The Cough Remedy of the Wild
Last Updated: January 9, 2026
At Sacred Plant Co, we understand that true respiratory wellness extends beyond symptom relief. It begins in the soil, where regenerative practices create the foundation for potent medicinal herbs. Coltsfoot (Tussilago farfara), with its distinctive hoof-shaped leaves appearing long after its cheerful yellow flowers fade, has been revered for millennia as nature's gentle answer to persistent coughs and respiratory distress. This unassuming perennial, often found colonizing disturbed soils and stream banks, demonstrates remarkable resilience. That same tenacity translates into powerful bioactive compounds when grown in healthy, living soils that support microbial diversity and nutrient density.
Our commitment to regenerative herbalism means we view each plant not as an isolated commodity, but as part of an interconnected web of life. When herbs like coltsfoot are sourced from environments that prioritize soil health, biodiversity, and ecological balance, their medicinal constituents reflect that vitality. The mucilage content that soothes irritated airways, the sesquiterpenes that calm inflammation, the flavonoids that combat oxidative stress, all develop more completely when plants grow in harmony with their ecosystem. This is why we prioritize quality sourcing and regenerative thinking throughout our herb selection process.
What You'll Learn in This Guide
- The fascinating historical journey of coltsfoot from ancient Greece to modern herbalism
- How coltsfoot's unique chemical compounds provide respiratory relief through mucilage, tussilagone, and flavonoids
- Scientific evidence supporting coltsfoot's anti-inflammatory and antitussive (cough-suppressing) properties
- Traditional preparation methods including teas, tinctures, and steam inhalations
- Critical safety information about pyrrolizidine alkaloids and responsible usage guidelines
- How to combine coltsfoot with complementary herbs for comprehensive respiratory support
- Proper dosing protocols and when to avoid coltsfoot entirely
- Quality standards that ensure you're getting clean, effective botanical medicine
Botanical Profile: Understanding Tussilago farfara

Coltsfoot belongs to the Asteraceae family and stands as the sole species in the Tussilago genus. Its scientific name offers clues to its traditional use: tussis means "cough" in Latin, while ago translates to "I drive away." The species name farfara comes from the Latin farfarus, meaning "white poplar," a reference to the distinctive white, woolly undersides of its leaves.
This perennial herb displays a unique phenology that distinguishes it from most flowering plants. In late winter or early spring, bright yellow flower heads emerge on scaly, reddish-brown stems before any leaves appear. These cheerful blooms, reminiscent of dandelions, signal the approaching end of winter in temperate regions across Europe, Asia, and naturalized areas of North America. Only after the flowers have faded do the large, hoof-shaped basal leaves unfurl, eventually growing 4 to 7 inches across. The leaves present dark green upper surfaces and distinctive white-woolly lower surfaces covered in fine, star-shaped hairs.
Coltsfoot thrives as a pioneer species, rapidly colonizing disturbed soils, roadside embankments, stream banks, and waste areas. Its extensive rhizomatous root system allows it to spread vegetatively, creating dense colonies that stabilize eroding soils while simultaneously accumulating nutrients from the surrounding environment.1
Historical Significance and Cultural Importance
Coltsfoot's medicinal legacy extends back over 2,500 years. Ancient Greek physician Hippocrates documented its use for respiratory ailments, while Dioscorides, the Greek physician and pharmacologist whose work became the foundation of European herbalism for over 1,500 years, recommended coltsfoot smoke for treating persistent coughs. The plant's flower served as the symbol of French apothecaries during the Middle Ages, appearing on pharmacy signs throughout the region as a representation of herbal healing wisdom.
In Traditional Chinese Medicine, the flower buds (known as Kuan Dong Hua) have been used for centuries to treat respiratory conditions including cough, asthma, and chronic bronchitis. TCM practitioners classified coltsfoot as entering the lung meridian, where it helps expel phlegm-heat patterns characterized by yellow or thick mucus, inflammation, and persistent coughing.2
European herbalists from medieval times through the Renaissance cultivated coltsfoot in monastery gardens specifically for lung complaints. Nicholas Culpeper, the famous 17th-century English herbalist, documented coltsfoot extensively in his "Complete Herbal," recommending it for consumption (tuberculosis), asthma, and various respiratory afflictions. The doctrine of signatures, a medieval belief system that suggested plants resembling body parts could treat those areas, associated coltsfoot's velvety leaves with lung tissue, further cementing its reputation as a pulmonary remedy.
