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Cat's Claw
Other Common Name(s): una de gato

Scientific/Medical Name(s): Unicaria tomentosa

Description

Cat's claw is a woody vine that winds its way up trees at higher elevations in the Peruvian rain forests. The plant's name comes from the claw-like thorns that grow on the plant's stem, which can reach up to 100 feet. The root (which can grow to the size of a watermelon) and the inside of the bark are the parts of the plant used in herbal remedies. Because demand for this herb has increased greatly in the past few years, the Peruvian government now forbids harvesting the roots of the plant. Since the same compounds are present in the bark as the root, the plant is now harvested 3 feet above the ground. This preserves the plant so that it can be harvested again a few years later.

Overview

Cat's claw has been promoted as a remedy to boost the body's immune system, but available scientific evidence in humans does not support claims of immune-stimulating effects. Available scientific evidence also does not support cat's claw's effectiveness in preventing or treating cancer or any other disease. There are some serious side effects associated with cat's claw although the extent of these effects is not known.

How is it promoted for use?

The most common claims for cat's claw are that it boosts the immune system and increases the body's ability to fight off infections, including yeasts, parasites, and herpes, as well as other viruses. The herb also is promoted as a remedy for arthritis, allergies, inflammatory bowel disorders, cancer, cardiovascular disease, diabetes, asthma, and menstrual disorders. South American folk medicine holds that cat's claw is a contraceptive, and some practitioners claim that it can significantly decrease AIDS-related symptoms. Available scientific evidence does not support these claims.

What does it involve?

Cat's claw is taken by mouth and is available in capsules, tablets, tinctures, elixirs, and tea. Sometimes it can be found as a cream. Practitioner recommendations for how much to take vary widely. Some suggest a dosage of 3,000 to 6,000 milligrams (mg) per day in pill form, or 4 strong cups of tea. Herbalists may prescribe up to 20 g per day for seriously ill patients. Because herbs are not regulated in the United States, different brands of cat's claw may contain very different amounts of active ingredients.

What is the history behind it?

For centuries, South American native tribes have used cat's claw medicinally. Awareness of the herb grew in the United States and Europe during the 1970s when an Austrian Scientist, Klaus Kiplinger, traveled to the rain forests of Peru and learned about the plant from local priests. Kiplinger eventually received patents for isolating the active ingredients within the herb. Recently, cat's claw has become an extremely popular herbal supplement among consumers in the United States and Europe.

What is the evidence?

Rigorous scientific study of cat's claw in humans is not available. The reported positive effects of the herb are either individual reports (anecdotal) or the result of lab experiments.

Researchers have found chemicals in cat's claw called alkaloids. One Canadian lab study concluded that some of the alkaloids can stimulate the white blood cells of rats. Similar studies found that the alkaloids increase phagocytosis, the process in which white blood cells seek out and destroy invading germs. Also found were antioxidants--compounds that block the action of activated oxygen molecules, known as free radicals, which can damage cells.

Certain alkaloids (organic compounds) that are present in cat's are thought reduce inflammation, slow the heart rate, slow the growth of tumors, and possibly lower blood pressure. Human studies have not yet confirmed that cat's claw, or its extracts, has any of these actions. Peruvian researchers in the 1970s claimed that cat's claw was an effective treatment for children with leukemia, but available scientific evidence does not back up those reports. A 2006 laboratory study suggested this plant is not effective in killing leukemia cells, and may actually help the leukemia cells to survive longer.

Animal and lab studies may show promise, but further studies are necessary to find out if the results apply to humans. Until clinical trials in humans are completed, the true value of cat's claw remains uncertain. Available scientific evidence does not support claims that this herb can treat cancer or other diseases in people.

Are there any possible problems or complications?

These products are sold as a dietary supplement in the United States. Unlike drugs (which must be tested before being allowed to be sold), the companies that make supplements are not required to prove to the Food and Drug Administration that their supplements are safe or effective, as long as they don't claim the supplements can prevent, treat, or cure any specific disease.

