Overview
L-arginine is converted in the body into a chemical called nitric oxide. Nitric oxide causes blood vessels to open wider for improved blood flow. L-arginine also stimulates the release of growth hormone, insulin, and other substances in the body. It can be made in a lab and used in supplements.
People use L-arginine for chest pain and various blow flow issues, erectile dysfunction, high blood pressure during pregnancy, and a serious disease in premature infants called necrotizing enterocolitis (NEC). It's also used for many other conditions, but there is no good scientific evidence to support these other uses.
Uses & Effectiveness ?
Possibly Effective for
- Chest pain (angina). Taking L-arginine by mouth seems to decrease symptoms and improve exercise tolerance and quality of life in people with angina. But it doesn't seem to help widen blood vessels that are narrowed in angina.
- Erectile dysfunction (ED). Taking 2.5-5 grams of L-arginine by mouth daily seems to improve sexual function in people with ED. Taking L-arginine with medications such as sildenafil and tadalafil might work better than taking either L-arginine or the medication alone.
- High blood pressure. Taking L-arginine by mouth can reduce blood pressure in healthy people, people with high blood pressure, and people with slightly high blood pressure with or without diabetes.
- A serious intestinal disease in premature infants (necrotizing enterocolitis or NEC). Adding L-arginine to formula seems to reduce the risk for this condition in premature infants.
- Narrowing of blood vessels that causes poor blood flow to the limbs (peripheral arterial disease). Taking L-arginine by mouth or by IV for up to 8 weeks increases blood flow in people with this condition. But using it for up to 6 months does not help to improve walking speed or distance. IV products can only be given by a healthcare provider.
- A pregnancy complication marked by high blood pressure and protein in the urine (pre-eclampsia). Taking L-arginine by IV can reduce blood pressure in pregnant people with pre-eclampsia. L-arginine might also reduce the risk of pre-eclampsia in people who are at high risk for this condition. IV products can only be given by a healthcare provider. It's not clear if taking L-arginine by mouth helps.
- High blood pressure during pregnancy. Taking L-arginine by IV can reduce blood pressure in pregnancy. It's unclear if taking L-arginine by mouth lowers blood pressure during pregnancy, but it might decrease the need to take blood pressure lowering drugs. IV products can only be given by a healthcare provider.
Possibly Ineffective for
- Long-term kidney disease (chronic kidney disease or CKD). Taking L-arginine by mouth or by IV doesn't improve kidney function in most people with CKD.
- High cholesterol. Taking L-arginine by mouth doesn't help to lower cholesterol levels.
- Heart attack. Taking L-arginine by mouth doesn't seem to help prevent a heart attack. It also doesn't seem to help treat a heart attack after it occurs. In fact, there is concern that L-arginine might be harmful for people after a recent heart attack. Do not take L-arginine if you have had a recent heart attack.
- Tuberculosis. Taking L-arginine by mouth along with standard treatment for tuberculosis does not seem to help improve symptoms or clear the infection.
- Wound healing. Taking L-arginine by mouth does not seem to improve wound healing.
Side Effects
When applied to the skin: L-arginine is possibly safe for most people when used short-term. It's also possibly safe when used in a toothpaste short-term.
When inhaled: L-arginine is possibly safe for most people when used short-term.
Special Precautions and Warnings
When applied to the skin: L-arginine is possibly safe for most people when used short-term. It's also possibly safe when used in a toothpaste short-term.
When inhaled: L-arginine is possibly safe for most people when used short-term.
Pregnancy: L-arginine is possibly safe when taken by mouth for a short time during pregnancy. Not enough is known about using L-arginine long-term in pregnancy. Stay on the safe side and avoid long-term use.
Breast-feeding: There isn't enough reliable information to know if L-arginine is safe to use when breast-feeing. Stay on the safe side and avoid use.
Children: L-arginine is possibly safe in children when taken by mouth, when used in a toothpaste, or when inhaled.
Guanidinoacetate methyltransferase deficiency (GAMT): People with this inherited condition are unable to convert arginine and other similar chemicals into creatine. To prevent complications from this condition, avoid L-arginine supplements.
Recent heart attack: L-arginine might increase the risk of death after a heart attack, especially in older people. If you have had a heart attack recently, don't take L-arginine.
Kidney disease: L-arginine has caused high potassium levels when used by people with kidney disease. In some cases, this has resulted in a dangerous irregular heartbeat.
