Cissampelos pareira — Hermetica Encyclopedia
Herbs (Global Traditional) · Ayurveda

Cissampelos pareira

Moderate Evidencebotanical1 PubMed Study

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The Short Answer

Cissampelos pareira is an Ayurvedic medicinal plant containing alkaloids like hayatinine and hayatine that demonstrate anti-inflammatory and analgesic properties. The plant's ethanolic extract works by inhibiting inflammatory mediators and pain pathways in preclinical studies.

1
PubMed Studies
0
Validated Benefits
Synergy Pairings
At a Glance
CategoryHerbs (Global Traditional)
GroupAyurveda
Evidence LevelModerate
Primary KeywordCissampelos pareira benefits
Synergy Pairings4
Cissampelos pareira close-up macro showing natural texture and detail — rich in anti-inflammatory, diuretic, antipyretic
Cissampelos pareira — botanical close-up

Health Benefits

Origin & History

Cissampelos pareira growing in Southeast Asia — natural habitat
Natural habitat

Cissampelos pareira L. is a tropical climbing vine from the Menispermaceae family, traditionally cultivated across South Asia and Southeast Asia. The plant is processed through various extraction methods including ethanol, methanol, and aqueous-ethanolic mixtures to produce bioactive preparations containing alkaloids (magnoflorine, pareirarine, cissamine, salutaridine), terpenoids, and saponins.

Known as 'Laghupatha' in Sanskrit, Cissampelos pareira has been used for centuries in Ayurvedic medicine as a cooling, anti-inflammatory agent for treating pain, fever, inflammation, and diarrhea. The Dai people of southern Yunnan, China, have traditionally used the plant for managing diabetes.Traditional Medicine

Scientific Research

All available evidence for Cissampelos pareira is limited to preclinical and animal studies; no human clinical trials or meta-analyses have been published. Key studies include anti-SARS-CoV-2 activity in Vero cell cultures (PMID: 35459166), anti-inflammatory effects in rat models (PMID: 17097249), and anticancer activity in mice (PMID: 33485976).

Preparation & Dosage

Cissampelos pareira prepared as liquid extract — pairs with Turmeric (anti-inflammatory), Boswellia serrata (joint health), Ginger (digestive support)
Traditional preparation

Animal studies used: 250-500 mg/kg ethanol extract for pain/fever; 200-400 mg/kg 50% ethanolic extract for inflammation; 100-400 mg/kg 70% hydroethanolic extract for anxiety. No standardized human doses have been established. Consult a healthcare provider before starting any new supplement.

Nutritional Profile

Cissampelos pareira (Patha in Ayurveda) is a medicinal plant not consumed as a food source, so conventional macronutrient profiling (calories, protein, fat, carbohydrates, fiber) is not applicable. Its pharmacological relevance derives from its bioactive alkaloid and phytochemical content. Key compounds include: **Bisbenzylisoquinoline alkaloids** — hayatine (major alkaloid, ~0.2-0.5% dry weight of root), hayatinine, d-quercitol, pareirine (cissampeline), and cyclanoline; **Protoberberine alkaloids** — berberine (trace to low concentrations in root bark); **Triterpenoids and sterols** — β-sitosterol, stigmasterol; **Flavonoids** — quercetin, quercitrin, and rutin (leaves contain higher flavonoid content, estimated total flavonoids ~1.5-3.0 mg quercetin equivalents/g dry extract); **Tannins and phenolics** — total phenolic content approximately 25-45 mg gallic acid equivalents/g in 50% ethanolic root extract; **Saponins** — present in root and leaf tissues. The root is the primary part used in Ayurveda, rich in alkaloids (total alkaloid content approximately 0.5-1.2% dry weight). Mineral content of dried leaf/root includes calcium, potassium, magnesium, iron, and zinc in trace quantities, though precise values vary widely by geographic origin and are not standardized. No significant vitamin content has been documented. **Bioavailability notes:** Bisbenzylisoquinoline alkaloids such as hayatine have moderate oral bioavailability in animal models due to hepatic first-pass metabolism; ethanolic and hydroalcoholic extractions yield higher concentrations of bioactive alkaloids compared to aqueous decoctions. Traditional Ayurvedic preparations (kashaya/decoction or churna/powder) likely deliver lower alkaloid concentrations than standardized ethanolic extracts used in pharmacological studies.

