Natural Medicines Comprehensive Database rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate.

The effectiveness ratings for ALPHA-LIPOIC ACID are as follows:

Possibly effective for…

• Nerve pain in people with diabetes (diabetic neuropathy). Taking 600-1800 mg of alpha-lipoic acid by mouth or by IV seems to improve symptoms such as burning, pain, and numbness in the legs and arms of people with diabetes. Lower doses of alpha-lipoic acid don’t seem to work. IV products can only be given by a healthcare provider.
• High levels of cholesterol or other fats (lipids) in the blood (hyperlipidemia). Taking alpha-lipoic acid by mouth for up to 4 years seems to lower total cholesterol and low-density lipoprotein (LDL or “bad”) cholesterol in people with or without hyperlipidemia.
• Obesity. Taking alpha-lipoic acid by mouth can slightly reduce body weight in adults who are overweight.

Possibly ineffective for…

• Liver disease in people who drink alcohol. Taking alpha-lipoic acid by mouth daily for up to 6 months does not improve liver function or reduce liver damage in people with alcohol-related liver disease.
• Altitude sickness. Taking alpha-lipoic acid by mouth along with vitamin C and vitamin E does not seem to prevent altitude sickness.
• Kidney damage caused by contrast dyes (contrast induced nephropathy). Taking alpha-lipoic acid by mouth with or without standard hydration therapy during a coronary angiography doesn’t seem to prevent kidney damage caused by contrast agents.
• Diabetes. Taking alpha-lipoic acid by mouth or by IV does not improve blood sugar levels in people with type 2 diabetes.
• Vision problems in people with diabetes (diabetic retinopathy). Taking alpha-lipoic acid by mouth daily for 24 months doesn’t improve eye damage from diabetes.
• Dementia in people with advanced HIV/AIDS. Taking alpha-lipoic acid by mouth has no effect on thinking problems in people with HIV.
• High levels of fats called triglycerides in the blood (hypertriglyceridemia). Taking alpha-lipoic acid by mouth doesn’t seem to reduce triglyceride levels in most people.

There is interest in using alpha-lipoic acid for a number of other purposes, but there isn’t enough reliable information to say whether it might be helpful.

When taken by mouth: Alpha-lipoic acid is possibly safe for most adults when taken for up to 4 years. It is usually well-tolerated. The most common side effects are headache, heartburn, nausea, and vomiting.

When applied to the skin: Alpha-lipoic acid is possibly safe for most adults when used as a cream for up to 12 weeks. It might cause a rash in some people.

Special precautions & warnings:

Pregnancy: When taken by mouth, alpha-lipoic acid is possibly safe. It’s been used safely during pregnancy in doses of up to 600 mg daily for up to 4 weeks.

Breast-feeding: There isn’t enough reliable information to know if alpha-lipoic acid is safe to use when breast-feeding. Stay on the safe side and avoid use.

Children: Alpha-lipoic acid is possibly safe in children aged 10-17 years when taken by mouth in doses up to 600 mg daily for 3 months. But it is possibly unsafe for children to take large amounts of alpha-lipoic acid by mouth. Seizures, vomiting, and unconsciousness have been reported for children aged 14 months to 16 years who took up to 2400 mg of alpha-lipoic acid as a single dose.

Surgery: Alpha-lipoic acid can decrease blood sugar levels. Alpha-lipoic acid might interfere with blood sugar control during and after surgery. Stop taking alpha-lipoic acid 2 weeks before elective surgical procedures.

Excessive use of alcohol/thiamine deficiency: Alcohol can lower the amount of thiamine (vitamin B1) in the body. Taking alpha-lipoic acid when there is a shortage of thiamine might cause serious health problems. If you drink a lot of alcohol and take alpha-lipoic acid, you should take a thiamine supplement.

Moderate

Be cautious with this combination.

Medications for cancer (Alkylating Agents)

Alpha-lipoic acid is an antioxidant. There is some concern that antioxidants might decrease the effects of some medications used for cancer. If you are taking medications for cancer, check with your healthcare provider before taking alpha-lipoic acid.

Medications for cancer (Antitumor antibiotics)

Alpha-lipoic acid is an antioxidant. There is some concern that antioxidants might decrease the effects of medications used for cancer. If you are taking medications for cancer, check with your healthcare provider before taking alpha-lipoic acid.

Medications that slow blood clotting (Anticoagulant / Antiplatelet drugs)

Alpha-lipoic acid might slow blood clotting. Taking alpha-lipoic acid along with medications that also slow blood clotting might increase the risk of bruising and bleeding.

Thyroid hormone

Alpha-lipoic acid seems to decrease how well thyroid hormone works in the body. Taking alpha-lipoic acid with thyroid hormone might decrease the effects of the thyroid hormone.

Minor

Be watchful with this combination.

Medications for diabetes (Antidiabetes drugs)

Alpha-lipoic acid might lower blood sugar levels. Taking alpha-lipoic acid along with diabetes medications might cause blood sugar to drop too low. Monitor your blood sugar closely.

Herbs and supplements that might lower blood sugar

Alpha-lipoic acid might lower blood sugar. Taking it with other supplements with similar effects might lower blood sugar too much. Examples of supplements with this effect include aloe, bitter melon, cassia cinnamon, chromium, and prickly pear cactus.

Herbs and supplements that might slow blood clotting

Alpha-lipoic acid might slow blood clotting and increase the risk of bleeding. Taking it with other supplements with similar effects might increase the risk of bleeding in some people. Examples of supplements with this effect include garlic, ginger, ginkgo, nattokinase, and Panax ginseng.

Herbs with thyroid activity

Alpha lipoic acid might affect the body’s production of thyroid hormone. Taking it with other supplements with similar effects might alter thyroid function too much and cause side effects. Examples of supplements with this effect include bugleweed, lemon balm, and tiratricol.

There are no known interactions with foods.

Alpha-lipoic acid has most often been used by adults in doses of 600-1800 mg by mouth daily for up to 6 months. Speak with a healthcare provider to find out what dose might be best for a specific condition.