© Franz Eugen Köhler, Köhler's Medizinal-Pflanzen (1897) · Public domain · Commons
Iceland moss
Isländisches Moos · (Cetraria islandica)
Parmeliaceae (a lichen family) (Parmeliaceae)
Description
Iceland moss (Cetraria islandica), also called Iceland lichen, is - despite its name - not a moss but a lichen: a symbiotic dual organism formed by a fungus and an embedded green alga. It develops an erect to semi-erect, shrubby body (thallus) 4 to 12 cm tall, made of channelled, leaf-like, repeatedly forked, leathery bands whose margins are regularly toothed and fringed with short, lash-like projections. Depending on light exposure the colour ranges from greenish-brown through chestnut to dark brown, with a paler, whitish-blotched underside. The species is widespread in the cool-temperate and arctic-alpine regions of the Northern Hemisphere, growing on sandy, acidic soil in heaths, open pine forests, bogs and tundra. As a lichen it accumulates substances from its surroundings and is a sensitive indicator of air quality. The medicinal part is the whole dried thallus (Lichen islandicus or Cetrariae lichen). It is characterised by the combination of abundant water-soluble mucilage polysaccharides (lichenin and isolichenin), which give it its demulcent soothing action, and strongly bitter-tasting lichen acids.
Main use (EMA monograph, 'traditional use'): the water-soluble mucilage polysaccharides lichenin and isolichenin form a protective film over the irritated mucous membranes of the mouth and throat, soothing the feeling of irritation and the associated dry irritating cough. This is a traditional use whose plausibility rests on long-standing experience - not a clinically proven ('well-established') effect.
Preparation & dosage
Demulcent (soothing) use: prepare about 1-2 g of finely cut Iceland moss with 150 ml of water, several times a day. For the purely demulcent mucilage effect the thallus is made as a COLD MACERATE (steep for 10-15 minutes in cold water, then warm briefly) - this preserves the soluble mucilage and reduces the bitter taste. If needed, sip warm 3 times daily. The mucilage extract is also made into pastilles and lozenges that should dissolve slowly in the mouth to coat the mucous membranes of the mouth and throat.
- Dry amount
- 1–2 g
- Doses per day
- 3×
⚠ Age restriction: ≥ 6 years — Demulcent use according to the EMA monograph for adults, adolescents and children from 6 years of age. For younger children only after medical advice.
Second EMA-recognised traditional use: for temporary loss of appetite. The bitter lichen acids (including cetraric and fumarprotocetraric acid) act as a bitter tonic (amarum) and reflexively stimulate the digestive juices. This too is a 'traditional use' indication, not a clinically established proof of efficacy.
Preparation & dosage
Appetite-stimulating (bitter) use: pour about 1-2 g of Iceland moss with 150 ml of boiling water as a HOT INFUSION, steep for 10-15 minutes, then strain. Unlike the cold macerate, this deliberately extracts the bitter-tasting lichen acids. Drink a cup of the bitter infusion about half an hour before meals, up to 3 times daily. The bitter stimulus promotes the formation of saliva and gastric juice.
- Dry amount
- 1–2 g
- Doses per day
- 3×
⚠ Age restriction: ≥ 18 years — Use for loss of appetite according to the EMA monograph is for adults only (from 18 years), as the basis of experience for this indication is limited to adults.
Iceland moss is generally well tolerated at the usual dosage. Because of its high content of bitter substances it can cause gastrointestinal upset, nausea or irritation in sensitive people or at high doses. Since lichens accumulate pollutants from their surroundings, unchecked wild-collected material from polluted areas can contain lead and other heavy metals - use only material from clean sites or of tested pharmaceutical quality. Very high or very prolonged intake is not recommended because of isolated reports of possible liver strain; use should remain time-limited. Seek medical advice if symptoms persist for more than a week or worsen (e.g. persistent cough, shortness of breath, fever, purulent sputum).
There are insufficient data on use during pregnancy; as a precaution it is not recommended. In addition there is the possible risk of heavy-metal contamination (especially lead) in unchecked material. Clarify with a doctor before use.
There are insufficient data for the breastfeeding period; use is not recommended as a precaution. If in doubt, clarify with a doctor.
Demulcent use according to the EMA from 6 years; the appetite-stimulating (bitter) use is reserved for adults. For children under 6 years only after medical advice.
Drug interactions
orale Arzneimittel allgemein
The abundant mucilage can delay or reduce the absorption of medicines taken at the same time; to be safe, keep a time interval of at least half an hour to one hour.
Contraindications
- Active gastric or duodenal ulcer: the bitter, hot-infused preparation stimulates gastric juice and should not be used in this case.
- Known hypersensitivity to Iceland moss or its constituents.
Harvested part: The whole thallus of the lichen, gathered in late summer and autumn
- Time of day:
- Collect on dry days when the thallus is not soaked by dew or rain; only at clean, low-pollution sites.
- Drying:
- Dry the whole thallus slowly, airily and in the shade (preferably in the dark) to preserve colour and constituents; remove soil and plant debris before use.
- Storage:
- 24 months — Store dry, cool and dark in tightly sealed containers; protect from moisture.
- Lichenin (Schleim-Polysaccharid)PolysaccharideContent: Teil von ~50 % SchleimstoffenWhole plant
Marker constituent: a water-soluble, linear glucan (beta-1,3/1,4-linked) that, together with isolichenin, forms the bulk of the demulcent mucilage. The thallus contains about 50 % water-soluble mucilage in total.
- Isolichenin (Schleim-Polysaccharid)PolysaccharideContent: Teil von ~50 % SchleimstoffenWhole plant
Isoform of lichenin (alpha-glucan-like), likewise water-soluble; contributes to the swelling, demulcent protective film on the mucous membranes.
- Cetrarsäure (cetraric acid)BitterWhole plant
Bitter lichen acid (a depsidone), largely responsible for the bitter taste; acts as a bitter tonic (amarum) to stimulate appetite and has a weak antimicrobial component.
- Fumarprotocetrarsäure (fumarprotocetraric acid)BitterWhole plant
Important bitter lichen acid of Iceland moss; the main component of the bitter fraction and partly responsible for the appetite-stimulating action.
- Protolichesterinsäure (protolichesterinic acid)BitterWhole plant
Aliphatic lichen acid (a lactone-acid type); bitter and with demonstrated antibacterial activity (including against Helicobacter pylori in in-vitro studies).
- Usninsäure (usnic acid)OtherWhole plant
Characteristic lichen acid with antimicrobial action; usually present only in small amounts in Cetraria islandica. Contributes to its preservative and weakly antibiotic properties.
- [1]MonographEuropean Medicines Agency (HMPC) - Cetraria islandica (L.) Acharius s.l., thallus (Lichen islandicus / Iceland moss), herbal medicinal product, traditional use(accessed: 2026-06-12)
- [2]MonographEuropean Medicines Agency (HMPC) - Iceland moss (Lichen islandicus): summary of the public assessment report for herbal substances(accessed: 2026-06-12)
- [3]WikipediaIsländisches Moos - Wikipedia (Deutsch)(accessed: 2026-06-12)
- [4]WikipediaCetraria islandica - Wikipedia (English)(accessed: 2026-06-12)
- [6]CommonsCetraria islandica - Köhler's Medizinal-Pflanzen (Plate 32), Wikimedia Commons (public domain)(accessed: 2026-06-12)
- [5]WikidataCetraria islandica (Q156424) - Wikidata(accessed: 2026-06-12)
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