Other Brands/Names

Benozym, Elsazym, Enzycomb, Immuno Goodway, Noon Light, Natiflam, Herb Cal, Vegeblend, Fruit 18, Nutrimax Healthy Joint.

How it Works

Bromelain is a proteolytic enzyme, which means it can help to break down proteins. It is naturally found in pineapple juice and the stems of the pineapple plant. This enzyme supports the body in producing substances that help reduce pain and swelling, especially in areas such as the nose, sinuses, gums, and other tissues following surgery or injury. In addition, bromelain contains compounds that may slow blood clotting and have potential anti-tumor properties.

Indications

This medication is commonly used to treat conditions such as muscle pain, burns, and kidney stones.

Contraindications

• Bromelain should not be used by individuals with a history of allergies to pineapple, latex, chrysanthemums, marigolds, daisies, wheat, celery, carrots, pine pollen, grass pollen, or related plants.

• Because bromelain can increase the risk of bleeding, it should be discontinued at least two weeks prior to surgery.

Side Effects

Bromelain is generally safe for most people and usually causes only mild side effects. Research shows it can be safely taken in doses up to 240 mg daily for as long as one year. Possible side effects may include diarrhea and stomach pain.

Types

Bromelain is available in tablet, capsule, and caplet forms.

Dosage

For adults, bromelain is most commonly taken in doses ranging from 40–400 mg by mouth daily for up to 13 months. It is important to consult a doctor to determine the appropriate dosage for your specific condition.

Safety

• Pregnancy and Breastfeeding: There is insufficient evidence regarding the safety of bromelain during pregnancy or breastfeeding. It is best to avoid use unless directed by a doctor.

• People with certain health conditions such as bleeding disorders, asthma, heart disease, liver or kidney problems, or stomach ulcers should consult a doctor before using bromelain.

Drug Interactions

• When bromelain is taken with antibiotics such as tetracycline, bromelain may increase the amount of antibiotic absorbed by the body. This in turn can enhance both its effectiveness and side effects of the antibiotics.

• Bromelain may slow blood clotting. Taking it with other medications that also reduce clotting may heighten the risk of bruising and bleeding.

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