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Curcumin : Crohn's Disease

C エビデンス 小規模研究からのエビデンスは限られていますが、いくつかの肯定的なシグナルがあります。

Limited RCT evidence. Some improvement in CDAI scores but results inconsistent. Better evidence exists for UC than Crohn's.

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C

結論

Limited RCT evidence. Some improvement in CDAI scores but results inconsistent. Better evidence exists for UC than Crohn's.

Key Study Findings

Meta-Analysis n=2260
Comparative Efficacy of Medical Therapies in Reducing the Risk of Postoperative Recurrence in Crohn's Disease: …
Dose: None vs: placebo or other medical therapies Outcome: endoscopic recurrence (Rutgeerts score >= i2) at 6 … 効果: adalimumab vs thiopurines OR 0.33 (95% CI 0.12-0.91); adalimumab vs vitamin D OR 0.07 (95% CI 0.01-0 None

対象集団: patients with Crohn's disease post-surgery from 42 studies (38 RCTs)

Meta-Analysis
Curcumin for the clinical treatment of inflammatory bowel diseases: a systematic review and meta-analysis of …
Dose: Varying dosages vs: Placebo Outcome: Clinical remission and response in UC 効果: None None

対象集団: UC and CD patients (13 RCTs)

Systematic Review
[Phytotherapeutic recommendations in medical guidelines for the treatment of gastroenterological diseases - a systematic review].
Dose: Peppermint oil, STW-5, psyllium, others vs: Standard care or placebo Outcome: Symptom improvement in GI diseases 効果: None None

対象集団: Patients with gastroenterological diseases

Review
Use of curcumin and its nanopreparations in the treatment of inflammatory bowel disease.
Dose: Curcumin nanoformulations vs: None Outcome: IBD symptom improvement 効果: None None

対象集団: IBD patients (preclinical/clinical review)

Review
Phytochemicals and Regulation of NF-kB in Inflammatory Bowel Diseases: An Overview of In Vitro and …
Dose: Various phytochemicals vs: None Outcome: NF-kB regulation in IBD 効果: None None

対象集団: In vitro and in vivo IBD models

Meta-Analysis
Curcumin and Curcuma longa Extract in the Treatment of 10 Types of Autoimmune Diseases: A …
Dose: None vs: Placebo or standard care Outcome: Clinical/laboratory outcomes in autoimmune diseases 効果: None None

対象集団: Patients with 10 types of autoimmune diseases

Key Statistics

3

研究数

200

参加者数

↔

Mixed

C

グレード

Referenced Papers

European journal of … 2021 40 件の引用
International journal of … 2019 137 件の引用
Journal of medicinal … 2019 17 件の引用
Current opinion in … 2019 5 件の引用
Gastroenterology clinics of … 2018 67 件の引用
Macromolecular bioscience 2018 13 件の引用
Gastroenterology 2017 335 件の引用
Medical principles and … 2017 45 件の引用
Complementary therapies in … 2017 23 件の引用
The Medical clinics … 2017 9 件の引用
Annals of gastroenterology 2015 135 件の引用
Molecules (Basel, Switzerland) 2014 122 件の引用
The AAPS journal 2013 1866 件の引用
Alimentary pharmacology & … 2013 128 件の引用
Nature reviews. Gastroenterology … 2013 47 件の引用
Digestive diseases and … 2005 461 件の引用
Bioinformatics (Oxford, England) 2004 149 件の引用

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

一般的な使用量

general:
500-1,500 mg/day with piperine (black pepper extract) for absorption
ibssupport:
500-1,000 mg/day
ucmaintenance:
2,000 mg/day (1 g twice daily) as adjunct to mesalamine

上限量: Well-tolerated up to 8 g/day in clinical trials (most studies use 1-2 g/day)

研究で検討された用量

用量 期間 効果 N
None -- Positive 2260
Varying dosages -- Positive --
Peppermint oil, STW-5, psyllium, others -- Positive --
Curcumin nanoformulations -- Positive --
Various phytochemicals -- Positive --
None -- Positive --
None -- Mixed --
None -- Positive --

推奨摂取タイミング: With meals containing fat and black pepper for enhanced absorption

Safety & Side Effects

報告されている副作用

  • ⚠ GI discomfort (nausea, diarrhea, abdominal pain) at high doses
  • ⚠ Yellow staining of skin/teeth with topical/oral contact
  • ⚠ Increased gallbladder contractions (avoid with gallstones or bile duct obstruction)
  • ⚠ Iron chelation (may reduce iron absorption at very high doses)

既知の相互作用

  • ● Anticoagulants (curcumin has antiplatelet properties; may increase bleeding risk)
  • ● Chemotherapy agents (curcumin may alter drug metabolism via CYP enzyme inhibition)
  • ● Sulfasalazine (additive anti-inflammatory effect — may be beneficial in IBD)
  • ● Iron supplements (curcumin may chelate iron; space dosing)
  • ● Piperine/black pepper (enhances curcumin bioavailability by 2,000% — commonly co-administered)

耐容上限摂取量: Well-tolerated up to 8 g/day in clinical trials (most studies use 1-2 g/day)

サプリメントの摂取を開始する前に、必ず医療専門家にご相談ください。

Frequently Asked Questions

Does Curcumin help with Crohn's Disease?
Based on 3 studies with 200 participants, there is limited but promising evidence that Curcumin may support Crohn's Disease management. Our evidence grade is C (Some Evidence).
How much Curcumin should I take for Crohn's Disease?
Studies have used various dosages. A commonly studied range is 500-1,500 mg/day with piperine (black pepper extract) for absorption. Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Curcumin?
Reported side effects may include GI discomfort (nausea, diarrhea, abdominal pain) at high doses, Yellow staining of skin/teeth with topical/oral contact, Increased gallbladder contractions (avoid with gallstones or bile duct obstruction), Iron chelation (may reduce iron absorption at very high doses). Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Curcumin and Crohn's Disease?
We rate the evidence as Grade C (Some Evidence). This rating is based on 3 peer-reviewed studies with 200 total participants. The overall direction of effect is mixed.

References

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