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Herbs & Botanicals · European May wine herb

Woodruff

Galium odoratum · also called Sweet woodruff, Waldmeister, master of the wood

Woodruff is a small European woodland herb best known for flavouring May wine and syrups. It was also used in folk medicine for nerves, veins and the liver. No human trial of woodruff has tested any of these uses, so the evidence is very thin. The main caution is coumarin, which gives it its hay smell and can harm the liver at high intakes.

General information, not medical advice. Last substantive update · Not medically reviewed. A named clinician has not signed off on this page. How this page is made

About Woodruff

Sweet woodruff (Galium odoratum) is a European woodland herb with a sweet, hay-like smell. It is best known as the flavour in May wine and woodruff syrup. It was also used in folk medicine, but no human trial of woodruff exists. Its coumarin is the main safety question.

What it is

Woodruff is a small perennial plant of European beech and conifer forests, with whorled leaves and small white flowers in spring. The aerial parts are used.

Fresh woodruff smells of little. As the leaves wilt, sugar-bound precursors release coumarin, which gives the hay-like smell and the flavour. Its old name was Asperula odorata.

10 9 6

How it differs from other coumarin plants

Cassia cinnamon, tonka bean and sweet clover also hold coumarin. Limits count every source together, so heavy cinnamon users should count woodruff too.

The coumarin in woodruff is not the same as the blood-thinning drugs warfarin and phenprocoumon, which are also called coumarins (AGES). A consumer reference still advises caution with blood thinners, and the true risk is unknown.

1 10 14

Traditional and food uses

May wine has been made with woodruff since at least 854 AD (as cited in a 2026 review). Folk medicine used it for wounds, digestion, coughs and anxiety, and later for nerves, veins and the liver. Today it is mostly a flavouring.

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What the research shows

No convincing clinical evidence exists for woodruff preparations. The findings that do exist are lab and animal: extracts calmed inflammatory immune cells in mouse cells and improved burn healing in rats.

A 2025 study found coumarin first forms as the herb wilts and then falls with long drying, because it evaporates.

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At a glance

Traditional uses history, not proof

  • Flavouring for May wine, syrups, soft drinks and Berliner Weisse (traditional food use)
  • Tea or drink for nerves, anxiety and sleeplessness (folk use)
  • Folk use for digestion, the liver, circulation and wounds

Studied for research

  • Nerves, sleep and headache: insufficient (traditional use only, no human trial)
  • Veins, liver, digestion and urine flow: insufficient (traditional use only)
  • Burn healing: very-low (one rat study); anti-inflammatory effects in cells: lab only

Main compounds

  • Coumarin (released from sugar-bound melilotosides as the herb wilts)
  • Asperuloside and other iridoid glycosides
  • Chlorogenic acids
  • Flavonoids such as rutin

Common forms

  • Fresh or wilted leaves in May wine (Maibowle)
  • Syrup
  • Dried leaves or tea
  • Tincture
  • Capsules and skin or perfume products

Research links: Sweet woodruff review, Molecules (2026) · Coumarin formation during drying (2025) · Toxicology and risk assessment of coumarin (BfR authors, 2010) · AGES coumarin page · Rat burn-healing study (2013) · Coumarin liver toxicity review (2022) · French pharmacovigilance survey of coumarin liver reactions (1998) · Research Library · Genes & Biomarkers Library

The plant and its history

Accepted scientific name
Galium odoratum (L.) Scop.
Naming authority
(L.) Scop.
Synonyms
Asperula odorata L.
Common names
Sweet woodruff (English); Woodruff (English); Waldmeister (German); Master of the wood (English); Reine des bois (French)
Botanical family
Rubiaceae (madder family)
Classification
Plantae > Gentianales > Rubiaceae > Galium > Galium odoratum
Native range
A European woodland herb (2026 review); wider range not stated in the sources read.
Habitat
Woodland, in conifer and beech forest, flowering from late April to June (test.de, 2003).
What the plant looks like
Roots: Not described.; Stems: Not described.; Leaves: Whorled leaves (leaves in rings around the stem); a perennial herb.; Flowers: Small white flowers in spring and early summer (2026 review).; Fruit: Not described.
Cultivation
Cultivated and wild plants have been compared in a 2024 study. Species-specific harvest volumes are poorly documented; use of wild plants is listed in Poland (2026 review).
Harvest and processing
Shoots are traditionally wilted for 2 to 24 hours before use in May wine; a 2025 study found drying done by 48 hours and coumarin falling later through evaporation.
Look-alikes and adulterants
Name: Other Galium species (bedstraws); Note: Close relatives. Not verified here as to coumarin content.; Name: Sweet clover (Melilotus); Note: A different plant, also coumarin-rich with a hay smell. See the sweet clover page.
Sustainability and conservation
Not protected in Poland since 2015 (2026 review); wider status not assessed.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Medieval Central EuropeUsed in May wine (Maiwein); a source cited by the 2026 review traces this to 854 AD.p42654000
European folk medicineExternally for wounds; internally for digestive disorders, coughs and anxiety.p42654000
Modern Germany and AustriaFlavouring for syrups, soft drinks, Berliner Weisse (the green shot) and May wine.s-ages-coumarin

Traditional use shows how a plant was used. It does not show that a supplement works or is safe today.

What is inside, and how it may work

What the plant contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Coumarin (1,2-benzopyrone)
PubChem 323
coumarin (benzopyrone)Aerial parts after wilting or dryingGives the sweet hay smell; formed from cis- and trans-melilotoside on wilting. Main safety compound. 10 9 1Human data
Asperuloside (an iridoid)
PubChem 84298
iridoid glycosideAerial partsIsolated from woodruff in 2025. Anti-inflammatory activity is reported for related iridoids, mostly isolated compounds from other plants. 9 10Lab
Chlorogenic acid
PubChem 1794427
caffeoylquinic acidAerial partsContributes to antioxidant activity in extracts. 13 9Lab
Rutin and other flavonoid glycosides (quercetin and kaempferol types)
PubChem 5280805
flavonoidAerial partsContributes to antioxidant activity. CID is for rutin only. 13 10Lab

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Release of coumarin on wiltingplant enzymesSugar-bound coumarin precursors (melilotosides) are converted to free coumarin when plant tissue is damaged or wilted. 9 1Lab
Macrophage type (inflammation)not specifiedWoodruff extracts reduced the inflammatory M1 macrophage population in mouse cells. 13Lab
Liver toxicity route of coumarinCYP2A6, CYP3A4Low CYP2A6 activity may shunt coumarin toward a toxic metabolite in a small subset of people. 5Theory
Burn healingnot specifiedExtracts improved wound contraction in rats; actives not identified. 11Animal research

Absorption, metabolism and elimination

Absorption
Coumarin is absorbed relatively easily through the skin (AGES). No woodruff absorption study was found.
Distribution
Not studied for woodruff.
Metabolism
Mainly CYP2A6 7-hydroxylation in the liver; alternative routes may matter in sensitive people.
Elimination
Not described in the sources read.
Bioavailability
Not established for woodruff preparations.

