Monograph

Dandelion

Taraxacum officinale

Updated October 4, 2026

Dandelion (Taraxacum officinale) in a sunny meadow with yellow flower heads, jagged leaves, seed clocks, and a botanical inset of flower, leaf, and taproot with milky latex

Key points

  1. 01

    Scientific name: Taraxacum officinale

    Common dandelion is Taraxacum officinale, a daisy-family perennial. Many forms make seed without fertilization, and Kew groups the many clonal lines as Taraxacum section Taraxacum.

  2. 02

    Traditional, not trial-proven

    EU regulators accept root and leaf for mild indigestion, poor appetite, and urinary flushing on long use alone. NCCIH finds no compelling evidence for any condition.

  3. 03

    Diuretic evidence is thin

    A 17-person leaf-extract pilot reported more urination, but a 14-person trial of root powder found no extra urine. Neither replaces a prescribed water pill.

  4. 04

    The greens are real food

    Raw greens supply about 778 micrograms of vitamin K per 100 g, plus vitamin A, potassium, and calcium. Warfarin users should keep their intake steady.

  5. 05

    Gallbladder, allergy, potassium

    Avoid medicinal dandelion with daisy-family allergy, gallstones, or bile-duct or liver disease. EMA flags potassium risks in kidney failure, diabetes, and heart failure.

Dandelion’s scientific name is Taraxacum officinale. It is the familiar yellow-flowered weed of lawns, roadsides, and meadows: a perennial of the daisy family (Asteraceae) with a flat rosette of toothed leaves, a deep taproot, hollow leafless flower stalks, and a bitter white milky sap. Linnaeus first named it Leontodon taraxacum in 1753, and the name Taraxacum officinale dates from 1780. Botanists now treat it less as one tidy species than as a vast group of closely related forms, many of them self-cloning, which Kew’s Plants of the World Online files as Taraxacum section Taraxacum, native from Macaronesia and north-west Africa across Europe to Siberia. NCCIH notes that it now grows throughout temperate regions of the Northern Hemisphere. Every part is used: young leaves as a bitter salad green, the roasted root as a coffee substitute, the flowers for wine and fritters, and leaf and root teas, tinctures, and juices as traditional medicines in Europe, China, Mexico, and North America, according to the National Center for Complementary and Integrative Health (NCCIH) and Memorial Sloan Kettering Cancer Center (MSKCC).

The uses of Taraxacum officinale fall into two groups. As food, dandelion greens are genuinely nutritious: USDA data give 100 g of raw leaves about 45 calories, 778 micrograms of vitamin K, 508 micrograms of vitamin A, 397 mg of potassium, and 187 mg of calcium. As medicine, the European Medicines Agency (EMA) accepts dandelion root, and root with herb, as traditional remedies for mild digestive complaints such as fullness, wind, and slow digestion and for temporary loss of appetite, and accepts root and leaf preparations as traditional aids to increase urine in minor urinary complaints. Those listings rest on long use, not trials. EMA found no clinical efficacy studies, and NCCIH concludes that there is no compelling scientific evidence for dandelion in any health condition. The only human diuretic studies are small and disagree: a 17-person pilot of a fresh-leaf extract reported more frequent urination, while a 14-person trial of root powder found no extra urine. Claims that dandelion detoxifies the liver, burns fat, or treats cancer come from laboratory and animal work.

In food amounts, NCCIH considers dandelion likely safe, and the US Food and Drug Administration lists it as generally recognized as safe as a food (LactMed). Medicinal doses call for more care. EMA advises against dandelion for anyone allergic to daisy-family plants and, because bitters are thought to stimulate bile flow, for people with gallstones, a blocked bile duct, cholangitis, liver disease, or other biliary disease; its leaf and root-with-herb monographs add active stomach ulcers, and warn that the plant’s high potassium could be risky in kidney failure, diabetes, or heart failure. Possible interactions include lithium, diuretics, drugs that raise potassium, diabetes medicines, and blood thinners, and the vitamin K in the greens matters for anyone taking warfarin. Nothing here is medical advice. A bowl of spring greens is food; a concentrated extract is not a proven liver cleanse, a substitute for prescribed water pills, or a treatment for gallstones, and abdominal pain, yellowing skin, swelling, or painful urination need a doctor rather than a stronger tea.

In this monograph

01 The plant

Botanical profile

The common dandelion grows from a stout, fleshy taproot, dark brown outside and white and milky within, that can reach a foot or more in good soil and divides at the crown with age (Grieve). Its leaves rise straight from the root in a rosette that lies close to the ground. They are hairless and cut into jagged, backward-pointing teeth, though Grieve notes that some forms are deeply lobed and others almost entire. Each flower stalk, or scape, is hollow, smooth, leafless, and unbranched and carries a single head about an inch and a half across (King’s American Dispensatory). What looks like one flower is a head of many strap-shaped, golden-yellow florets, each notched with five tiny teeth, set in a double ring of green bracts whose small outer scales spread or bend back (King’s). Grieve notes that heads open in the morning in fine weather and close in the evening and whenever rain threatens. After flowering the head closes again, then reopens as the familiar seed clock: a sphere nearly two inches wide of ribbed fruits, each lifted on a slender, thread-like beak with a parachute of soft white bristles that carries it on the wind (King’s). The whole plant bleeds a bitter white latex when cut, which Grieve notes stains the hands brown.

