Evidence-based·Last reviewed May 30, 2026·How we grade evidence

Cat's Claw

Botanical

Useful mainly for people with osteoarthritis or rheumatoid arthritis seeking an adjunct for joint discomfort.

Quick decision guide

May help most

People with osteoarthritis or rheumatoid arthritis seeking an adjunct for joint discomfort

Common dosing range

100–300 mg/day of standardized extract

When to expect effects

Weeks (4–8)

Watch out for

May stimulate the immune system; avoid with autoimmune disease or immunosuppressants

What is it

Cat's claw (Uncaria tomentosa or Uncaria guianensis), also called uña de gato, is a tropical vine native to the Amazon rainforest. Its inner bark and root have been used in traditional South American medicine for inflammation, immune support, and digestive issues. It is one of the more commonly used Amazonian medicinal plants in Western herbalism.

Is it worth it for you?

Use this as a quick fit check, not a diagnosis.

Worth considering if

You have OA or RA and want an adjunct to usual care
You can trial it for 4–8 weeks
You are not on immunosuppressants

Probably skip if

You have an autoimmune disease or a transplant
You take anticoagulants or have low blood pressure
You expect rapid or strong relief

Evidence at a glance

osteoarthritis

Limited Evidence
Effect
Modest
Best fit
Adults with knee or hand osteoarthritis pain
Time
Weeks

rheumatoid arthritis adjunct

Limited Evidence
Effect
Modest
Best fit
People with RA using it alongside standard therapy
Time
Weeks

immune support

Mixed Evidence
Effect
Marker-level changes
Best fit
Generally healthy adults exploring immune modulation
Time
Weeks

Evidence for 3 uses

AI-assisted evidence assessment — talk to your doctor before relying on any single supplement.

osteoarthritis

Disease adjunct
Limited Evidence

Small controlled trials of standardized cat's claw extract report modest reductions in osteoarthritis pain, consistent with its anti-inflammatory actions on NF-kB signaling seen in laboratory work. The trials are few and small, so the size and durability of benefit remain uncertain.

Effect size
Modest
Time to effect
Weeks
Best fit
Adults with knee or hand osteoarthritis pain

Bottom line: May modestly ease osteoarthritis pain, but evidence is limited and preliminary.

rheumatoid arthritis adjunct

Disease adjunct
Limited Evidence

A small controlled trial in rheumatoid arthritis found modest reductions in the number of tender joints when standardized cat's claw was added to ongoing treatment. Evidence is sparse, and immune-stimulating effects warrant caution in autoimmune disease despite this signal.

Effect size
Modest
Time to effect
Weeks
Best fit
People with RA using it alongside standard therapy

Bottom line: Preliminary support as an RA adjunct, but data are thin and immune effects raise caution.

Evidence is mixed

Cat's claw is generally avoided in autoimmune disease for its immune-stimulating effects, yet limited RA trials suggest possible benefit; the balance is unsettled.

immune support

Mechanism only
Mixed Evidence

Cat's claw alkaloids modulate cytokine production and immune-cell activity in laboratory and small human studies, with some work suggesting effects on DNA repair. These are marker-level or mechanistic findings and do not demonstrate fewer infections or other clinical immune benefits.

Effect size
Marker-level changes
Time to effect
Weeks
Best fit
Generally healthy adults exploring immune modulation

Bottom line: Immune effects are mechanistic and unproven at the clinical level.

How it works

Cat's claw contains several classes of bioactive compounds, including oxindole alkaloids (pentacyclic and tetracyclic types), proanthocyanidins, quinovic acid glycosides, triterpenes, and sterols. The two main chemotypes contain different oxindole profiles: pentacyclic alkaloids (associated with immune-modulating effects) and tetracyclic alkaloids (with potentially competing CNS effects). Most modern supplements specify the pentacyclic chemotype. Proposed mechanisms include immune modulation through effects on cytokine production, anti-inflammatory effects via NF-kB inhibition, and antioxidant activity. Laboratory and animal studies have shown effects on multiple inflammatory pathways, with potential implications for inflammatory and autoimmune conditions. Some research has explored possible DNA repair effects, contributing to interest in immune and aging applications. Clinical evidence is most developed for inflammatory joint conditions, particularly osteoarthritis and rheumatoid arthritis, where some controlled trials show modest benefit. Other studied uses include immune support, chronic fatigue, and as an adjunct in cancer therapy, but clinical evidence is limited.

