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Amino acids

L-Arginine — timing, dose & interactions

Amino acid the body uses to make nitric oxide. In a meta-analysis, 4–24 g/day lowered blood pressure by about 5/3 mmHg. In a trial after heart attacks, more people died on arginine than on placebo, so it should not be used after a heart attack.

Timing

When to take it

Split into two or three doses; large single doses can upset the stomach.

Interactions

L-Arginine with other supplements

Safety

Medications & health conditions

NoteNitrates

Arginine may add to the blood-pressure drop from nitrates. Both raise nitric oxide. They haven't been studied together; watch for dizziness or light-headedness.

Mechanism-based
NoteErectile dysfunction medication

Arginine and ED pills both lower blood pressure. Arginine raises nitric oxide, and PDE5 inhibitors amplify its effect. They haven't been studied together; watch for dizziness.

Mechanism-based
NoteBlood pressure medication

Arginine can lower blood pressure. In a meta-analysis it lowered blood pressure by about 5/3 mmHg. It should not be used after a heart attack.

Strong evidence

Buying guide

What to look for on the label

  • L-Arginine

    • L-arginine base or HCl
    • Citrulline raises blood arginine more reliably

FAQ

Common questions

When is the best time to take L-Arginine?

Breakfast / Lunch / Dinner. Split into two or three doses; large single doses can upset the stomach.

Should L-Arginine be taken with food?

It can be taken with or without food. Split into two or three doses; large single doses can upset the stomach.

Can you take L-Arginine with L-Citrulline?

Yes — combining them lowered blood pressure more than citrulline alone in trials. Fine to combine. If you take blood-pressure medication, watch for dizziness.

Sources

References

  1. 01Dong JY et al. Effect of oral L-arginine supplementation on blood pressure: a meta-analysis of randomized, double-blind, placebo-controlled trials. Am Heart J 2011.
  2. 02Schulman SP et al. L-arginine therapy in acute myocardial infarction: the VINTAGE MI randomized clinical trial. JAMA 2006.
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