Cat's Claw & Devil's Claw Ingredients & Drug Interactions
by TerraVita
What is this page for?
First and foremost: checking Cat's Claw & Devil's Claw against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Cat's Claw & Devil's Claw is a dietary supplement by TerraVita with 1 active ingredient. Its ingredients are commonly taken for osteoarthritis and rheumatoid arthritis, inflammation, immune support.Based on those ingredients, 1,076 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Cat's Claw & Devil's Claw Glycerite Liquid Extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Cat's Claw & Devil's Claw by TerraVita
Ask about any prescription or over-the-counter medication and we check it for interactions with Cat's Claw & Devil's Claw by TerraVita — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Cat's Claw & Devil's Claw by TerraVita
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Low disclosure
This liquid extract contains two active ingredients: Devil's Claw and Cat's Claw, each as a glycerite (a liquid extract made with glycerin). The product contains glycerin as its inactive ingredient.
Devil's Claw is traditionally used for back pain and osteoarthritis, while Cat's Claw has been studied for various conditions, though the evidence for most of them isn't well established yet.
Does it work?
Moderate evidence
Devil's Claw is possibly effective for back pain and osteoarthritis — those are the conditions where we have some evidence it may help. For atherosclerosis, the evidence isn't reliable enough to rate it.
Cat's Claw has been studied for allergic rhinitis (hay fever), Alzheimer disease, asthma, osteoporosis, cancer, and chronic fatigue syndrome, but the evidence for any of these isn't established in the data we hold, so we can't say whether it works for them.
How safe is it?
Well-documented data
Devil's Claw is generally well tolerated for short-term use in healthy adults, though some people experience digestive upset — diarrhea, indigestion, and allergic skin reactions are the most common side effects. Gastrointestinal complaints happened in 9% to 18% of patients in trials, and diarrhea alone occurred in about 8% of those taking a specific extract.
Rare cases of gastrointestinal bleeding have been reported. A small number of trial participants reported headache, dizziness, or loss of taste, though it's unclear if Devil's Claw caused these.
Cat's Claw is generally well tolerated short-term, but long-term safety isn't well studied. In one trial of patients with advanced cancer, some developed anemia, low white blood cell counts, and low platelet counts; headache, fatigue, insomnia, and nerve problems also occurred, though the study couldn't prove Cat's Claw caused them.
Several case reports link Cat's Claw to kidney injury in individual patients. Devil's Claw should be avoided during pregnancy because it may affect the uterus and safety hasn't been established, and while breastfeeding due to insufficient safety information.
Cat's Claw should also be avoided during pregnancy (it has a traditional history as an abortifacient and lacks safety data) and while breastfeeding due to insufficient safety information.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your pharmacist if you take blood thinners or antiplatelet drugs (like warfarin or aspirin) — Cat's Claw and Devil's Claw may increase bleeding risk. Blood pressure medications and calcium channel blockers are a Moderate concern because Cat's Claw may lower blood pressure further.
If you take drugs metabolized by liver enzymes CYP2C19, CYP2C9, or CYP3A4 — a very broad category that includes many common medications — Devil's Claw could increase their levels. Immunosuppressants may be weakened by Cat's Claw.
Acid-reducing medications (H2-blockers or PPIs) may become less effective because Devil's Claw increases stomach acid. And if you're on Paxlovid, Cat's Claw may reduce how well it works.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product may help with back pain and osteoarthritis, but it comes with real interaction risks — especially if you take blood thinners, blood pressure medications, heart drugs, or immunosuppressants. If you're on any prescription medications, check them against this product's interactions before you start.
Talk with your pharmacist or doctor to make sure it's right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 22, 2022.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Cat's Claw & Devil's Claw, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Cat's Claw & Devil's Claw by TerraVita, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Devil's Claw Glycerite Liquid Extract | 0 NP | -- |
| Cat's Claw & Devil's Claw Glycerite Liquid Extract | 0.13 mL | -- |
| Cat's Claw Glycerite Liquid Extract | 0 NP | -- |
Other ingredients: Glycerin
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Brand IP Statement(s)
Copyright 2018 TerraVita - Distributed by ZooScape LLC, All Rights Reserved.
