Graded against 173,636 supplements + 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, NIH DSLD
Butterbur
MODERATE EVIDENCESupplementLast updated
AVELOR SUMMARY
Butterbur extract (Petadolex® — PA-free) is one of the best-evidenced herbal migraine preventives. A 2004 RCT found 150mg/day reduced migraine frequency by 48% — comparable to prescription preventives. The active petasins are anti-inflammatory and antispasmodic. CRITICAL: raw butterbur contains pyrrolizidine alkaloids (PAs) — hepatotoxic and carcinogenic. ONLY use PA-free extracts (Petadolex). Germany and UK withdrew butterbur products over PA contamination concerns. Our assessment: highly effective but ONLY with certified PA-free products.
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*Reviewed by the Dose AI Research Team and Clinical Advisory Board*
*Last updated: 2026-04-06*
Independently graded against 173,636 indexed supplements with 177 published clinical interactions, sourced from PubMed, FDA CAERS, openFDA, and NIH DSLD | Last updated:
Not medical advice. Based on published clinical research and systematic reviews.