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Topic What are the effects of Glucosamine and Chondroitin on pain originating from osteoarthritis of the knee?
Source MedPage Today from the University of Pennsylvania School of Medicine authored by Peggy Peck, reviewed by Zalman S. Agus, and based on research  published in the New England Journal of Medicine ("Glucosamine, Chondroitin Sulfate, and the Two in Combination for Painful Knee Osteoarthritis" by DO Clegg, and "Nutritional Supplements for Knee Osteoarthritis-Still No Resolution" by MC Hochberg).
Current Research findings The GAIT study by Clegg compared 1500 mg of glucosamine to 1200 mg of chondroitin, glucosamine and chondroitin, 200 mg of Celebrex, and a placebo over the course of 24 weeks.  All patients demonstrated improvement, but the differences between the groups in across all severity levels was not significant.  Where the major differences lay were in the moderate to severe pain patients where there glucosamine and chondroitin significantly outperformed Celebrex and the treatment groups that received only glucosamine or chondroitin.  There were also significant differences in the improvement of disability scores of the glucosamine and chondroitin groups over the Celebrex group.

There were very high drop out rates in the placebo and glucosamine or chondroitin alone groups, and a significant improvement even in the placebo group regarding pain and disability. 

Summary Opinion of Dr Marc Hochenberg  Marc Hochenberg M.D. M.P.H. of the Universtiy of Maryland in Baltimore summarized the findings as follows: patients who want to take supplements should take glucosamine sulfate and for those with severe pain, taking chondroitin sulfate with glucosamine sulfate may have an additive effect.  Finally, he said that if no benefit is evident after three months of treatment, the supplements should be stopped.
NOTE:  The information contained above is based upon research published in the New England Journal of Medicine and opinions of published authors in that journal.  For the source article of the above information  please go to MedPage Today.  For further information, please refer to the original article utilizing the publication information provided.   May 31, 2006