Surgery: L-arginine might interfere with blood pressure control during and after surgery. Stop taking L-arginine at least 2 weeks before a scheduled surgery.
Interactions ?
Medications for high blood pressure (Antihypertensive drugs) interacts with L-ARGININE
L-arginine might lower blood pressure. Taking L-arginine along with medications that lower blood pressure might cause blood pressure to go too low. Monitor your blood pressure closely.
Sildenafil (Viagra) interacts with L-ARGININE
Sildenafil can lower blood pressure. L-arginine can also lower blood pressure. There is a chance that taking sildenafil and L-arginine together might cause blood pressure to go too low. But most people seem to be fine when taking these products together.
Medications for high blood pressure (ACE inhibitors) interacts with L-ARGININE
L-arginine might lower blood pressure. Taking L-arginine along with medications that lower blood pressure might cause blood pressure to go too low. Monitor your blood pressure closely.
Medications for high blood pressure (Angiotensin receptor blockers (ARBs)) interacts with L-ARGININE
L-arginine might lower blood pressure. Taking L-arginine along with medications that lower blood pressure might cause blood pressure to go too low. Monitor your blood pressure closely.
Medications that slow blood clotting (Anticoagulant / Antiplatelet drugs) interacts with L-ARGININE
L-arginine might slow blood clotting. Taking L-arginine along with medications that also slow blood clotting might increase the risk of bruising and bleeding.
Medications for diabetes (Antidiabetes drugs) interacts with L-ARGININE
L-arginine might lower blood sugar levels. Taking L-arginine along with diabetes medications might cause blood sugar to drop too low. Monitor your blood sugar closely.
Isoproterenol (Isuprel) interacts with L-ARGININE
L-arginine seems to decrease blood pressure. Isoproterenol is a drug that is used to lower blood pressure. Taking L-arginine along with isoproterenol might cause your blood pressure to go too low.
Water pills (Potassium-sparing diuretics) interacts with L-ARGININE
L-arginine might increase potassium levels in the body. Some "water pills" might also increase potassium in the body. Taking L-arginine along with some "water pills" might cause too much potassium to be in the body.
Moderate Interaction
Be cautious with this combination
Testosterone interacts with L-ARGININE
L-arginine might increase testosterone levels. But it's not clear if this is a big concern. People taking testosterone should be cautious until more is known about this potential interaction.
Minor Interaction
Be watchful with this combination
Dosing
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Gentile, V., Antonini, G., Antonella, Bertozzi M., Dinelli, N., Rizzo, C., Ashraf, Virmani M., and Koverech, A. Effect of propionyl-L-carnitine, L-arginine and nicotinic acid on the efficacy of vardenafil in the treatment of erectile dysfunction in diabetes. Curr Med Res Opin. 2009;25(9):2223-2228. View abstract.
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Gianotti, L., Braga, M., Nespoli, L., Radaelli, G., Beneduce, A., and Di, Carlo, V. A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer. Gastroenterology 2002;122(7):1763-1770. View abstract.
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Giugliano, D., Marfella, R., Coppola, L., Verrazzo, G., Acampora, R., Giunta, R., Nappo, F., Lucarelli, C., and D'Onofrio, F. Vascular effects of acute hyperglycemia in humans are reversed by L-arginine. Evidence for reduced availability of nitric oxide during hyperglycemia. Circulation 4-1-1997;95(7):1783-1790. View abstract.
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Gryglewski, R. J., Grodzinska, L., Kostka-Trabka, E., Korbut, R., Bieroon, K., Goszcz, A., and Slawinski, M. Treatment with L-arginine is likely to stimulate generation of nitric oxide in patients with peripheral arterial obstructive disease. Wien.Klin.Wochenschr. 1996;108(4):111-116. View abstract.
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Hackett, A., Gillard, J., and Wilcken, B. n of 1 trial for an ornithine transcarbamylase deficiency carrier. Mol.Genet.Metab 2008;94(2):157-161. View abstract.
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Heys, S. D., Ogston, K., Miller, I., Hutcheon, A. W., Walker, L. G., Sarker, T. K., Dewar, J., Ah-See, A. K., and Eremin, O. Potentiation of the response to chemotherapy in patients with breast cancer by dietary supplementation with L-arginine: results of a randomised controlled trial. Int.J Oncol. 1998;12(1):221-225. View abstract.
