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Willow Bark (basket willow, bay willow, brittle willow, osier rouge, purple osier, Salicis cortex, Salix species, Salix spp, violet willow, white willow)

 

Classes: Analgesics, Herbals

Suggested dosing of Basket willow, bay willow (willow bark)

 

Extract

120-240 mg salicin PO TID-QId

 

Dried Bark

1-3 g PO TID-QId

 

Tea

1 cup PO TID-QID; prepared with 1-3 g bark/150 ml water

 

Liquid Extract

1-3 ml PO qDay; 1:1 25% alcohoL

 

Suggested uses of Basket willow, bay willow (willow bark)

Fever, gouty arthritis, headaches, inflammation, influenza symptoms, muscle/joint aches, pain, rheumatoid arthritis

 

Basket willow, bay willow (willow bark) adverse (side) effects

Frequency not defined

Blood in stooL

GI complaints

Hypersensitivity reactions

Kidney damage

Liver necrosis

Nausea/vomiting

Salicylate toxicity

Skin rash (topical use)

Tinnitus

 

Warnings

Contraindications

Aspirin hypersensitivity, asthma, diabetes mellitus, gout, hemophilia, hypoprothrombinemia, kidney disease, liver disease, PUD, viral infection (peds)

 

Pregnancy and lactation

Pregnancy category: N/A

Lactation: unsafe

 

Pregnancy categories

A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA: Information not available.

 

Pharmacology of Basket willow, bay willow (willow bark)

Mechanism of action

Contains salicin, which is converted to salicylic acid