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Curcumin для Crohn's Disease

C

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

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C

Итог

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 или: placebo or other medical therapies Outcome: endoscopic recurrence (Rutgeerts score >= i2) at 6 … Эффект: 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

Популяция: 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 или: Placebo Outcome: Clinical remission and response in UC Эффект: None None

Популяция: 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 или: Standard care or placebo Outcome: Symptom improvement in GI diseases Эффект: None None

Популяция: Patients with gastroenterological diseases

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

Популяция: 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 или: None Outcome: NF-kB regulation in IBD Эффект: None None

Популяция: 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 или: Placebo or standard care Outcome: Clinical/laboratory outcomes in autoimmune diseases Эффект: None None

Популяция: Patients with 10 types of autoimmune diseases

Key Statistics

3

Исследования

200

Участники

Mixed

C

Оценка

Referenced Papers

Journal of medicinal … 2021 52 цитирований
European journal of … 2021 40 цитирований
Advances in experimental … 2021 8 цитирований
International journal of … 2019 137 цитирований
Journal of medicinal … 2019 17 цитирований
Current opinion in … 2019 5 цитирований
Gastroenterology clinics of … 2018 67 цитирований
Macromolecular bioscience 2018 13 цитирований
Gastroenterology 2017 335 цитирований
Medical principles and … 2017 45 цитирований
JPEN. Journal of … 2017 24 цитирований
Complementary therapies in … 2017 23 цитирований
The Medical clinics … 2017 9 цитирований
Current pharmaceutical design 2016 32 цитирований
Journal of Crohn's … 2015 184 цитирований
Annals of gastroenterology 2015 135 цитирований
Molecules (Basel, Switzerland) 2014 122 цитирований
The AAPS journal 2013 1866 цитирований
Alimentary pharmacology & … 2013 128 цитирований
Nature reviews. Gastroenterology … 2013 47 цитирований
Journal of the … 2009 24 цитирований
Revista de gastroenterologia … 2008 2 цитирований
Digestive diseases and … 2005 461 цитирований
Bioinformatics (Oxford, England) 2004 149 цитирований

Dosage & Usage

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

Часто используемые дозировки

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

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

Дозировки, изученные в исследованиях

Дозировка Длительность Эффект 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 --

Лучшее время приёма: With meals containing fat and black pepper for enhanced absorption

Safety & Side Effects

Зарегистрированные побочные эффекты

  • 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)

Известные взаимодействия

  • 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)

Допустимый верхний уровень потребления: Well-tolerated up to 8 g/day in clinical trials (most studies use 1-2 g/day)

Всегда консультируйтесь с врачом перед началом приёма любых добавок.Всегда консультируйтесь с лечащим врачом перед началом приёма любой добавки.

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.

Related Evidence

Curcumin для других состояний

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