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Treatments > Supplement Guide > Supplements > Supplement Guide: Sam-e
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Supplement Guide: Sam-e

S-adenosyl-L-methionine

Origin: A naturally occurring chemical in the body.

Dosage: Tablets; 600 mg to 1,200 mg daily for osteoarthritis; 1,600 mg daily for depression. Because of possible interactions, SAM-e should not be taken without doctor’s supervision.

Claims: Treats pain, stiffness and joint swelling; improves mobility; rebuilds cartilage and eases symptoms of osteoarthritis, fibromyalgia, bursitis, tendinitis, chronic low back pain and depression.

What we know: SAM-e is an effective anti-inflammatory and analgesic for people with osteoarthritis. Results may be felt in just one week. SAM-e works closely with vitamins B-12, B-6 and folate, so it is important to get enough of the B vitamins when taking this supplement.

Studies: Over the last two decades, multiple clinical trials involving thousands of people have shown SAM-e to improve joint health and treat osteoarthritis. It has been found to be equal to NSAIDs in clinical studies. Most of this research has been done in Europe, where SAM-e is sold as a drug. A double-blind study of 61 adults with knee osteoarthritis done in the U.S. shows that SAM-e had a slower onset of action but was as effective as celecoxib (Celebrex) in reducing pain and improving joint function. A 2002 analysis of 14 SAM-e studies showed it is effective for reducing pain and improving mobility in people with osteoarthritis.

 High doses of SAM-e can cause flatulence, vomiting, diarrhea, headache and nausea. SAM-e may interact with antidepressive medications and should be avoided if you have bipolar disorder or are taking monoamine oxidase inhibitors (MAOIs). It may also worsen Parkinson’s disease. 

Barbara Burgess
14 Jan 2012, 10:22
after reading your complimentary medicines, I thought that same would help me - I have inaqctive lupus, ostesporosis, ahd osteoathritus. I could only buy it on the web, but has becom e so expensive, I have tried to cut back, but the pain got so bad that I have put myself back on a minimal dose of 200mg x2.Will it ever be available on prescription? Im also paying for multi vits and minerals. Any suggestions welcome. Barbara
Julie McGuire
22 Nov 2011, 16:05
I was diagnosed with fibro 12 years ago. Very little was known about the disease much less how to treat it.
After struggling with the sysptoms and medications, I finally recieved the best advice from a endriconolgist(sp). He stated that I had a multiple syptom disease and it needed to be approached with a multiple solution.
I separated my sysptoms into individual promblems and tackled one at a time. Once I solved one problem on to the next. Finding a workable solution is easier and less overwhelming by taking a one at a time approach.
I have different regimens for the pain, sleep disorder, the "fog" etc.
Fibro is complicated and solutions for complicated problems are to break them done and examine each component and find the solution and build from there.
MacBernac
15 Oct 2011, 14:36
I have osteoarthritis in my right ankle and had been considering ankle replacement surgery. My ortho doc Rxd me Tramadol, which is an adequate pain reliever; however, it is narcotic to some extent and I can only take it at night before I go to bed. I started on an *aggressive* regimen of SAM-e: two 400 mg in the a.m. and two 400 mg in PM, w/a 5000 mg B12 each, and other B-complex vitamins. After about a week, the pain diminished noticeably and my ankle continues to improve. I have cut back on the Rx pain pills and am very satisfied with this effective, although expensive, alternative! SAM-e works!
Carol Fuller
18 May 2011, 13:01
I currently take triple strength glucosamine, chondroitin & MSM from Puritan Pride. I have been considering sam-e. What can you tell me about the highly recommended product from X-Tend called Arithrit-Eze, which contains all of these ingredients?
Mark
03 May 2011, 20:11
Some Years Ago I Had A Doctor Prescribe Zoloff for Depression. I Went From Very Good Moods To Extremely Low Moods. I Had Horrible Nightmares and Stopped Taking Zoloff. In My Research I Found That Sam-e Was Good For Depression And Started Taking It. It Worked Great. I No Longer Had The High Peaks Or Low Valleys. My Moods Were Leveled Off. Several Years Later I Had A Motorcycle Accident And Had Learned About It's Joint Health Aspect. I Don't Know For Sure If It Helped Me But I Do Know That My Surgically Repaired Knee Has Lasted Longer Than As The Doctor Said It Would.
James
03 May 2011, 09:37
I am a personal fan of GNC brand; the bioavailability seems better than most other brands. I have had OA in both knees and a damaged ankle for over a decade. Supplementing w/ GNC's Triflex and later adding Omega Complex has completely eliminated prescription meds for me. I am even able to run again; not as far or as fast, but I'm running! I am thinking of adding SAM-E to my regimen b/c my hip has begun giving me fits as well.
Regarding physician complaints: They have a lot to do and know. Always double check w/ your pharmacist if you are taking any precription drugs. That is where they specialize. Never, ever take it upon yourself to alter your own precriptions w/o physician and pharmacist consultation. Consequences could be detrimental. Cheers!
Donna
19 Mar 2011, 23:19
DO NOT TAKE SAMe if you are diagnosed with Bipolar disorder - PERIOD. It will cause outrageous mania episodes.

Most Bipolar patients on medication know not to take it because it will interact with your medication.
Donna
19 Mar 2011, 23:12
Just an IFY that isn't included with clarity in the interactions. I was prescribed Tramadol for pain relief and had no idea of it's interaction with SAMe until after a few days. I started to develop Seratonin Syndrome symptoms. My doctors didn't even flag it has a serious interaction and knew I was taking it.

