Positives

• Women with chronic recurrent yeast infections describe rapid resolution when pau d'arco is added to their treatment regimen, drawing on a 1992 case series Thecandidadiet.
  
  
• One patient described losing weight and overcoming 25 years of candida-related symptoms after combining a candida diet with pau d'arco tea Thecandidadiet.
  
  

Negatives

• Patients commonly describe significant die-off symptoms when starting pau d'arco, requiring slow titration starting at half a cup per day to avoid intense reactions Thecandidadiet.
  
  
• Reviewers note that despite anecdotal benefit, there are no well-controlled human studies confirming antifungal efficacy in candida Medicinenet.
  
  

Hurdles & Side Effects

• High doses of pau d'arco can cause nausea, vomiting, and bleeding due to the lapachol content, requiring careful dosing Medicinenet.
  
  
• Patients on anticoagulants or with bleeding disorders should avoid pau d'arco given its blood-thinning activity Medicinenet.