Formula
Glycerite liquid extract (1:5)
Formulation
Alcohol free No flavor
Suggested/Recommended/Usage/Directions
Suggested Use: Take 25-40 drops of extract in a small amount of warm water 3-4 times daily. Shake well before using.
Precautions
Keep away from children.
Do not use if safety seal around cap is broken or missing.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Cat's Claw & Devil's Claw by TerraVita label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Cat's Claw & Devil's Claw by TerraVita
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size25 Drop(s) Dosage formLiquid Servings per container227 Amounts shown are per serving.
Cat's Claw & Devil's Claw Glycerite Liquid Extract
Interacts with962 drugs
Cat's claw is a South American vine traditionally used for inflammation, joint pain, and immune support. Some small studies hint it may help with arth...
Cat's Claw & Devil's Claw Glycerite Liquid Extract monograph & interactionsOther (inactive) ingredients: Glycerin. These complete the product’s ingredient list but are not active constituents.
Cat's Claw & Devil's Claw by TerraVita Drug Interactions
HelloPharmacist Interaction Report
TerraVita's Cat's Claw & Devil's Claw is a two-ingredient liquid extract with documented interactions affecting a substantial number of medications.
The most serious concern is Devil's Claw, which can theoretically inhibit three major liver enzymes (CYP2C19, CYP2C9, and CYP3A4) and increase drug levels — this hasn't been proven in humans, but it's a Moderate-severity risk. There's also a case report of a patient on warfarin (a blood thinner) who developed bleeding when taking Devil's Claw together, suggesting it may boost warfarin's blood-thinning effect.
Read the full breakdown — every affected drug type, severity by severity
Cat's Claw adds its own concerns. It may lower blood pressure, creating a Moderate-severity risk if you're already on blood pressure medications or calcium channel blockers (heart drugs).
It can also theoretically interfere with blood thinners and antiplatelet drugs by increasing bleeding risk, and it may weaken immunosuppressant medications. Cat's Claw may also speed up the metabolism of nirmatrelvir (the active drug in Paxlovid), potentially making it less effective.
Both ingredients can affect stomach acid or acid-reducing medications (H2-blockers and PPIs), though this is a Minor-severity interaction. Devil's Claw may also increase levels of drugs transported by P-glycoprotein, another Minor concern.
Altogether, these interactions span 1,077 individual medications.
You'll want to run your exact medications through the interaction checker on this page before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Cat's Claw & Devil's Claw?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Cat's Claw & Devil's Claw interact with 1,076 drugs. Click any drug to see the details.
1 of the 1 ingredient in Cat's Claw & Devil's Claw interact with drugs. Each result below shows which ingredient is responsible. Cat's Claw & Devil's Claw Glycerite Liquid Extract
Aspirin, Codeine Phosphate, PhenobarbitalPhenaphen
How Aspirin, Codeine Phosphate, Phenobarbital interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Codeine Phosphate, Phenobarbital interactionAspirin, Diphenhydramine, PhenylpropanolamineAlka Seltzer Plus Night Time Effervescent
How Aspirin, Diphenhydramine, Phenylpropanolamine interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Diphenhydramine, Phenylpropanolamine interactionAspirin, DipyridamoleAggrenox, Asasantin Retard
How Aspirin, Dipyridamole interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Dipyridamole interactionAspirin, Ethoheptazine, MeprobamateEquagesic
How Aspirin, Ethoheptazine, Meprobamate interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Ethoheptazine, Meprobamate interactionAspirin, HydrocodoneAlor 5 500, Lortab ASA
How Aspirin, Hydrocodone interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Hydrocodone interactionDevil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Aspirin, Hydrocodone interactionAspirin, MeprobamateMicrainin
How Aspirin, Meprobamate interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Meprobamate interactionAspirin, MethocarbamolRobaxisal
How Aspirin, Methocarbamol interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Methocarbamol interactionAspirin, OmeprazoleYosprala
How Aspirin, Omeprazole interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +2 Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP2C19.