The name is less simple than the plant. Linnaeus called it Leontodon taraxacum in Species Plantarum (1753), and F.H. Wiggers published Taraxacum officinale in 1780, the name EMA’s herbal monographs still use. Kew’s Plants of the World Online now accepts the group as Taraxacum section Taraxacum and lists Taraxacum officinale among its 19 synonyms, while researchers often write Taraxacum officinale agg., for aggregate. The reason is apomixis: many common dandelions set seed without fertilization, so their offspring are essentially clones. In a review of dandelions and their relative skeleton weed (Chondrilla), van Dijk (Philosophical Transactions of the Royal Society B 2003) explains that apomictic dandelions are more widespread than sexual ones, that apomictic populations are highly polyclonal, and that new clones arise through rare crosses in which apomicts act as pollen donors to sexual plants. Some clones are geographically widespread, and van Dijk describes them as probably phenotypically plastic general-purpose genotypes: single genetic lines flexible enough to succeed in many different places. Chinese medicine mainly uses a related species, Taraxacum mongolicum, which MSKCC lists alongside T. officinale under the name pu gong ying.

The root and leaves carry several kinds of chemistry. EMA’s assessment reports list bitter sesquiterpene lactones such as taraxinic acid glucoside and 11β,13-dihydrolactucin; triterpenes and sterols including taraxasterol and β-sitosterol; phenolic acids led by chicoric and chlorogenic acids; and flavonoids such as luteolin glycosides. The root stores inulin, a fructose-based fiber, in amounts that EMA, citing Bisset, gives as about 2% in spring and up to 40% in autumn; King’s cites Dragendorff’s 1870 finding of 24% in October roots against 1.74% in March. The leaves are rich in potassium, with 30 to 48 mg per gram of dried leaf in one three-year study, against about 25 mg per gram (2.45%) in the root (EMA). The latex is chemically distinct: taraxinic acid glucoside makes up about 7% of latex from the main root (EMA, citing Huber 2015), and the same compound is a known skin sensitizer. Older pharmacists knew the chemistry changed with the seasons. King’s American Dispensatory records about 17% reducing sugar in roots dug in March, and Grieve explains that spring roots dry shriveled and porous while autumn roots, packed with inulin, dry firm.

Three parts are used medicinally: the dried root (Taraxaci radix), the leaf (Taraxaci folium), and the whole plant, root with herb (Taraxaci radix cum herba), each with its own EMA monograph. Products labeled only “dandelion” may contain any of them. The root has look-alikes. Chicory root, a close relative, was a common substitute; King’s and Grieve both note that it is paler, with its milk vessels in radiating lines rather than the concentric rings seen in a cut dandelion root, and Grieve records the hairy-leaved rough hawkbit (Leontodon hispidus) being passed off as dandelion. Grieve also observes that flowers easily mistaken for dandelion have either hairy leaves or branched flower stems, a useful check for foragers. Where the plant grows matters too. EMA’s assessment report cites surveys of wild dandelions that found lead at 0.5 to 45 mg/kg in plants from 29 US sites and up to 175 mg/kg at 13 Polish sites, along with cadmium and other metals. Plants from roadsides, industrial ground, or sprayed lawns are poor choices for the kitchen or the teapot.

02 Lineage

History

According to Grieve’s A Modern Herbal (1931), dandelion first appears as a medicine in the works of Arabian physicians of the tenth and eleventh centuries, who described it as a kind of wild endive under the name taraxacon, and it turns up in Welsh medical texts of the thirteenth century. The English name is a corruption of the French dent de lion, lion’s tooth, echoed in the old Latin Dens leonis and in Linnaeus’s Greek genus name Leontodon. Grieve reports some doubt that the leaves were the true inspiration. She cites the Ortus Sanitatis of 1485, which credits a surgeon, Master Wilhelmus, with likening the herb to a lion’s tooth because of its virtues, and notes the yellow flowers and white root as other suggested origins. She derives Taraxacum from the Greek taraxos, disorder, and akos, remedy, while noting an alternative reading. Folk names are just as vivid. Grieve records priest’s crown, for the bare seed head, and swine’s snout, for the closed head after flowering; NCCIH adds lion’s tooth and blowball, and MSKCC puffball and wild endive.

In Europe dandelion was both food and pharmacy. EMA’s assessment report dates its use in German folk medicine to the sixteenth century, and Grieve notes it was much valued in the times of the English herbalists Gerard and Parkinson. By her day the root was dug commercially in autumn, and country druggists prided themselves on their dandelion juice, pressed from fresh roots. Grieve suggests that the liver reputation owed something to the doctrine of signatures, the idea that a plant’s appearance reveals its use, because the bright yellow flowers were a bilious hue. She also describes roasted dandelion coffee sold in vegetarian restaurants, dandelion wine made from the flowers in Berkshire and Worcestershire, and dandelion beer and stout drunk by furnace and pottery workers in the Midlands. Young leaves, blanched under a pot to soften their bitterness, were a spring salad, especially in France.

