Cryptolepis sanguinolenta (Cs) is a medicinal plant, indigenous to the West Africa sub-region and has been utilized in Ghana to treat malaria for generations. Besides being used as an antimalarial treatment in Ghana, Cs has been noted as being used in the US to treat Babesia, Lyme disease (Borreliosis burgdorferi), Bartonella, among others. The plant contains several indoloquinoline alkaloids, mainly concentrated in its root system, giving the plant its antimicrobial, antihyperglycemic, and anticancer properties. However, the destructive harvesting of the entire plant, along with its root system, is not sustainable over the long term and has already resulted in a substantial decrease in wild populations, threatening its long-term potential and survivability. This book chapter will discuss its uses, conservation strategies and cultivation protocols developed for Cs to ensure a reliable supply of plant material as well as its sustainable utilization.