Read the full Devil's Claw Glycerite Liquid Extract + Aspirin, Omeprazole interactionCat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Anticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Omeprazole interactionAspirin, OxycodonePercodan
How Aspirin, Oxycodone interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Oxycodone interactionAspirin, PentazocineTalwin Compound
How Aspirin, Pentazocine interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Cat's Claw Glycerite Liquid Extract + Aspirin, Pentazocine interactionAtazanavirReyataz
How Atazanavir interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Atazanavir interactionCat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Atazanavir interactionAtazanavir, CobicistatEvotaz
How Atazanavir, Cobicistat interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Atazanavir, Cobicistat interactionDevil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Atazanavir, Cobicistat interactionAtenololAtenix, Tenormin
How Atenolol interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking cat's claw with antihypertensive drugs might increase the risk of hypotension.
Read the full Cat's Claw Glycerite Liquid Extract + Atenolol interactionAtenolol, ChlortalidoneAtenixCo, Tenoret 50, Totaretic
How Atenolol, Chlortalidone interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking cat's claw with antihypertensive drugs might increase the risk of hypotension.
Read the full Cat's Claw Glycerite Liquid Extract + Atenolol, Chlortalidone interactionAtenolol, ChlorthalidoneTenoretic
How Atenolol, Chlorthalidone interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking cat's claw with antihypertensive drugs might increase the risk of hypotension.
Read the full Cat's Claw Glycerite Liquid Extract + Atenolol, Chlorthalidone interactionAtezolizumabTecentriq
How Atezolizumab interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, cat's claw might interfere with immunosuppressive therapy.
Read the full Cat's Claw Glycerite Liquid Extract + Atezolizumab interactionAtogepantQulipta
How Atogepant interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractP-glycoprotein Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of P-glycoprotein substrates.
Read the full Devil's Claw Glycerite Liquid Extract + Atogepant interactionCat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Atogepant interactionAtorvastatinAtorvaliq
How Atorvastatin interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Atorvastatin interactionDevil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Atorvastatin Calcium interactionCat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Atorvastatin Calcium interactionAtovaquone, ProguanilMalarone
How Atovaquone, Proguanil interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 2c19 (cyp2c19) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP2C19.
Read the full Devil's Claw Glycerite Liquid Extract + Atovaquone, Proguanil interactionAtropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, ScopolamineAtrohist Plus, Pro Tuss, Ru-tuss, Stahist
How Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interactionDevil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Atropine, Chlorpheniramine, Hyoscyamine, Phenylephrine, Phenylpropanolamine, Scopolamine interactionAvacopanTavneos
How Avacopan interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Avacopan interactionCat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Avacopan interactionAvanafilStendra
How Avanafil interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Avanafil interactionCat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Avanafil interactionAvapritinibAyvakit
How Avapritinib interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Avapritinib interactionDevil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Avapritinib interactionAxitinibInlyta
How Axitinib interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Axitinib interactionCat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Axitinib interactionAzamuneImmunoprin
How Azamune interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, cat's claw might interfere with immunosuppressive therapy.
Read the full Cat's Claw Glycerite Liquid Extract + Azamune interactionAzathioprineAzamune, Imuran
How Azathioprine interacts with Cat's Claw & Devil's Claw — through 1 ingredient. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, cat's claw might interfere with immunosuppressive therapy.
Read the full Cat's Claw Glycerite Liquid Extract + Azathioprine interactionAzelastine Hydrochloride, Fluticasone PropionateDymista
How Azelastine Hydrochloride, Fluticasone Propionate interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Read the full Cat's Claw Glycerite Liquid Extract + Azelastine Hydrochloride, Fluticasone Propionate interactionDevil's Claw Glycerite Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP3A4.