In the United States the dried root was official in the US Pharmacopeia. King’s American Dispensatory (1898) specified root gathered in autumn and described it as a stomachic and tonic with slightly diuretic and laxative actions, long supposed to relieve torpor and engorgement of the liver and spleen. It was frank about the limits. Professor King thought the plant’s virtues had been overrated, and the book warned that it could cause indigestion, wind, pain, and diarrhea in people with weak digestion and should not be used with an irritable or inflamed stomach or bowel. NCCIH notes that the flowers, leaves, and root have traditionally been used in Mexican and other North American medicine, and MSKCC records the use of dandelion in Chinese medicine to promote breast milk and to treat abscesses, especially of the breast. Older European texts went much further than modern regulators do: the British Herbal Pharmacopoeia of 1983, as summarized by EMA, recommended the root for cholecystitis, gallstones, jaundice, sluggish digestion with constipation, muscular rheumatism, and scanty urine.

Modern regulation has narrowed those claims. Germany’s Commission E, cited in EMA’s 2009 assessment report, gave a dose of 3 to 4 g of root with herb per cup, and German dandelion tablets made from dry extract have been on the market since 1976. WHO’s monographs on selected medicinal plants (volume 3, 2007), also summarized by EMA, recorded folk uses for diabetes, rheumatism, urinary infections, fever, insomnia, eye inflammation, sore throat, abscesses, and jaundice, and as a milk-promoter, laxative, and tonic. On 12 November 2009 EMA’s herbal committee adopted monographs on the leaf and on root with herb, limited to traditional use because no clinical studies were found. A separate root monograph followed on 24 November 2021. Reviews in 2019 found no new efficacy or safety data that would justify revising the leaf or root-with-herb monographs, apart from a correction to the quality standard, and in March 2026 EMA opened new calls for scientific data on both. One change is notable: in the 2021 root monograph, gallstones and other biliary disease moved from the contraindications to the warnings, because of a lack of pharmacovigilance, preclinical, and clinical data rather than any new evidence of safety.

03 Chemistry

Active compounds and how it works

Bitterness is the oldest explanation and the most plausible one. EMA notes that bitter principles are thought to increase secretions from the salivary and stomach glands by stimulating bitter receptors, the classic rationale for bitters before meals. In dandelion the bitterness has been linked to the sesquiterpene lactone taraxinic acid glucoside and its dihydro relative, along with p-hydroxyphenylacetic acid and β-sitosterol (EMA, citing Kuusi 1985). Old animal experiments support the bile tradition. A water decoction of dandelion leaves given into the small intestine of rats raised hourly bile volume by up to 40% (Böhm 1959), and a decoction given intravenously to dogs doubled bile flow over 30 minutes (Chabrol 1931), both as summarized by EMA. That bile-stimulating idea is also why EMA cautions against dandelion in gallstones and bile-duct obstruction. In rats, taraxinic acid glucoside protected the stomach lining against aspirin damage without changing acid secretion, but none of this has been measured in people taking dandelion tea.

The diuretic story rests on rats and on potassium. In a 1974 study by Rácz-Kotilla and colleagues, summarized by EMA, water extracts of the herb increased urine more than root extracts, and the highest dose, equivalent to 8 g of dried herb per kg of body weight, matched the effect of 80 mg/kg of furosemide; the response was not linear and fell off at the top concentration. Other teams could not confirm a diuretic effect, and purified root fractions only slightly raised urine volume in mice. Both EMA and MSKCC suggest that any diuretic action may come partly from the plant’s high potassium content, and EMA adds certain flavonoids, while noting that no study has confirmed this. One leaf infusion contained 519 mg of potassium per liter. In laboratory work, an alcohol extract of dandelion root triggered calcium signals in mouse kidney collecting-duct cells and dampened a kidney chloride channel in engineered human cells (Gerbino, cited by EMA), possible mechanisms that remain untested in people. The doses used in the rat studies were far above anything in a cup of tea.

Other laboratory effects are real but far from proven benefits. Inulin is a soluble fiber that feeds gut bacteria: dandelion root extract boosted the growth of 6 of 14 bifidobacteria strains in culture (Trojanová 2004, cited by EMA). A root extract blocked ADP-induced platelet clumping by up to 85% in human plasma in the test tube (Neef 1996), but a leaf infusion had no effect on platelets from healthy volunteers (Saulnier 2005). A water infusion weakly inhibited the starch-digesting enzyme α-glucosidase, needing several times the concentration of the drug acarbose (Önal 2005). In rats given dandelion tea, activity of the liver enzyme CYP1A2 fell to 15% of normal while the detoxifying enzyme UGT more than doubled (Maliakal and Wanwimolruk 2001). Extracts protected the liver of rats and mice against toxins and alcohol, reduced fat storage in cultured fat cells, and killed some cancer cell lines. EMA concluded that experimental support for the proposed uses is very limited, though the reported effects are not considered contradictory to the traditional uses, and none of these effects has been confirmed in people.

04 In practice

Common uses

Digestion and appetite are the core traditional uses of Taraxacum officinale. EMA’s 2021 monograph accepts dandelion root as a traditional herbal medicine for the relief of mild digestive disorders such as a feeling of abdominal fullness, flatulence, and slow digestion, and for temporary loss of appetite, in adults and adolescents; its 2009 monograph accepts root with herb for the same complaints. For poor appetite, the root is taken half an hour before meals, and anyone whose symptoms last longer than two weeks is told to see a doctor. In many European countries dandelion is sold mainly in combination products and teas rather than on its own (EMA). These listings are explicitly based on long-standing use. EMA found no clinical studies of efficacy, and the indications were judged plausible on the basis of reference books and laboratory pharmacology rather than proven. Bitter greens and root teas before a meal are a reasonable thing to try for an occasionally sluggish stomach. Ongoing indigestion, weight loss, difficulty swallowing, or pain is a reason to see a doctor.

