Bromelain is an enzyme that is taken from the stem and fruit of the pineapple. It is used to help ease inflammation in the body, speed the healing of wounds and bruises, and aid in the digestion of proteins. Some studies put forward that it may also be beneficial in helping to fight cardiovascular disease and cancer.

Bromelain is also as a good treatment for pain and swelling caused by trauma from sports injuries, surgery, and infections. Studies have shown its ability help the body recover from injury faster by stopping the accumulation of fibrin and inflammatory substances, such as leukotrienes. 

The German Expert Panel has approved bromelain for treatment of swelling and athletic injuries, and recommends a dose of 80 to 120 milligrams two to three times daily.

There’s also evidence that a taking 1,200 to 1,800 milligrams every day can help relive painful inflammation from rheumatoid arthritis. When combined with antibiotics, it may also help reduce inflammation associated with sinusitis. Studies have shown that it is also beneficial for reducing swelling and improving breathing.

Bromelain inhibits the clumping of blood platelets, and so it has been suggested that it might help prevent heart disease caused by plaque formation that could lead to a heart attack. It has been studied for its effectiveness in treating angina and Chronic Obstructive Pulmonary Disease (COPD), both alone and in combination with other therapies. 

However, higher doses of bromelain may increase the heart rate and the effects of prescription blood thinners often prescribed to treat heart disease; people with cardiovascular disease should talk to their doctor before using the supplements.

Bromelain may increase the absorption of some drugs, including antibiotics, chemotherapy drugs, and certain blood pressure medications. Some researchers are concerned that it could increase the effects of other medications such as blood-thinning drugs like warfarin (Coumadin); anti-inflammatory medications such as Motrin, Advil, naproxen, and aspirin; antiplatelet drugs such as clopidogrel (Plavix); herbs, such as ginkgo, saw palmetto, or garlic; and high doses of vitamin E. People who have are taking any of these substances, or who suffer from bleeding disorders should take this supplement with caution.

The supplement may help those suffering from premenstrual syndrome (PMS) by inhibiting the prostaglandin hormones that cause premenstrual cramps, although some studies have shown that bromelain may actually increase bleeding during menstruation.

If you suffer from pain or inflammation, or have recently sustained an injury, you may very well benefit from taking it. There is no recommended dietary allowance (RDA), but doses of up to 1,000 milligrams taken three times daily have shown no toxic effects. 

Supplements are available in tablets and in a topical cream. Some say taking it on an empty stomach (potatoes and soybeans may interfere with its absorption) in combination with magnesium, which may increase the effects of bromelain.

People who are allergic to pineapples, tree or grass pollen, carrots, celery, fennel, bees, latex, or flour should avoid it, as it has been reported to cause allergic and asthmatic reactions in these people.

Few side effects have been reported with its use. The most common side effects reported are stomach upset and diarrhea. Keep in mind that it may increase the sedative effects of some medications, including alcohol, antidepressants, barbiturates, and narcotics like codeine.

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