© Christian Fischer · CC BY-SA 3.0 · Commons
Filipendula ulmaria
CautionEchtes Mädesüß · (Filipendula ulmaria)
Rose family (Rosaceae)
Description
The intensely sweet, spicy scent of meadowsweet's dense creamy-white flower clusters gives the plant its name and draws it to damp meadows and streambanks through its June-to-August flowering season. The flowering herb is harvested and is notably rich in flavonoids, tannins and salicylate-like compounds such as spiraeoside. The Commission E monograph describes flower preparations for feverish colds, while the herb is traditionally also used for digestive complaints and applied externally for joint discomfort. Because of its natural salicylate content, anyone with known aspirin or NSAID intolerance should avoid it entirely, as should people with peptic ulcers. In children and adolescents under 12 with feverish viral infections such as influenza or chickenpox, salicylate-containing preparations should not be used because of the risk of Reye's syndrome.
CONTRAINDICATED during pregnancy
Meadowsweet is contraindicated in pregnancy. Salicylates cross the placenta and are associated with increased risk of fetal cardiac defects (premature closure of the ductus arteriosus), growth retardation, prolonged labour and bleeding time, and postpartum haemorrhagic complications. External use (bath, compress) should also be avoided in pregnancy. EMA and ESCOP explicitly advise against meadowsweet preparations throughout pregnancy.
CONTRAINDICATED during breastfeeding
Meadowsweet is contraindicated during lactation. Salicylates pass into breast milk and may cause bleeding tendency, Reye syndrome risk, and gastric irritation in the infant. EMA/ESCOP recommend completely avoiding meadowsweet preparations during breastfeeding.
CONTRAINDICATED for children
Meadowsweet preparations (tea, tincture, bath) are CONTRAINDICATED in children/adolescents under 12 with febrile viral infections (cold, flu, chickenpox) — Reye syndrome risk from salicylates. In children over 12 and adolescents without acute viral infection, meadowsweet tea may be used cautiously; Kommission E monograph applies from age 12. Parents should always consult a doctor or pharmacist before use in children.
Critical drug interactions with:
Antikoagulanzien und Thrombozytenaggregationshemmer (Warfarin, Phenprocoumon, Heparin, Clopidogrel, ASS) · Nichtsteroidale Antirheumatika / NSAIDs (Ibuprofen, Diclofenac, Naproxen, Indometacin) · Methotrexat
Flower infusion for feverish colds and influenza-like illness — Kommission E positive monograph based on natural salicylate compounds.
Preparation & dosage
FLOWER INFUSION (Kommission E): 2–3 g dried meadowsweet flowers in 250 ml boiling water, covered, steep 10 min, strain. 3–4× daily, warm, combined with adequate fluid intake during feverish colds. Daily dose 6–9 g. Kommission E rates use in common colds as positive. Effect attributed to natural salicylate compounds (spiraeosides, salicylaldehyde) — weaker than synthetic ASA but gentler. Do NOT use with known salicylate hypersensitivity, ASA/NSAID-induced asthma. Not for children under 12 with fever (Reye syndrome risk). Duration: max. 2 weeks without medical supervision.
- Dry amount
- 2–3 g
- Doses per day
- 3×
- Max duration
- 2 weeks
⚠ Age restriction: ≥ 12 years — Not for children under 12 with fever — Reye syndrome risk from salicylates. Kommission E monograph applies to adults and adolescents from age 12.
Traditional herb tea from flowering meadowsweet for digestive complaints and mild joint discomfort — EMA traditional use.
Preparation & dosage
HERB TEA (Herba Filipendulae ulmariae): 4–6 g dried flowering meadowsweet herb (leaves + flowers) in 500 ml boiling water, covered, steep 12–15 min, strain. Divide daily dose into 3 cups after meals. Traditional use (EMA traditional) for GI complaints (nausea, mild cramps, acid belching) and adjunctively for mild joint complaints. Astringent tannins (ellagitannins) calm the gastric mucosa; salicylates contribute anti-inflammatory activity. CAUTION: meadowsweet contains salicylates — do not use with gastric ulcers or erosive gastritis, as salicylates may irritate mucosa. Not simultaneously with warfarin or anticoagulants. Max. 4 weeks without physician.