Increasing urine is the other European indication. EMA accepts dandelion leaf, root, and root with herb as traditional remedies to increase the amount of urine to flush the urinary tract as an adjuvant in minor urinary complaints, with plenty of fluid. Human evidence is thin and mixed. Clare and colleagues (Journal of Alternative and Complementary Medicine 2009) gave 17 volunteers 8 mL of a fresh-leaf alcohol extract three times in one day. Urination became more frequent in the five hours after the first dose and the ratio of urine passed to fluid drunk rose after the second, but the third dose changed nothing. In its 2019 review EMA pointed to the lack of blinding, the small numbers, self-recorded fluid intake and output, no correction for water in food, and limited baseline data. In 2026 Gavin, Caulfield, and Egan (International Journal of Sport Nutrition and Exercise Metabolism) gave 14 active young adults 1 liter of water with or without about 2.1 g of commercial dandelion root powder. Urine over four hours was 1,268 g with dandelion and 1,164 g without, a difference that was not statistically significant. Leaf extract and root powder differ, but neither study shows a reliable diuretic.

Liver support is dandelion’s best-known folk claim and its weakest modern one. Older texts recommended the root for jaundice, gallstones, and even progressive cirrhosis (EMA, citing Polish and British sources), and supplement labels still promise a liver cleanse or detox. The evidence consists of animal studies, such as reduced liver damage in rats given the solvent carbon tetrachloride, in mice given alcohol, and in mice fed a fatty diet (EMA, MSKCC). EMA found no human trials, and its monographs point the other way: they advise against medicinal dandelion in people who already have liver disease, gallstones, or bile-duct problems. MSKCC even lists a case of acute liver injury in a 36-year-old woman who drank a herbal liver detox tea containing dandelion, which settled after she stopped. There is no evidence that dandelion improves liver function in healthy people, and people with diagnosed liver disease are the group EMA specifically tells to avoid medicinal doses.

Many other uses have little support. MSKCC lists stimulating breast milk, diabetes, appetite, and increasing urination among dandelion’s purported uses and says the other uses have not been studied by doctors to see if they work. LactMed notes that dandelion is a purported galactogogue, a milk-promoting herb, but that no scientifically valid clinical trials support this. For blood sugar, powdered whole plant lowered blood glucose in normal rabbits but not in diabetic ones, and the α-glucosidase effect seen in the test tube was weak (EMA), although MSKCC records a case of low blood sugar after eating dandelion. Weight-loss claims rest on cultured fat cells, in which a root extract cut fat accumulation by about 20% (González-Castejón 2014, cited by EMA). NCCIH notes that oral dandelion is promoted for indigestion and oral and topical products for joint pain, but finds no compelling evidence for any health condition and only preliminary laboratory work on anti-inflammatory, antioxidant, and antiviral effects. Any weight lost through extra urine is water, not fat.

Cancer claims deserve particular care, because dandelion root extract is widely promoted online. In the laboratory, an aqueous root extract killed more than 95% of colon cancer cells within 48 hours and slowed the growth of human colon tumors in mice by more than 90% (Ovadje and colleagues 2016, summarized by EMA), and MSKCC lists similar results in melanoma, leukemia, and pancreatic cancer cell lines. MSKCC also cites preclinical evidence that an extract of the related Taraxacum mongolicum has estrogen-like activity, increasing the growth of hormone-sensitive breast cancer cells and the uterine weight of young rats, which is a reason for caution rather than enthusiasm in hormone-sensitive cancers. A few case reports describe possible benefit in people with blood cancers, but MSKCC says it is unclear whether dandelion was responsible, and it concludes that clinical trials are needed to show when dandelion may be safe and effective. Dandelion root is not a treatment for any cancer, and anyone considering it during cancer care should talk to their oncology team first, given its possible effects on drug-metabolizing enzymes.

05 The apothecary

Preparations and traditional use

EMA’s monographs give specific traditional doses for adults and adolescents. For dandelion root (2021), the options are a decoction of 1 to 5 g of cut root in 150 ml of water, two or three times a day; fresh root juice, 4 to 8 ml three times a day; a 1:1 liquid extract in 30% alcohol, 2 to 8 ml three times a day; or a 1:5 tincture in 45% alcohol, 5 to 10 ml three times a day. EMA notes that a tablespoon of cut root weighs about 7.2 g. For root with herb (2009), it lists 3 to 4 g as a decoction or 4 to 10 g as an infusion up to three times a day, a 300 mg dry-extract tablet twice daily, or 10 ml of fresh pressed juice three times daily. For the leaf, it gives 4 to 10 g as an infusion, or 4 to 10 ml of liquid extract, three times a day, or 5 to 10 ml of fresh leaf juice twice a day. For urinary use, plenty of fluid is part of the treatment. Courses are short: the root monograph advises seeing a doctor if symptoms last more than two weeks. None of these preparations is recommended under age 12.

As a food, the leaves are best picked young. Grieve warns that full-grown leaves are too bitter for salad, and blanching young leaves under a pot makes them milder, though PFAF notes that blanched leaves also contain fewer vitamins and minerals. Grieve also boils young leaves like spinach; PFAF describes digging the roots of two-year-old plants in autumn, drying and roasting them for a caffeine-free coffee substitute; the flowers go into wine, and unopened buds into fritters. A cup of chopped raw greens (55 g) supplies about 428 micrograms of vitamin K, more than three times the daily amount the NIH Office of Dietary Supplements sets for adult men. Gather only from ground you know: away from roads, industrial sites, dog-walking routes, and lawns treated with weedkillers, given the metal levels found in some wild dandelions. Wash leaves well, and wear gloves if handling the plant irritates your skin; PFAF notes reports of dermatitis from touching dandelions, probably caused by the latex.

