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Chondroitin Sulfate
Chondroitin was first extracted and purified in the 1960s. It is currently manufactured from natural sources (shark/beef cartilage or bovine trachea) or by synthetic means. The consensus of expert and industry opinions supports the use of Chondroitin and its common partner agent, Glucosamine, for improving symptoms and stopping (or possibly reversing) the degenerative process of osteoarthritis.
Osteoarthritis
Multiple controlled clinical trials since the 1980s have examined
the use of oral Chondroitin in patients with osteoarthritis of the
knee and other locations (spine, hips, finger joints). Most of these
studies have reported significant benefits in terms of symptoms
(such as pain), function (such as mobility), and reduced medication
requirements (such as anti-inflammatories). The weight of scientific
evidence points to a beneficial effect when Chondroitin is used for
6-24 months. Longer-term effects are not clear. Chondroitin is
frequently used with Glucosamine.
Glucosamine has independently been
demonstrated to benefit patients with osteoarthritis (particularly
of the knee).
Bladder control
Several studies have shown promise for using Chondroitin for
interstitial cystitis, which is a chronic inflammation of the
bladder. Chondroitin sulfate may also be helpful in patients with
overactive bladder or unstable bladder control.
Coronary artery disease (secondary prevention)
Several studies in the early 1970s assessed the use of oral
Chondroitin for the prevention of subsequent coronary events in
patients with a history of heart disease or heart attack. Although
favorable results were reported, due to methodological weaknesses in
this research and the widespread current availability of more proven
drug therapies for patients in this setting, a recommendation cannot
be made in this area.
Adult doses of 200-400 milligrams by mouth twice to three times daily, or 800-1,200 milligrams once daily have been used in studies. Higher doses (up to 2,000 milligrams) appear to have similar efficacy. In the treatment of osteoarthritis, full effects may take several weeks to occur.
There is no proven effective dose for
Chondroitin in children.