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biletan

alpha-lipoic acid

Sections:

  • Entire Monograph
  • Reported Uses
  • Reported Doses
  • Cautions
  • Drug Interactions
  • Adverse Reactions
  • Synonyms
  • Other Info
  • Add to Interaction Check

Entire Monograph

Reported Uses

  • NOTE: see Herb & Supplement Effectiveness Rating Definitions table
  • age-related cognitive decline [Insufficient Evidence]
  • age-related macular degeneration [Insufficient Evidence]
  • age-related testosterone deficiency [Insufficient Evidence]
  • alcoholic liver disease [Possibly Ineffective]
  • altitude sickness [Possibly Ineffective]
  • Alzheimer disease [Insufficient Evidence]
  • anthracycline-induced cardiotoxicity [Insufficient Evidence]
  • arthralgia, aromatase inhibitor-induced [Insufficient Evidence]
  • athletic performance [Insufficient Evidence]
  • atrial fibrillation [Insufficient Evidence]
  • back pain [Insufficient Evidence]
  • beta-thalassemia [Insufficient Evidence]
  • bipolar disorder [Insufficient Evidence]
  • burning mouth syndrome [Insufficient Evidence]
  • CABG [Insufficient Evidence]
  • cancer [Insufficient Evidence]
  • cardiovascular disease [Insufficient Evidence]
  • carpal tunnel syndrome [Insufficient Evidence]
  • cataracts [Insufficient Evidence]
  • cervical dysplasia [Insufficient Evidence]
  • chronic fatigue syndrome [Insufficient Evidence]
  • CKD [Insufficient Evidence]
  • dementia, HIV/AIDS-related [Possibly Ineffective]
  • diabetes mellitus [Possibly Ineffective]
  • diabetic nephropathy [Insufficient Evidence]
  • diabetic neuropathy [Possibly Effective]
  • diabetic retinopathy [Possibly Ineffective]
  • dry eye disease [Insufficient Evidence]
  • dysmenorrhea [Insufficient Evidence]
  • erectile dysfunction [Insufficient Evidence]
  • fibromyalgia [Insufficient Evidence]
  • glaucoma [Insufficient Evidence]
  • heart failure [Insufficient Evidence]
  • hemorrhoids [Insufficient Evidence]
  • hepatotoxicity, toxin-induced [Insufficient Evidence]
  • herniated disc [Insufficient Evidence]
  • HIV/AIDS [Insufficient Evidence]
  • HTN [Insufficient Evidence]
  • hyperlipidemia [Possibly Effective]
  • hyperprolactinemia, antipsychotic-induced [Insufficient Evidence]
  • hypertriglyceridemia [Insufficient Evidence]
  • hypotension, orthostatic [Insufficient Evidence]
  • impaired glucose tolerance [Insufficient Evidence]
  • infertility in patients of childbearing potential [Insufficient Evidence]
  • interstitial cystitis [Insufficient Evidence]
  • Lyme disease [Insufficient Evidence]
  • male infertility [Insufficient Evidence]
  • metabolic dysfunction-associated steatotic liver disease [Insufficient Evidence]
  • metabolic effects, antipsychotic-induced [Insufficient Evidence]
  • metabolic syndrome [Insufficient Evidence]
  • migraine prophylaxis [Insufficient Evidence]
  • miscarriage prevention [Insufficient Evidence]
  • muscle strength [Insufficient Evidence]
  • mushroom toxicity (Amanita phalloides) [Insufficient Evidence]
  • neck pain [Insufficient Evidence]
  • nephropathy prophylaxis, contrast-induced [Possibly Ineffective]
  • neuropathic pain [Insufficient Evidence]
  • obesity [Possibly Effective]
  • osteoarthritis [Insufficient Evidence]
  • pain, chronic [Insufficient Evidence]
  • periodontitis [Insufficient Evidence]
  • peripheral arterial disease [Insufficient Evidence]
  • peripheral neuropathy, chemo-induced [Insufficient Evidence]
  • persistent olfactory dysfunction, post-COVID-19 [Insufficient Evidence]
  • polycystic ovary syndrome [Insufficient Evidence]
  • preterm labor prevention [Insufficient Evidence]
  • radiation exposure [Insufficient Evidence]
  • schizophrenia [Insufficient Evidence]
  • sciatica [Insufficient Evidence]
  • skin aging [Insufficient Evidence]
  • tinnitus [Insufficient Evidence]
  • vertigo [Insufficient Evidence]
  • vitiligo [Insufficient Evidence]
  • Wilson disease [Insufficient Evidence]
  • wound healing [Insufficient Evidence]
  • wrinkled skin [Insufficient Evidence]

Reported Doses

Safety/efficacy may not be established; reported doses may be derived from limited or potentially inadequate studies with variable regimens, multi-ingredient products, or where concentration of active ingredients may vary widely