1 5

Isolated compounds versus whole extracts

Most safety data come from isolated coumarin used as a drug. Most activity data come from isolated compounds or non-standard extracts. The 2026 review says findings from isolated compounds should not be applied to woodruff preparations, whose coumarin amount depends on how the herb was handled.

Nutritional composition

Woodruff is a flavouring, not a source of nutrients. It is not a significant source of vitamins or minerals.

9benefits and uses looked at
15studies and sources checked
Very low certaintybest evidence rating found
0lab markers tracked in trials

1 very low certainty8 not enough evidence

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Nervousness, restlessness and anxiety (traditional)

Not enough evidence

Woodruff was used in European folk medicine for nerves and anxiety. No trial in people has tested it.

2 studiesTraditional use is as a tea or a wine-based drink from the aerial par…

Studies, doses and limits

What the trials found

No human trial of woodruff was found. The 2026 review says there is no convincing clinical evidence for defined woodruff preparations.

Results

No outcome has been measured.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Only traditional use is documented; there are no human or relevant animal studies in the sources read.

Form and dose studied

Traditional use is as a tea or a wine-based drink from the aerial parts. No standard product has been tested.

Who was studied

None studied.

Limits

Traditional claims only. Higher coumarin intake itself is linked to headache and dizziness, so more is not safer.

Why researchers looked

Folk use for anxiety and restlessness. The compounds responsible, if any, are unknown.

Traditional use

The 2026 review notes folk use of the aerial parts for anxiety, and a consumer drug reference lists nervousness and restlessness.

Proposed mechanism Pharmacological theory

Not established. Coumarin and other plant compounds have not been shown to calm the nervous system in people.

A proposed mechanism does not show that the effect happens in people.

See the Safety tab: coumarin and the liver, pregnancy, blood-thinning drugs.

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Sleeplessness (traditional)

Not enough evidence

Listed as a traditional use for sleep problems. There is no human evidence.

2 studiesTraditional use is as a tea or a wine-based drink from the aerial par…

Studies, doses and limits

What the trials found

No human trial of woodruff was found. The 2026 review says there is no convincing clinical evidence for defined woodruff preparations.

Results

No outcome has been measured.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Traditional claims only.

Form and dose studied

Traditional use is as a tea or a wine-based drink from the aerial parts. No standard product has been tested.

Who was studied

None studied.

Limits

No trial. The May wine form contains alcohol, which itself disturbs sleep.

Why researchers looked

Traditional evening use as a calming tea or drink.

Traditional use

A consumer drug reference lists sleeplessness; a 2003 consumer article says folk medicine values woodruff for sleeplessness.

Proposed mechanism Pharmacological theory

Not established.

A proposed mechanism does not show that the effect happens in people.

Alcohol-based preparations (May wine, tincture) are not suitable for everyone.

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Headache, migraine and nerve pain (traditional)

Not enough evidence

Woodruff has been used for migraine and nerve pain, yet too much woodruff is itself linked to headache.

2 studiesTraditional use is as a tea or a wine-based drink from the aerial par…

Studies, doses and limits

What the trials found

No human trial of woodruff was found. The 2026 review says there is no convincing clinical evidence for defined woodruff preparations.

Results

No outcome has been measured.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Traditional claims only, and the same sources link excess intake with headache, so direction of effect is unclear.

Form and dose studied

Traditional use is as a tea or a wine-based drink from the aerial parts. No standard product has been tested.

Who was studied

None studied.

Limits

Sources disagree in spirit: folk use for headache versus headache from excess coumarin (consumer article).

Why researchers looked

Traditional use for migraine and nerve pain (neuralgia).

Traditional use

RxList lists migraine and nerve pain among traditional uses; a 2003 article says folk medicine used it for headache, cramps and sleeplessness.

Proposed mechanism Pharmacological theory

Not established.

A proposed mechanism does not show that the effect happens in people.

If headaches follow woodruff drinks, stop and tell a clinician if they persist.

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Weak veins and circulation (traditional)

Not enough evidence

Woodruff has been listed for "weak veins" and circulation. No study tested this.

1 studiesTraditional use is as a tea or a wine-based drink from the aerial par…

Studies, doses and limits

What the trials found

No human trial of woodruff was found. The 2026 review says there is no convincing clinical evidence for defined woodruff preparations.

Results

No outcome measured.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Traditional claim only.

Form and dose studied

Traditional use is as a tea or a wine-based drink from the aerial parts. No standard product has been tested.

Who was studied

None studied.

Limits

Do not assume woodruff works like sweet clover; they are different plants.

Why researchers looked

Traditional use for veins and circulation, sometimes called blood purification.

Traditional use

RxList lists "weak veins", circulation problems and heart problems as traditional uses.

Proposed mechanism Pharmacological theory

Not established. Another coumarin plant, sweet clover, has European approval for leg-vein heaviness as a traditional use, but that does not show woodruff works.

A proposed mechanism does not show that the effect happens in people.

Coumarin and bleeding: see Safety tab.

14

Liver and gallbladder complaints (traditional)

Not enough evidence

Traditionally used for the liver and gallbladder, yet the main compound, coumarin, can harm the liver at high intake.

2 studiesTraditional use is as a tea or a wine-based drink from the aerial par…

Studies, doses and limits

What the trials found

No human trial of woodruff was found. The 2026 review says there is no convincing clinical evidence for defined woodruff preparations. Coumarin liver injury is documented for the isolated drug at far higher intakes than food.

