HerbMate

Herb comparison

Blue Cohosh (Caulophyllum thalictroides) vs Cramp Bark (Viburnum opulus)

Both plants are listed as traditional remedies for 1 of the same condition, which is why they are easy to confuse. Their descriptions and full safety notes are below, free.

Blue Cohosh (Caulophyllum thalictroides) plant

Blue Cohosh (Caulophyllum thalictroides)

Cramp Bark (Viburnum opulus) plant

Cramp Bark (Viburnum opulus)

Blue Cohosh (Caulophyllum thalictroides) is restricted

Preparation amounts are not shown for this herb. It is toxic, restricted, or otherwise unsafe to self-dose - the margin between a traditional dose and a harmful one is too small to publish as reference material. If you are considering it, that conversation belongs with a doctor or a qualified practitioner, not a website.

About
Blue cohosh is an upright perennial herb reaching 3 feet in height, with large three-lobed leaves, yellow to purple flowers, and striking blue berries. It grows wild in much of eastern North America from Manitoba to Alabama, preferring woodland valleys and damp, north-facing slopes. The name 'cohosh' comes from the Algonquin language, and the plant was a popular remedy among many Native American tribes. Though taken by both sexes for genitourinary issues, it was primarily valued as a women's herb, and that tradition continues in modern herbal practice.
Cramp bark (Viburnum opulus) is a deciduous shrub or small tree growing to about 13 ft (4 m). It has lobed leaves, clusters of white flowers, and red oval berries. As the name suggests, cramp bark is known to relieve muscular spasms - particularly of the smooth muscle in the uterus - making it a popular remedy for menstrual cramps, tension, and certain types of colic or back pain. It also exhibits mild sedative and relaxant actions.
Safety & precautions
Use only under professional supervision. Do not take during pregnancy or while trying to conceive, as it stimulates uterine contractions and could induce miscarriage. Avoid during heavy menstrual bleeding. It can be used by women past their due date to induce labor, but only with professional oversight. The plant is mildly toxic in large doses and can cause contact dermatitis. Not recommended while breastfeeding.
Low Blood Pressure: May lower blood pressure further; caution is advised for hypotensive individuals. General Use: Considered relatively safe, but best to consult a practitioner if combining with other treatments.

Safety text above is printed in full and is never abbreviated. For each plant’s complete precautions, drug and food interactions and preparation notes, open its own page - both are free.

Conditions that list both