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Slippery Elm (grey elm, Indian elm, moose elm, red elm, sweet elm, ulmus fulva, winged elm)

 

Classes: Gastrointestinal, Herbals

Suggested dosing of Grey elm, Indian elm (slippery elm)

 

Powdered Inner Bark (1:8 decoction)

4-16 ml PO TId

 

Powdered Inner Bark ( nutritional supplement)

4 g/500 ml water PO TId

 

Liquid Extract

5 ml PO TID; 1:1 in 60% alcohoL

 

Poultice

Apply topically; mix course powdered inner bark with boiling water

 

Suggested uses of Grey elm, Indian elm (slippery elm)

Oral

Colitis/diverticulitis, constipation, cough, cystitis, diarrhea, irritable bowel syndrome, skin wounds/inflammation (topical), sore throat, ulcer prevention, urinary tract infections

 

Topical

Wounds, burns, gout, rheumatism, cold sores, boils, abscesses, ulcers, toothaches, sore throat, and as a lubricant to ease labor.

 

Efficacy

Effective for sore throat; inconclusive for other uses

 

Grey elm, Indian elm (slippery elm) adverse (side) effects

Frequency not defined

Abortifacient (whole bark)

Allergic reaction

Contact dermatitis

 

Warnings

Contraindications

Hypersensitivity to pollen

Pregnancy

 

Pregnancy and lactation

Pregnancy category: abortifacient (whole bark)

Lactation: avoid use

 

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 Grey elm, Indian elm (slippery elm)

Metabolism: N/A

Excretion: N/A

 

Mechanism of action

Mucilage from inner bark rind stim. GI nerve endings, causing reflex mucus secretion