Practical points: check the label for the plant part, because leaf, root, and root-with-herb products are listed for different uses and taste quite different, and many dandelion teas are blends. A single-herb product with a stated amount per dose is easier to judge than a multi-herb detox or slimming blend, the kind of product behind several published case reports of harm. Drink plenty of fluid when using dandelion to increase urine, and do not use it that way if a doctor has told you to limit fluids. Do not stack several bitter or flushing teas at once. Stop and see a doctor if you develop fever, painful urination, cramps, or blood in the urine, as EMA advises, or if you notice yellowing of the skin or eyes. Very large amounts can matter: in the case report by Moriarty and colleagues, a man with kidney failure who drank 10 to 15 cups of dandelion tea a day for six months developed oxalate deposits and gangrene of his fingertips.

Safety

Before you use dandelion

06 Caution

Side effects

Stomach complaints are the commonest side effects. MSKCC lists heartburn, stomach ache, and mild diarrhea at high doses, and EMA’s 2009 monograph on root with herb lists stomach pain and excess acid, of unknown frequency, among its undesirable effects. When EMA reassessed the root alone in 2021 it could not confirm those effects from clinical or experimental data and left only allergic reactions in the root monograph. King’s American Dispensatory warned in 1898 that dandelion could cause indigestion, wind, pain, and diarrhea in people with weak digestion. Anyone who gets heartburn or stomach pain from dandelion bitters should stop taking them. EMA notes that no overdose cases have been documented in 30 years, and its 2020 search of the EU adverse-reaction database found 12 reports involving dandelion root: ten were for multi-herb products and two involved dozens of other drugs, so causality could not be assessed, and no new safety information emerged.

Allergy is the main specific risk. EMA lists allergic reactions of unknown frequency and notes that anaphylaxis and contact dermatitis are possible, probably caused by sesquiterpene lactones such as taraxinic acid glucoside, a known contact sensitizer. Reported cases include a 7-year-old boy with contact dermatitis, sensitive to dandelion, daisy, and chrysanthemum, who improved once he stopped handling plants (Wakelin and colleagues 1997, cited by MSKCC), and a 52-year-old woman with 13 years of recurrent erythema multiforme, a target-like rash, after contact with weeds while gardening, who reacted on patch testing to fresh dandelion leaves (EMA). Patch testing has quirks: EMA notes that some children who react to dandelion extract test negative on the standard daisy-family screening mixes, possibly because dandelion acts as a separate sensitizer, and that Compositae sensitization was more common in children with atopic eczema (4.7% against 1.3%). NCCIH adds that topical dandelion may cause allergic reactions in people with eczema and that evidence of cross-reaction with ragweed, chrysanthemums, marigolds, and daisies is conflicting.

Several case reports involve dandelion as one ingredient among many, which makes cause hard to pin down. MSKCC lists the first reported case of low blood sugar after eating dandelion (Goksu and colleagues 2010); bleeding from the bladder in a 33-year-old woman taking a slimming product containing dandelion, which cleared when she stopped; acute liver injury in a 36-year-old woman after a herbal liver detox tea containing dandelion; and toxic blood levels of anti-rejection drugs in a kidney transplant recipient who drank an herbal tea containing dandelion (Kwan and colleagues 2014). In the test tube, dandelion tea extract inhibited CYP3A4, the enzyme that clears those drugs. These reports do not show that ordinary dandelion greens or a cup of root tea are dangerous, but they are a reminder that concentrated and multi-ingredient products can behave differently from food.

The most serious report is linked to kidney failure. Moriarty and colleagues (British Journal of Dermatology 2013), summarized in EMA’s 2021 assessment report, described a 56-year-old man with type 2 diabetes, high blood pressure, and kidney failure needing intermittent dialysis who had drunk 10 to 15 cups of dandelion tea a day for six months. He developed painful black fingertips from tissue death. His blood oxalate was 87 µmol/L, against a normal level below 10, oxalate crystals were found in his kidneys, and tea brewed from the same source was itself high in oxalate. He died nine months after diagnosis. EMA notes that reduced kidney function impairs oxalate clearance, and kidney failure is also one of the conditions in which it warns about potassium build-up. Beyond such case reports, the safety record has gaps: EMA notes that tests for genotoxicity, reproductive toxicity, and cancer-causing potential have never been performed, which is one reason it does not recommend dandelion medicines in pregnancy.

07 Caution

Contraindications

Daisy-family allergy: all of EMA’s dandelion monographs contraindicate use in people who are hypersensitive to dandelion or to other plants of the Asteraceae (Compositae) family, which includes ragweed, chrysanthemums, marigolds, and daisies. Cross-reactions are inconsistent: EMA notes that dandelion may act as a sensitizer in its own right, so a negative test or a lack of reaction to other daisy-family plants does not rule out dandelion allergy. Anyone who has had a rash, swelling, or breathing trouble after contact with daisy-family plants should avoid dandelion medicines and take care when weeding or foraging. People with atopic eczema should be cautious about dandelion creams and other topical products, which NCCIH says may provoke allergic reactions in this group. Eating a few leaves is a smaller exposure than a concentrated extract, but it is not a safe way to test an allergy.

