Educational reference only · Not medical advice
Botanical illustration of Slippery Elm

Ulmus rubra

Slippery Elm

Ulmaceae

Evidence: InsufficientCaffeine Free North AmericaSafety information on file
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At a Glance

Common name
Slippery Elm
Scientific name
Ulmus rubra
Family
Ulmaceae
Region
North America
Plant part
Inner bark
Caffeine
Caffeine Free
Evidence
Insufficient
Safety review
Safety information on file

Safety & Cautions

Safety information on file
Contraindications
Generally very safe; may slow absorption of oral medications (take 2 hours apart); endangered in the wild — choose sustainably cultivated.
Drug interactions
Mucilage may reduce absorption of oral medications; separate by at least 2 hours; consult a clinician.
Pregnancy
Generally regarded as safe in tea/gruel amounts.
Children
Very gentle; widely accepted for throat and digestive comfort.
Allergies
Possible in those sensitive to Ulmaceae; rare.
Known adverse effects
Generally very well tolerated; mild allergic reactions rare. Most concerns relate to overharvesting (endangered in the wild).

Botanical Description

A medium deciduous tree with large rough oval toothed leaves, small flat seed clusters, and a reddish-brown inner bark rich in soothing mucilage; the inner bark is the part used.

Also known as: Red Elm, Indian Elm, Moose Elm

Historical Background

Slippery elm has been a soothing remedy of Native American and early American medicine for centuries, its inner bark chewed or brewed for a gentle, mucilaginous gruel for throats and digestion. Listed in the US Pharmacopeia, it remains a beloved comforting herb — though wild trees are endangered, so cultivated bark is preferred.

Earliest recorded uses: Native American traditions for centuries; adopted into early American medicine and listed in the US Pharmacopeia.

Traditional preparations:

  • Inner bark decoction
  • Soothing gruel
  • Throat blend with licorice & marshmallow

Traditional Uses

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

Native American Traditions

Soothing throat, digestive, and wound herb; nourishing gruel.

Modern Herbalism

Gentle demulcent for throat and gut comfort.

Flavor & Aroma

MildEarthySlightly SweetMucilaginous

Aroma: Mild, earthy, slightly sweet, mucilaginous

Tea Preparation

Preparation methods
Decoction, Cold infusion, Gruel
Steeping temperature
200°F (93°C)
Steeping time
10-15 minutes (or cold overnight)
Recommended vessel
Saucepan or cup
Blends well with
Marshmallow Root, Licorice Root, Honey, Slippery Elm Gruel, Lemon
200°F (93°C) 10-15 minutes (or cold overnight)

Modern Evidence

Evidence level: Insufficient

Slippery elm has a long tradition as a soothing throat and digestive herb. Clinical evidence is insufficient; its mucilage offers demulcent comfort, but it is not a treatment for GERD, IBD, sore throat, or any disease, and may slow medication absorption.

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. MSKCC · Slippery Elm information (2022)
  2. EMA HMPC · Ulmus rubra assessment (2016)

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