Indigenous peoples of North America, while the plant was not native to the continent, quickly recognized coltsfoot's therapeutic potential after European introduction. Cherokee herbalists prepared leaf tea for coughs and asthma, while Mohegan healers smoked the dried leaves for respiratory complaints. Several tribes incorporated coltsfoot into sweat lodge ceremonies, appreciating its lung-opening properties in healing rituals.3
Chemical Composition and Active Constituents
Modern phytochemical analysis has identified over 150 distinct compounds in coltsfoot, explaining the herb's multifaceted therapeutic effects. The primary bioactive constituents include:
Mucilage Polysaccharides (3-10% by weight)
These complex carbohydrates become gel-like when mixed with water, creating a slippery coating that soothes inflamed tissues. This demulcent action explains coltsfoot's effectiveness for irritated airways, sore throats, and dry coughs. The mucilage forms a protective film over mucous membranes, shielding them from further irritation while supporting natural healing processes.
Sesquiterpenes
Tussilagone represents the most studied sesquiterpene in coltsfoot. Research has demonstrated that tussilagone acts as a potent cardiovascular and respiratory stimulant, producing dose-dependent effects in animal models.4 Additionally, tussilagone exhibits significant anti-inflammatory properties by activating the Nrf2 pathway and inhibiting NF-κB and NLRP3 inflammasome signaling, key mechanisms in controlling inflammatory responses.5
Flavonoids and Flavonoid Glycosides
Coltsfoot contains quercetin, kaempferol, rutin, isoquercitrin, hyperoside, and numerous other flavonoid compounds. These molecules exhibit antioxidant and anti-inflammatory properties in respiratory tissue cultures, helping limit oxidative stress during infections. Studies have shown that flavonoid fractions from coltsfoot demonstrate significant free radical scavenging activity and can reduce inflammatory markers in experimental models.6
Phenolic Acids
Caffeoylquinic acid derivatives, including 3,4-dicaffeoylquinic acid, 3,5-dicaffeoylquinic acid, and 4,5-dicaffeoylquinic acid, contribute antimicrobial effects and support overall respiratory defense. Research has shown these compounds possess antitussive (cough-suppressing), expectorant, and anti-inflammatory activities.7
Pyrrolizidine Alkaloids (Critical Safety Note)
Coltsfoot contains small amounts of pyrrolizidine alkaloids (PAs), including senkirkine, senecionine, seneciphylline, and integerrimine. These compounds have hepatotoxic (liver-toxic) potential and require careful consideration. PA content varies widely depending on growing conditions, harvest timing, and which plant part is used. Modern quality control measures, including analytical testing and selective breeding of low-PA cultivars, have become essential for safe coltsfoot use. We address this critical safety concern in detail in the safety section below.
Scientific Research and Evidence-Based Benefits

Anti-Inflammatory Activity
Multiple studies have confirmed coltsfoot's potent anti-inflammatory effects. A 2021 study published in the Journal of Ethnopharmacology demonstrated that ethanol extract of coltsfoot flower buds effectively attenuated lung inflammation both in vitro and in vivo. The protective effects were produced through activation of nuclear factor erythroid 2-related factor 2 (Nrf2) and inhibition of nuclear transcription factor-κB (NF-κB) and NOD-like receptor 3 (NLRP3) inflammasome, key inflammatory signaling pathways in respiratory tissue.5
Another study focusing on tussilagonone, a major sesquiterpene compound in coltsfoot, showed that this constituent induced heme oxygenase-1 (HO-1) expression via the Nrf2 pathway, resulting in suppression of inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) expression, both critical mediators of inflammation.8
Respiratory Support and Antitussive Properties
Traditional use of coltsfoot for respiratory conditions finds strong validation in modern research. Animal studies have shown that caffeoylquinic acids isolated from coltsfoot possess significant antitussive (cough-suppressing), expectorant, and anti-inflammatory activities. These compounds work through multiple mechanisms to reduce cough frequency while helping clear respiratory secretions.7
The mucilage content provides immediate mechanical relief by coating irritated throat and bronchial tissues, while the bioactive sesquiterpenes and flavonoids address underlying inflammatory processes that perpetuate coughing cycles. This dual-action approach, combining symptomatic relief with therapeutic intervention, explains why coltsfoot has remained a trusted respiratory remedy across diverse healing traditions.
