Cissus quadrangularis

botanicalstem extract

At a glance

Best for
people seeking adjunctive support for joint discomfort or fracture recovery (preliminary evidence)
Typical dose
500–3200 mg standardized stem extract/day
Time to effect
Weeks (8–12)
Main caution
may add to effects of antidiabetic and blood-pressure drugs; avoid in pregnancy
Evidence strength: Limited; mostly small trials across several uses

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?

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

GoalEvidenceEffectBest fitTime
bone fracture healing (adjunct)LimitedUncertainpeople recovering from fractures alongside standard orthopedic careWeeks (6–12)
metabolic syndrome markersLimitedModestadults with overweight or metabolic syndrome markersWeeks (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

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

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

Typical dose
500–3200 mg standardized stem extract/day; commonly ~3 g/day in trials
Timing
divided 2–3 times daily with meals
With food
with food
Split dosing
2–3 divided doses
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

Common side effects

gas, headache, dry 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

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.