Some such products may not contain the amount of the herb or substance that is written on the label, and some may include other substances (contaminants). Actual amounts per dose may vary between brands or even between different batches of the same brand.

Most such supplements have not been tested to find out if they interact with medicines, foods, or other herbs and supplements. Even though some reports of interactions and harmful effects may be published, full studies of interactions and effects are not often available. Because of these limitations, any information on ill effects and interactions below should be considered incomplete.

More research is needed to be sure that cat's claw is safe. Thus far, animal studies suggest that it is unlikely to be very toxic to humans. Mild rash, lowered blood pressure, sleepiness, and diarrhea may be possible.

Herbalists warn people who are taking blood pressure medicines, blood thinners (anticoagulants), hormones, or insulin not to take cat's claw. This herb may also affect a common route by which the body excretes drugs, so it is possible that it may raise the blood levels of certain sedatives and sleeping medicines. The potential interactions between herbs and drugs or other herbs should be considered. Some combinations may be dangerous. Always tell your doctor and pharmacist about any herbs you are taking.

Other people who should not take the herb include those who have low blood pressure or an autoimmune disease (such as lupus or multiple sclerosis), or those who have had an organ or bone marrow transplant. Kidney failure has been reported in one person with lupus. Studies have also shown that cat's claw contains tannins which, in large amounts, may cause upset stomach or even kidney damage. Small children and women who are pregnant or breast-feeding should not use this herb.

Additional Resources

More Information From Your American Cancer Society

The following information on complementary and alternative therapies may also be helpful to you. These materials may be ordered from our toll-free number (1-800-ACS-2345).

References

Cassileth B. The Alternative Medicine Handbook. New York, NY: W. W. Norton & Co; 1998.

Gruenwald J, Brendler T, Jaenicke C, eds. PDR for Herbal Medicines, Third Edition. Thomson PDR, Montvale NJ, 2004.

Fetrow CW, Avila JR. Professional's Handbook of Complementary and Alternative Medicines. Springhouse, Pa: Springhouse Corp; 1999.

Lemaire I, Assinewe V, Cano P, et al. Stimulation of interleukin-1 and -6 production in alveolar macrophages by the neotropical liana, Uncaria tomentosa (una de gato). J Ethnopharmacol. 1999;64:109-115.

MD Anderson Cancer Center. Cat's Claw. Available at: http://www.mdanderson.org/departments/CIMER/display.cfm?id=A0AAF589-ECA2-11D4-810100508B603A14&method=displayFull&pn=6EB86A59-EBD9-11D4-810100508B603A14. Accessed April 11, 2007.

Memorial Sloan Kettering. Cat's Claw. Available at: http://www.mskcc.org/mskcc/html/69166.cfm. Accessed April 11, 2007.

Moss R. Herbs Against Cancer. New York, NY: Equinox Press; 1998.

Riva L, Coradini D, Di Fronzo G, et al. The antiproliferative effects of Uncaria tomentosa extracts and fractions on the growth of breast cancer cell line. Anticancer Res. 2001;21:2457-2461.

Sandoval-Chacon M, Thompson JH, Zhang XJ, et al. Anti-inflammatory actions of cat's claw: the role of NF-kappaB. Aliment Pharmacol Ther. 1998;12:1279-1289.

Spaulding-Albright N. A review of some herbal and related products commonly used in cancer patients. J Am Diet Assoc. 1997;97:S208-S215.

Styczynski J. Wysocki M. Alternative medicine remedies might stimulate viability of leukemic cells. Pediatric Blood & Cancer. 2006;46:94-98.

Valerio LG Jr, Gonzales GF. Toxicological aspects of the South American herbs cat's claw (Uncaria tomentosa) and Maca (Lepidium meyenii): a critical synopsis. Toxicol Rev. 2005;24:11-35.

Note: This information may not cover all possible claims, uses, actions, precautions, side effects or interactions. It is not intended as medical advice, and should not be relied upon as a substitute for consultation with your doctor, who is familiar with your medical situation.

Revised: 06/26/2007

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