Higashi, Y., Oshima, T., Ono, N., Hiraga, H., Yoshimura, M., Watanabe, M., Matsuura, H., Kambe, M., and Kajiyama, G. Intravenous administration of L-arginine inhibits angiotensin-converting enzyme in humans. J Clin.Endocrinol.Metab 1995;80(7):2198-2202. View abstract.
Higashi, Y., Oshima, T., Ozono, R., Watanabe, M., Matsuura, H., and Kajiyama, G. Effects of L-arginine infusion on renal hemodynamics in patients with mild essential hypertension. Hypertension 1995;25(4 Pt 2):898-902. View abstract.
Hladunewich, M. A., Derby, G. C., Lafayette, R. A., Blouch, K. L., Druzin, M. L., and Myers, B. D. Effect of L-arginine therapy on the glomerular injury of preeclampsia: a randomized controlled trial. Obstet.Gynecol. 2006;107(4):886-895. View abstract.
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Hrncic, D., Rasic-Markovic, A., Krstic, D., Macut, D., Djuric, D., and Stanojlovic, O. The role of nitric oxide in homocysteine thiolactone-induced seizures in adult rats. Cell Mol.Neurobiol. 2010;30(2):219-231. View abstract.
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Hughes, N., Mason, S., Jeffery, P., Welton, H., Tobin, M., O'Shea, C., and Browne, M. A comparative clinical study investigating the efficacy of a test dentifrice containing 8% strontium acetate and 1040 ppm sodium fluoride versus a marketed control dentifrice containing 8% arginine, calcium carbonate, and 1450 ppm sodium monofluorophosphate in reducing dentinal hypersensitivity. J Clin.Dent. 2010;21(2):49-55. View abstract.
Jahangir, E., Vita, J. A., Handy, D., Holbrook, M., Palmisano, J., Beal, R., Loscalzo, J., and Eberhardt, R. T. The effect of L-arginine and creatine on vascular function and homocysteine metabolism. Vasc.Med. 2009;14(3):239-248. View abstract.
Jezova, D., Makatsori, A., Smriga, M., Morinaga, Y., and Duncko, R. Subchronic treatment with amino acid mixture of L-lysine and L-arginine modifies neuroendocrine activation during psychosocial stress in subjects with high trait anxiety. Nutr.Neurosci. 2005;8(3):155-160. View abstract.
Jiang, X. H., Li, N., Zhu, W. M., Wu, G. H., Quan, Z. W., and Li, J. S. Effects of postoperative immune-enhancing enteral nutrition on the immune system, inflammatory responses, and clinical outcome. Chin Med.J (Engl.) 2004;117(6):835-839. View abstract.
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Kato, G. J. and Gladwin, M. T. Evolution of novel small-molecule therapeutics targeting sickle cell vasculopathy. JAMA 12-10-2008;300(22):2638-2646. View abstract.
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Kernohan, A. F., McIntyre, M., Hughes, D. M., Tam, S. W., Worcel, M., and Reid, J. L. An oral yohimbine/L-arginine combination (NMI 861) for the treatment of male erectile dysfunction: a pharmacokinetic, pharmacodynamic and interaction study with intravenous nitroglycerine in healthy male subjects. Br J Clin.Pharmacol. 2005;59(1):85-93. View abstract.
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Koifman, B., Wollman, Y., Bogomolny, N., Chernichowsky, T., Finkelstein, A., Peer, G., Scherez, J., Blum, M., Laniado, S., Iaina, A., and . Improvement of cardiac performance by intravenous infusion of L-arginine in patients with moderate congestive heart failure. J Am Coll.Cardiol 11-1-1995;26(5):1251-1256. View abstract.
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Lagudis, S., Yamada, A. T., Vieira, M. L., Medeiros, C. C., Mansur, A. J., and Lage, S. G. The effect of dobutamine without and with L-arginine on arterial compliance in heart failure patients. Echocardiography. 2009;26(8):934-942. View abstract.
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Ledda, A., Belcaro, G., Cesarone, M. R., Dugall, M., and Schonlau, F. Investigation of a complex plant extract for mild to moderate erectile dysfunction in a randomized, double-blind, placebo-controlled, parallel-arm study. BJU.Int. 2010;106(7):1030-1033. View abstract.