Antioxidant Capacity
Research published in 2022 examining the phenolic profile and antioxidant capacity of coltsfoot vegetative organs found that extracts demonstrated elevated antioxidant capacity and substantial phenolic content. This antioxidant activity helps protect respiratory tissues from oxidative damage during infections and inflammatory conditions.6
Neuroprotective Potential
Emerging research suggests coltsfoot compounds may offer neuroprotective benefits beyond respiratory support. A 2018 study showed that coltsfoot extract decreased brain cell damage from stroke induced by reduced blood flow, prevented tissue death in the brain, and reduced neuroinflammation in animal models. While this research remains preliminary, it suggests coltsfoot's anti-inflammatory mechanisms may have broader applications.9

Bulk Coltsfoot Herb
Starting at $19.72
Tasting Notes: Anise, Bourbon, Grass
Caffeine-FreeSacred Plant Co offers premium coltsfoot herb (Tussilago farfara) in whole, dried leaf form. Our commitment to regenerative sourcing and rigorous quality standards ensures you receive clean, potent botanical medicine for respiratory support and traditional herbal preparations.
Shop Coltsfoot HerbTraditional Preparation Methods
Coltsfoot Infusion (Traditional Tea)
The most common traditional preparation involves making a simple water infusion that extracts the soothing mucilage along with water-soluble compounds.
Basic Preparation: Use 1-2 teaspoons of dried coltsfoot leaves per cup of freshly boiled water. Cover and steep for 10-15 minutes to ensure adequate mucilage extraction. Strain through a fine-mesh strainer or coffee filter to remove the fine leaf hairs. The resulting tea should have a slightly sweet, mild flavor with a smooth, viscous texture from the extracted mucilage. Honey or lemon can be added to enhance flavor and provide additional throat-soothing benefits.
Dosage: Traditional herbalists recommend 1 cup, 2-3 times daily for acute respiratory symptoms. However, given modern safety concerns regarding pyrrolizidine alkaloids, many practitioners now suggest limiting use to short-term applications (no more than 4-6 weeks annually) and avoiding during pregnancy, lactation, or in children.
Coltsfoot Respiratory Relief Tea
A gentle and soothing tea blend using coltsfoot, known for its expectorant properties, to help ease respiratory discomfort.
Ingredients
- Coltsfoot Herb (1 teaspoon)
- Hot Water (1 cup)
- Optional: Honey or Lemon, to taste
- Optional: Ginger or Echinacea for additional immune support
Directions
- Infuse the Herb: Place the coltsfoot in a cup or tea infuser.
- Pour Water: Add hot water over the coltsfoot herb.
- Steep: Let it steep for about 10 minutes. Coltsfoot has a slightly bitter taste, so adjust the steeping time according to your preference.
- Strain and Serve: Remove the coltsfoot and pour the tea into a cup. Add honey or lemon to mitigate the bitterness and enhance the flavor.
- Additional Herbs: For a more potent respiratory remedy, consider adding a small piece of ginger or a pinch of licorice root to the infusion.
Health Benefits
Coltsfoot is traditionally used for respiratory ailments due to its mucilage and saponin content, which are believed to help soothe the throat and ease coughs. It may also act as an expectorant, helping to clear congestion from the lungs.
Steam Inhalation
For acute upper respiratory congestion, steam inhalation provides direct topical benefits to nasal passages and bronchial tissues. Add 2-3 tablespoons of dried coltsfoot leaves to a large bowl of steaming water. Drape a towel over your head to create a steam tent, and inhale the vapor for 10-15 minutes. The combination of warm moisture and volatile compounds helps loosen mucus and reduce inflammation in respiratory passages.
Tincture
Alcohol-based extractions concentrate both water-soluble and alcohol-soluble constituents. Traditional ratios use 1:5 (herb to menstruum) with 25-40% alcohol. However, due to safety concerns about pyrrolizidine alkaloids, many modern herbalists prefer glycerin-based extractions that do not extract PAs as efficiently, or recommend purchasing commercially prepared tinctures from companies that test for PA content and use certified low-PA plant material.
Combining with Complementary Herbs
Coltsfoot works synergistically with other respiratory herbs to provide comprehensive support:
- Mullein: Both herbs contain soothing mucilage and work together to calm irritated airways while promoting expectoration.
- Licorice Root: Adds additional demulcent and anti-inflammatory properties while moderating the slightly bitter taste of coltsfoot.
- Thyme: Contributes antimicrobial and antispasmodic qualities that complement coltsfoot's expectorant actions.
