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Each review contains information about the ingredient’s clinical applications, formulations, dosing & administration, adverse effects, and pharmacokinetics. Learn more about our critical appraisal research or contact us for initial guidance and more information.

Curcumin

Curcumin is a plant chemical found in turmeric (Curcuma longa), (2) a root often used to make curries, teas, and other drinks, mustard sauces, cheese, butter, and chips. It is also used as a colorant and as a preservative. (9)

Main uses

  • Anti-oxidant applications
  • Cardiometabolic conditions
  • Inflammatory conditions

Formulations

Form Bioavailability
Unformulated
2 g produced no change to bioavailability in humans (19)
Longvida®️ (solid lipid particle structure with improved solubility)
 
↑ 100x bioavailability compared with unformulated curcumin (10)
Meriva®️ (phospholipid micelle formulation)
↑ 29x bioavailability compared with unformulated curcumin (4)
Theracurmin®️ (highly dispersible, water-soluble & low aggregability)
↑ 27x bioavailability compared with unformulated curcumin (17)
Curcumin-Bioperine®️ (combined with piperine)
↑ 21x bioavailability compared with unformulated curcumin (19)
BCM-95®️ (micronized curcumin in turmeric essential oils)
↑ 7x bioavailability compared with unformulated curcumin (2)
C3 Complex®️ (95% concentration combination of three curcuminoids)
No bioavailability data currently available

Dosing & administration

Arthritis
General outcomes from A-level evidence
No data currently available.
Dosing & administration
Curcumin: 1000 mg per day

Outcomes

↓ joint pain (5)

Class of evidence


A

Metabolic syndrome
General outcomes from A-level evidence
No data currently available.
Dosing & administration
Curcumin extract: 630 mg 3x per day for 12 weeks

Outcomes

HDL-C
↓LDL-C, TG (21)
Class of evidence


B

Dosing & administration
Turmeric: 2.4 g per day for 4 weeks

Outcomes

↓ BMI, WC, BF% (1)

Class of evidence


B

Non-alcoholic fatty liver disease
General outcomes from A-level evidence
No data currently available.
Dosing & administration
Curcumin formulation: 500 mg per day

Outcomes

↓  liver fat content, BMI, TC, LDL-C, TG, aspartate aminotransferase, alanine aminotransferase, glucose, and HBA1C (16)

Class of evidence


B

Osteoarthritis
General outcomes from A-level evidence
No data currently available.
Dosing & administration
Curcumin: 180 mg per day

Outcomes

↓ knee pain (12)

Class of evidence


B

Peptic ulcer
General outcomes from A-level evidence
No data currently available.
Dosing & administration
Turmeric: 600 mg 5x per day for 4 weeks

Outcomes

↓ ulcer prevalence, abdominal pain and discomfort (14)

Class of evidence


C

Rheumatoid arthritis
General outcomes from A-level evidence
No data currently available.
Dosing & administration
Curcumin: 500 mg per day

Outcomes

↓ tenderness and swelling (3)

Class of evidence


C

Type 2 diabetes
General outcomes from A-level evidence
No data currently available.
Dosing & administration
Nano-micelle curcumin: 80 mg per day for 3 months

Outcomes

↓ HBA1C, FBG, TG, BMI (15)

Class of evidence


B

Dosing & administration
Turmeric: 2 g per day for 1 month w/ metformin

Outcomes

↓ HBA1C, FBG, LDL-C, non-HDL-C and LDL/HDL ratio, hsCRP, lipid peroxidation, MDA

↑ total antioxidant status (18)
Class of evidence


B

Dosing & administration
Curcumin: 150 mg, 2x per day for 8 weeks

Outcomes

endothelial function
 malondialdehyde, ET-1, IL-6, & TNFalpha (20)
Class of evidence


B

Adverse effects

Curcumin is considered safe and non-toxic with good tolerability. (6) Diarrhea, headaches, nausea, rash, or yellow stool may occur. However, the prevalence of these adverse effects was not dose-dependent between doses of 1,000 to 12,000 mg. (7)(11)

Pharmacokinetics

Absorption

  • Limited bioavailability (13)
  • Low absorption caused by retention and rapid conjugation of curcumin in the intestinal mucosa, and possible efflux from enterocytes back into the intestinal lumen (8)

Distribution

  • Low uptake provides limited distribution but to a wide variety of tissues (13)
  • Curcumin and its metabolites may be found in the intestinal mucosa, blood, urine, bile, liver, spleen, kidneys, heart, lungs, brain, muscle, and fat. (8)

Metabolism

  • Phase I hepatic metabolism rapidly reduces the compound’s double bonds via enterocyte oxidoreductases with involvement of CYP3A4 or alcohol dehydrogenase in liver microsomes. (8)(13)
  • Phase II metabolism rapidly conjugated via sulfotransferases (SULTs), glucuronosyltransferases, and glutathione S-transferases (GST). (8)(13)

Excretion

  • Low absorption contributes to high amounts of curcumin found in feces. (8)
  • Curcumin may be excreted unchanged or as conjugates in urine. (13)
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