Read the full Devil's Claw Glycerite Liquid Extract + Azelastine Hydrochloride, Fluticasone Propionate interactionAzilsartanEdarbi
How Azilsartan interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Devil's Claw Glycerite Liquid ExtractCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP2C9.
Read the full Devil's Claw Glycerite Liquid Extract + Azilsartan interactionCat's Claw Glycerite Liquid ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking cat's claw with antihypertensive drugs might increase the risk of hypotension.
Read the full Cat's Claw Glycerite Liquid Extract + Azilsartan interactionAzilsartan, ChlorthalidoneEdarbyclor
How Azilsartan, Chlorthalidone interacts with Cat's Claw & Devil's Claw — through 2 ingredients. Tap an ingredient for the detail:
Cat's Claw Glycerite Liquid ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, taking cat's claw with antihypertensive drugs might increase the risk of hypotension.
Read the full Cat's Claw Glycerite Liquid Extract + Azilsartan, Chlorthalidone interactionDevil's Claw Glycerite Liquid ExtractCytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, devil's claw might increase levels of drugs metabolized by CYP2C9.
Read the full Devil's Claw Glycerite Liquid Extract + Azilsartan, Chlorthalidone interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Cat's Claw & Devil's Claw with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Cat's Claw & Devil's Claw Glycerite Liquid Extract
Anticoagulant/Antiplatelet Drugs
Theoretically, cat's claw may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Cat's claw contains rhynchophylline and isorhynchophylline. Animal research suggests that these alkaloids can inhibit platelet aggregation. This interaction has not been reported in humans.
Antihypertensive Drugs
Theoretically, taking cat's claw with antihypertensive drugs might increase the risk of hypotension.
Cat's claw contains rhynchophylline. In vitro and animal research suggests that rhynchophylline can lower blood pressure. This interaction has not been reported in humans.
Calcium Channel Blockers
Theoretically, taking cat's claw with calcium channel blockers might increase the risk of hypotension.
Cat's claw contains various alkaloids, including rhynchophylline, isorhynchophylline, corynoxeine, and isocorynoxiene. Animal research suggests that these alkaloids can lower blood pressure by acting as calcium channel blockers. This interaction has not been reported in humans.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, cat's claw might increase or decrease the levels and effects of drugs metabolized by CYP3A4.
Cat's claw may affect the clearance of drugs metabolized by CYP3A4. In vitro research shows that cat's claw can inhibit CYP3A4 enzymes. In one case report, a patient taking cat's claw (at an unspecified dose) experienced increased serum levels of atazanavir, ritonavir, and saquinavir, all of which are CYP3A4 substrates. Levels returned to normal 15 days after discontinuation of the cat's claw supplement, suggesting inhibition of CYP3A4 by cat's claw. In contrast, animal research suggests that rhynchophylline, an alkaloid contained in cat's claw, induces CYP3A expression and accelerates the metabolism of nirmatrelvir, the active component in the nirmatrelvir/ritonavir combination product.
Immunosuppressants
Theoretically, cat's claw might interfere with immunosuppressive therapy.
In human and laboratory research, cat's claw has been shown to have immunostimulating activity. It stimulates phagocytosis and increases respiratory cellular activity and the mobility of leukocytes. Theoretically, this could interfere with the activity of immunosuppressant medications.
Nirmatrelvir/Ritonavir (Paxlovid)
Theoretically, cat's claw may decrease the levels of nirmatrelvir.
Cat's claw contains rhynchophylline. Animal research suggests that this alkaloid induces CYP3A expression, thereby accelerating the metabolism of nirmatrelvir, the active component in the nirmatrelvir/ritonavir combination product. This interaction has not been reported in humans.
Brand information
Manufacturer and brand details for Cat's Claw & Devil's Claw, from the product label.
TerraVita
See all TerraVita products- Name
- ZooScape LLC
- Phone Number
- 844-449-0444
- Web Address
- www.ZooScape.com
Cat's Claw & Devil's Claw by TerraVita: Common Questions
Does Cat's Claw & Devil's Claw by TerraVita interact with any medications?