Gallbladder, bile ducts, liver, and stomach ulcers: EMA’s 2009 monographs on the leaf and on root with herb contraindicate dandelion in blocked bile ducts, cholangitis (bile-duct inflammation), liver disease, gallstones, active peptic ulcer, and any other biliary disease. The 2021 root monograph keeps the same list as a warning that dandelion root is not recommended, because of its possible stimulation of bile secretion, and EMA’s assessment report explains that it moved the advice to the warnings only because supporting data were lacking, not because the concern had been dismissed. In practice the advice is the same: do not use medicinal dandelion if you have gallstones, a history of bile-duct blockage, or liver disease unless your specialist agrees. EMA based the ulcer contraindication on a standard reference text, in keeping with the idea that bitters stimulate stomach secretions. Pain under the right ribs, yellow skin or eyes, dark urine, or pale stools are reasons to see a doctor promptly, not to try a bitter tea.

Kidneys, heart, diabetes, and fluid limits: because of its high potassium content, EMA advises avoiding dandelion leaf and root-with-herb preparations in kidney failure, diabetes, and heart failure, where the body may not clear extra potassium well. The 2021 root monograph adds that, because adequate fluid intake is required when dandelion is used to increase urine, it is not recommended for anyone whose doctor has advised them to limit fluids. The Moriarty case shows that very large amounts of tea can harm people with failing kidneys. Dandelion is also not a treatment for urinary infection: fever, burning on urination, cramps, or blood in the urine call for medical assessment, and EMA tells users to stop and see a doctor if these appear. Do not use dandelion to treat swelling of the legs or breathlessness; those need a diagnosis.

Pregnancy, breastfeeding, and children: EMA does not recommend dandelion medicines during pregnancy or breastfeeding because safety has not been established, and notes that no fertility data are available. NCCIH says little is known about whether amounts greater than those in food are safe at these times. LactMed considers use during breastfeeding unlikely to harm the baby, but notes that dandelion’s reputation as a milk-promoter has no valid clinical trials behind it, so it is not a fix for low milk supply. Dandelion greens as an ordinary food are a different matter from extracts. EMA does not recommend dandelion medicines under age 12 for lack of data, and MSKCC notes that contact dermatitis from handling dandelions may be more common in children. People with hormone-sensitive cancers should consider MSKCC’s preclinical findings of estrogen-like activity before taking concentrated dandelion products and discuss them with their oncologist.

08 Caution

Drug and herb interactions

Lithium, diuretics, and potassium: EMA’s monographs report no known interactions, but its assessment reports flag two theoretical ones. People taking lithium who use herbs with a diuretic action, such as dandelion, could become dehydrated and develop lithium toxicity (EMA, citing Harkness and Bratman). And because of dandelion’s potassium, EMA’s 2009 report advises against combining dandelion tea with drugs that can raise blood potassium, listing beta-blockers, ACE inhibitors, cyclosporine, digitalis, heparin, ketoconazole, NSAIDs, pentamidine, potassium-sparing diuretics such as spironolactone, tacrolimus, and trimethoprim. MSKCC notes that animal and human studies suggest dandelion may add to the effects of prescription diuretics, and NCCIH lists water pills among the drugs it might interact with. None of these interactions has been documented in a controlled human study, but the consequences of lithium toxicity or high potassium would be serious. If you take any of these medicines, ask your prescriber before using medicinal dandelion, and never use it to replace or boost a prescribed water pill.

Diabetes medicines and blood thinners: MSKCC notes that laboratory and animal studies suggest dandelion may add to the blood-sugar-lowering effect of diabetes drugs, and NCCIH lists antidiabetes, anticoagulant, and antiplatelet drugs among theoretical interactions; a case of low blood sugar after dandelion ingestion has been reported. In the test tube, root extract blocked platelet clumping, although a leaf infusion did not affect platelets from volunteers. If you take insulin or a sulfonylurea, check your blood sugar more often when starting a dandelion product. Warfarin users face a separate, food-based issue. Raw dandelion greens contain about 778 micrograms of vitamin K per 100 g, and the NIH Office of Dietary Supplements advises people on warfarin to keep their vitamin K intake about the same each day, because a sudden change can cause dangerous bleeding if intake falls or blood clots if it rises. A seasonal glut of spring greens is exactly the kind of change to discuss with your anticoagulation clinic.

Drug-metabolizing enzymes and antibiotics: MSKCC notes that dandelion inhibited CYP1A2 in animals and CYP3A4 in the test tube and induced UGT enzymes in animals, which could alter blood levels of drugs cleared by these pathways, and it links toxic cyclosporine and sirolimus levels in a transplant recipient to a herbal tea containing dandelion. Anyone taking anti-rejection drugs, anticancer drugs, or other medicines with a narrow safety margin should avoid dandelion supplements unless their specialist agrees. The ciprofloxacin warning often repeated online comes from a single rat study of a different species, Taraxacum mongolicum. Zhu and colleagues (Journal of Pharmaceutical Sciences 1999) found that the extract cut peak ciprofloxacin levels by 73% and roughly tripled its half-life, but total absorption over time was similar. The authors attributed the effect to the extract’s high mineral content, and its relevance to people taking T. officinale is unknown. Always tell your pharmacist about dandelion products, including teas and coffee substitutes.