- Ginger: Provides warming, circulation-enhancing effects that help distribute coltsfoot's active constituents throughout respiratory tissues.
Critical Safety Information: Pyrrolizidine Alkaloids
Important: Coltsfoot contains pyrrolizidine alkaloids (PAs), plant compounds that can cause hepatotoxicity (liver damage) and have been classified as potentially carcinogenic with prolonged exposure. This is not a theoretical concern but a well-documented risk supported by extensive research and regulatory actions worldwide.10
Understanding the Risk
Pyrrolizidine alkaloids are naturally occurring plant toxins that coltsfoot produces as a defense against herbivores. When ingested, certain PAs are metabolized in the liver to toxic pyrrole compounds that can damage hepatocytes (liver cells), potentially leading to veno-occlusive disease, a serious condition involving blockage of small liver veins. The primary PAs in coltsfoot include senkirkine, senecionine, seneciphylline, and integerrimine.11
PA content in coltsfoot varies widely (0.0015% to 0.04% by weight) depending on growing conditions, soil type, plant age, and which plant part is used. Flower buds typically contain lower PA levels than leaves, which explains why Traditional Chinese Medicine preferentially uses the flowers while European traditions favored the leaves.
Regulatory Status
Due to PA concerns, several countries including Germany and Austria have restricted coltsfoot sales or required that products contain less than 1 microgram of PAs per daily dose. The European Medicines Agency (EMA) recommends that herbal preparations containing unsaturated PAs should not be used for more than 4-6 weeks per year, and total PA intake should not exceed 1 microgram per day.12
Who Should Avoid Coltsfoot Entirely
- Pregnant and breastfeeding women (PAs can cross the placenta and appear in breast milk)
- Children under 18 years of age
- Individuals with existing liver disease or compromised liver function
- People taking medications metabolized by the liver
- Those with a history of cancer or increased cancer risk
Safe Usage Guidelines for Others
- Limit use to short-term applications (no more than 4-6 weeks annually)
- Never exceed recommended dosages
- Purchase only from reputable suppliers who test for PA content
- Consider PA-free cultivars when available
- Discontinue use immediately if you experience fatigue, jaundice, abdominal pain, or dark urine
- Inform your healthcare provider if you use coltsfoot, especially before surgery or if taking other medications
Safer Alternatives
Given the PA concerns, many herbalists now recommend other respiratory herbs with similar benefits but without hepatotoxic risks, including mullein, marshmallow root, plantain, and licorice root. These alternatives provide comparable mucilage content and soothing properties without the safety concerns associated with coltsfoot.
Certificate of Analysis (COA)
At Sacred Plant Co, quality assurance extends beyond regenerative sourcing practices. Every batch of coltsfoot we offer undergoes rigorous testing to verify identity, purity, and safety. Our Certificates of Analysis provide transparent documentation of:
- Species verification through organoleptic and microscopic analysis
- Heavy metal testing (lead, cadmium, mercury, arsenic)
- Microbial contamination screening
- Pyrrolizidine alkaloid quantification (when available from supplier)
- Moisture content and storage stability indicators
Proper Storage and Shelf Life
To maintain coltsfoot's potency and prevent degradation of its delicate compounds, proper storage is essential. Store dried coltsfoot leaves in airtight containers away from direct light, heat, and moisture. Glass jars with tight-fitting lids work exceptionally well. Under optimal conditions, properly dried coltsfoot maintains its therapeutic properties for 12-18 months, though mucilage content may gradually decrease over time.
Avoid storing coltsfoot in plastic bags or containers, as these can trap residual moisture and promote mold growth. Label containers with the purchase or harvest date to track freshness. If the herb develops musty odors, visible mold, or loses its characteristic appearance, discard it and replace with fresh material.
For comprehensive guidance on herb storage, preparation, and quality assessment, see our detailed guide: How to Buy, Store, and Use Herbs in Bulk.
Related Articles on Respiratory Health
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- Breathe Easy: The Ultimate Herbal Guide to Naturally Boost Your Respiratory Health
- Mullein Leaf vs. Lobelia Herb: Which Herbal Remedy Is Best for Clearer Breathing and Lung Support
- Soothe Your Cough Naturally: Effective Herbs for Respiratory Relief and Wellness
- Herbs for Phlegm: TCM & Western Herbs That Clear Mucus
- Mullein Magic: Unveiling the Health Secrets of a Time-Honored Herbal Remedy
Frequently Asked Questions About Coltsfoot
Is coltsfoot safe to use given the pyrrolizidine alkaloid concerns?