Effectiveness Ratings

[see Herb & Supplement Effectiveness Rating Definitions table]

age-related testosterone deficiency

[Insufficient Evidence]
Dose: 800 mg PO bid

Alzheimer disease

[Insufficient Evidence]
Dose: 600 mg PO qd; Info: used with standard tx

anthracycline-induced cardiotoxicity

[Insufficient Evidence]
Dose: 600 mg PO qd

arthralgia, aromatase inhibitor-induced

[Insufficient Evidence]
Dose: 240 mg PO qd

back pain

[Insufficient Evidence]
Dose: 800 mg PO qd

beta-thalassemia

[Insufficient Evidence]
Dose: 600 mg PO qd; Info: given before meal

burning mouth syndrome

[Insufficient Evidence]
Dose: 600 mg PO qd

CABG

[Insufficient Evidence]
Dose: 100 mg PO tid; Start: 2mo before surgery, then continue x1mo after surgery

carpal tunnel syndrome

[Insufficient Evidence]
Dose: 600 mg PO qd; Alt: 600 mg IV qd x30 days, then 600 mg PO qd

cervical dysplasia

[Insufficient Evidence]
Dose: 600 mg PO qd

CKD

[Insufficient Evidence]
Dose: 1.6 g PO qd

diabetic nephropathy

[Insufficient Evidence]
Dose: 450-600 mg IV qd x14 days; Alt: 300-600 mg PO qd; Info: used with conventional tx

diabetic neuropathy

[Possibly Effective]
Dose: 600-1800 mg/day PO divided qd-tid; Alt: 600-1200 mg IV qd

dysmenorrhea

[Insufficient Evidence]
Dose: 600 mg PO qd x5 days; Start: before menstruation; Info: used with or without mefenamic acid

erectile dysfunction

[Insufficient Evidence]
Dose: 600 mg IV qd x14 days; Alt: 800 mg PO bid

heart failure

[Insufficient Evidence]
Dose: 600 mg/day PO in divided doses

hemorrhoids

[Insufficient Evidence]
Dose: 200 mg PO qd

hepatotoxicity, toxin-induced

[Insufficient Evidence]
Dose: 250 mg PO bid

herniated disc

[Insufficient Evidence]
Dose: 404 mg PO bid; Info: used with steroids, opioids prn

HIV/AIDS

[Insufficient Evidence]
Dose: 300 mg PO tid

hyperlipidemia

[Possibly Effective]
Dose: 100-1200 mg PO qd

hyperprolactinemia, antipsychotic-induced

[Insufficient Evidence]
Dose: 600 mg PO qd

hypertriglyceridemia

[Insufficient Evidence]
Dose: 100 mg PO qd

hypotension, orthostatic

[Insufficient Evidence]
Dose: 430-788 mg PO qd

impaired glucose tolerance

[Insufficient Evidence]
Dose: 600 mg IV qd x14 days; Alt: 800-1200 mg PO qd

interstitial cystitis

[Insufficient Evidence]
Dose: 600 mg PO qd

male infertility

[Insufficient Evidence]
Dose: 600 mg PO qd; Alt: 300 mg PO bid

metabolic dysfunction-associated steatotic liver disease

[Insufficient Evidence]
Dose: 600 mg PO bid

metabolic effects, antipsychotic-induced

[Insufficient Evidence]
Dose: 600 mg PO qd

metabolic syndrome

[Insufficient Evidence]
Dose: 600 mg PO qd

migraine prophylaxis, adult patients

[Insufficient Evidence]
Dose: 600-800 mg/day PO divided qd-bid

migraine prophylaxis, peds patients

[Insufficient Evidence]
Dose: 300 mg PO qd; Info: for patients 10-19 yo; used with flunarizine

miscarriage prevention

[Insufficient Evidence]
Dose: 100 mg PO qd; Info: used with vaginal progesterone

muscle strength

[Insufficient Evidence]
Dose: 300 mg PO qd; Start: 150 mg PO qd x2 days

neck pain

[Insufficient Evidence]
Dose: 600 mg PO qd

neuropathic pain

[Insufficient Evidence]
Dose: 600 mg PO qd; Start: 600 mg PO tid x3wk; Info: used with pulsed radiofrequency tx

obesity, adult patients

[Possibly Effective]
Dose: 300-1800 mg PO qd

obesity, peds patients

[Possibly Effective]
Dose: 300 mg PO bid; Info: for patients 10-17 yo

osteoarthritis

[Insufficient Evidence]
Dose: 600 mg PO qd; Info: used with standard tx

pain, chronic

[Insufficient Evidence]
Dose: 400 mg PO qd-bid; Info: for patients with mild to moderate idiopathic pain

peripheral arterial disease

[Insufficient Evidence]
Dose: 300 mg PO bid

peripheral neuropathy, chemo-induced

[Insufficient Evidence]
Dose: 240 mg PO qd; Alt: 600 mg PO qd

persistent olfactory dysfunction, post-COVID-19

[Insufficient Evidence]
Dose: 300 mg PO bid

polycystic ovary syndrome

[Insufficient Evidence]
Dose: 400-2000 mg PO qd; Info: used with or without inositol

preterm labor prevention

[Insufficient Evidence]
Dose: 400 mg PV qhs

radiation exposure, peds patients

[Insufficient Evidence]
Dose: 400 mg PO qd

schizophrenia

[Insufficient Evidence]
Dose: 100-300 mg PO qd; Info: used with antipsychotic tx

sciatica

[Insufficient Evidence]
Dose: 600-800 mg PO qd

skin aging

[Insufficient Evidence]
Dose: apply 5% cream topically to face bid

tinnitus

[Insufficient Evidence]
Dose: 600 mg PO qd

vertigo

[Insufficient Evidence]
Dose: 600 mg PO qd

vitiligo

[Insufficient Evidence]
Dose: 100 mg PO qd; Info: used with phototherapy

wound healing

[Insufficient Evidence]
Dose: 300 mg PO 1h prior to and 300 mg PO immediately after hyperbaric O2 tx

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