🦎Malagasy Traditional Medicine

Voatsiperrifery (Wild Pepper)

Piper borbonense

About Voatsiperrifery (Wild Pepper)

Voatsiperrifery (Wild Pepper) (Piper borbonense) is a herb used in the Malagasy Traditional Medicine tradition to help with Digestive Issues, Fever, Pain, and Circulation, among 1 other condition it addresses. The aerial parts and leaves are the parts traditionally used, taken internally.

Botanical background

Piper borbonense is a species of plant in the Piper genus. A close relative of black pepper, its berries are used as a spice known as voatsiperifery, which comes from voa, the Malagasy word for fruit, and tsiperifery, the local name of the plant. A wild pepper, it grows in Madagascar.

Source: Wikipedia, via iNaturalist

Parts used

Aerial Parts · internalLeaves · internal
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Tea / Infusion

1–3 cups daily
  • Steep 1–2 tsp of dried Voatsiperrifery (Wild Pepper) in freshly boiled water for 5–10 minutes.
  • Cover while steeping.
  • Strain and drink.
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Tincture

20–40 drops in water, 2–3× daily
  • Pack dried Voatsiperrifery (Wild Pepper) into a jar and cover with 40–60% alcohol.
  • Seal and steep for 4–6 weeks, shaking daily.
  • Strain and store in a dark dropper bottle.
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Powder / Capsule

500 mg – 1 g, 1–3× daily
  • Grind dried Voatsiperrifery (Wild Pepper) into a fine powder.
  • Fill size 00 capsules or stir into smoothies or honey.
♨️

Steam Inhalation

1–2× daily during acute symptoms
  • Add 2–3 tbsp of Voatsiperrifery (Wild Pepper) to a bowl of just-boiled water.
  • Drape a towel over your head and inhale steam for 5–10 minutes.

Pregnancy, Breastfeeding & Children

No herb-specific pregnancy/child safety research is documented for Voatsiperrifery (Wild Pepper) in our references — the guidance below is based on its general effect category, not research on Voatsiperrifery (Wild Pepper) itself. Always confirm with a midwife, doctor, or pediatrician.

Pregnancy

Use Caution

This herb has blood-thinning (antiplatelet/anticoagulant) activity. These are generally used cautiously in pregnancy and are typically discontinued in the weeks before delivery due to bleeding risk — this is a general, mechanism-based caution, not herb-specific research.

Breastfeeding

Likely Safe

Blood-thinning herbs are generally considered lower-risk during breastfeeding than in late pregnancy, though caution is still reasonable, especially at concentrated doses.

Children

Use Caution

Blood-thinning herbs are generally used cautiously in children, particularly around any planned surgery or dental work.

Contraindications

  • Pre-surgery — discontinue at least 2 weeks prior (potential antiplatelet effect)

Warnings

⛔ Heart & Blood Pressure Medications

May interact with antihypertensive drugs, blood thinners, or cardiac medications. Do not combine without medical guidance.

⚠️ Allergic Reactions

Discontinue immediately if you experience rash, itching, swelling, or difficulty breathing.

⚠️ Not Medical Advice

This information is for educational purposes only. Always consult a qualified healthcare provider before using herbal remedies.

Drug & herb interactions

May thin the blood

Watch for: Anticoagulants (warfarin), antiplatelets (aspirin, clopidogrel), and other blood-thinning herbs or supplements (ginkgo, garlic, fish oil, vitamin E)

Combining blood-thinning substances can increase bleeding risk, including before surgery or dental work.

Where to find in nature

Native region

Various global regions

Climate

Varied

Habitat

Cultivated in traditional medicinal gardens, botanical gardens, and herb farms worldwide

🌿 To see Voatsiperrifery (Wild Pepper) growing, visit botanical gardens, university plant collections, or specialist herb nurseries near you. If foraging in the wild, always work with an expert identifier — never consume a plant you are not 100% certain of.

Where to buy

In store

  • Health food stores (Whole Foods, Natural Grocers, Holland & Barrett, GNC)
  • Naturopathic clinics and integrative medicine practices
  • Specialist herbal apothecaries and herbalist practices
  • Farmers markets with herb vendors

Online

iHerb

Wide selection of standardised extracts, capsules, and powders with lab testing

Mountain Rose Herbs

Premium bulk dried herbs — certified organic, ethically sourced

Starwest Botanicals

Large selection of certified organic bulk herbs and powders

Herb Pharm

High-quality liquid extracts and tinctures, rigorous quality standards

Amazon

Convenient — verify brand certifications and check third-party testing

Etsy

Small-batch artisan herbalists, hand-harvested and wildcrafted herbs

Quality tips

When buying Voatsiperrifery (Wild Pepper), look for: certified organic labelling, clearly stated country of origin, third-party lab testing for heavy metals and pesticides, and a batch expiry date. Standardised extracts offer consistent dosing; bulk dried herbs are more economical for regular use. Avoid very cheap, unlabelled products — quality varies enormously.