Taurine: benefits, dosage, contraindications

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Taurine is a sulfur amino acid derivative, but it is often referred to as a non-essential amino acid. It is present in diets, with the highest levels found in meat, seafood, and eggs. In the body, the highest levels 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 brain growth of developing newborns. Taurine can be synthesized in sufficient quantities for the body by the oxidation and decarboxylation of cysteine in the liver. The amounts found in a typical Western diet range from 40 to 400 mg per day. Taurine is also added to energy drinks, usually in quantities ranging from 750 mg to 1000 mg per serving. Taurine is used to improve mental and athletic performance, congestive heart failure, hypertension, hepatitis, hyperlipidemia, and cystic fibrosis.

Other name(s) 

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Scientific name(s)

2-aminoethanesulfonic acid

Family or group: 

Amino acids


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Congestive heart failure
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In cases of heart failure, taurine improves the functions of the left ventricle and reduces symptoms of heart failure compared to placebo or coenzyme Q10. Moreover, taking 500 mg of taurine three times a day for 2 weeks seems to improve exercise capacity in heart failure patients compared to placebo. Symptom improvement appears to be maintained as long as taurine intake continues for up to a year.

Posologie

posologieOrally

posologie2 - 6 g

populationAdults


Hepatitis
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Clinical studies have shown that oral taurine intake improves liver function compared to 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.

Posologie

posologieOrally

posologie1.5 - 4 g

duration3 - months


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

Posologie

posologieOrally

posologie1 g

duration6 - months

populationAdults


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

Posologie

posologieOrally

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 and other compound toxicity.

Posologie

posologieOrally

posologie2 - 3 g


Properties


Neurological

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Taurine is absorbed into synaptosomes (the terminal part of a synapse) through a high-affinity absorption system. Presynaptically, 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. Taurine ultimately appears to reduce excitatory transmission. Thus, taurine may act as an inhibitory neurotransmitter (like GABA and glycine), contributing to its effect in reducing nausea and vomiting. Additionally, taurine has an antiepileptic effect, with possible mechanisms including modulation of calcium homeostasis, prevention of glutamate-induced neuronal excitotoxicity, or activation of GABA-A receptors.


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 (IL1, IL6). Further human research has shown that taurine reduces inflammatory mediators such as TNF alpha (tumor necrosis factor), granting it a protective and regenerative effect on damaged tissues.


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 a direct antioxidant activity by trapping free radicals and indirect activity by stabilizing membrane permeability. Other human research has 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 level.

Usages associés

Chemotherapy, Hepatitis

Cardiovascular

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

Usages associés

Congestive heart failure

Detoxifying

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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


Safety dosage

Adult: 2 g - 3 g

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


Interactions

Médicaments

Antihypertensive: 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 hypotension when used in conjunction with antihypertensive drugs.

Lithium: moderate interaction

Taurine may reduce urinary excretion and increase lithium levels.


Precautions

Pregnant women: avoid

Avoid use due to lack of reliable and sufficient information.

Bipolar disorder: use with caution

Excessive taurine consumption may trigger a relapse of bipolar disorder. Indeed, a case has been reported of a previously well-managed bipolar patient experiencing mania symptoms after consuming multiple cans of energy drinks containing taurine, caffeine, inositol, and other ingredients. It is unknown whether this relapse is related to taurine, another ingredient, or the combination of various ingredients.

Nursing women: avoid

Avoid use due to lack of reliable and sufficient information.