Results

No benefit demonstrated.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Traditional claim only, set against a documented liver risk at high coumarin intake.

Form and dose studied

Traditional use is as a tea or a wine-based drink from the aerial parts. No standard product has been tested.

Who was studied

None studied.

Limits

Not a liver remedy. See the Safety tab before any liver-related use.

Why researchers looked

Folk use for liver and gallbladder ailments.

Traditional use

RxList lists liver and gallbladder ailments as insufficient evidence to rate.

Proposed mechanism Pharmacological theory

None shown. Toxicology points the other way (liver is the critical endpoint for coumarin).

A proposed mechanism does not show that the effect happens in people.

People with liver disease should avoid medicinal use.

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Stomach and digestive complaints (traditional)

Not enough evidence

A traditional use. No study was found.

2 studiesTraditional use is as a tea or a wine-based drink from the aerial par…

Studies, doses and limits

What the trials found

No human trial of woodruff was found. The 2026 review says there is no convincing clinical evidence for defined woodruff preparations.

Results

No outcome measured.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Traditional claim only.

Form and dose studied

Traditional use is as a tea or a wine-based drink from the aerial parts. No standard product has been tested.

Who was studied

None studied.

Limits

None to add.

Why researchers looked

Folk use for digestive disorders.

Traditional use

The 2026 review and RxList list digestive disorders as traditional uses.

Proposed mechanism Pharmacological theory

Not established.

A proposed mechanism does not show that the effect happens in people.

None specific.

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Urinary complaints and water retention (traditional)

Not enough evidence

Used traditionally to increase urine flow. No study was found.

1 studiesTraditional use is as a tea or a wine-based drink from the aerial par…

Studies, doses and limits

What the trials found

No human trial of woodruff was found. The 2026 review says there is no convincing clinical evidence for defined woodruff preparations.

Results

No outcome measured.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Traditional claim only.

Form and dose studied

Traditional use is as a tea or a wine-based drink from the aerial parts. No standard product has been tested.

Who was studied

None studied.

Limits

None to add.

Why researchers looked

Folk use as a diuretic and for urinary disorders.

Traditional use

RxList lists urinary disorders and water retention as insufficient evidence to rate.

Proposed mechanism Pharmacological theory

Not established.

A proposed mechanism does not show that the effect happens in people.

Swelling that is new, one-sided or painful needs medical review, not a herb.

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Wounds, burns and skin use (animal and traditional)

Very low certainty

In one rat study, woodruff extract cream helped burn wounds heal. It has not been tested in people.

3 studiesTopical creams of 15% and 30% extract in rats. No human product has b…

Studies, doses and limits

What the trials found

No human trial. One rat study (36 rats) tested water and methanol extracts of Galium odoratum in cream on second-degree burns for 14 days.

Results

Wound contraction was better than the cream base (p<0.001); water extract 90.68% and 97.18% (15% and 30%) versus methanol extract 79.29% and 91.94%.

Effect sizes as reported

Water extract 30%: 97.18% contraction in rats. Control values are not given in the abstract.

Why this rating

One small rat study; no human data; actives unknown.

Form and dose studied

Topical creams of 15% and 30% extract in rats. No human product has been tested.

Who was studied

Rats only.

Limits

Small animal study; skin safety in people is not well studied (RxList). Coumarin is absorbed fairly easily through skin (AGES).

Why researchers looked

Folk external use for wounds, skin disease, piles and swelling.

Traditional use

The 2026 review says it was used externally for wounds; RxList lists skin problems and haemorrhoids.

Proposed mechanism Animal research

Extracts showed antioxidant activity in a test tube, and fewer inflammatory cells in healed rat wounds. The active compounds are unknown.

A proposed mechanism does not show that the effect happens in people.

Skin contact allergy to coumarin is a known issue for fragrances (AGES). Do not put on burns or open wounds without medical advice.

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Anti-inflammatory and antioxidant effects (lab only)

Not enough evidence

Woodruff extracts calm inflammatory immune cells in a dish and act as antioxidants in test tubes. This does not show a benefit in people.

2 studiesExtracts in a dish. Not a human-use form.

Studies, doses and limits

What the trials found

No human study. A 2024 mouse-cell study and the 2026 review describe lab and animal findings only.

Results

Reduced M1 macrophage population in mouse bone-marrow cells; antioxidant activity higher in sun-grown plants.

Effect sizes as reported

No effect sizes exist; no human study was found.

Why this rating

Lab and animal findings only; the 2026 review warns against extrapolating from isolated compounds.

Form and dose studied

Extracts in a dish. Not a human-use form.

Who was studied

Mouse cells.

Limits

Cell work cannot show benefit or safe use.

Why researchers looked

Researchers wanted to know what the plant's phenols and iridoids do.

Traditional use

Not a traditional claim.

Proposed mechanism Laboratory research

Chlorogenic acid and rutin appear to drive the antioxidant effect, and extracts reduced inflammatory (M1) macrophages in mouse cells. Iridoids such as asperuloside have been studied as isolated compounds, mostly from other plants.

A proposed mechanism does not show that the effect happens in people.

None specific.