How It Works

Mechanism of Action

Cissampelos pareira's alkaloids, particularly hayatinine and hayatine, appear to modulate inflammatory pathways by inhibiting pro-inflammatory mediators. The ethanolic extract demonstrates analgesic effects through inhibition of acetic acid-induced pain responses, suggesting interaction with nociceptive pathways. The anti-inflammatory activity likely involves suppression of acute and chronic inflammatory cascades.

Clinical Evidence

Current evidence for Cissampelos pareira comes exclusively from animal studies with no human clinical trials available. In rat models, 50% ethanolic extract at 200-400 mg/kg showed significant anti-inflammatory activity across acute, subacute, and chronic inflammation models. The same extract demonstrated 42.2-43.4% inhibition of acetic acid-induced pain responses in animal studies. Human efficacy, safety, and optimal dosing remain unestablished due to lack of clinical research.

Safety & Interactions

Safety data for Cissampelos pareira in humans is extremely limited due to absence of clinical studies. Traditional use suggests general tolerability, but specific side effects, drug interactions, and contraindications have not been systematically evaluated. Pregnancy and breastfeeding safety is unknown and should be avoided without medical supervision. Individuals taking anti-inflammatory medications or pain relievers should consult healthcare providers before use due to potential additive effects.

Synergy Stack

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Frequently Asked Questions

What is the active compound in Cissampelos pareira?
The primary bioactive compounds are alkaloids including hayatinine and hayatine. These alkaloids are responsible for the plant's anti-inflammatory and analgesic properties demonstrated in animal studies.
What dosage of Cissampelos pareira was used in studies?
Animal studies used 200-400 mg/kg of 50% ethanolic extract, showing significant anti-inflammatory effects. However, no human studies exist to establish safe and effective dosages for people.
Is Cissampelos pareira safe for daily use?
Safety for daily human use is unknown due to lack of clinical trials. While traditionally used in Ayurveda, systematic safety evaluation including long-term effects and drug interactions has not been conducted.
How effective is Cissampelos pareira for pain relief?
In animal models, the extract showed 42.2-43.4% inhibition of acetic acid-induced pain. However, human pain relief efficacy remains unproven as no clinical studies have been conducted in people.
Can Cissampelos pareira interact with medications?
Potential interactions are unknown due to lack of research, but theoretical concerns exist with anti-inflammatory drugs and pain medications. Consultation with healthcare providers is recommended before combining with any medications.
What does current research show about Cissampelos pareira's effectiveness compared to clinical evidence?
Most evidence for Cissampelos pareira comes from animal studies rather than human clinical trials, with anti-inflammatory effects demonstrated in rat models and pain-relief activity shown in mice at doses of 200-500 mg/kg. While these preliminary findings are promising, the lack of robust human studies means efficacy in people remains unclear. More clinical research is needed to establish whether animal study results translate to meaningful benefits in humans.
Who should consider avoiding Cissampelos pareira supplementation?
Pregnant and nursing women should avoid Cissampelos pareira due to insufficient safety data in these populations, and the herb's traditional use as a contraceptive suggests potential reproductive effects. Individuals with liver or kidney disease should consult a healthcare provider before use. Those taking anticoagulants or antiplatelet medications should exercise caution, as the plant's bioactive compounds may affect bleeding risk.
What forms of Cissampelos pareira are available, and which is most commonly studied?
Cissampelos pareira is primarily available as dried herb powder, ethanolic extracts, and traditional decoctions. Most scientific research has focused on 50% ethanolic extracts and ethanol-based preparations, which concentrated the active compounds responsible for anti-inflammatory and analgesic effects in animal models. Standardized extracts are less commonly available commercially compared to raw plant material.

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