Coltsfoot contains pyrrolizidine alkaloids (PAs) that have hepatotoxic potential, meaning they can damage the liver with prolonged or excessive use. Modern safety guidelines recommend limiting coltsfoot use to short-term applications (no more than 4-6 weeks annually) and avoiding it entirely during pregnancy, lactation, in children, or if you have liver disease. Many herbalists now prefer PA-free alternatives like mullein or marshmallow root that provide similar respiratory benefits without the safety concerns. If you choose to use coltsfoot, purchase only from reputable suppliers who test for PA content and never exceed recommended dosages.
What's the difference between coltsfoot flowers and leaves for medicinal use?
Traditional Chinese Medicine preferentially uses coltsfoot flower buds (Kuan Dong Hua), which typically contain lower levels of pyrrolizidine alkaloids compared to the leaves. European herbalists historically favored the leaves, which have higher mucilage content but also higher PA levels. Modern herbalists often recommend using flower buds when available due to their improved safety profile. Regardless of which plant part you use, proper sourcing from tested, quality-controlled suppliers is essential to minimize PA exposure while maximizing therapeutic benefits.
How quickly does coltsfoot work for cough relief?
Coltsfoot's mucilage provides immediate coating and soothing effects to irritated throat tissues, often producing noticeable relief within 15-30 minutes of drinking a properly prepared tea. The anti-inflammatory and antitussive compounds work more gradually, with maximum benefits typically appearing after 2-3 days of consistent use. For acute coughs, combining coltsfoot with complementary herbs like thyme, licorice root, or ginger may provide more comprehensive relief. Remember that persistent coughs lasting more than 2-3 weeks warrant professional medical evaluation to rule out serious underlying conditions.
Can I use coltsfoot if I'm taking prescription medications?
Coltsfoot may interact with certain medications, particularly those metabolized by the liver. The pyrrolizidine alkaloids in coltsfoot can increase liver burden when combined with hepatotoxic medications or those requiring hepatic metabolism. Additionally, coltsfoot's expectorant and mucilage properties might affect the absorption of oral medications. Always consult with your healthcare provider or clinical herbalist before combining coltsfoot with prescription medications, especially anticoagulants, antihypertensives, or medications for liver, kidney, or heart conditions.
Are there PA-free coltsfoot varieties available?
Researchers in Austria and Germany have developed low-PA and PA-free coltsfoot cultivars through selective breeding and micropropagation techniques. These varieties maintain the therapeutic mucilage and flavonoid content while eliminating or drastically reducing pyrrolizidine alkaloid levels. However, these cultivars are not yet widely available in the commercial herb market. When purchasing coltsfoot, look for suppliers who specifically test for PA content and can provide documentation showing PA levels below regulatory thresholds (typically less than 1 microgram per recommended daily dose).
What's the proper dosage of coltsfoot for respiratory support?
Traditional dosing recommendations suggest 1-2 teaspoons of dried coltsfoot leaves steeped in 1 cup of water, consumed 2-3 times daily for acute respiratory symptoms. However, modern safety guidelines emphasize limiting total duration of use to no more than 4-6 weeks annually due to pyrrolizidine alkaloid concerns. For tinctures, typical doses range from 2-4 ml, three times daily, though glycerin-based extractions are preferred over alcohol extractions to minimize PA content. Always start with lower doses to assess individual tolerance, and discontinue use if any adverse effects occur. Given the safety concerns, many practitioners now recommend using coltsfoot only occasionally and relying on safer respiratory herbs like mullein for regular use.
How does coltsfoot compare to mullein for respiratory health?
Both coltsfoot and mullein contain soothing mucilage and have been used traditionally for respiratory conditions, but mullein offers a superior safety profile without pyrrolizidine alkaloid concerns. Mullein provides comparable demulcent effects, anti-inflammatory properties, and expectorant actions to coltsfoot, making it an excellent alternative for long-term or repeated use. Coltsfoot may have slightly stronger antitussive (cough-suppressing) effects due to its tussilagone content, but given the hepatotoxic risks, many modern herbalists prefer mullein as a first-line respiratory herb, reserving coltsfoot for short-term use in specific situations where its benefits clearly outweigh the risks.
