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pineapple enzyme
bromelain
Entire Monograph
Reported Uses
- NOTE: see Herb & Supplement Effectiveness Rating Definitions table
- allergic rhinitis [Insufficient Evidence]
- arthralgia, aromatase inhibitor-induced [Insufficient Evidence]
- burn debridement [Insufficient Evidence]
- cancer [Insufficient Evidence]
- dental pain, postop [Insufficient Evidence]
- diabetes mellitus [Insufficient Evidence]
- diabetic foot ulcers [Insufficient Evidence]
- exercise-induced muscle soreness [Insufficient Evidence]
- exercise-induced respiratory infection [Insufficient Evidence]
- knee pain [Insufficient Evidence]
- lymphedema [Insufficient Evidence]
- multiple sclerosis [Insufficient Evidence]
- nephrolithiasis [Insufficient Evidence]
- ocular floaters [Insufficient Evidence]
- osteoarthritis [Insufficient Evidence]
- pain, acute [Insufficient Evidence]
- pain, postop [Insufficient Evidence]
- parturition [Insufficient Evidence]
- periodontitis [Insufficient Evidence]
- peripheral neuropathy, chemo-induced [Insufficient Evidence]
- pityriasis lichenoides chronica [Insufficient Evidence]
- rhinosinusitis [Insufficient Evidence]
- sprains [Insufficient Evidence]
- swelling, postop [Insufficient Evidence]
- tendinopathy [Insufficient Evidence]
- UTI [Insufficient Evidence]
- venous leg ulcers [Insufficient Evidence]
- wound healing [Insufficient Evidence]
Reported Doses
Safety/efficacy may not be established; reported doses may be derived from limited or potentially inadequate studies w/ variable regimens, multi-ingredient products, or where concentration of active ingredients may vary widely
Effectiveness Ratings
- [see Herb & Supplement Effectiveness Rating Definitions table]
arthralgia, aromatase inhibitor-induced
- [Insufficient Evidence]
- Dose: 20 mg PO qd
burn debridement
- [Insufficient Evidence]
- Dose: apply gel topically x1; Info: apply under occlusive dressing x4h
dental pain, postop
- [Insufficient Evidence]
- Dose: 160-1500 mg/day PO divided tid-qid x4-6 days; Alt: 200 mg PO x1 given 1h before surgery, then 200 mg PO q6h after surgery
exercise-induced muscle soreness
- [Insufficient Evidence]
- Dose: 50 mg PO qid
knee pain
- [Insufficient Evidence]
- Dose: 200-400 mg PO qd
lymphedema
- [Insufficient Evidence]
- Dose: 100 mg PO qd
nephrolithiasis
- [Insufficient Evidence]
- Dose: 500 mg PO qd; Info: used w/ tamsulosin
ocular floaters
- [Insufficient Evidence]
- Dose: 190 mg PO qd-tid
osteoarthritis
- [Insufficient Evidence]
- Dose: 180 mg PO tid; Alt: 300 mg PO bid-tid; 250 mg PO bid
pain, postop
- [Insufficient Evidence]
- Dose: 50 mg PO qd
periodontitis
- [Insufficient Evidence]
- Dose: 500 mg PO bid
peripheral neuropathy, chemo-induced
- [Insufficient Evidence]
- Dose: 20 mg PO qd
pityriasis lichenoides chronica
- [Insufficient Evidence]
- Dose: 40 mg PO tid x1mo, then 40 mg PO bid x1mo, then 40 mg PO qd x1mo
rhinosinusitis, adult pts
- [Insufficient Evidence]
- Dose: 40 mg PO qid x6 days; Alt: 200 mg PO qd-bid; Info: used w/ standard tx
rhinosinusitis, peds pts
- [Insufficient Evidence]
- Dose: 200 mg PO qd-bid; Info: for pts 12 yo and older; used w/ inhaled corticosteroids
swelling, postop
- [Insufficient Evidence]
- Dose: 180 mg PO bid; Info: used w/ standard tx
tendinopathy
- [Insufficient Evidence]
- Dose: 100 mg PO qd
wound healing
- [Insufficient Evidence]
- Dose: apply gel topically x4h up to 10x/day
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