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

Cissus quadrangularis

BotanicalStem extract

Useful mainly for people seeking adjunctive support for joint discomfort or fracture recovery (preliminary evidence).

Quick decision guide

May help most

people seeking adjunctive support for joint discomfort or fracture recovery (preliminary evidence)

Common dosing range

500–3200 mg standardized stem extract/day

When to expect effects

Weeks (8–12)

Watch out for

may add to effects of antidiabetic and blood-pressure drugs; avoid in pregnancy

What is it

Cissus quadrangularis is a perennial succulent vine of the grape family (Vitaceae), native to South Asia and Africa, traditionally used in Ayurvedic, Siddha, and African ethnomedicine for bone health, joint pain, and wound healing. The aerial stems contain ketosteroids (such as alpha- and beta-amyrin and onocer-7-ene-3-alpha,21-beta-diol), triterpenes, flavonoids (quercetin, kaempferol), vitamin C, calcium and phosphorus salts, and bioactive resveratrol derivatives. Modern supplement use centres on standardised dried stem extracts marketed for bone fracture healing, joint discomfort, athletic recovery, and metabolic syndrome support.

Is it worth it for you?

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

Worth considering if

you want an adjunct for joint discomfort or exercise recovery
you accept preliminary, small-trial evidence
you use a standardized extract from a reputable maker

Probably skip if

you expect proven fracture-healing or bone-density benefits
you are pregnant or breastfeeding
you take diabetes or blood-pressure drugs without monitoring

Evidence at a glance

bone fracture healing (adjunct)

Limited Evidence
Effect
Uncertain
Best fit
people recovering from fractures alongside standard orthopedic care
Time
Weeks (6–12)

metabolic syndrome markers

Limited Evidence
Effect
Modest
Best fit
adults with overweight or metabolic syndrome markers
Time
Weeks (8–12)

Evidence for 2 uses

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

bone fracture healing (adjunct)

Disease adjunct
Limited Evidence

Some small studies, several older, report faster fracture healing with Cissus quadrangularis added to standard orthopedic care. The evidence base is limited and methodologically weak. It should be considered adjunctive only.

Effect size
Uncertain
Time to effect
Weeks (6–12)
Best fit
people recovering from fractures alongside standard orthopedic care

Bottom line: Preliminary support for adjunctive fracture healing; not a substitute for standard care.

metabolic syndrome markers

Biomarker support
Limited Evidence

A few trials report improvements in weight and metabolic syndrome markers such as glucose and lipids with Cissus quadrangularis. These are biomarker changes from small studies and do not establish clinical outcomes. Independent replication is limited.

Effect size
Modest
Time to effect
Weeks (8–12)
Best fit
adults with overweight or metabolic syndrome markers

Bottom line: Shifts some metabolic markers in small trials, but clinical benefit is unproven.

How to take it

1. Typical dose
500–3200 mg standardized stem extract/day; commonly ~3 g/day in trials
2. Timing
divided 2–3 times daily with meals
3. With food
with food
4. Split dosing
2–3 divided doses
5. How long to try
trial 8–12 weeks

What to track

joint discomfort
exercise recovery
blood glucose or blood pressure if on related meds

Safety

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

Common side effects

gasheadachedry mouth

Who should avoid it

  • pregnant or breastfeeding people
  • people on antidiabetic or antihypertensive drugs without monitoring

Pregnancy & breastfeeding

Avoid; safety in pregnancy and lactation is not established.

Interactions

antidiabetic medicationsMinor

possible additive glucose-lowering effect

antihypertensive medicationsMinor

possible additive blood-pressure effect

Choosing a product

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

Look for

standardized stem extract
Cissus quadrangularis specified
reputable manufacturer

Be skeptical of

heals fractures fast
guaranteed weight loss
builds bone density

References by claim

bone fracture healing (adjunct)

Mungara et al., 2026PubMed (2026) link

metabolic syndrome markers

Oben et al., 2006PMC (2006) link

Youovop et al., 2025PMC (2025) link

Track Cissus quadrangularis 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.