Last update March 8, 2025

Boldo

Limited compatibility

Unsafe. Moderate/severe adverse effects. Compatible under certain circumstances. Follow-up recommended. Use safer alternative or discontinue breastfeeding from 5 to 7 T ½ . Read Commentary.

The leaves and bark of the tree are used. Contains alkaloids (boldine), essential oil (ascaridol), coumarins and tannin. Properties attributed: digestive, cholagogue, diuretic. Indications Commission E of the German Ministry of Health and the European Medicines Agency: dyspepsia and intestinal spasms (EMA 2009, Blumenthal 1998). Oral administration.

At the date of last update we found no published data on its excretion in breast milk.

The essential oil is toxic and very irritating due to its ascaridol content. Hallucinatory states, behavioral disturbances, tachycardia and liver toxicity have occurred after consumption of boldo infusions. (Oliveira 2020, Ribeiro 2017, Chaboussant 2014, Agarwal 2006, Piscaglia 2005)

Given its toxicity it seems prudent not to consume it during breastfeeding or to do so very occasionally.

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Boldo in other languages or writings:

Group

Boldo belongs to this group or family:

Tradenames

Main tradenames from several countries containing Boldo in its composition:

References

  1. Oliveira Sá A, Pimentel T, Oliveira N. Boldo-Induced Hepatotoxicity: A Case of Unexplained Jaundice. Eur J Case Rep Intern Med. 2020 Nov 27;7(12):002116. Abstract Full text (link to original source)
  2. Ribeiro RJ, Silvestre C, Duarte C. Hidden Risks of Alternative Medicines: A Case of Boldo-Induced Hepatotoxicity. J Diet Suppl. 2017 Mar 4;14(2):186-190. Epub 2016 Aug 30. Abstract
  3. Chaboussant PJ, Gagez AL, Graber M, Zhao JM, Chavant F, Perault-Pochat MC, Graber D. [Behavioural impairments and hallucinations after consumption of boldo leaf infusions]. Therapie. 2014 Abstract
  4. EMA. Community herbal monograph on Peumus boldus Molina, Boldi folium. Committee on Herbal medicinal products; HMPC; 2009 Full text (in our servers)
  5. Agarwal SC, Crook JR, Pepper CB. Herbal remedies-how safe are they? A case report of polymorphic ventricular tachycardia/ventricular fibrillation induced by herbal medication used for obesity. Int J Cardiol. 2006 Abstract
  6. Piscaglia F, Leoni S, Venturi A, Graziella F, Donati G, Bolondi L. Caution in the use of boldo in herbal laxatives: a case of hepatotoxicity. Scand J Gastroenterol. 2005 Abstract
  7. Blumenthal M, Busse WR, Goldberg A, Gruenwald J, Hall T, Riggins CW, Rister RS, editors. The American Botanical Council. The Complete German Commission E Monographs. Therapeutic Guide to Herbal Medicines. 1st ed. Integrative Medicine Com; Boston, MA, USA: 1998

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