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Lekakis, J. P., Papathanassiou, S., Papaioannou, T. G., Papamichael, C. M., Zakopoulos, N., Kotsis, V., Dagre, A. G., Stamatelopoulos, K., Protogerou, A., and Stamatelopoulos, S. F. Oral L-arginine improves endothelial dysfunction in patients with essential hypertension. Int.J Cardiol 2002;86(2-3):317-323. View abstract.
Little, J. A., Hauser, K. P., Martyr, S. E., Harris, A., Maric, I., Morris, C. R., Suh, J. H., Taylor, J., Castro, O., Machado, R., Kato, G., and Gladwin, M. T. Hematologic, biochemical, and cardiopulmonary effects of L-arginine supplementation or phosphodiesterase 5 inhibition in patients with sickle cell disease who are on hydroxyurea therapy. Eur.J Haematol. 2009;82(4):315-321. View abstract.
Lobo, D. N., Williams, R. N., Welch, N. T., Aloysius, M. M., Nunes, Q. M., Padmanabhan, J., Crowe, J. R., Iftikhar, S. Y., Parsons, S. L., Neal, K. R., Allison, S. P., and Rowlands, B. J. Early postoperative jejunostomy feeding with an immune modulating diet in patients undergoing resectional surgery for upper gastrointestinal cancer: a prospective, randomized, controlled, double-blind study. Clin.Nutr 2006;25(5):716-726. View abstract.
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Lucotti, P., Monti, L., Setola, E., La, Canna G., Castiglioni, A., Rossodivita, A., Pala, M. G., Formica, F., Paolini, G., Catapano, A. L., Bosi, E., Alfieri, O., and Piatti, P. Oral L-arginine supplementation improves endothelial function and ameliorates insulin sensitivity and inflammation in cardiopathic nondiabetic patients after an aortocoronary bypass. Metabolism 2009;58(9):1270-1276. View abstract.
Lucotti, P., Setola, E., Monti, L. D., Galluccio, E., Costa, S., Sandoli, E. P., Fermo, I., Rabaiotti, G., Gatti, R., and Piatti, P. Beneficial effects of a long-term oral L-arginine treatment added to a hypocaloric diet and exercise training program in obese, insulin-resistant type 2 diabetic patients. Am J Physiol Endocrinol.Metab 2006;291(5):E906-E912. View abstract.
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Mansoor, J. K., Morrissey, B. M., Walby, W. F., Yoneda, K. Y., Juarez, M., Kajekar, R., Severinghaus, J. W., Eldridge, M. W., and Schelegle, E. S. L-arginine supplementation enhances exhaled NO, breath condensate VEGF, and headache at 4,342 m. High Alt.Med.Biol. 2005;6(4):289-300. View abstract.
Mantovani, F., Patelli, E., Colombo, F., Pozzoni, F., Confalonieri, S., and Pisani, E. [Erectile dysfunction after non-nerve sparing radical pelvic surgery. Therapeutical experience with sildenafil and L-arginine evaluated by Buckling test]. Minerva Med. 2001;92(4):285-287. View abstract.
Marfella, R., Acampora, R., Verrazzo, G., Ziccardi, P., De, Rosa N., Giunta, R., and Giugliano, D. Metformin improves hemodynamic and rheological responses to L-arginine in NIDDM patients. Diabetes Care 1996;19(9):934-939. View abstract.
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Sakurai, Y., Masui, T., Yoshida, I., Tonomura, S., Shoji, M., Nakamura, Y., Isogaki, J., Uyama, I., Komori, Y., and Ochiai, M. Randomized clinical trial of the effects of perioperative use of immune-enhancing enteral formula on metabolic and immunological status in patients undergoing esophagectomy. World J Surg. 2007;31(11):2150-2157. View abstract.
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Siasos, G., Tousoulis, D., Vlachopoulos, C., Antoniades, C., Stefanadi, E., Ioakeimidis, N., Andreou, I., Zisimos, K., Papavassiliou, A. G., and Stefanadis, C. Short-term treatment with L-arginine prevents the smoking-induced impairment of endothelial function and vascular elastic properties in young individuals. Int.J Cardiol 6-6-2008;126(3):394-399. View abstract.
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Takasaki, A., Tamura, H., Miwa, I., Taketani, T., Shimamura, K., and Sugino, N. Endometrial growth and uterine blood flow: a pilot study for improving endometrial thickness in the patients with a thin endometrium. Fertil.Steril. 2010;93(6):1851-1858. View abstract.
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