- Dry amount
- 4–6 g
- Doses per day
- 3×
- Max duration
- 4 weeks
⚠ Age restriction: ≥ 12 years — From age 12. Contraindicated in children under 12 due to Reye syndrome risk.
Traditional meadowsweet herb tincture as mild analgesic and antipyretic — alternative to tea when ethanol is acceptable.
Preparation & dosage
TINCTURE (DAC, 1:5 in 25–45 % ethanol): 2–4 ml (~40–80 drops) 3× daily, stirred into water, after meals. Daily dose 6–12 ml tincture. Traditionally used as antirheumatic and analgesic for mild joint and muscle pain, and for fever reduction. Ethanol-based preparation extracts salicylate glycosides and phenolic compounds (spiraeosid, rutin) more efficiently than plain water. Not for children, not in pregnancy/lactation. Avoid concurrent anticoagulant use (warfarin, phenprocoumon).
- Liquid amount
- 2–4 ml
- Doses per day
- 3×
- Max duration
- 3 weeks
⚠ Age restriction: ≥ 18 years — Adults only. Ethanol content and salicylates exclude children.
Folk meadowsweet herbal bath for rheumatic complaints and muscle soreness — aromatic and warming.
Preparation & dosage
HERBAL BATH / PARTIAL BATH: 100–150 g dried meadowsweet herb (or fresh flowers and leaves) in 3 litres boiling water, covered, steep 20 min, strain, add decoction to bath water (36–38 °C). Full bath 15–20 min, partial bath (hands, feet, knees) 10–15 min. Folk use for rheumatic joint complaints, muscle soreness, gout, and as a relaxing aromatic bath. Aromatic flower scent (salicylaldehyde, methyl salicylate) contributes to wellbeing. CAUTION: salicylates may be absorbed transdermally — avoid with known salicylate hypersensitivity or open skin wounds. Avoid full baths in hypertension, heart failure, or varicose veins (consult doctor).
- Dry amount
- 100–150 g
Gentle flower infusion used in folk medicine as irrigation therapy for UTIs, for heartburn, and as a diaphoretic.
Preparation & dosage
GENTLE FLOWER INFUSION (folk): 1–2 tsp dried meadowsweet flowers in 200 ml hot (not boiling, ~85 °C) water, steep 6–8 min — shorter steeping for a mild, aromatic-almond flavour. Strain, light honey possible. 1–2 cups daily. Folk use as a mild diuretic adjunct for mild UTIs (irrigation therapy with plenty of water), for heartburn, and as a mild diaphoretic. The salicylaldehyde scent of the flowers is the most characteristic identifying feature. No long-term self-treatment of UTIs without medical evaluation.
- Dry amount
- 1–2 g
- Doses per day
- 2×
- Max duration
- 2 weeks
Folk meadowsweet herb compresses for gout, rheumatism, bruises, and insect stings.
Preparation & dosage
COMPRESS / POULTICE: 10–15 g dried meadowsweet herb (leaves + flowers) in 300 ml boiling water, covered 15 min, strain. Cool to body temperature (~37 °C). Soak clean linen or cotton cloth in infusion, wring out, apply to painful area (joint, muscles) for 20–30 min. Folk use for gout, rheumatism, bruises, and minor wounds. Applied cool also for insect bites and mild sunburn. Tannins act astringent and mildly antiseptic; salicylates contribute to local relief. Not on open wounds or inflamed weeping skin.
- Dry amount
- 10–15 g
Culinary use of meadowsweet flowers as an aromatic plant — beverages, desserts, jams; historically for mead and ale flavouring.