Conclusion: Balancing Tradition with Modern Safety
Coltsfoot stands as a powerful reminder that traditional herbal wisdom must evolve alongside our growing scientific understanding. For thousands of years, this humble plant has provided genuine respiratory relief to countless individuals across diverse cultures. Its mucilage-rich leaves and tussilagone-containing flowers offer real therapeutic benefits backed by both historical use and modern research.
Yet, the discovery of hepatotoxic pyrrolizidine alkaloids in coltsfoot demands that we approach this herb with informed caution rather than uncritical enthusiasm. Regenerative herbalism involves not just cultivating plants in harmony with nature, but also using them responsibly, with full awareness of both benefits and risks.
At Sacred Plant Co, we believe in transparency and education. We provide access to high-quality coltsfoot while simultaneously acknowledging its safety limitations and recommending PA-free alternatives when appropriate. Whether you choose to work with coltsfoot or explore safer respiratory herbs like mullein, marshmallow, or licorice root, we're committed to supporting your wellness journey with herbs grown, sourced, and prepared with integrity.
The respiratory system, like the soil ecosystem, thrives when we provide it with diverse, thoughtful support rather than single-herb dependence. Explore our comprehensive collection of respiratory herbs, each selected for quality, potency, and regenerative values that honor both plant and person.
Scientific References
- Chen S, Dong L, Quan H, Zhou X, Ma J, Xia W, Zhou H, Fu X. A review of the ethnobotanical value, phytochemistry, pharmacology, toxicity and quality control of Tussilago farfara L. (coltsfoot). J Ethnopharmacol. 2021 Mar 1;267:113478. doi: 10.1016/j.jep.2020.113478.
- Xue Y, Zhang Y, Yang J, et al. Farfarae Flos: A review of botany, traditional uses, phytochemistry, pharmacology, and toxicology. J Ethnopharmacol. 2020 Oct 5;260:113036. doi: 10.1016/j.jep.2020.113036.
- Moerman DE. Native American Ethnobotany. Portland: Timber Press; 1998. p. 544.
- Li W. Evaluation of tussilagone: a cardiovascular-respiratory stimulant isolated from Chinese herbal medicine. Gen Pharmacol. 1988;19(2):261-263. doi: 10.1016/0306-3623(88)90072-9.
- Kang SY, Kim YC. The ethanol extract of flower buds of Tussilago farfara L. attenuates cigarette smoke-induced lung inflammation through regulating NLRP3 inflammasome, Nrf2, and NF-κB. J Ethnopharmacol. 2022 Jan 30;282:114648. doi: 10.1016/j.jep.2021.114648.
- Frumuzachi O, Mocan A, Babotă M, et al. A Comparative Analysis of the Anatomy, Phenolic Profile, and Antioxidant Capacity of Tussilago farfara L. Vegetative Organs. Plants (Basel). 2022 Jun 23;11(13):1646. doi: 10.3390/plants11131646.
- Wu QZ, Zhao DX, Xiang J, et al. Antitussive, expectorant, and anti-inflammatory activities of four caffeoylquinic acids isolated from Tussilago farfara. Pharm Biol. 2016;54(7):1117-1124. doi: 10.3109/13880209.2015.1101478.
- Lee KT, Choi J, Jung WT, et al. Heme oxygenase-1-mediated anti-inflammatory effects of tussilagonone on macrophages and 12-O-tetradecanoylphorbol-13-acetate-induced skin inflammation in mice. Int Immunopharmacol. 2016 May;34:155-164. doi: 10.1016/j.intimp.2016.02.026.
- Lee J, Song K, Huh E, Oh MS, Kim YS. Neuroprotection against 6-OHDA toxicity in PC12 cells and mice through the Nrf2 pathway by a sesquiterpenoid from Tussilago farfara. Redox Biol. 2018 Aug;18:6-15. doi: 10.1016/j.redox.2018.05.015.
- European Food Safety Authority (EFSA). Scientific opinion on pyrrolizidine alkaloids in food and feed. EFSA J. 2011;9(11):2406. doi: 10.2903/j.efsa.2011.2406.
- Adamczak A, Opala B, Gryszczynska A, Buchwald W. Content of pyrrolizidine alkaloids in the leaves of coltsfoot (Tussilago farfara L.) in Poland. Acta Soc Bot Pol. 2013;82(4):289-293. doi: 10.5586/asbp.2013.028.
- European Medicines Agency. Public statement on the use of herbal medicinal products containing toxic, unsaturated pyrrolizidine alkaloids (PAs). EMA/HMPC/893108/2011 Rev. 1. March 2014.