13 10

Connections to the rest of health

How Woodruff connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

A. Wellness goals

Connected toKind of connectionEvidence statusContextStudies
Anxiety Support Traditional use Not enough evidence Nervousness, restlessness and anxiety (traditional): Woodruff was used in European folk medicine for nerves and anxiety. No trial in people has tested it. 10 14
Calm Relaxation Traditional use Not enough evidence Nervousness, restlessness and anxiety (traditional): Woodruff was used in European folk medicine for nerves and anxiety. No trial in people has tested it. 10 14
Better Sleep Traditional use Not enough evidence Sleeplessness (traditional): Listed as a traditional use for sleep problems. There is no human evidence. 14 15
Sleep Quality Traditional use Not enough evidence Sleeplessness (traditional): Listed as a traditional use for sleep problems. There is no human evidence. 14 15
Inflammation Balance Traditional use Not enough evidence Headache, migraine and nerve pain (traditional): Woodruff has been used for migraine and nerve pain, yet too much woodruff is itself linked to headache. 14 15
Healthy Circulation Traditional use Not enough evidence Weak veins and circulation (traditional): Woodruff has been listed for "weak veins" and circulation. No study tested this. 14
Heart Health Traditional use Not enough evidence Weak veins and circulation (traditional): Woodruff has been listed for "weak veins" and circulation. No study tested this. 14
Liver Support Traditional use Not enough evidence Liver and gallbladder complaints (traditional): Traditionally used for the liver and gallbladder, yet the main compound, coumarin, can harm the liver at high intake. 14 2
Digestive Support Traditional use Not enough evidence Liver and gallbladder complaints (traditional): Traditionally used for the liver and gallbladder, yet the main compound, coumarin, can harm the liver at high intake. Stomach and digestive complaints (traditional): A traditional use. No study was found. 14 2 10
Gut Health Traditional use Not enough evidence Stomach and digestive complaints (traditional): A traditional use. No study was found. 10 14
Detoxification Support Traditional use Not enough evidence Urinary complaints and water retention (traditional): Used traditionally to increase urine flow. No study was found. 14
Healthy Skin Preliminary mechanism Very low certainty Wounds, burns and skin use (animal and traditional): In one rat study, woodruff extract cream helped burn wounds heal. It has not been tested in people. 11 10 1
Inflammation Balance Preliminary mechanism Not enough evidence Anti-inflammatory and antioxidant effects (lab only): Woodruff extracts calm inflammatory immune cells in a dish and act as antioxidants in test tubes. This does not show a benefit in people. 13 10
Cellular Protection Preliminary mechanism Not enough evidence Anti-inflammatory and antioxidant effects (lab only): Woodruff extracts calm inflammatory immune cells in a dish and act as antioxidants in test tubes. This does not show a benefit in people. 13 10

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Nervous System Biological association Not enough evidence Studied for: Nervousness, restlessness and anxiety (traditional) Studied for: Sleeplessness (traditional) 10 14 15
Cardiovascular System Biological association Not enough evidence Studied for: Weak veins and circulation (traditional) 14
Hepatic System Biological association Not enough evidence Studied for: Liver and gallbladder complaints (traditional) 14 2
Digestive System Biological association Not enough evidence Studied for: Liver and gallbladder complaints (traditional) Studied for: Stomach and digestive complaints (traditional) 14 2 10
Urinary System Biological association Not enough evidence Studied for: Urinary complaints and water retention (traditional) 14
Integumentary System Biological association Very low certainty Studied for: Wounds, burns and skin use (animal and traditional) 11 10 1
Immune System Biological association Not enough evidence Studied for: Anti-inflammatory and antioxidant effects (lab only) 13 10

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
CYP2A6 (liver enzyme) Biological association Low certainty Low CYP2A6 activity may push coumarin into a toxic route.
Preparation or compound: coumarin
5
CYP2A6 (liver enzyme that clears coumarin) Preliminary mechanism Human Genetic differences may change coumarin handling and risk of liver injury. 5

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Coumarin Contraindication Moderate certainty Main safety compound; liver-toxic in a sensitive subset when given as a drug. Liver raised enzymes in a small subset taking a coumarin drug; tolerable daily intake 0.1 mg per kg.
Preparation or compound: coumarin
2 3 1
Coumarin (1,2-benzopyrone) Biological association Human Gives the sweet hay smell; formed from cis- and trans-melilotoside on wilting. Main safety compound.
Preparation or compound: Aerial parts after wilting or drying
10 9 1
Asperuloside (an iridoid) Biological association Lab Isolated from woodruff in 2025. Anti-inflammatory activity is reported for related iridoids, mostly isolated compounds from other plants.
Preparation or compound: Aerial parts
9 10
Chlorogenic acid Biological association Lab Contributes to antioxidant activity in extracts.
Preparation or compound: Aerial parts
13 9
Rutin and other flavonoid glycosides (quercetin and kaempferol types) Biological association Lab Contributes to antioxidant activity. CID is for rutin only.
Preparation or compound: Aerial parts
13 10

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 25, 2026).

The evidence

The research centre for Woodruff. Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We built on our existing summary, read a 2026 open-access review in full, read the AGES, RxList and Stiftung Warentest pages, and read PubMed abstracts. The BfR opinion was not re-opened. Identity was checked in GBIF and PubChem.

Study library: every study we checked 15
StudyDesignPeopleProduct, dose, lengthResult
AGES (Austrian Agency for Health and Food Safety) 2025
Coumarin (AGES, Austrian food safety agency)
AGES web page · Source
Authoritative guidance
General public; woodruff, cassia cinnamon, tonka bean and cosmetics as coumarin sources Coumarin from woodruff leaves, cassia cinnamon, tonka bean
leaves, bark, seed Amounts are not given here.
Says coumarin is bound to sugar in fresh woodruff and released as the herb wilts or dries. Says large amounts over a long time can raise liver values up to jaundice in sensitive people, seen only with a coumarin drug taken for several weeks at intakes several times higher than food, and reversible on stopping. Says natural coumarin differs from the blood-thinning drugs warfarin and phenprocoumon. Gives a tolerable daily intake of 0.1 mg per kg body weight, counted across all sources. Gives practical limits for woodruff (not repeated here).
Regulator-style guidance; no new data.
Methods, limits and funding

Outcomes: Where coumarin comes from, health risk, limits

Limitations: Austrian authority, general text on coumarin. It does not address pregnancy or drug interactions for woodruff.

Funding and conflicts: Not applicable (public agency).

Read: full-text

Abraham 2010
Toxicology and risk assessment of coumarin: focus on human data
Mol Nutr Food Res · PMID 20024932 · DOI
Systematic review
Humans given coumarin as a drug; German adults surveyed on cinnamon intake Coumarin (isolated), cassia cinnamon as food source
bark (cinnamon) Amounts are not given here.
BfR authors report coumarin is liver-toxic and carcinogenic in animals, a gene-damage mechanism was discounted by EFSA in 2004, and human drug data show a more susceptible subgroup of people. Using human data they derived the same tolerable daily intake, 0.1 mg per kg body weight. Heavy cassia cinnamon eaters may reach that intake.
TDI 0.1 mg/kg body weight.
Methods, limits and funding

Outcomes: Liver toxicity, tolerable daily intake, dietary exposure

Limitations: Narrative risk assessment by the German regulator. About cinnamon exposure, not woodruff.

Funding and conflicts: Public agency authors.

