Acmadenia obtusata as well as most of the species found in the Rutaceae family are best grown in full sun, in soil that is alkaline to acid (depending on the species), well-drained and composted. This plant comes from limestone areas and may be easier to cultivate in gardens than many other acid loving fynbos species.

This buchu is best displayed with companion plants such as Erica, Restio, Phylica species, Pelargonium betulinum, herbaceous perennials such as Lobelia valida, Geranium inacanum, as well as other buchu species e.g. Agathosma lanceolata (honey buchu), Adenandra uniflora (china flower), and Coleonema album (white confetti bush),

Buchus are best planted out during autumn, winter and spring. Plant out in-groups of three to five with enough space to grow. Add a layer of mulch to keep the soil moist and reduce weeds. Buchus are slow growers and should be planted not too close to faster growing shrubs. Plants require good watering in winter and moderate watering in summer. Once established, buchu will survive periods of drought and tolerate wind and a fair amount of frost.

Buchus can be grown from seed or cuttings. Fresh buchu seed is sown in autumn. The seed are sown into a tray containing a well-drained medium of equal portions of sand, loam and compost. Use some of the medium to cover the seed and water. Place in a covered area with good light and air circulation. Keep medium damp. Germination occurs in one to two months.

Young seedlings are pricked out into 0.5 litre bags when four true leaves have developed, using a fynbos medium. Pinch out the growing tips of the seedlings to encourage bushy growth. Flowers are produced after two years.

Cuttings have the advantage of producing a larger flowering plant quicker than seedlings. Tip cuttings, 50-70 mm, are taken from the current year's growth. Prepare cuttings by making a clean cut below the node and remove a third of the foliage. Dip the base of the cutting in a rooting hormone. Firmly place the cuttings in a medium of 50% bark and 50 % polystyrene. Ideally these cuttings should now be placed in an well-aerated propagation unit with a bottom heat of 24º C. Rooting occurs in 9 to 11 weeks. Carefully pot the rooted cuttings using a well-drained, humus-rich, fynbos potting medium (2 parts leaf mould, 1 part coarse sand). Plants will be ready for planting in 7 to 8 months. Feed regularly with a well-balanced nutrient. Yellow leaves can be treated with an application of iron chelate.