I'm so glad I knew what the symptoms of it were. I realized as the light bulb moment and stop immediately.

Mark
19 Mar 2011, 02:20
I was diagnosed with osteoarthritis in the toes and fingers. My hands were so stiff and painful I had to give up playing the guitar temporarilly - until I started taking Celebrex. That seemed to help quite a bit. Then I decided to wean myself off the Celebrex and supplement with Nature Made SAM-E. After a month, I no longer need Celebrex and am playing the guitar again! It works! (I think it's primarilly the SAM-E that reduces the pain and inflammation but am taking Celedrin and Glucosomine along with it).
Carolina
19 Dec 2010, 09:53
HELP! I have been diagnosed with osteoarthritis, osteomalaysia, fibromyalgia, hypothyroid, high blood pressure, high colesterol, & accute Epstein-Barr Virus (had mono several times). Since Acetaminophen Recall, what can be taken for the pain? Thanks for your help.
Kelly
21 Sep 2010, 23:48
Taking ibuprofen or Tylenol is absolutely the worst thing anyone could do if they have any sort of joint or bone problems. In fact both can CAUSE the problems...then your conditions get worse, you buy more drugs...and make the drug companies so happy.

SAM-e is a substance naturally produced in the body. If you're not making enough of it, you might try supplementing with it, and you may find benefit, without side effects.
Cheri
04 May 2010, 14:35
I have been taking 800 mg of SAMe every day for a month. I have osteoarthritis in my knees and my doctor has been pushing knee replacement. I was taking 1200 mg of ibuprofen daily but stopped because of acid reflux. Aleve helped some. But since I have been taking SAMe my pain is minimal. I don't have morning pain and stiffness and I sleep through the night. Now I don't take any NSAIDS at all. I am a true believer.

If you experience insomnia or stomach upset cut your dosage in half and slowly add 200 mg a day until you get to a tolerable level.

It's also important to remember to take it on a completely empty stomach and not eat for a half hour after taking.
MBB
17 Mar 2010, 17:00
To Hector--- You must talk to your doctor before going off any medication. With some meds you have to go off them slowly. Also, you'd better do some serious research because SAM-e is not for every condition. Bi-polar disorder is much more serious than every day depression and I don't know if SAM-e has ever been used to treat it. TALK TO YOUR DOCTOR, and do some more research as well.
Net
17 Feb 2010, 11:18
I thought this was a miracle drug for me. I had tailbone pain and left shoulder pain with very limited motion. I also had issues with great anxiety and depression. SAM-e did wonders for both the pain and anxiety. But I had a horrible side effect from this supplement. It caused sexual dysfunction for me. (very delayed orgasm) I had a lack of sensation in the whole perineum area, including urinating. After taking SAM-e for 4 months, I have now been off of it for 6 days, and now i have full sensation when i urinate and can enjoy sex with my husband again.
Pam
20 Jan 2010, 09:58
I started taking SAMe for depression (because it is a NATURAL substance that the body produces) and I have been taking 400mg daily for several months now and am AMAZED at the difference it has made in my life, for the FIRST time in my life I am not in an almost continual state of depression, I ACTUALLY enjoy DAILY life. I did not realize that it was good for pain, related to arthritis as well, I have arthritis,degenerative disc disease & spinal stenosis,etc. but thankfully EVEN with all this, SINCE I now have the SAMe I can enjoy life. I have NO side effects from the SAMe I take, which is the Spring Valley brand(I get it at WallMart)I THANK GOD FOR WHOMEVER GOT THIS OUT THERE ON THE MARKET FOR THOSE OF US WHO NEED IT...
gobbldigoop
03 Jan 2010, 19:41
i would suggest NOT taking the pills out of the bubble wrap package. i like bottles much better and i took a bunch of boxes and condensed them into a bottle... well eventually i was unable to urinate and was admitted to the hospital and catheterized. be careful, but otherwise sam-e is great. i want to know where to find the better suggested formula made from butanedisulfonate and not the tosylate variation. im interested in the differences, email me if you know where to get it.
Hector
17 Dec 2009, 21:47
I was diagnosed with Bipolar Disorder in 2001, and look like I had that all my life.
I was taking LAMICTAL and now Paxil without results. I will like to try SAM-e.
Can I stop using Paxil and begine to take very small doses of SAM-e to see better results?
Meb
13 Dec 2009, 14:46
I have been taking 400 mg once a day x 7 days for severe osteoarthritis and hip dysplasia but am experiencing stomach pain and some insomnia...does any one know if these symptoms subside? It seems to be worse when also taking tylenol, which I am hoping to eliminate soon because of Sam-e benefits.
Connie
01 Dec 2009, 13:27
Can you take this in addition to Glucosamine/Chondroitin or in place of it?
Palma
07 Nov 2009, 10:07
Can you please tell me what dosage of Sam-e you are taking? Thank you.
Dale Ruiz
02 Sep 2009, 00:50
I had read Sam-e(I take Nature Made) was a very important anti-inflammation suppliment to be taking for arthritus as well as another joint builder such as Osteobiflex Advanced that I began taking 2 months ago.I was diagnosed just this year with arthritus, stenosis, degenerative disc disease, bone spurs,( and remission of osteoperosis due to weekly doses of Fosamax. )Suddenly I have noticed greater mobility and hardly any need to take ANY pain meds, including Tylenol which I was taking all day, everyday. This stuff works! I'm seeing my doctor this week and I am going to show him my improvement and what did it! Looks like I won't have to renew my prescription for Celebrex afterall!

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