Read: abstract

Andrejak 1998
French pharmacovigilance survey evaluating the hepatic toxicity of coumarin
Pharmacoepidemiol Drug Saf · PMID 15073959
Case series
34
34 reported liver reactions to coumarin (benzopyrone) given for arm lymphoedema after breast cancer treatment
Coumarin drug, average 90 mg/day
isolated compound Average 90 mg/day (drug, not woodruff)
Cause judged likely or probable in 15 cases, 2 positive rechallenges; mostly 2 to 6 months into treatment; jaundice in 14; one liver transplant and two probable deaths from liver failure with encephalopathy; most others recovered. Authors call it a strong signal and suggest a reactive metabolite in people with deficient coumarin 7-hydroxylation.
Signal, no rate.
Methods, limits and funding

Outcomes: Liver reactions

Limitations: Spontaneous reports (no denominator). A pure coumarin drug at 90 mg/day, not woodruff. Disagrees on frequency with the 1989 series, so both are given.

Funding and conflicts: Includes cases reported to the manufacturer.

Read: abstract

Cox 1989
The rarity of liver toxicity in patients treated with coumarin (1,2-benzopyrone)
Hum Toxicol · PMID 2591993 · DOI
Case series
2173
2,173 people with cancer or chronic infections treated with coumarin in a clinical trial
Coumarin (isolated drug)
isolated compound Drug doses; not woodruff
0.37% developed raised liver enzymes. The authors thought it probably an idiosyncratic (unpredictable) reaction and possibly immune in origin.
0.37% (8 of 2,173)
Methods, limits and funding

Outcomes: Raised liver enzymes

Limitations: Isolated coumarin drug, not woodruff. Older, uncontrolled report.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Farinola 2007
CYP2A6 polymorphisms: is there a role for pharmacogenomics in preventing coumarin-induced hepatotoxicity in lymphedema patients?
Pharmacogenomics · PMID 17286538 · DOI
Systematic review
Review of coumarin liver toxicity Coumarin (isolated)
isolated compound Amounts are not given here.
Reports that people with low CYP2A6 activity may shunt coumarin into a toxic metabolic route, which may explain rare liver injury. Authors say testing could identify risk but more mechanism data are needed.
Proposed mechanism.
Methods, limits and funding

Outcomes: Mechanism of liver toxicity

Limitations: Hypothesis-level review; no woodruff data.

Funding and conflicts: Not stated.

Read: abstract

GBIF 2026
GBIF species match: Galium odoratum (L.) Scop.
GBIF API · Source
Authoritative guidance
Plant name check Name check
whole plant
Galium odoratum (L.) Scop. is ACCEPTED (key 2914642), family Rubiaceae, order Gentianales. Asperula odorata L. (key 2914643) is a SYNONYM of it.
Name verified 2026-10-25.
Methods, limits and funding

Outcomes: Accepted name and family

Limitations: NCBI Taxonomy not checked.

Funding and conflicts: Not applicable.

Read: full-text

German Federal Institute for Risk Assessment (BfR) 2007
BfR proposes maximum levels for coumarin in food (Opinion 048/2007)
BfR opinion · Source
Authoritative guidance
General population Coumarin in food
various Amounts are not given here.
Summary only (PDF could not be opened as text in this session): through our earlier summary, BfR uses a tolerable daily intake of 0.1 mg coumarin per kg body weight, says coumarin can harm the liver, and reports that EFSA concluded in 2004 the animal tumour effect is not caused by gene damage.
Risk limits.
Methods, limits and funding

Outcomes: Risk assessment and proposed maximum levels

Limitations: NOT re-opened in this build. Details are from our earlier summary and from the BfR-authored paper p20024932.

Funding and conflicts: Not applicable (public agency).

Read: summary-only

Heghes 2022
Safety Profile of Nutraceuticals Rich in Coumarins: An Update
Front Pharmacol · PMID 35140615 · DOI
Systematic review
Review of natural coumarin-rich products Coumarin-rich herbs and spices
various Amounts are not given here.
Reviews preclinical and clinical safety of natural coumarins in herbs and spices, and the rules in several world regions. Warns that accidental exposure to high doses in some people could be harmful.
Safety overview.
Methods, limits and funding

Outcomes: General and specific toxicity, regulation

Limitations: Abstract read only; does not address woodruff by name in the abstract.

Funding and conflicts: No conflicts declared.

Read: abstract

Herre 2025
Comprehensive analysis of natural products of Galium odoratum (Rubiaceae), focusing on the formation of coumarin during the drying process
Phytochemistry · PMID 40122276 · DOI
Laboratory research
in-vitro
Freshly harvested Galium odoratum shoots Galium odoratum shoots monitored for 72 h after harvest
shoots 72 hours
Drying was finished after 48 h. Coumarin fell during drying because it evaporates (sublimation), which supports using fresh or lightly wilted material in May wine recipes. The team isolated iridoids including asperuloside, and caffeoylquinic acids and flavonoid glycosides.
Chemistry, not health effect.
Methods, limits and funding

Outcomes: Coumarin and precursors during drying

Limitations: Plant chemistry only; no people or animals.

Funding and conflicts: No competing interests declared.

Read: abstract

Herre 2026
Sweet Woodruff (Galium odoratum L.)-More than Just Coumarin: From Fundamental to Biomass Valorization
Molecules · PMID 42654000 · DOI
Systematic review
Review of sweet woodruff chemistry, traditional use and toxicology Galium odoratum aerial parts and extracts
aerial parts Amounts are not given here.
Narrative review. Reports use since at least 854 AD in May wine, folk use for wounds, digestion, coughs and anxiety, and constituents (coumarin released from melilotosides on wilting, iridoids, flavonoids, chlorogenic acids). Says reported activities come from isolated compounds, lab work, animals or non-standard extracts and that no convincing clinical evidence exists for defined woodruff preparations. Says the EFSA tolerable daily intake is 0.1 mg per kg per day and distinguishes coumarin from anticoagulant 4-hydroxycoumarins.
No clinical effect shown.
Methods, limits and funding

Outcomes: Traditional use, constituents, activity, toxicology

Limitations: Narrative (not systematic) review despite broad scope. Full text read.

Funding and conflicts: No conflicts declared.

