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Amazonian Plants in Traditional Use: Sangre de Drago, Copaiba, Pau d'Arco, Graviola

What is documented about sangre de drago, copaiba, andiroba, pau d'arco and graviola, how each plant is used traditionally, what research found, and the safety limits to know.

Content last updated . This page has not been medically reviewed.

A note before the plants

The Amazon basin is home to many different peoples, each with its own plant knowledge, and this page cannot speak for any of them. It reports what published research and written records say about five plants that are widely sold outside the region. Some plant uses are sacred, ceremonial or restricted within communities, and this site does not describe them. For community voices, see indigenous and community traditions. For the wider region, see Latin American and African herbal traditions.

The five plants at a glance

PlantTraditional use documentedWhat research foundLabel
Sangre de drago (sap of Croton lechleri)Diarrhea, wounds, insect bites [1]One purified drug made from the latex is FDA-approved for one narrow use; the raw sap is not that drug [2]Established for the purified drug in that use only; limited for the sap
Copaiba (oleoresin of Copaifera trees)Healing skin and mucosal lesions in Brazilian records [3]Mostly animal data; one small acne trial [4][5]Traditional use; insufficient human evidence
Andiroba (seed oil of Carapa guianensis)Inflammation and wounds, mainly in the Brazilian Amazon [6]Mostly animal and lab studies [6]Preclinical
Pau d'arco (inner bark of Tabebuia trees)Tea for a wide range of ailments [7]Lab activity, not shown in humans [7]Preclinical
Graviola or soursop (Annona muricata)Leaves and stems for inflammation and infection [8]No proof of benefit in cancer; neurotoxicity questions [8]Traditional use only; safety concerns

Sangre de drago and the one drug made from it

A review of lab, animal and small clinical work concluded that results largely support some traditional uses, with clinical studies reporting positive results for traveler's and watery diarrhea. It also noted that the sap's chemistry differs between areas, so products would need to be standardized. [1] Separately, crofelemer is a purified botanical drug extracted from the stem bark latex of the same tree. It acts locally in the gut and was approved by the US FDA for symptom relief of non-infectious diarrhea in adults with HIV who take antiretroviral therapy. [2] In the main trial, 17.6% of people on crofelemer 125 mg reached the response target versus 8.0% on placebo. [9] That result belongs to the purified drug at a controlled dose, not to sap or supplements.

Copaiba and andiroba

A study of Brazilian written records from 1576 to 2011 found copaiba oleoresin was most often used for healing skin and mucosal lesions. [3] The same authors said the quality of preparations needs to improve. [3] A systematic review of oral-cavity studies found five studies, with benefits suggested in rats and a call for clinical studies. [4] A double-blind acne trial of a copaiba essential oil gel reported improvement in treated areas, but the placebo areas also improved. [5] A 2023 review said the toxic effects of copaiba oils are little known. [10] For andiroba, a scoping review of 22 sources found mostly in vivo studies, so human evidence is thin. [6]

Pau d'arco

Pau d'arco has antibacterial and anticancer activity in laboratory studies, but these effects have not been shown in humans. [7] Memorial Sloan Kettering lists a possible increased bleeding risk with anticoagulant and antiplatelet drugs, and animal studies reported anemia and reproductive and chromosomal abnormalities. [7]

Graviola: what was read about neurotoxicity

Graviola fruit is generally safe to eat as food, but supplements are a different question. [8] Memorial Sloan Kettering states there is no proof the therapy helps cancer patients. [8] In lab work, graviola alkaloids caused movement disorders resembling Parkinson's disease, and it is unclear whether this carries over to people. [8] In Guadeloupe, a case-control study found people with atypical parkinsonism consumed far more of related fruits and herbal tea than comparison groups, and proposed a larger study. [11] That is an association, not proof of cause. Graviola may also lower blood sugar and blood pressure and can affect PET scan results. [8]

Frequently asked questions

Is sangre de drago the same as the drug crofelemer?

No. Crofelemer is a purified botanical drug extracted from the latex of the same tree and approved for one narrow use; the raw sap is a different, variable product. [2][1]

Does graviola cure cancer?

No proof of benefit in cancer patients was found by Memorial Sloan Kettering, and lab results have not been shown in humans. [8]

Is graviola dangerous to the brain?

Lab work found nerve-toxic alkaloids, and a Guadeloupe study linked related fruit and tea to atypical parkinsonism, but it is unclear if the lab findings apply to people. [8][11]

Does pau d'arco interact with medicines?

It may raise bleeding risk with anticoagulant or antiplatelet drugs, though clinical relevance is not known. [7]

Does copaiba help acne or wounds?

Traditional use for wounds is documented, but human trial evidence is small and the one acne trial also saw improvement on placebo. [3][5]

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

How to read the evidence labels

Labels used on this page: established, promising but limited, insufficient evidence, preclinical (lab or animal work only), traditional use only.

Safety and quality
References
  1. Jones K. Review of sangre de drago (Croton lechleri), a South American tree sap in the treatment of diarrhea, inflammation, insect bites, viral infections, and wounds: traditional uses to clinical research. J Altern Complement Med 2003. PubMed 14736360 (abstract). Read 2026-10-22.
  2. Frampton JE. Crofelemer: a review of its use in the management of non-infectious diarrhoea in adult patients with HIV/AIDS on antiretroviral therapy. Drugs 2013. PubMed 23807722 (abstract). Read 2026-10-22.
  3. Ricardo LM and others. Evidence of traditionality of Brazilian medicinal plants: the case studies of barbatimao barks and Copaifera spp. (copaiba) oleoresin in wound healing. J Ethnopharmacol 2018. PubMed 29501844 (abstract). Read 2026-10-22.
  4. Menezes ACDS and others. Anti-inflammatory and wound healing effect of copaiba oleoresin on the oral cavity: a systematic review. Heliyon 2022. PubMed 35243105 (abstract). Read 2026-10-22.
  5. da Silva AG and others. Application of the essential oil from copaiba (Copaifera langsdorffii) for acne vulgaris: a double-blind, placebo-controlled clinical trial. Altern Med Rev 2012. PubMed 22502624 (abstract). Read 2026-10-22.
  6. Fonseca ASAD and others. Effects of andiroba oil (Carapa guianensis) on the immune system in inflammation and wound healing: a scoping review. J Ethnopharmacol 2024. PubMed 38432579 (abstract). Read 2026-10-22.
  7. Memorial Sloan Kettering Cancer Center. Pau d'Arco (About Herbs). Read 2026-10-22.
  8. Memorial Sloan Kettering Cancer Center. Graviola (About Herbs). Read 2026-10-22.
  9. Macarthur RD and others. Efficacy and safety of crofelemer for noninfectious diarrhea in HIV-seropositive individuals (ADVENT trial). HIV Clin Trials 2013. PubMed 24334179 (abstract). Read 2026-10-22.
  10. Cardinelli CC and others. Toxicological effects of copaiba oil (Copaifera spp.) and its active components. Plants (Basel) 2023. PubMed 36903915 (abstract). Read 2026-10-22.
  11. Caparros-Lefebvre D, Elbaz A. Possible relation of atypical parkinsonism in the French West Indies with consumption of tropical plants: a case-control study. Lancet 1999. PubMed 10440304 (abstract). Read 2026-10-22.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.