09 Questions

Frequently Asked Questions

The common dandelion is Taraxacum officinale, a name published by F.H. Wiggers in 1780; Linnaeus had called it Leontodon taraxacum in 1753. It belongs to the daisy family, Asteraceae. Because many common dandelions set seed without fertilization and form countless clonal lines, Kew’s Plants of the World Online treats the group as Taraxacum section Taraxacum and lists Taraxacum officinale as a synonym, while researchers often write Taraxacum officinale agg. EU herbal monographs still use Taraxacum officinale. Chinese medicine mainly uses a related species, Taraxacum mongolicum.

As food, its young leaves are eaten as a bitter green, its roasted root is brewed as a coffee substitute, and its flowers are made into wine. As a traditional medicine, EU regulators accept dandelion root for mild indigestion, fullness, wind, and temporary loss of appetite, and leaf and root to increase urine in minor urinary complaints, based on long use rather than trials. Claims for liver detox, weight loss, diabetes, and cancer are unproven. See our guides to herbs for digestion and herbs for urinary health.

EU monographs treat them as separate herbal medicines. The root, richest in inulin in autumn and roasted for dandelion coffee, is listed for mild indigestion, poor appetite, and increasing urine; the leaf, richer in potassium, is listed only to increase urine. A third product, root with herb, combines both. Doses differ: 1 to 5 g of root as a decoction, against 4 to 10 g of leaf as an infusion, each up to three times a day. Check which part a product contains, because labels saying only “dandelion” can mean any of them.

Possibly a mild one, but the evidence is thin. In a 17-person pilot study, a fresh-leaf extract increased how often people urinated after the first two of three doses, but the study was small, unblinded, and self-recorded. A 2026 crossover trial in 14 young adults found that about 2.1 g of root powder taken with a liter of water produced no significant extra urine. EU regulators accept dandelion to flush the urinary tract on traditional grounds only. Like other traditional flushing herbs such as nettle and burdock, it should not replace prescribed diuretics, and any weight it removes is water.

Yes. Young leaves are eaten raw in salads or cooked like spinach, and they are nutritious: 100 g of raw greens has about 45 calories, 778 micrograms of vitamin K, 508 micrograms of vitamin A, 397 mg of potassium, and 187 mg of calcium. Older leaves are much more bitter. Pick only from unsprayed ground away from roads, since wild dandelions can take up lead and cadmium, and be sure of the identification. If you take warfarin, keep your intake steady, and avoid them if you are allergic to daisy-family plants.

Yes, if it is pure root. Dandelion coffee is made by drying and roasting the roots, usually dug in autumn, and the drink is caffeine-free. Grieve’s A Modern Herbal (1931) notes that it was once sometimes mixed with true coffee for flavor, so check the label of any blend for added coffee or tea. Roasted root still carries the same cautions as other dandelion products for people with daisy-family allergy, gallstones, or bile-duct problems, and drinking it by the potful is not a good idea if you have kidney disease. Our guide to herbs for digestion covers other traditional bitters.

No human study shows that it does. The liver reputation comes from tradition and from animal studies of bile flow and liver protection. EU monographs actually advise against medicinal dandelion in people with liver disease, gallstones, or bile-duct problems, and a herbal liver detox tea containing dandelion has been linked to acute liver injury. If you are comparing liver herbs, see our pages on milk thistle and artichoke and our guide to herbs for liver health, and talk to a doctor before using any herb if you have liver disease.

Ask your prescriber first. EMA’s assessment notes that a diuretic herb could theoretically dehydrate people on lithium and raise lithium to toxic levels, and that dandelion’s high potassium makes it unwise to combine dandelion tea with potassium-sparing diuretics such as spironolactone, ACE inhibitors, and other drugs that raise potassium. MSKCC adds that dandelion may add to prescription diuretics. EMA also advises avoiding dandelion leaf and root with herb in kidney failure, diabetes, and heart failure. Ordinary amounts of greens in food are less of a concern than extracts and strong teas.

10 References

Sources

These references support the history, clinical, and safety claims on this page. They are not an endorsement of any product.

  1. European Union herbal monograph on Taraxacum officinale F.H. Wigg., radix

    European Medicines Agency (EMA/HMPC/475726/2020), 2021

    Adopted 24 November 2021: traditional use of dandelion root for mild digestive disorders, temporary loss of appetite, and urinary flushing; decoction, juice, extract, and tincture doses; contraindicated in Asteraceae allergy; biliary and liver disease and fluid restriction moved to warnings; not under 12 or in pregnancy and lactation.

  2. Assessment report on Taraxacum officinale F.H. Wigg., radix

    European Medicines Agency (EMA/HMPC/475725/2020), 2021

    Root constituents and inulin (2% spring to 40% autumn); historical indications from the British Herbal Pharmacopoeia and ESCOP; rat diuretic and cell studies; CYP1A2 and UGT effects in rats; colon cancer cell and xenograft data; Moriarty digital necrosis case; no clinical efficacy data.

  3. Taraxaci radix cum herba - herbal medicinal product

    European Medicines Agency, 2026

    Monograph on dandelion root with herb (EMA/HMPC/212895/2008 Corr. 1, adopted 2009): traditional use for mild digestive disorders, loss of appetite, and urinary flushing; contraindicated in biliary and liver disease, gallstones, and active peptic ulcer; hyperkalemia warning; periodic review call March to June 2026.

