Hibiscus Tea (Karkadeh / Bissap)
Egyptian (karkadeh, served hot or cold) and West African (bissap) — drunk to "cool the blood"
Evidence: Moderate — meta-analyses of RCTs; one trial found it comparable to captopril

Illustration: Dried hibiscus calyces / karkadeh (Hibiscus sabdariffa)

Illustration: Roselle flowers
What it is and what it is used for
A deep-red tea brewed from the dried calyces of Hibiscus sabdariffa, used traditionally for high blood pressure. Meta-analyses found systolic pressure fell by about 7.6 mmHg and diastolic by about 3.5 mmHg versus control; a Senegalese trial found bissap roughly comparable to the drug captopril for mild-to-moderate hypertension.
Safety and disclaimers
- Avoid in pregnancy — traditional emmenagogue; animal data suggest adverse effects.
- Additive with blood-pressure and diuretic drugs — monitor your pressure.
- Not a replacement for prescribed hypertension treatment; use only with medical supervision.
Recipe
Ingredients:
- Dried hibiscus calyces (Hibiscus sabdariffa), 2 tablespoons
- 500 ml (about 2 cups) water
- Sugar or honey to taste (traditional, optional)
Preparation:
- Bring the water to a boil, add the calyces, and steep 10–15 minutes (or cold-brew overnight for bissap).
- Strain and sweeten to taste. Serve hot or over ice.
Dosage / directions: Trials used the equivalent of 2–3 cups daily or a standardized extract.
Folk history
In Egypt, karkadeh is the drink of hospitality and of summer — sold by street vendors from great glass jars, ruby-red over ice. West Africans call it bissap and drink it at celebrations. The folk idea was always the same: it 'cools the blood.' In Senegal, researchers put that idea to the test against captopril, and the flower held its own.
Scientific references
- Serban et al. 2015 — meta-analysis (5 RCTs): SBP −7.58, DBP −3.53 mmHg — https://www.nature.com/articles/s41371-020-00415-1
- Abdelmonem et al. 2022 — meta-analysis (13 RCTs, n=1,205) — https://www.nature.com/articles/s41371-020-00415-1