Read: full-text

Kahkeshani 2013
Antioxidant and burn healing potential of Galium odoratum extracts
Res Pharm Sci · PMID 24019829
Animal research
animal
36
Rats with second-degree burns, 6 groups of 6
Methanol and water extracts of Galium odoratum in eucerin cream, 15% and 30% w/w
aerial parts 14 days daily · vs Eucerin base; silver sulfadiazine
Extracts improved wound contraction versus the cream base (p<0.001). Water extract was better: 90.68% and 97.18% contraction (15% and 30%) against 79.29% and 91.94% for methanol extract. Extracts showed antioxidant activity in a test-tube assay.
Positive in rats; not tested in people.
Methods, limits and funding

Outcomes: Wound contraction, healing under the microscope, antioxidant activity in a test tube

Limitations: Small rat study. Active compounds not identified.

Funding and conflicts: Not stated in the abstract.

Read: abstract

Pitaro 2022
Coumarin-Induced Hepatotoxicity: A Narrative Review
Molecules · PMID 36558195 · DOI
Systematic review
Review of coumarin liver safety in lymphoedema treatment Coumarin (isolated drug)
isolated compound Amounts are not given here.
Says hepatotoxicity is mainly mild to moderate transaminase elevation in a small subset of patients, with only a few severe cases and no reported cases of liver failure. Suggests different CYP450 routes in susceptible people.
Mostly mild liver-enzyme rises.
Methods, limits and funding

Outcomes: Liver toxicity

Limitations: Narrative review. Its "no liver failure" statement conflicts with the French survey (p15073959), which reported a transplant and probable deaths.

Funding and conflicts: No conflicts declared.

Read: abstract

Razzivina 2024
Phenolic Content and Anti-Inflammatory Activity of Cultivated and Wild-Type Galium odoratum Extracts in Murine Bone Marrow-Derived Macrophages
Antioxidants (Basel) · PMID 39765776 · DOI
Laboratory research
in-vitro
Mouse immune cells in a dish Galium odoratum extracts from cultivated and wild plants
aerial parts
Coumarin levels stayed stable across growing conditions; phenols and antioxidant activity rose in sun-grown plants. The extracts reduced the inflammatory (M1) macrophage population in mouse cells.
Lab effect only.
Methods, limits and funding

Outcomes: Phenolic content, antioxidant activity, effect on macrophage type

Limitations: Mouse cells, not people. One author is employed by a farming company that supplied plants; the company had no role in the study.

Funding and conflicts: One author affiliated with SIA Field and Forest (plant supplier); stated no role in design or analysis.

Read: abstract

RxList / Natural Medicines content 2026
Sweet Woodruff (RxList, consumer drug reference)
RxList web page · Source
Authoritative guidance
General readers Sweet woodruff, aerial parts
aerial parts No dose range given (it says there is not enough information).
Rates every listed use (lungs, stomach, liver and gallbladder, urinary, heart, nervousness, sleeplessness, migraine, water retention, skin) as "insufficient evidence to rate". Says food amounts are likely safe, medicinal amounts possibly safe short-term, and long-term use may cause headaches, blackouts and liver damage. Advises avoiding in pregnancy and breastfeeding for lack of information, and says woodruff "might slow blood clotting", rating the interaction with blood thinners as moderate and advising stopping 2 weeks before surgery.
Consumer reference summary.
Methods, limits and funding

Outcomes: Uses, safety, interactions

Limitations: No references are shown on the page. The blood-clotting claim is not backed by any study we found and AGES and a 2026 review describe natural coumarin as different from blood-thinning drugs.

Funding and conflicts: Commercial consumer site; no study funding to declare.

Read: full-text

Stiftung Warentest 2003
Maibowle: Entwarnung fuer Waldmeister (Stiftung Warentest)
test.de (consumer magazine, German) · Source
Other
Consumers of May wine Woodruff in May wine
aerial parts Amounts are not given here.
The 2003 article says coumarin was long suspected, that it can cause headache, dizziness and vomiting, and that long-term studies show these effects only with constant, excessive intake. It also says it "inhibits blood clotting", which AGES and a 2026 review do not support for natural coumarin. It notes folk medicine values woodruff for headache, cramps and sleeplessness.
Reassurance, not a measurement.
Methods, limits and funding

Outcomes: Consumer-magazine reassurance article

Limitations: Consumer article, 22 years old, no numbers or references shown in the text read. The blood-clotting statement conflicts with AGES and the 2026 review.

Funding and conflicts: Not applicable.

Read: full-text

What we do not know yet

  • No human trial of woodruff for any use.
  • No study of woodruff with blood thinners.
  • No pregnancy or breastfeeding data.
  • No measurements of coumarin in typical May wine or syrup.

How new research is added

New studies are found by a saved PubMed search and are placed in a review queue. A person reads each one before it changes any evidence rating or safety wording.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 4
  • The main safety question is coumarin and the liver. Woodruff gets its sweet hay smell from coumarin, released as the herb wilts.. Fresh woodruff holds coumarin bound to sugar. Wilting or drying frees it. European risk assessors (EFSA, BfR) set a tolerable daily intake of 0.1 mg per kg body weight, counted across all sources (woodruff, cassia cinnamon, tonka bean, cosmetics). The liver effect was seen in people taking a coumarin drug for weeks at intakes several times above food levels, and it reversed on stopping. Strong home-made syrups and drinks made with a lot of woodruff are the main way to overshoot. Authoritative guidance 1 2 10
  • Coumarin from woodruff is not the same as the blood-thinning drugs called coumarins.. Warfarin and phenprocoumon are 4-hydroxycoumarin drugs. AGES and a 2026 review say natural coumarin is a different substance. Still, a consumer drug reference rates woodruff with blood thinners as a moderate interaction, and a 2003 consumer article says coumarin inhibits clotting. These claims have no study behind them in the sources we read, so the true risk is unknown. Anyone on a blood thinner should ask their prescriber. Authoritative guidance 1 10 14 15
  • May wine adds alcohol to the picture.. Traditional May wine (Maibowle) is woodruff steeped in white and sparkling wine. Alcohol has its own risks, including for the liver, pregnancy, driving and medicines. Pre-wilting for a short time is the traditional method; a 2025 study found coumarin falls with long drying because it evaporates. Authoritative guidance 9 10
  • There is very little human safety research on woodruff itself.. No trial, case report or regulator monograph on woodruff was found. Most safety statements are borrowed from studies of isolated coumarin (the drug) and cassia cinnamon. Authoritative guidance 10 8
Side effects 3
EffectHow oftenSeverity and recoveryEvidence
Headache, dizziness and vomiting with excessive intake
Stated by a 2003 consumer article and a consumer drug reference, linked to constant excessive intake. No agency source gives an amount or a rate.
Not establishedmild to moderate
Expected to settle on stopping (not measured)
Authoritative guidance 15 14
Raised liver enzymes up to jaundice in sensitive people (isolated coumarin drug)
These are from a coumarin drug, not woodruff, taken for weeks at intakes several times above food levels (AGES).
0.37% in a 2,173-person series; 34 reported cases in a French survey (no denominator)mild to severe
Reversible in most cases on stopping
Case series 4 3 12 1
Skin contact allergy to coumarin
AGES says coumarin is a contact allergen regulated in cosmetics. Woodruff skin use is not well studied (RxList).
Not establishedmild
Settles after exposure stops
Authoritative guidance 1
Liver

