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Curcumin cho 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

Kết luận

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 so với: placebo or other medical therapies Outcome: endoscopic recurrence (Rutgeerts score >= i2) at 6 … Hiệu quả: 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

Đối tượng nghiên cứu: 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 so với: Placebo Outcome: Clinical remission and response in UC Hiệu quả: None None

Đối tượng nghiên cứu: 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 so với: Standard care or placebo Outcome: Symptom improvement in GI diseases Hiệu quả: None None

Đối tượng nghiên cứu: Patients with gastroenterological diseases

Review
Use of curcumin and its nanopreparations in the treatment of inflammatory bowel disease.
Dose: Curcumin nanoformulations so với: None Outcome: IBD symptom improvement Hiệu quả: None None

Đối tượng nghiên cứu: 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 so với: None Outcome: NF-kB regulation in IBD Hiệu quả: None None

Đối tượng nghiên cứu: 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 so với: Placebo or standard care Outcome: Clinical/laboratory outcomes in autoimmune diseases Hiệu quả: None None

Đối tượng nghiên cứu: Patients with 10 types of autoimmune diseases

Key Statistics

3

Nghiên cứu

200

Người tham gia

Mixed

C

Xếp hạng

Referenced Papers

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

Dosage & Usage

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

Liều lượng thường dùng

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

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

Liều lượng đã nghiên cứu

Liều lượng Thời gian Hiệu quả 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 --

Thời điểm dùng tốt nhất: With meals containing fat and black pepper for enhanced absorption

Safety & Side Effects

Tác dụng phụ đã được báo cáo

  • 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)

Tương tác đã biết

  • 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)

Mức hấp thụ tối đa cho phép: Well-tolerated up to 8 g/day in clinical trials (most studies use 1-2 g/day)

Luôn tham khảo ý kiến bác sĩ trước khi bắt đầu sử dụng bất kỳ thực phẩm bổ sung nào.Luôn tham khảo ý kiến chuyên gia y tế trước khi sử dụng bất kỳ thực phẩm chức năng nào.

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

Tuyên bố miễn trừ FDA: Các tuyên bố này chưa được Cục Quản lý Thực phẩm và Dược phẩm (FDA) đánh giá. Các sản phẩm và thông tin trên trang web này không nhằm mục đích chẩn đoán, điều trị, chữa bệnh hoặc phòng ngừa bất kỳ bệnh nào. Xếp hạng bằng chứng được trình bày dựa trên phân tích của chúng tôi về nghiên cứu đã bình duyệt được công bố và không cấu thành tư vấn y khoa. Luôn tham khảo ý kiến chuyên gia y tế trước khi bắt đầu bất kỳ chế độ thực phẩm chức năng nào.