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Why are there so many medications listed in the interactions?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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The Full Monographs Behind Cat's Claw & Devil's Claw’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Cat's Claw
Interacts with 962 drugsCat's claw is a South American vine traditionally used for inflammation, joint pain, and immune support. Some small studies hint it may help with arthritis symptoms, but the overall evidence...
Read the full Cat's Claw monograph → Herb & supplement monographDevil's Claw
Interacts with 804 drugsDevil's claw is a southern African plant used mainly for arthritis and back pain, and some studies suggest it may help ease these types of discomfort. The evidence is moderate at best, and p...
Read the full Devil's Claw monograph →Sources & How We Checked
Cat's Claw & Devil's Claw's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 34 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Devil's Claw 18 references
- Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
- Shaw D, Leon C, Kolev S, Murray V. Traditional remedies and food supplements: a 5-year toxicological study (1991-1995). Drug Saf 1997;17:342-56.
- Chantre P, Cappelaere A, Leblan D, et al. Efficacy and tolerance or Harpagophytum procumbens versus diacerhein in treatment of osteoarthritis. Phytomedicine 2000;7:177-83.
- Chrubasik S, Thanner J, Kunzel O, et al. Comparison of outcome measures during treatment with the proprietary Harpagophytum extract doloteffin in patients with pain in the lower back, knee or hip. Phytomedicine 2002;9:181-94. PubMed
- Circosta C, Occhiuto F, Ragusa S, et al. A drug used in traditional medicine: Harpagophytum procumbens DC. II. Cardiovascular activity. J Ethnopharmacol 1984;11:259-74. PubMed
- Grahame R, Robinson BV. Devils's claw (Harpagophytum procumbens): pharmacological and clinical studies. Ann Rheum Dis 1981;40:632. PubMed
- Unger M, Frank A. Simultaneous determination of the inhibitory potency of herbal extracts on the activity of six major cytochrome P450 enzymes using liquid chromatography/mass spectrometry and automated online extraction. Rapid Commun Mass Spectrom 2004;1 PubMed
- Wegener T, Lupke NP. Treatment of patients with arthrosis of hip or knee with an aqueous extract of devil's claw (Harpagophytum procumbens DC). Phytother Res 2003;17:1165-72.
- Chrubasik S, Kunzel O, Thanner J, et al. A 1-year follow-up after a pilot study with Doloteffin for low back pain. Phytomedicine 2005;12:1-9. PubMed
- Romiti N, Tramonti G, Corti A, Chieli E. Effects of Devil's Claw (Harpagophytum procumbens) on the multidrug transporter ABCB1/P-glycoprotein. Phytomedicine 2009;16:1095-100. PubMed
- Chrubasik, S., Junck, H., Breitschwerdt, H., Conradt, C., and Zappe, H. Effectiveness of Harpagophytum extract WS 1531 in the treatment of exacerbation of low back pain: a randomized, placebo-controlled, double- blind study. Eur.J Anaesthesiol. 1999;16(2 DOI
- Laudahn, D. and Walper, A. Efficacy and tolerance of Harpagophytum extract LI 174 in patients with chronic non-radicular back pain. Phytother.Res. 2001;15(7):621-624.
- Belaiche P. Etude clinique de 630 cas d'artrose traites par le nebulisat aqueux d'Harpagophytum procumbens (Radix). Phytotherapy 1982;1:22-28.
- Chrubasik S, Model A, Black A, and et al. A randomized double-blind pilot study comparing Doloteffin® and Vioxx® in the treatment of low back pain. Rheumatology 2003;42:141-148.
- Cuspidi C, Sala C, Tadic M, et al. Systemic hypertension induced by Harpagophytum procumbens (devil's claw): a case report. J Clin Hypertens (Greenwich) 2015;17(11):908-10.