LiverTox was not read (blocked in the earlier summary, not retried). Coumarin is established as a liver toxicant in rats and mice, and in a small subset of people given the isolated drug. A 1989 series of 2,173 patients found raised liver enzymes in 0.37%; a French survey reported 34 cases at the recommended drug dose (90 mg/day) including jaundice, a transplant and probable deaths; a 2022 review says severe cases are few and reports no liver failure. These do not agree, so we state both. All are about isolated coumarin, not woodruff. No liver case report naming woodruff was found. 4 3 12 5 1

How often. Rare in the 1989 series (0.37%); the French survey gives no rate.

Monitoring. Ask a doctor about liver blood tests if you have liver disease, drink alcohol regularly or take medicines that affect the liver and plan regular or medicinal woodruff use.

  • .

This is a safety connection. It is not evidence that Woodruff supports liver health.

Medicines and supplements 4
WithWhy it mattersImportanceEvidenceWhat to do
Warfarin and other blood thinners (anticoagulants), aspirin-type antiplatelet drugs
prescription
Unproven. A consumer drug reference says woodruff might slow clotting. AGES and a 2026 review say natural coumarin differs from warfarin-type drugs. No study tested woodruff with these drugs.Possibly important if real; frequency unknown.Pharmacological theory Very low certainty 14 1 10 15Ask the prescriber or pharmacist before regular or medicinal use.
Medicines that can harm the liver, and alcohol
prescription
Added liver load is a theory based on coumarin toxicology. No woodruff study.Unknown.Pharmacological theory Very low certainty 2 5Ask a pharmacist if you take such medicines. May wine adds alcohol.
Other coumarin sources (cassia cinnamon, tonka bean, coumarin in cosmetics, sweet clover)
food and herb
Intake from all sources adds up toward the tolerable daily intake of 0.1 mg per kg body weight.Matters mainly for heavy cassia cinnamon or strong woodruff syrup users.Authoritative guidance Moderate certainty 1 2Count all sources together. See the cinnamon and sweet clover pages.
Planned surgery
procedure
RxList advises stopping at least 2 weeks before surgery over possible effects on clotting. No study supports or tests this.Precaution only.Authoritative guidance Very low certainty 14Tell your surgeon or dentist about any woodruff use.
Who should check first 5
SituationAdviceEvidence
Pregnancy and breastfeeding (medicinal use)Avoid medicinal use. Reliable safety information is lacking (RxList). AGES does not address pregnancy. May wine also contains alcohol.Authoritative guidance 14 1
Liver disease, heavy alcohol use, or a past reaction to coumarinAvoid medicinal use; ask a clinician.Pharmacological theory 2 3
Taking blood thinners, a bleeding disorder, or surgery coming upAsk the prescriber or surgeon first; the evidence is unclear.Authoritative guidance 14 1
ChildrenNo safety data. Children's body weight makes coumarin limits easier to exceed. Avoid medicinal use.Pharmacological theory 1
Regular headaches or migraineExcess woodruff is linked to headache (consumer sources); do not use it as a migraine remedy.Authoritative guidance 15 14
Overdose, product quality and regulators

Summary. Coumarin, woodruff's key compound, is liver-toxic in rats and mice and at very high intakes over long periods caused tumours in rodents. EFSA concluded in 2004 the tumour effect is not by gene damage, which allowed the tolerable daily intake. AGES states no evidence of coumarin-caused tumours in humans. No toxicity study of woodruff itself was found.

Animal. Rodent liver and tumour findings are for isolated coumarin at very high amounts.

Human doses studied. Not given here.

High dose or long term signals. Raised liver enzymes up to jaundice with a coumarin drug taken for weeks; consumer sources report headache, dizziness and vomiting with excessive intake, and RxList mentions blackouts.

Overdose response. Consumer article: headache, dizziness, vomiting; worst case respiratory depression is claimed without a source. No woodruff overdose case report was found.

Genotoxicity. EFSA 2004 discounted a gene-damage mechanism for the rodent tumours, as reported by BfR authors.

Toxic plant parts. No toxic plant part other than the coumarin-rich aerial parts is described. Coumarin is released as the herb wilts.

Coumarin content varies with harvest time, plant part, wilting, storage and extraction, so two woodruff products can differ widely.

Variable coumarin. The 2026 review says coumarin exposure cannot be judged without harvest time, organ, drying, storage and preparation. A 2025 study found coumarin first rises on wilting, then falls with long drying because it evaporates. 10 9

Food limits and checks. EU Regulation 1334/2008 Annex III sets coumarin limits for some foods. AGES tests herbal syrups and baked goods; in a 2025 Austrian campaign of 151 samples, four exceeded limits (three cinnamon baked goods and one cereal; none were herbal syrups). 1

Look-alikes and sweet clover. No woodruff adulteration reports were found. Spoiled sweet clover (a different plant) can form a blood-thinning poison; this has not been described for woodruff in the sources read. 10

BodyActionDate
EFSA / BfR (EU / Germany)Tolerable daily intake for coumarin 0.1 mg per kg body weight per day (all sources). source2004 / 2007
When to get medical help
  • Yellow skin or eyes, dark urine, pale stools, or severe tiredness (possible liver problem): stop and get medical care.
  • Severe or sudden headache with confusion, vomiting that will not stop, or fainting: get urgent care.
  • Black or bloody stools, vomiting blood, blood in urine, nosebleeds that will not stop, or large unexplained bruises, especially on blood thinners: urgent care.
  • Facial swelling, hives or trouble breathing (allergy): call emergency services.