How to take it

1. Typical dose
100–300 mg/day of standardized (pentacyclic) extract
2. Higher studied dose
Up to 500 mg/day in some arthritis trials
3. Timing
Divided two to three times daily
4. With food
With or without food
5. Split dosing
Split into 2–3 daily doses
6. How long to try
Trial 4–8 weeks before judging effect

What to track

Joint pain and stiffness
Blood pressure if predisposed to lows
Any GI upset or rash

4 commercial forms

Compare the main delivery options and what they’re best suited for.

Standardized pentacyclic alkaloid extract

Modern supplement form. Pentacyclic chemotype is preferred for immune applications.

Standardized to pentacyclic oxindole alkaloid content

AC-11 (branded extract)

Patented extract used in research, particularly for immune and DNA repair applications.

Standardized hot-water extract

Dried inner bark

Used in traditional South American preparations and modern capsules.

Traditional whole-bark form

Liquid extract / tincture

Common in herbalist combination formulas.

Alcohol-based extraction

Safety

Know the common side effects, key cautions, and who should avoid it.

Common side effects

Mild GI upsetHeadacheDizzinessSkin rash

Serious risks

  • Rare acute kidney injury

  • Low blood pressure

Who should avoid it

  • People with autoimmune disease
  • Organ transplant recipients or those on immunosuppressants
  • Pregnant or breastfeeding people
  • Those with bleeding disorders or upcoming surgery

Pregnancy & breastfeeding

Avoid in pregnancy and breastfeeding due to possible uterine effects and insufficient data.

Interactions

ImmunosuppressantsMajor

Immune-stimulating effects may reduce drug effectiveness

Antihypertensive medicationsModerate

May potentiate blood-pressure lowering

Anticoagulants and antiplateletsModerate

May affect platelet function and bleeding risk

CYP450-metabolized drugsModerate

May alter metabolism of affected medications

Choosing a product

What to look for on the label — and what to be skeptical of.

Look for

Pentacyclic oxindole alkaloid chemotype specified
Standardized extract or recognized branded form
Species identified (Uncaria tomentosa)

Be skeptical of

Cures arthritis
Boosts immunity
Anti-cancer cure

Frequently asked questions

Where does cat's claw get its name?

The vine has thorns shaped like cat's claws, which it uses to climb trees in the rainforest. The Spanish name 'uña de gato' translates directly to 'cat's claw'.

What's the difference between pentacyclic and tetracyclic cat's claw?

These are two chemotypes of Uncaria tomentosa with different oxindole alkaloid profiles. Pentacyclic is preferred for immune-modulating applications; tetracyclic may have competing CNS effects. Choose products specifying pentacyclic for most uses.

Can cat's claw help my arthritis?

Small trials suggest modest benefit for osteoarthritis pain and function. Effects emerge over 4 to 8 weeks. It is not a substitute for evaluated arthritis treatment in moderate to severe disease.

Is cat's claw safe with autoimmune disease?

Generally avoid in most autoimmune conditions due to immune-stimulating effects. Some practitioners use it in rheumatoid arthritis specifically, but discuss with a clinician familiar with herbal medicine.

Can I take cat's claw with my arthritis medication?

Discuss with your prescriber. Cat's claw may affect immune-modulating medications and could potentially reduce effectiveness of immunosuppressants used in some forms of arthritis.

References by claim

osteoarthritis

Piscoya et al., 2001PubMed (2001) link

rheumatoid arthritis adjunct

Mur et al., 2002PubMed (2002) link

Track Cat's Claw with Pilora

Set up dose reminders, check interactions, and join the community in the Pilora iPhone app.

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Evidence-based·Last reviewed May 30, 2026·Evidence current as of May 30, 2026·How we grade evidence

Disclaimer: These statements have not been evaluated by the FDA. This page is educational, not a substitute for personalized medical advice. Evidence grades are AI-assisted assessments — talk to your doctor before starting any new supplement, especially if you’re pregnant, breastfeeding, on medications, or managing a chronic condition.