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Curcumin 用于 Ulcerative Colitis (UC)

B

Multicenter RCT (CUBE trial) showed curcumin (2 g/day) plus mesalamine maintained remission better than mesalamine alone. Reduced relapse rate from 20% to 5% over 12 months.

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B

结论

Multicenter RCT (CUBE trial) showed curcumin (2 g/day) plus mesalamine maintained remission better than mesalamine alone. Reduced relapse rate from 20% to 5% over 12 months.

Key Study Findings

Systematic Review
The Complementary and Alternative Roles of Curcumin in Treatment of Ulcerative Colitis: An Umbrella Review.
Dose: None vs: placebo or standard therapy Outcome: ulcerative colitis outcomes (18 outcomes across 7 SR/MAs) 效果: None None

研究人群: patients with ulcerative colitis

Other
Reactive Oxygen Species-Responsive Polymer Drug Delivery System Targeted Oxidative Stressed Colon Cells to Ameliorate Colitis.
Dose: None vs: untreated colitis controls Outcome: mitigation of colitis symptoms (ROS scavenging, barrier restoration, … 效果: None None

研究人群: UC animal model and oxidatively stressed colon cells

Systematic Review
Curcumin and multiple health outcomes: critical umbrella review of intervention meta-analyses.
Dose: None vs: Various comparators Outcome: Multiple health outcomes 效果: None None

研究人群: Human subjects across 25 meta-analyses

Review
Natural products for the treatment of ulcerative colitis: focus on the JAK/STAT pathway.
Dose: None vs: None Outcome: None 效果: None None

研究人群: None

In Vitro
Curcumin attenuates ulcerative colitis via regulation of Sphingosine kinases 1/NF-κB signaling pathway.
Dose: None vs: DSS-induced UC mice Outcome: UC inflammation via SphK1/NF-kB pathway 效果: None None

研究人群: DSS-induced UC murine model

Key Statistics

5

研究数量

400

受试者

Positive

B

等级

Referenced Papers

Pharmaceuticals (Basel, Switzerland) 2023 18 次引用
American family physician 2022 38 次引用
Advances in experimental … 2021 87 次引用
European journal of … 2021 40 次引用
Nutrients 2019 71 次引用
Journal of medicinal … 2019 17 次引用
Immunopharmacology and immunotoxicology 2018 96 次引用
Gastroenterology clinics of … 2018 67 次引用
The Medical clinics … 2017 9 次引用
Annals of gastroenterology 2015 135 次引用
Alimentary pharmacology & … 2013 128 次引用

Dosage & Usage

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

常用剂量

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

研究中使用的剂量

剂量 持续时间 效果 N
None -- Mixed --
None -- Positive --
None -- Mixed --
None -- Positive --
None -- Mixed --
None -- Positive --
Varying dosages -- Positive --
None -- Positive --

最佳服用时间: With meals containing fat and black pepper for enhanced absorption

Safety & Side Effects

已报告的副作用

  • 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)

已知相互作用

  • 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)

可耐受最高摄入量: Well-tolerated up to 8 g/day in clinical trials (most studies use 1-2 g/day)

在开始服用任何补充剂之前,请务必咨询您的医疗保健提供者。

Frequently Asked Questions

Does Curcumin help with Ulcerative Colitis (UC)?
Based on 5 studies with 400 participants, there is moderate evidence from clinical studies that Curcumin may support Ulcerative Colitis (UC) management. Our evidence grade is B (Good Evidence).
How much Curcumin should I take for Ulcerative Colitis (UC)?
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 Ulcerative Colitis (UC)?
We rate the evidence as Grade B (Good Evidence). This rating is based on 5 peer-reviewed studies with 400 total participants. The overall direction of effect is positive.

Related Evidence

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