Educational reference only · Not medical advice
Botanical illustration of Coltsfoot

Tussilago farfara

Coltsfoot

Asteraceae

Evidence: InsufficientCaffeine Free EuropeSafety information on file
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At a Glance

Common name
Coltsfoot
Scientific name
Tussilago farfara
Family
Asteraceae
Region
Europe
Plant part
Leaves, Flowers
Caffeine
Caffeine Free
Evidence
Insufficient
Safety review
Safety information on file

Safety & Cautions

Safety information on file
Contraindications
Avoid in pregnancy, breastfeeding, liver disease, and with PA-sensitive conditions; limit duration and dose; discontinue before surgery; prefer PA-free sources.
Drug interactions
PAs may strain the liver and interact with liver-metabolized drugs; may enhance bleeding with anticoagulants; consult a clinician.
Pregnancy
Avoid.
Children
Not recommended for children (PA content).
Allergies
Possible in those sensitive to Asteraceae; rare.
Known adverse effects
May cause mild GI upset or allergic reactions; the leaves contain pyrrolizidine alkaloids (PAs) that can harm the liver — limit use and duration; avoid the whole plant long-term.

Botanical Description

A low perennial with a single bright yellow dandelion-like composite flower on a scaly reddish stem before leaves, and large rounded hoof-shaped woolly grey-green leaves with toothed lobes; the leaves are the part used (with PA caution).

Also known as: Coughwort, Son-Before-Father, Horse Hoof

Historical Background

Coltsfoot has been a classic European respiratory herb for millennia, its bright flowers brewing before the leaves emerge (hence 'flowers before leaves'). Named for its hoof-shaped leaves, it was sipped for cough and throat traditions, now used with care for its PA content.

Earliest recorded uses: European folk traditions for millennia; a classic respiratory herb, flowers brewed before leaves emerge.

Traditional preparations:

  • Short-term leaf infusion
  • Respiratory tea with marshmallow
  • Throat blend with honey

Traditional Uses

These uses document historical traditions and do not imply proven effectiveness.

Traditional European Herbalism

Classic respiratory herb; flowers before leaves.

Modern Herbalism

Respiratory and throat tea (PA caution).

Flavor & Aroma

MildSlightly SweetHerbaceousHoneyed

Aroma: Mild, slightly sweet, herbaceous, honeyed

Tea Preparation

Preparation methods
Infusion (short-term)
Steeping temperature
200°F (93°C)
Steeping time
5-8 minutes
Recommended vessel
Covered teapot
Blends well with
Marshmallow Root, Licorice Root, Thyme, Honey, Mullein
200°F (93°C) 5-8 minutes

Modern Evidence

Evidence level: Insufficient

Coltsfoot has a long European tradition for respiratory and throat comfort, but the leaves contain pyrrolizidine alkaloids (PAs) that can harm the liver, so use is restricted in many countries. It is not a treatment for cough, asthma, or any disease; prefer PA-free sources and limit use.

Evidence levels describe the state of research for the traditional use discussed here, not a recommendation. Historical use does not imply effectiveness.

References & Sources

  1. EMA HMPC · Tussilaginis folium restriction (2015)
  2. PubMed · Tussilago farfara review (2019)

Entry last updated August 4, 2026

Soothing Brews

An educational encyclopedia preserving the history, traditions, and modern evidence behind herbs used in teas and infusions. Inspired by antique botanical manuscripts.

Steeped in tradition, grounded in honesty.

Please Note

This is an educational reference, not a medical resource. Historical use does not imply effectiveness. Natural does not always mean safe. Consult a qualified healthcare professional before using herbs, especially if pregnant, nursing, or taking medications.

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Preferred sources: NIH ODS · NCCIH · MSK Herbs · PubMed · WHO · EMA · German Commission E · Cochrane