

Malvaceae · root, leaf
Marshmallow
Althaea officinalis
Root and leaf are mapped as classic European demulcents for dry irritated mucosa. Evidence is traditional plus physical mucilage pharmacology.
Safety first
Root mucilage is food-like for most people. The main practical issue is delayed absorption of oral medicines if taken at the same time.
Tradition vs trials
Traditional record. Commission E and ESCOP record root for dry cough and mild gastric irritation. Leaf is a related traditional part.
Trial literature. Human data are limited; most support is monograph tradition and in vitro mucilage work, not disease-outcome trials.
Practical ranges
Educational ranges — not a prescription. Culinary use is not an extract.
dried root
European monographs commonly list about 2–5 g root as a cold maceration or tea, several times daily
ESCOP / EMA HMPC — Educational range only — not a prescription. A licensed clinician individualizes product, dose, and duration.
Pregnancy, nursing, children
- Pregnancy. Traditional food-like demulcent; concentrated extracts lack specific pregnancy trials.
- Nursing. Traditional food-like demulcent; concentrated extracts lack specific lactation trials.
- Children. Traditional European pediatric demulcent teas exist; still a clinician decision in infants.
Contraindications
- known Malvaceae allergy
Key interactions
- oral drugs · caution
Mucilage can delay absorption. Separate by 1–2 hours.
Used in these diagnoses
- GERD / HeartburnDigestive
- Mild gastritisDigestive
- Post-viral coughRespiratory
- Mild asthma (adjunct)Respiratory
- Acute bronchitis (supportive)Respiratory
- Aphthous ulcersDigestive
- Sore throatRespiratory
- Productive coughRespiratory
- IBD (UC / Crohn) adjunctDigestive
- Xerostomia / dry mouthDigestive
- Laryngitis / hoarsenessRespiratory
- Hypothyroidism (warning)Endocrine / Metabolic
- Oral mucositis (adjunct)Digestive
- Peptic ulcer (adjunct)Digestive
- Bladder pain syndrome / IC (adjunct)Genitourinary