health care provider if you think you are having a side effect of a supplement. In the U.S., you can report side effects to the FDA at www.safetyreporting.hhs.gov or by calling 888-SAFEFOOD (888-723-3366). In Canada, you can report side effects to Health Canada at www.health.gc.ca/medeffect or by calling 866-234-2345.

What are the serious side effects of yarrow?

While less common, the most serious side effects of yarrow are described below, along with what to do if they happen.

Severe Allergic Reactions. Yarrow may cause allergic reactions, which can be serious. Stop using yarrow and get help right away if you have any of the following symptoms of a serious allergic reaction.

  • Breathing problems or wheezing
  • Racing heart
  • Fever or general ill feeling
  • Swollen lymph nodes
  • Swelling of the face, lips, mouth, tongue, or throat
  • Trouble swallowing or throat tightness
  • Itching or skin rash
  • Bumps on the skin called hives that can be red, pink, white, or brown depending on your skin tone
  • Nausea or vomiting
  • Dizziness, feeling lightheaded, or fainting
  • Stomach cramps
  • Joint pain

Severe Skin Reactions. In rare cases, a widespread skin rash (dermatitis) has been reported after drinking yarrow tea. Widespread or worsening skin reactions have also been reported in people who use topical yarrow products and are sensitive to plants in the daisy family. If you develop a widespread or worsening skin rash after using yarrow (whether taken by mouth or applied to the skin), stop using it and contact your health care provider.

Central Nervous System (CNS) Effects. Yarrow can affect your brain or central nervous system (CNS), especially when using large amounts or concentrated products. This is likely from thujone, which is a chemical found in yarrow. Call your health care provider right away if you have the following symptoms.

  • Feeling agitated or restless
  • Confusion
  • Seizures

Warnings & Precautions

Who should not use yarrow?

Allergies to Ingredients. People who are allergic to any of the following should not use yarrow.

  • Achillea millefolium
  • Yarrow
  • Any of the ingredients in the specific product

Your pharmacist can tell you all of the ingredients in the specific yarrow products they stock.

What should I know about yarrow before using it?

Yarrow is a dietary supplement. It cannot be marketed to treat or cure a disease.

Read and follow the directions on the specific product you are using, or use it as recommended by your health care provider.

Keep yarrow out of the reach of children.

Yarrow naturally contains a chemical called thujone, which has been reported to cause neurological effects (such as seizures) when consumed in large amounts. The amount of thujone in yarrow products can vary. Do not take more yarrow than recommended on the product label. See the Side Effects section for more details.

Yarrow also contains sesquiterpene lactones and linalool, which can cause allergic skin reactions in some people. People who regularly handle plants in the daisy family (such as florists and gardeners) may be at higher risk. Some people have become sensitive to yarrow after using herbal remedies, massage oils, shampoos, or cosmetics containing yarrow or related plants.

Herbal products, such as yarrow, naturally contain many different chemicals. The amount of each chemical in a specific yarrow product can change for many reasons, including the area where the plant was grown, the weather during growth, the time of year when it was harvested, and the way that the plant was processed after it was harvested. If you switch to a new bottle or a different brand, you may not have the same effects or side effects because of this variability. Talk to your health care provider if you have questions or concerns.

Yarrow may be made from different parts of the plant. For example, yarrow products can come from the flowers, the leaves, or the stems. Each of these plant parts contains different chemicals that may have different effects on the body. It is important to read the product label to confirm which part of the plant was used to make that product.

Yarrow is available in many forms, including dried herb (for tea), dried and ground powder, capsules, tablets, liquid extracts, tinctures, and topical preparations (such as ointments, creams, oil macerates, compresses, and yarrow sitz baths). Each of these forms may contain different amounts of the chemicals that are naturally found in the plant.

If you are using a liquid yarrow supplement, use an accurate measuring device to measure your dose. A household spoon is not an accurate measuring device and may cause you to take the wrong dose. Ask your pharmacist what measuring device to use.

If you are using a yarrow powder, use an appropriate measuring device to measure the powder, such as the device included with the product. Read the label carefully, and measure the amount stated on the label. Mix the powder as instructed on the packaging.

Topical yarrow products are applied directly to the skin and should not be taken by mouth. If you are using a topical yarrow product, apply it only to intact or minor wound areas as directed, and watch for signs of skin irritation or allergic reaction. Stop using the product and contact your health care provider if you have redness, itching, swelling, or a rash at the application site.

The FDA has not tested yarrow products to confirm that they contain the ingredients stated on their labels. Some dietary supplements have been tested by third-party organizations to confirm that they contain the ingredients listed on their labels and do not contain any harmful chemicals. Learn more about how to choose a safe dietary supplement product here.

What should I tell my health care provider before using yarrow?

Tell your health care provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. Also tell them if you have an upcoming surgery planned. Sharing this information will help your health care provider know if this or other supplements are right for you.

In particular, make sure that you discuss any of the following.

Allergies to Related Plants. Yarrow belongs to the daisy family (Asteraceae/Compositae). People who are allergic to other plants in this family may also react to yarrow. Examples of other plants in this family include ragweed, chamomile, chrysanthemums, and marigolds. Talk with your health care provider if you have known allergies to any of these plants before using yarrow.

Sensitive Skin. If you have a history of contact dermatitis or sensitive skin, you may be at higher risk for skin reactions to topical yarrow products. Consider testing the product on a small area of skin before applying to a larger area.

Pregnancy. It is not known if or how yarrow could affect pregnancy or harm a fetus. Tell your health care provider if you are pregnant or plan to become pregnant.

Breastfeeding. It is not known if yarrow passes into breast milk. Tell your health care provider if you are breastfeeding or plan to breastfeed.

Interactions

Does yarrow interact with foods or drinks?

There are no known interactions between yarrow and foods or drinks, but research is limited.

It is unknown if drinking alcohol will affect yarrow.

Does yarrow interact with medicines (drug interactions)?

The interactions between yarrow and medicines are not fully understood. As with most dietary supplements, the research on drug interactions with yarrow is incomplete. Always check with your health care provider before using yarrow with any medicines.

Always tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

Overdose/Missed Dose

What should I do if I accidentally use too much yarrow?

If you or someone else has used too much yarrow, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222.

Yarrow is typically available as a dietary supplement that is taken by mouth or applied to the skin. Read the product label closely, and speak with a health care provider about how to use yarrow safely. Do not use double or extra doses, even if you miss a dose.