Is Cat's Claw Safe To Take With Antibiotics?

In our latest question and answer, the pharmacist discusses whether or not Cat's Claw interacts with antibiotics.

Question

Hi. Is it safe to use Cat's Claw together with antibiotics at the same time? In other words, will it diminish the effect of antibiotics?

Asked by Dante On Oct 19, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Oct 19, 2022
Last updated Apr 10, 2025

Key points

  • There are no know interactions between Cat's Claw and antibiotic drugs.
  • Cat's Claw may have immunostimulant effects, so may interfere with immunosuppressant drugs.

Answer

Although more studies are needed to better understand Cat's Claw (Uncaria guianensis; Uncaria tomentosa) and how it may affect other drugs, there are no documented interactions between Cat's Claw and antibiotics.

Some studies do indicate that Cat's Claw may mildly affect a specific metabolizing enzyme (CYP3A4), but again, no clinically significant drug interactions have been reported between it and antibiotics.

What Is Cat's Claw?

Cat's claw is a vine native to tropical areas of South and Central America and is a commonly used dietary supplement. Two different species of cat's claw are primarily used in commercial preparations:

  • Uncaria tomentosa
  • Uncaria guianensis

Cat's Claw is named as such since the thorns of the vine are shaped like the claw of a cat.

Although there is no strong evidence for the benefit of using Cat's Claw for the treatment of any condition, it has been historically used for:

  • Bacterial infections
  • Vital infections
  • Wound Healing
  • Anti-inflammatory effects
  • Alzheimer’s disease
  • Cancer
  • Arthritis
  • Gastritis

Cat's Claw With Antibiotics

As mentioned, there is no indication that Cat's Claw interferes with antibiotics. In fact, studies have not reported interactions between Cat's claw and all of the following commonly used antibiotics:

  • Penicillin
  • Doxycycline
  • Amoxicillin
  • Azithromycin
  • Levofloxacin
  • Ciprofloxacin
  • Erythromycin
  • Clarithromycin
  • Tetracycline

What About Other Drugs?

In terms of interactions clinical studies have reported, you should be cautious taking Cat's Claw if you are on the following medications:

  • Immunosuppressants
  • Anticoagulants
  • Drugs metabolized by the enzyme CYP3A4

Cat's Claw has been reported to have immunostimulant effects that might interfere with immunosuppressive therapy. Due to this, Cat's Claw could interfere with the activity of immunosuppressant medications.

Additionally, Cat's claw may have mild anticoagulant effects and mild inhibitory effects on the CYP3A4 metabolizing enzyme, so could affect other drugs that are metabolized by it.

The list of drugs metabolized by CYP3A4 is quite extensive, but studies show Cat's claw inhibits the enzyme to a relatively low degree (although more studies are needed on this matter).

As always, it is a good idea to ask your pharmacist or doctor about taking a supplement with your prescription medication before doing so.

Final Words

I hope this answer helped! Reach back out anytime.

References

  • Cat's claw inhibits TNFalpha production and scavenges free radicals: role in cytoprotection, PubMed
  • Enhanced DNA repair, immune function and reduced toxicity of C-MED-100, a novel aqueous extract from Uncaria tomentosa, PubMed
  • Persistent response to pneumococcal vaccine in individuals supplemented with a novel water soluble extract of Uncaria tomentosa, C-Med-100, PubMed
  • DNA repair enhancement of aqueous extracts of Uncaria tomentosa in a human volunteer study, PubMed
  • LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]., PubMed
  • An in vitro evaluation of human cytochrome P450 3A4 inhibition by selected commercial herbal extracts and tinctures, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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