White Willow Aspirin Alternative

According to an article by the University of Maryland Medical Center (UMMC), scientific studies suggest that using white willow bark, also referred to as white willow, willow bark, salix nigra and salix alba, as an alternative to aspirin may be useful when treating headaches, low back pain and osteoarthritis. It may also be helpful for treating menstrual cramps, fever and flu. The UMMC points out that products sold as white willow bark typically contain a combination of barks from the white, purple and crack willows.

Medicinal History

• As far back as 400 BC, Hippocrates was advising his patients to chew on willow bark to reduce fever and inflammation. Willow bark has been used as a pain reliever throughout China, Europe and North America for centuries. Salicin, a chemical similar to acetylsalicylic acid (aspirin), is the main active ingredient in willow bark. In fact, the salicin in willow bark was used to develop the first aspirin product in the 1800s.

Medicinal Uses and Dosage

• The pain-relieving effects of willow bark appear to work more slowly than those of commercial aspirin, but they may also be longer lasting. Scientific studies support the occasional use of willow bark for headache, and some evidence suggests white willow is less likely than many other pain relievers to produce unwanted gastrointestinal side effects. The UMMC reports that a well-designed study of nearly 200 people showed a significant improvement in low back pain for those who received a 240 mg dose of willow bark, and several studies conclude that willow is an effective pain reliever for those suffering from osteoarthritis. Many alternative health professionals also suggest white willow for menstrual cramps, fever, flu, tendonitis and bursitis.

  The general dosage guides suggested by the UMMC are:

  3-4 cups of tea daily. To make 1 cup of tea simmer 1-2 teaspoons of dried herb in 8 ounces of water for 10-15 minutes. Remove the tea from heat and let it steep another 30 minutes. Strain and drink.

  Capsules or liquid: 60-240 mg of standardized salicin per day.

  Tincture (1:5, 30 percent alcohol): 4-6 ml three times per day.

Side Effects and Precautions

• White willow is generally safe and side effects are mild. Upset stomach and stomach ulcers are concerns when using any salicylate product. Overdose of willow bark may cause stomach inflammation, nausea, kidney inflammation or skin rash.

  Children under the age of 16 should not be given willow bark or commercial aspirin due to the danger of developing Reye syndrome.

  People who are allergic or sensitive to aspirin should not use willow bark. This may include those with asthma, diabetes, gout, gastritis, hemophilia and stomach ulcers.

  Salicylates are not recommended for pregnant or nursing women.

  Willow bark may interact with other medications such as blood thinners, beta blockers and diuretics. Consult your physician before using a salicylate if you are taking medication.

  Do not take more than 240 mg per dose unless prescribed by a health professional.