This link explains more about who should avoid this herb:
autoimmune disease patients, MS, and organ transplant recipients or those taking immune suppressant drugs should avoid this herb:
more here:
https://umm.edu/health/medical/altmed/herb/echinacea
Quote:
The use of herbs is a time-honored approach to strengthening the body and treating disease. However, herbs contain active substances that may trigger side effects and interact with other herbs, supplements, or medications. For these reasons, you should take herbs only under the supervision of a health care provider knowledgeable in the field of botanical medicine.
People with tuberculosis, leukemia, diabetes, connective tissue disorders, multiple sclerosis, HIV or AIDS, any autoimmune diseases, or, possibly, liver disorders should not take echinacea. There is some concern that echinacea may reduce the effectiveness of medications that suppress the immune system. For this reason, people receiving organ transplants who must take immunosuppressant medications should avoid this herb.
In rare cases, echinacea may cause allergic reactions, ranging from a mild rash to anaphylaxis (a life-threatening reaction accompanied by throat tightening, shortness of breath, and, possibly fainting). People with asthma and allergies may be at an increased risk for developing these adverse reactions. People with allergies to plants in the daisy family (compositae) should not take echinacea without the supervision of a health care provider.
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