Preparation & dosage
CULINARY AND BEVERAGES: Fresh meadowsweet flowers have an intense almond-salicylaldehyde aroma — ideal for flavouring. Uses: (1) add fresh plucked flowers to white wine or apple juice, cold-infuse 2–4 h → aromatic summer drink; (2) briefly heat flowers in cream (do not boil), strain → panna cotta base; (3) dry flowers as a spice in jams, jellies and compotes; (4) fresh flowers as edible decoration on desserts and salads; (5) layer flowers with sugar in a jar → meadowsweet sugar (1–2 weeks in fridge); (6) historically used to flavour mead (hence the name 'meadowsweet') and ale. Use sparingly — intense flavour. Persons with salicylate sensitivity should avoid.
SALICYLATE WARNING: Meadowsweet contains natural salicylate compounds (spiraeosides, salicylaldehyde, methyl salicylate, salicylic acid). These are weaker than synthetic acetylsalicylic acid (aspirin) but may trigger similar intolerances in sensitive persons. Persons with known hypersensitivity to aspirin, other NSAIDs, or salicylates MUST avoid meadowsweet in any form (tea, tincture, bath). Special risk: aspirin-induced asthma (analgesic asthma) — also contraindicated in non-steroidal anti-inflammatory drug intolerance. REYE SYNDROME: salicylate-containing preparations, including herbal, must NOT be used in children/adolescents under 12 with febrile viral infections (influenza, chickenpox) — risk of severe liver damage (Reye syndrome). Stomach-sensitive persons: despite tannin content, salicylates in meadowsweet may irritate the gastric mucosa — not for peptic ulcer, gastritis, or history of heartburn without medical evaluation.
⏱ Max continuous use: 4 weeks
Meadowsweet is contraindicated in pregnancy. Salicylates cross the placenta and are associated with increased risk of fetal cardiac defects (premature closure of the ductus arteriosus), growth retardation, prolonged labour and bleeding time, and postpartum haemorrhagic complications. External use (bath, compress) should also be avoided in pregnancy. EMA and ESCOP explicitly advise against meadowsweet preparations throughout pregnancy.
Meadowsweet is contraindicated during lactation. Salicylates pass into breast milk and may cause bleeding tendency, Reye syndrome risk, and gastric irritation in the infant. EMA/ESCOP recommend completely avoiding meadowsweet preparations during breastfeeding.
Meadowsweet preparations (tea, tincture, bath) are CONTRAINDICATED in children/adolescents under 12 with febrile viral infections (cold, flu, chickenpox) — Reye syndrome risk from salicylates. In children over 12 and adolescents without acute viral infection, meadowsweet tea may be used cautiously; Kommission E monograph applies from age 12. Parents should always consult a doctor or pharmacist before use in children.
Drug interactions
Antikoagulanzien und Thrombozytenaggregationshemmer (Warfarin, Phenprocoumon, Heparin, Clopidogrel, ASS)
Meadowsweet salicylates reversibly inhibit platelet aggregation and may additively enhance the effect of anticoagulants — increased bleeding risk (GI bleeding, prolonged bleeding time, haematoma). Concurrent use with coumarins (warfarin, phenprocoumon) requires close INR monitoring or should be avoided. Avoid combination with antiplatelet drugs.
Nichtsteroidale Antirheumatika / NSAIDs (Ibuprofen, Diclofenac, Naproxen, Indometacin)
Additive inhibition of cyclooxygenase (COX-1 and COX-2) by meadowsweet salicylates and NSAIDs — increased risk of gastrointestinal irritation, ulceration, and bleeding. Combination not recommended.
Antidiabetika (orale Antidiabetika, Insulin)
Salicylates may at higher doses influence insulin secretion and slightly lower blood glucose — possible additive effect with antidiabetics. Clinically minor at therapeutic meadowsweet doses, but monitor blood glucose regularly in diabetics.
Methotrexat
Salicylates may inhibit renal excretion of methotrexate, increasing its plasma concentration — toxicity risk (bone marrow, kidneys). Meadowsweet is contraindicated during methotrexate therapy.
