The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

  • Recent Posts

  • Recent Comments

    Defining the benefits of glucosamine for osteoarthritis

    Earlier posts on this topic here and here might leave readers with the impression that the scientific literature doesn’t support glucosamine to help treat osteoporosis.

    Considering it’s one of the most commonly used supplements, it’s worth another look.

    In 2005, the Cochrane Collaborative reviewed all studies evaluating the effectiveness and toxicity of glucosamine in osteoarthritis.

    And, the results.

    • In 8 high quality studies, improvement in pain with glucosamine didn’t differ from placebo.
    • But when all studies were analyzed, pain improved more than with placebo.
    • Studies using the Rotta Pharmaceutical Company brand of glucosamine sulfate showed greater pain relief than placebo.

    The Arthritis Society has posted specifics on the relief people experienced with glucosamine and how it compared to placebo.

    • Pain: Improved by 13 more points on a scale of 0 to 100 with glucosamine than placebo.
    • Physical ability: Benefit differed based on the test used.
    • Stiffness: Did not differ from placebo, regardless of the source of glucosamine.
    • X-rays: Glucosamine slowed the progress of disease.
    • Safety: Glucosamine was well tolerated.

    With respect to results with the Rotta brand of glucosamine…

    • It was superior for pain and function.
    • Compared to an NSAID, glucosamine was superior in 2 studies, and equivalent in 2 others.
    • It slowed radiological progression of osteoarthritis of the knee over 3 years .

    The bottom line?
    Glucosamine is not a panacea.

    If the reported benefit on disease progression could be extended to correlate with symptom control, this would be very significant for patients.

    10/6 21:06 JR

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