Taurine: benefits, dosage, contraindications

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Taurine is a sulfur-containing amino acid derivative, but it is often referred to as a nonessential amino acid. It is present in the diet, with the highest levels found in meat, seafood, and eggs. In the body, the highest concentrations of taurine are found in the brain, heart, retina, and platelets. Human breast milk also contains high levels of taurine, which are necessary for the rapid growth of the newborn's developing brain. Taurine can be synthesized in sufficient amounts for the body by oxidation and decarboxylation of cysteine in the liver. The amounts provided by a typical Western diet range from 40 to 400 mg per day. Taurine is also added to energy drinks, typically in amounts between 750 mg and 1000 mg per serving. Taurine is used to improve mental and athletic performance, and for congestive heart failure, hypertension, hepatitis, hyperlipidemia, and cystic fibrosis.

Scientific name(s)

2-aminoethanesulfonic acid

Family or group: 

Amino acids


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Congestive heart failure
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In cases of heart failure, taurine improves left ventricular function and reduces heart failure symptoms compared with placebo or coenzyme Q10. Furthermore, taking 500 mg of taurine three times a day for 2 weeks appears to improve exercise capacity in heart failure patients compared with placebo. The improvement in symptoms appears to be maintained as long as taurine intake is continued, up to one year.

Posologie

posologieOral

posologie2 - 6 g

populationAdults


Hepatitis
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Clinical studies have shown that oral taurine supplementation improves liver function compared with placebo in patients with acute and chronic hepatitis. It can be administered at a daily dose of 1.5 to 4 g for a minimum duration of 3 months. nn

Posologie

posologieOrally

posologie1.5 - 4 g

duration3 - months


Chemotherapy
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Taurine is used to relieve nausea and vomiting after six hours of chemotherapy in the context of acute lymphoblastic leukemia.nnSome clinical studies have shown that taking taurine has a protective effect against chemotherapy-induced renal and hepatic toxicity. A reduction in overall fatigue has also been observed.nn

Posologie

posologieOrally

posologie1 g

duration6 - months

populationAdults


Athletic performance
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Some evidence from animal research suggests that the amount of taurine in muscle tissue may affect exercise performance. The mechanism for this activity may involve a reduction in oxidative stress, an increased release of calcium from the sarcoplasmic reticulum (the smooth endoplasmic reticulum of muscle cells) into the muscle interstitial space, and stabilization and hyperexcitability of the cell membrane. Further research suggests that taurine may influence the amount of energy provided by the glycolytic pathway during high-intensity exercise by reducing the accumulation of lactate in the blood during exercise and by improving anaerobic capacity. Clinical evidence regarding the effects of taurine on athletic performance is conflicting. A meta-analysis of seven small clinical trials shows that taking taurine at 1 to 6 grams per day for up to 2 weeks slightly improves endurance compared with control. In addition, preliminary evidence in male cyclists shows that taking taurine at 50 mg/kg 2 hours before a cycling test increases time to exhaustion by about 10% compared with placebo. However, other clinical studies conducted in athletes show that taking taurine before endurance exercise does not improve endurance or aerobic capacity compared with placebo. Overall, taurine may modestly improve endurance, but it is not clear which population is most likely to benefit.

Posologie

posologieOral

posologie1 - 6 g

duration2 - weeks

populationAdults


Detoxification
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The anti-inflammatory, antioxidant, cytoprotective, osmoregulatory and membrane-stabilizing effects of taurine may contribute to its protective effects against drug toxicity and other compounds.

Posologie

posologieOrally

posologie2 - 3 g


Properties


Neurological

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Taurine is absorbed into synaptosomes (the terminal part of a synapse) via a high-affinity uptake system. At the presynaptic level, taurine can inhibit calcium channels, open chloride channels, and inhibit the release of excitatory neurotransmitters. It can also reduce postsynaptic depolarization by increasing potassium efflux. Ultimately, taurine appears to reduce excitatory transmission. Thus, taurine can act as an inhibitory neurotransmitter (like GABA and glycine), which explains its effect in reducing nausea and vomiting. nnIn addition, taurine has an antiepileptic effect, the probable mechanisms of which are modulation of calcium homeostasis, prevention of glutamate-induced neuronal excitotoxicity, or activation of GABA-A receptors.nn


Anti-inflammatory

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Taurine has an anti-inflammatory effect in vivo and in vitro by inhibiting the production of pro-inflammatory interleukins (IL-1, IL-6).nnOther studies in humans have shown that taurine reduces inflammatory mediators such as TNF-alpha (tumor necrosis factor), which gives it a protective and regenerative effect on damaged tissues. nn


Antioxidant

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Taurine contains sulfur, which is an important constituent in the formation of glutathione (an antioxidant tripeptide). Studies on arsenic-induced oxidative stress have shown that taurine has direct antioxidant activity by scavenging free radicals, and indirect activity by stabilizing membrane permeability. Other human studies have shown that taurine improves oxidative stress in subjects treated with a lipid-lowering agent (simvastatin alone or combined with ezetimibe), and the proposed mechanism is the reduction of superoxide anions at the respiratory chain. nn

Usages associés

Chemotherapy, Hepatitis

Cardiovascular

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Taurine is a preventive factor for various cardiovascular conditions, including coronary artery disease, cardiac remodeling, and ischemic heart disease, due to its anti-inflammatory and antioxidant properties. On the other hand, some studies have shown that it increases blood flow but without a significant influence on blood pressure (in diabetic subjects and subjects with heart disease). Other clinical research has shown that taurine can decrease plasma epinephrine levels (a hormone from the adrenal gland, secreted in response to stressful stimuli and contributing to the development of essential hypertension) in patients with borderline essential hypertension.

Usages associés

Congestive heart failure

Depurative

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The anti-inflammatory, antioxidant, cytoprotective, osmoregulatory, and membrane-stabilizing effects of taurine may contribute to its protective effects against drug toxicity and other compounds.

Usages associés

Detoxification


Safe dosage

Adult: 2 g - 3 g

Proposed doses of taurine are usually 2 to 3 g per day. However, it has also been used safely at a higher dose (6 g/day) for 4 weeks.


Interactions

Médicaments

Antihypertensive drugs: moderate interaction

Clinical evidence suggests that taurine reduces systolic and diastolic blood pressure in patients with borderline hypertension. Theoretically, taurine may increase the risk of low blood pressure when used in combination with antihypertensive drugs.

Lithium: moderate interaction

Taurine can reduce urinary excretion and increase lithium levels.


Precautions

Pregnancy: avoid

Avoid use due to lack of reliable and sufficient information.

Bipolar disorder: use with caution

Excessive consumption of taurine may trigger a relapse of bipolar disorder. Indeed, a case has been reported of a patient with previously well-controlled bipolar disorder who developed manic symptoms after consuming several cans of energy drinks containing taurine, caffeine, inositol and other ingredients. It is unknown whether this relapse is related to taurine or to another ingredient or to the combination of different ingredients.

Breastfeeding: avoid

Avoid use due to lack of reliable and sufficient information.