Educational reference only · Not medical advice
Botanical illustration of Cramp Bark

Viburnum opulus

Cramp Bark

Adoxaceae

Evidence: InsufficientCaffeine Free North AmericaSafety information on file
Save to favorites

At a Glance

Common name
Cramp Bark
Scientific name
Viburnum opulus
Family
Adoxaceae
Region
North America
Plant part
Bark
Caffeine
Caffeine Free
Evidence
Insufficient
Safety review
Safety information on file

Safety & Cautions

Safety information on file
Contraindications
Avoid in pregnancy (uterine relaxant tradition is unclear in later stages), hypotension, and with anticoagulants; discontinue before surgery.
Drug interactions
May lower blood pressure and enhance bleeding with anticoagulants; may interact with uterine-active drugs; consult a clinician.
Pregnancy
Avoid medicinal doses.
Children
Not recommended for children.
Allergies
Possible in those sensitive to Adoxaceae; rare.
Known adverse effects
Generally well tolerated; mild GI upset, dizziness, or, rarely, allergic reactions; may lower blood pressure.

Botanical Description

A deciduous shrub with broad three-lobed toothed maple-like leaves, flat clusters of small white flowers ringed by larger sterile outer blooms, and clusters of bright red berries; the grey-brown bark is the part used.

Also known as: Guelder Rose, High Bush Cranberry, Snowball Tree

Historical Background

Cramp bark (guelder rose) has been used by Native American peoples and early American Eclectic physicians for centuries for muscle and menstrual comfort. Its grey-brown bark is decocted into a tea traditionally sipped for occasional cramping and tension.

Earliest recorded uses: Native American and early American Eclectic medicine for centuries; named for its traditional use for muscle and menstrual cramping.

Traditional preparations:

  • Bark decoction
  • Women's cramp tea with ginger
  • Muscle-comfort blend

Traditional Uses

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

Native American Traditions

Muscle and menstrual cramp comfort; uterine antispasmodic.

Modern Herbalism

Women's and muscle-comfort antispasmodic tea.

Flavor & Aroma

EarthySlightly BitterWoodyAstringent

Aroma: Earthy, slightly bitter, woody

Tea Preparation

Preparation methods
Decoction
Steeping temperature
200°F (93°C)
Steeping time
15-20 minutes simmer (decoction)
Recommended vessel
Saucepan (decoction)
Blends well with
Black Haw, Dong Quai, White Peony, Ginger, Red Raspberry Leaf
200°F (93°C) 15-20 minutes simmer (decoction)

Modern Evidence

Evidence level: Insufficient

Cramp bark has a tradition for muscle and menstrual comfort. Clinical evidence is insufficient; preclinical work suggests possible smooth-muscle relaxant activity, but it is not a treatment for dysmenorrhea, muscle spasm, or any condition, and should be discussed with a clinician.

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. PubMed · Viburnum opulus review (2018)
  2. EMA HMPC · Viburnum assessment (2013)

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.

© 2026 Soothing Brews · For educational purposes only. · Privacy Policy

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