Contraindications
- Hypersensitivity to salicylates, acetylsalicylic acid (aspirin), or other non-steroidal anti-inflammatory drugs (NSAIDs).
- Aspirin-induced asthma (analgesic asthma, analgesic intolerance syndrome).
- Children and adolescents under 12 years with febrile viral infections (influenza, chickenpox) — Reye syndrome risk.
- Pregnancy and lactation — salicylates harm the fetus or pass into breast milk.
- Active peptic ulcer (gastric and duodenal) or erosive gastritis — salicylates aggravate mucosal damage.
- Hypersensitivity to meadowsweet or other Rosaceae.
Harvested part: flowering herb
- Time of day:
- On a dry, sunny morning (9–12), once dew has fully evaporated. Meadowsweet typically blooms June–August, with peak bloom in Central Europe in June–July. Optimal timing is indicated by the intense almond-blossom scent of freshly opened panicles. Flowers harvested at half-open bud stage contain the highest spiraeosid and flavonoid levels.
- Drying:
- Cut individual flower panicles (cymose corymbs) — do not uproot the whole plant. Take panicles with a short stem. Meadowsweet grows in damp habitats (stream banks, wet meadows) — check for mud or water splash contamination; if necessary rinse carefully and allow to drain before drying. Dry in a single layer on screens or cloth in shade, well-ventilated, max 35–40 °C. Avoid direct sunlight — salicylaldehyde evaporates rapidly and aromatic compounds degrade under UV. Drying duration 3–5 days with good air circulation. Correctly dried: flowers remain cream-white to slightly yellowish and retain the characteristic scent.
- Storage:
- 12 months — Airtight in dark jars or tins, dry, cool (below 20 °C). Use within 12 months — salicylaldehyde and flavonoids degrade. Discard if browning, musty odour, or noticeably diminished scent. Do not store with strongly scented herbs (aroma blending).
- Time of day:
- Harvest flowering herb (Herba Filipendulae ulmariae) at full bloom — June to August. Prefer dry, sunny mornings. Cut the upper 20–30 cm of flowering shoots (leaves + flowers + stem sections) with garden shears or knife — do not pull out, as the perennial regrows from the rhizome. Note the damp habitat: avoid water splashes and soil on leaves.
- Drying:
- Bundle loosely (not too densely — mould risk with moisture) or spread on drying racks. Dry in shade, well-ventilated, 35–40 °C, turn daily. Stems are thicker and dry more slowly than flowers — if needed dry flowers/leaves separately from stem wood and then mix. Drying duration 4–7 days. Herb is ready when leaves snap dry-crisp and flowers detach easily from the panicles.
- Storage:
- 12 months — Airtight in dark jars or cardboard, dry, cool. Leaves and herb are less volatile than flowers but also do not retain full potency beyond 12 months. Discard immediately if any mould or infestation is found.
- Flavonoide (Spiraeosid / Quercetin-4'-glucosid, Rutin, Hyperosid, Avicularin)FlavonoidContent: 0.5-2 %Flower
Spiraeosid (quercetin-4'-glucoside) is the marker compound of the flowers, relevant for pharmacopoeia quality standardisation. Flavonoids are antioxidant, capillary-protective, and anti-inflammatory; they complement the analgesic action of the salicylate compounds. Rutin strengthens vascular wall integrity (vitamin P effect).
- Salicylat-Verbindungen (Spiraein / Spiraeosid-Salicylat, Isosalicin, Salicylaldehyd)GlycosideContent: 0.1-0.5 %Flower
Responsible for the main analgesic and antipyretic effect. Spiraein is the salicylate glycoside of the flowers; hydrolysis in the digestive tract yields free salicylic acid and salicylaldehyde. Important: contrary to long-held belief, meadowsweet salicylates do irritate the stomach (no isolated stomach-friendly effect as previously claimed). Salicylaldehyde is volatile → characteristic almond-blossom scent of the plant.
