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Tabebuia impetiginosa

Pau d'Arco

Research reviewed: Up until 03/2026

Pau d'Arco (Tabebuia impetiginosa) is a dietary supplement with 6 published peer-reviewed studies involving 92 participants, researched for Antimicrobial & Antifungal, Anti-inflammatory & Immune.

6
Studies
92
Participants
1992–2021
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Moderate Evidence

Antimicrobial & Antifungal

Moderate
3 studies 0 of 3 positive 33 participants 1 human

Anti-inflammatory & Immune

Moderate
3 studies 0 of 3 positive 59 participants 2 human

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

2/6
Randomised
0/6
Double-Blind
0/6
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (1992)
33
Study 2 (2013)
0
Study 3 (2010)
0
Study 4 (2018)
28
Study 5 (2021)
31
Study 6 (2020)
0

Research Timeline

When the studies were published

1
1992
1
2010
1
2013
1
2018
1
2020
1
2021

All Studies

Detailed breakdown of each trial. Click to expand.

Antimicrobial & Antifungal

1

To evaluate Pau d'Arco (lapachol) on schistosomiasis infection

1992 33 participants 30 days 250 mg/day lapachol
Human Study RCT Mixed

Study Type

Randomised, controlled clinical study

Purpose

To evaluate Pau d'Arco (lapachol) on schistosomiasis infection

Dose

250 mg/day lapachol

Participants

33 patients with schistosomiasis

Duration

30 days

Results

Some anti-parasitic activity observed. However, gastrointestinal side effects common at higher doses. Anti-parasitic effects noted but dose-limiting toxicity requires careful use.

How They Measured It

Parasitological examination, symptom scores, liver function

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2

To assess the antibacterial and antifungal activity of Pau d'Arco compounds

2013 ? participants Incubation period Various concentrations
In Vitro Mixed

Study Type

In vitro study (antimicrobial)

Purpose

To assess the antibacterial and antifungal activity of Pau d'Arco compounds

Dose

Various concentrations

Participants

In vitro pathogen cultures

Duration

Incubation period

Results

Lapachol and beta-lapachone demonstrated strong antimicrobial activity against Candida species and gram-positive bacteria. MIC values in clinically relevant range.

How They Measured It

MIC against multiple pathogens including Candida, Staphylococcus, Streptococcus

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3

To examine anti-inflammatory mechanisms of Tabebuia extracts

2010 ? participants Various Various concentrations
Animal Study Mixed

Study Type

In vitro and animal study

Purpose

To examine anti-inflammatory mechanisms of Tabebuia extracts

Dose

Various concentrations

Participants

Cell cultures and animal models

Duration

Various

Results

Strong NF-kB inhibition and COX-2 suppression demonstrated. Anti-inflammatory activity comparable to reference compounds. Translational potential to human inflammatory conditions.

How They Measured It

NF-kB inhibition, COX-2 activity, inflammatory cytokines

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Anti-inflammatory & Immune

4

To evaluate Pau d'Arco extract on immune markers and anti-inflammatory effects

2018 28 participants 6 weeks 600 mg/day Pau d'Arco bark extract
Human Study RCT Positive

Study Type

Randomised, controlled pilot

Purpose

To evaluate Pau d'Arco extract on immune markers and anti-inflammatory effects

Dose

600 mg/day Pau d'Arco bark extract

Participants

28 healthy adults

Duration

6 weeks

Results

Trends toward improved NK cell activity and reduced CRP. IL-6 reduced significantly (p=0.04). Immune modulation observed. Formal RCT needed to confirm findings.

How They Measured It

NK cell activity, CRP, IL-6, lymphocyte counts

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5

To document clinical outcomes of Pau d'Arco use in patients with candidiasis

2021 31 participants 4 weeks 900 mg/day Pau d'Arco tea equivalent
Human Study Positive

Study Type

Case series with pre-post assessment

Purpose

To document clinical outcomes of Pau d'Arco use in patients with candidiasis

Dose

900 mg/day Pau d'Arco tea equivalent

Participants

31 patients with recurrent oral or vaginal candidiasis

Duration

4 weeks

Results

Significant symptomatic improvement in 74% of patients. Candida culture clearance in 45% after 4 weeks. Antifungal effects observed in clinical setting.

How They Measured It

Candida culture results, symptom scores, quality of life

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6

To review evidence for Tabebuia species (Pau d'Arco) in human health

2020 ? participants Various Various
Review/Other Mixed

Study Type

Systematic review

Purpose

To review evidence for Tabebuia species (Pau d'Arco) in human health

Dose

Various

Participants

Systematic review

Duration

Various

Results

Preclinical evidence for antimicrobial, anti-inflammatory, and anti-tumour properties is robust. Human clinical evidence is limited. Lapachol at high doses has toxicity concerns. Traditional use widely documented.

How They Measured It

Systematic review of available evidence

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Frequently Asked Questions

Common questions about Pau d'Arco research

What does the research say about Pau d'Arco?

There are currently 6 peer-reviewed studies on Pau d'Arco (Tabebuia impetiginosa), involving 92 total participants. Research covers Antimicrobial, Anti-inflammatory, Immune function and 1 more areas. The overall evidence strength is rated as Moderate.

How strong is the evidence for Pau d'Arco?

The evidence is currently rated as "Moderate Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (3 human studies, 1 animal study), and reported outcomes.

What health goals has Pau d'Arco been studied for?

Pau d'Arco has been researched for: Antimicrobial, Anti-inflammatory, Immune function, Antifungal. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Pau d'Arco based on human trials?

Yes, 3 out of 6 studies are human trials. The remaining 1 is an animal study. Human trials carry more weight in our evidence scoring system.