  4. Assessment report on Taraxacum officinale Weber ex Wigg., radix cum herba

    European Medicines Agency (EMA/HMPC/212897/2008), 2009

    German folk use since the 16th century; Commission E and WHO references; leaf potassium content; rat choleretic and diuretic studies; heavy-metal surveys; hyperkalemia rationale and drugs that raise potassium; theoretical lithium interaction; no clinical studies found.

  5. Taraxaci folium - herbal medicinal product

    European Medicines Agency, 2026

    Monograph on dandelion leaf (EMA/HMPC/579636/2008): traditional use to increase urine in minor urinary complaints, 4–10 g infusion three times daily; biliary, liver, and peptic ulcer contraindications; 2019 addendum critiquing the 17-volunteer Clare study.

  6. Dandelion

    National Center for Complementary and Integrative Health (NIH), 2024

    Updated November 2024: native to Europe; traditional Mexican and North American use; very little research and no compelling evidence for any condition; likely safe in food amounts; conflicting evidence on ragweed cross-reactivity; theoretical drug interactions.

  7. Dandelion

    Memorial Sloan Kettering Cancer Center, About Herbs, 2023

    Updated February 2023: traditional Chinese, Mexican, and North American uses; preclinical anticancer and estrogenic findings; heartburn, hypoglycemia, and contact dermatitis; case reports; diuretic, hypoglycemic, CYP1A2, CYP3A4, and UGT interactions; clinical trials needed.

  8. Dandelion

    Drugs and Lactation Database (LactMed), National Institute of Child Health and Human Development (PubMed 30000932), 2006

    Purported galactogogue with no valid clinical trials; generally recognized as safe as a food by the FDA; rare allergy and stomach upset; use during breastfeeding unlikely to harm the infant.

  9. The diuretic effect in human subjects of an extract of Taraxacum officinale folium over a single day

    Journal of Alternative and Complementary Medicine (PubMed 19678785), 2009

    Clare et al.: 17 volunteers, fresh-leaf hydroethanolic extract 8 mL three times in one day; more frequent urination after the first dose and higher excretion ratio after the second; no effect after the third.

  10. Co-Ingestion of a Commercially Available Dandelion Root Powder Elicited No Additional Diuretic Effect Over 4 Hr Compared to Ingestion of Water Alone in Physically Active Young Adults

    International Journal of Sport Nutrition and Exercise Metabolism (PubMed 42398668), 2026

    Gavin et al.: open-label crossover in 14 active adults; about 2.1 g of root powder with 1 L of water; four-hour urine 1,268 g versus 1,164 g with water alone (p = 0.13).

  11. Dandelion greens, raw

    USDA FoodData Central (SR Legacy 169226), 2018

    Per 100 g: 45 kcal, 3.5 g fiber, 778.4 µg vitamin K, 508 µg vitamin A (RAE), 397 mg potassium, 187 mg calcium, 3.1 mg iron, 35 mg vitamin C; one chopped cup is 55 g.

  12. Vitamin K: Fact Sheet for Consumers

    NIH Office of Dietary Supplements, 2021

    Adequate intakes of 120 mcg for men and 90 mcg for women; people taking warfarin should keep vitamin K intake about the same each day.

  13. Taraxacum sect. Taraxacum F.H.Wigg.

    Plants of the World Online (Royal Botanic Gardens, Kew), 2026

    Accepted name for the common dandelion group, native to Macaronesia, Europe to Siberia, and north-west Africa; 19 synonyms including Taraxacum officinale F.H.Wigg. (1780) and Leontodon taraxacum L. (1753).

  14. Ecological and evolutionary opportunities of apomixis: insights from Taraxacum and Chondrilla

    Philosophical Transactions of the Royal Society B (PubMed 12831477), 2003

    van Dijk: apomictic dandelions are more widespread than sexual ones; apomictic populations are highly polyclonal; new clones arise by rare hybridization with apomicts as pollen donors; some clones are general-purpose genotypes.

  15. Dandelion (A Modern Herbal)

    Mrs M. Grieve, A Modern Herbal, via Botanical.com, 1931

    First medicinal mention by Arabian physicians of the 10th and 11th centuries; Welsh medicine of the 13th century; dent de lion and the Ortus Sanitatis (1485); doctrine of signatures; dandelion coffee, wine, and beer; hawkbit substitution.

  16. Taraxacum (U. S. P.)—Taraxacum. (King’s American Dispensatory)

    Felter and Lloyd, King’s American Dispensatory, via Henriette’s Herbal Homepage, 1898

    Official US Pharmacopeia root gathered in autumn; botanical description; inulin 24% in October versus 1.74% in March; stomachic and tonic with slight diuretic action; virtues thought overrated; chicory root adulteration.

  17. Effects of taraxacum mongolicum on the bioavailability and disposition of ciprofloxacin in rats

    Journal of Pharmaceutical Sciences (PubMed 10350500), 1999

    Zhu et al.: in rats, a Taraxacum mongolicum extract lowered peak ciprofloxacin levels by 73% and tripled its half-life, while overall bioavailability was similar.

  18. Taraxacum officinale Dandelion PFAF Plant Database

    Plants For A Future, 2026

    Edible uses: young and blanched leaves, roots of two-year-old plants dug in autumn and roasted as a caffeine-free coffee substitute; flowers for wine and unopened buds for fritters; dermatitis reported from handling the plant.