- Methylsalicylat (ätherisches Öl, Blüten und Blätter)Essential oilContent: 0.05-0.2 %Flower
Main constituent of the essential oil; contributes to the wintergreen-like aroma and to the soothing effect in topical applications (bath, compress). May be absorbed transdermally — avoid external use with salicylate hypersensitivity. Responsible for the typical scent of dried meadowsweet flowers.
- Ellagitannine und kondensierte Tannine (Agrimoniin, Rugosinin)TanninContent: 10-15 %Aerial parts
High tannin content, especially in the leaves. Ellagitannins (hydrolysable tannins) are strongly astringent, antimicrobial, and antioxidant. They protect the gastric mucosa at low doses but may irritate it at high doses. Agrimoniin has been studied in preclinical models for immunomodulatory properties. Tannins bind proteins and heavy metal ions.
- Phenolcarbonsäuren (Chlorogensäure, Kaffeesäure, Ellagsäure)Phenolic acidContent: 0.5-1.5 %Aerial parts
Ellagic acid is released on hydrolysis of the ellagitannins. Chlorogenic and caffeic acid are antioxidant and mildly anti-inflammatory. Ellagic acid shows antiproliferative effects in vitro (purely descriptive — no clinical relevance for meadowsweet medicinal use). They contribute to the overall antioxidant capacity of the plant.
- Schleimstoffe / Polysaccharide (neutrale und saure Polysaccharide)PolysaccharideFlower
Mucilaginous polysaccharides in the flowers contribute to the soothing action on mucous membranes — relevant in tea use for cough and sore throat. Mucilage content is much lower than in true mucilage plants (mallow, marshmallow). Act as a film-forming protective layer on gastric and pharyngeal mucosa.
- Vitamin C (Ascorbinsäure)VitaminContent: 0.2-0.5 %Flower
Meadowsweet flowers contain a noteworthy amount of ascorbic acid, supporting their traditional reputation as a diaphoretic and immune-supporting remedy for colds. Vitamin C supports immune defence and acts antioxidant. Some ascorbic acid is degraded by heat — fresh flowers or infusions prepared at lower temperatures are preferable.
- Sterole und Triterpenalkohole (beta-Sitosterol, Oleanolsäure)OtherContent: 0.1-0.3 %Aerial parts
Beta-sitosterol is mildly anti-inflammatory and a precursor of plant steroids. Oleanolic acid is a pentacyclic triterpene with anti-inflammatory and mildly antimicrobial properties in vitro. Both compounds contribute to the overall extract effect, though their individual clinical contribution in meadowsweet is poorly studied.
- [1]MonographKommission E — Spiraeae flos (Mädesüßblüten), Monographie (positiv), Bundesanzeiger Nr. 193, 1988(accessed: 2026-05-21)
- [2]MonographEMA/HMPC — Community herbal monograph on Filipendula ulmaria (L.) Maxim., flos (EMA/HMPC/560092/2008)(accessed: 2026-05-21)
- [3]MonographESCOP Monographs — Filipendulae Ulmariae Flos (Meadowsweet Flower), 2nd edition(accessed: 2026-05-21)
- [6]MonographPlants For A Future (PFAF) — Filipendula ulmaria database entry(accessed: 2026-05-21)
- [4]BookWichtl, Max (Hrsg.) — Teedrogen und Phytopharmaka, 5. Auflage, Wissenschaftliche Verlagsgesellschaft Stuttgart, 2009: Filipendulae ulmariae flos, S. 228–230(accessed: 2026-05-21)
- [5]BookMadaus, Gerhard — Lehrbuch der biologischen Heilmittel, Band I: Spiraea ulmaria (Mädesüß), 1938 (Public Domain)(accessed: 2026-05-21)
- [7]WikipediaEchtes Mädesüß (Wikipedia DE)(accessed: 2026-05-21)
- [8]WikipediaFilipendula ulmaria — Meadowsweet (Wikipedia EN)(accessed: 2026-05-21)