Stop the supplement and contact a clinician or emergency service. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

What is woodruff?

A European woodland herb, Galium odoratum, also called sweet woodruff or Waldmeister. It is used mainly to flavour May wine, syrups and drinks.

10 6

Does woodruff help with nerves or sleep?

It has been used that way in folk medicine, but no human trial has tested it. Evidence is insufficient.

10 14

Is woodruff good for the liver?

No evidence supports that. Traditionally it was used for the liver, but its main compound, coumarin, can harm the liver at high intakes.

14 2

Is woodruff the same as the blood thinner warfarin?

No. The coumarin in woodruff is a different substance from warfarin-type drugs (AGES, 2026 review). Some consumer sources still say woodruff might slow clotting, with no study behind it, so people on blood thinners should ask a prescriber.

1 10 14 15

Can woodruff harm the liver?

Coumarin can raise liver values in a small subset of people at drug-level intakes, and it reversed on stopping. Cases came from a coumarin drug, not woodruff. No woodruff liver case was found.

1 4 3 12

Why does woodruff smell only after it wilts?

In the fresh plant coumarin is bound to sugar. Wilting releases it. Long drying lets coumarin evaporate again.

9 1

Is May wine safe?

A little traditionally made May wine is a food use, but strong or daily use can add up coumarin, and the drink contains alcohol. Pregnant and breastfeeding people, children and people with liver disease should avoid it.

1 9 14

What is the coumarin limit?

European risk assessors use a tolerable daily intake of 0.1 mg per kg body weight, counted across all sources, including cassia cinnamon and tonka bean. For personal advice ask a doctor or pharmacist.

2 1

Can I use woodruff in pregnancy or while breastfeeding?

Avoid medicinal use. Reliable safety information is lacking, and May wine contains alcohol.

14 1

Does woodruff help with veins or leg swelling?

It was traditionally listed for weak veins, but no study tested it. Sweet clover has a different record and is not interchangeable.

14

Does it heal burns or wounds?

One rat study found extract cream improved burn healing. It has not been tested in people, so do not treat burns with it.

11 10

Should I stop before surgery?

A consumer reference advises stopping at least 2 weeks before surgery, though no study tests this. Tell your surgeon about any woodruff use.

14

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against PubMed records and agency pages.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-25
Last substantive update
2026-10-25
How we research
We built on our existing summary, read a 2026 open-access review in full, read the AGES, RxList and Stiftung Warentest pages, and read PubMed abstracts. The BfR opinion was not re-opened. Identity was checked in GBIF and PubChem.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted on this page. No affiliate links are shown. If one is added later it will be labelled and kept apart from the evidence.
Sources 15

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. AGES (Austrian Agency for Health and Food Safety). Coumarin (AGES, Austrian food safety agency). AGES web page. 2025. (full-text)
  2. Abraham K, Wohrlin F, Lindtner O, et al.. Toxicology and risk assessment of coumarin: focus on human data. Mol Nutr Food Res. 2010. PMID 20024932. DOI 10.1002/mnfr.200900281. (abstract)
  3. Andrejak M, Gersberg M, Sgro C, et al.. French pharmacovigilance survey evaluating the hepatic toxicity of coumarin. Pharmacoepidemiol Drug Saf. 1998. PMID 15073959. (abstract)
  4. Cox D, O'Kennedy R, Thornes RD. The rarity of liver toxicity in patients treated with coumarin (1,2-benzopyrone). Hum Toxicol. 1989. PMID 2591993. DOI 10.1177/096032718900800612. (abstract)
  5. Farinola N, Piller NB. CYP2A6 polymorphisms: is there a role for pharmacogenomics in preventing coumarin-induced hepatotoxicity in lymphedema patients?. Pharmacogenomics. 2007. PMID 17286538. DOI 10.2217/14622416.8.2.151. (abstract)
  6. GBIF. GBIF species match: Galium odoratum (L.) Scop.. GBIF API. 2026. (full-text)
  7. German Federal Institute for Risk Assessment (BfR). BfR proposes maximum levels for coumarin in food (Opinion 048/2007). BfR opinion. 2007. (summary-only)
  8. Heghes SC, Vostinaru O, Mogosan C, et al.. Safety Profile of Nutraceuticals Rich in Coumarins: An Update. Front Pharmacol. 2022. PMID 35140615. DOI 10.3389/fphar.2022.803338. (abstract)
  9. Herre I, Stegemann T, Zidorn C. Comprehensive analysis of natural products of Galium odoratum (Rubiaceae), focusing on the formation of coumarin during the drying process. Phytochemistry. 2025. PMID 40122276. DOI 10.1016/j.phytochem.2025.114485. (abstract)
  10. Herre I, Stegemann T. Sweet Woodruff (Galium odoratum L.)-More than Just Coumarin: From Fundamental to Biomass Valorization. Molecules. 2026. PMID 42654000. DOI 10.3390/molecules31162920. (full-text)
  11. Kahkeshani N, Farahanikia B, Mahdaviani P, et al.. Antioxidant and burn healing potential of Galium odoratum extracts. Res Pharm Sci. 2013. PMID 24019829. (abstract)
  12. Pitaro M, Croce N, Gallo V, et al.. Coumarin-Induced Hepatotoxicity: A Narrative Review. Molecules. 2022. PMID 36558195. DOI 10.3390/molecules27249063. (abstract)
  13. Razzivina V, Vasiljeva A, Kronberga A, et al.. Phenolic Content and Anti-Inflammatory Activity of Cultivated and Wild-Type Galium odoratum Extracts in Murine Bone Marrow-Derived Macrophages. Antioxidants (Basel). 2024. PMID 39765776. DOI 10.3390/antiox13121447. (abstract)
  14. RxList / Natural Medicines content. Sweet Woodruff (RxList, consumer drug reference). RxList web page. 2026. (full-text)
  15. Stiftung Warentest. Maibowle: Entwarnung fuer Waldmeister (Stiftung Warentest). test.de (consumer magazine, German). 2003. (full-text)
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.