- Mahomed IM, Ojewole JAO. Oxytocin-like effect of Harpagophytum procumbens [Pedaliacae] secondary root aqueous extract on rat isolated uterus. Afr J Trad CAM 2006;3(1):82-89.
- Carvalho RR, Donadel CD, Cortez AF, Valviesse VR, Vianna PF, Correa BB. J Bras Nefrol. 2017 Mar;39(1):79-81.
- Anon. Devil's claw root: ulcers and gastrointestinal bleeding. Prescrire Int 2013;22(144):296.
Cat's Claw 16 references
- McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
- Budzinski JW, Foster BC, Vandenhoek S, Arnason JT. An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures. Phytomedicine 2000;7:273-82. PubMed
- Sandoval M, Charbonnet RM, Okuhama NN, et al. Cat's claw inhibits TNFalpha production and scavenges free radicals: role in cytoprotection. Free Radic Biol Med 2000;29:71-78.
- Müller AC, Kanfer I. Potential pharmacokinetic interactions between antiretrovirals and medicinal plants used as complementary and African traditional medicines. Biopharm Drug Dispos. 2011;32(8):458-70. PubMed
- Sheng, Y., Bryngelsson, C., and Pero, R. W. Enhanced DNA repair, immune function and reduced toxicity of C-MED-100, a novel aqueous extract from Uncaria tomentosa. J Ethnopharmacol. 2000;69(2):115-126. PubMed
- Lamm, S., Sheng, Y., and Pero, R. W. Persistent response to pneumococcal vaccine in individuals supplemented with a novel water soluble extract of Uncaria tomentosa, C-Med-100. Phytomedicine 2001;8(4):267-274.
- Sheng, Y., Li, L., Holmgren, K., and Pero, R. W. DNA repair enhancement of aqueous extracts of Uncaria tomentosa in a human volunteer study. Phytomedicine 2001;8(4):275-282.
- Chen, C. X., Jin, R. M., Li, Y. K., Zhong, J., Yue, L., Chen, S. C., and Zhou, J. Y. Inhibitory effect of rhynchophylline on platelet aggregation and thrombosis. Zhongguo Yao Li Xue.Bao. 1992;13(2):126-130.
- Flythe, J. E., Rueda, J. F., Riscoe, M. K., and Watnick, S. Silicate nephrolithiasis after ingestion of supplements containing silica dioxide. Am.J.Kidney Dis. 2009;54(1):127-130. PubMed
- Zhou, J. and Zhou, S. Antihypertensive and neuroprotective activities of rhynchophylline: the role of rhynchophylline in neurotransmission and ion channel activity. J.Ethnopharmacol. 10-28-2010;132(1):15-27. PubMed
- Zhou, J. Y. and Zhou, S. W. Isorhynchophylline: A plant alkaloid with therapeutic potential for cardiovascular and central nervous system diseases. Fitoterapia 2012;83(4):617-626. PubMed
- Hemingway, S. R. and Phillipson, J. D. Proceedings: Alkaloids from S. American species of Uncaria (Rubiaceae). J.Pharm.Pharmacol. 1974;26 Suppl:113P.
- Hilepo, J. N., Bellucci, A. G., and Mossey, R. T. Acute renal failure caused by 'cat's claw' herbal remedy in a patient with systemic lupus erythematosus. Nephron 1997;77(3):361. PubMed
- De Paula LCL, Fonseca F, Perazzo F, et al. Uncaria tomentosa (cat's claw) improves quality of life in patients with advanced solid tumors. J Altern Complement Med. 2015;21(1):22-30.
- Portalatin G, Shettigar S, Carrion-Rodriguez A, et al. Ketogenic-Diet Shake Containing Uncaria tomentosa-Associated Acute Interstitial Nephritis. Case Rep Nephrol Dial 2022;12(3):219-225.
- Lei S, Guo A, Lu J, et al. Activation of PXR causes drug interactions with Paxlovid in transgenic mice. Acta Pharm Sin B 2023;13(11):4502-4510. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC