Can omega-3 improve the inflammatory condition of ankylosing spondylitis?
Hello, Doctor.
I am a patient with ankylosing spondylitis and have been experiencing symptoms for three and a half years.
Currently, I take two capsules of Celebrex and two capsules of Humira daily to manage my condition.
I have come across several reports online stating that omega-3 can effectively combat inflammation, but I am unsure if the inflammation mentioned in these reports includes that associated with ankylosing spondylitis.
Therefore, I would like to ask you: 1) Can omega-3 improve the inflammatory condition of ankylosing spondylitis? 2) If it can improve the condition, would taking an appropriate amount of over-the-counter omega-3 supplements allow me to reduce my Humira dosage (for example, from two capsules daily to one capsule daily)? Thank you, Doctor.
Hao, 20~29 year old female. Ask Date: 2023/02/14
Dr. Gao Jiankai reply Internal Medicine
Hello, thank you for your question.
Here are my responses:
1) Can omega-3 improve the inflammatory condition of ankylosing spondylitis? --> Currently, there is no clear evidence.
Omega-3 is a food supplement, not a medication, and its anti-inflammatory effects are limited.
Additionally, it is not inexpensive and requires a large intake, so from a cost-effectiveness perspective, it may not be worth it.
2) If it can improve the condition, could taking an appropriate amount of commercially available omega-3 supplements reduce the dosage of Celebrex (from currently 2 capsules a day to 1 capsule a day, for example)? --> As mentioned above, I believe it can be used in conjunction with current medication treatments, but I remain cautious about whether it can replace anti-inflammatory pain relievers, including Celebrex.
Department of Allergy, Immunology, and Rheumatology, Changhua Hospital, Ministry of Health and Welfare.
We care about you.
Reply Date: 2023/02/14
More Info
Omega-3 fatty acids, primarily found in fish oil and flaxseed oil, have been widely studied for their anti-inflammatory properties. However, when it comes to specific inflammatory conditions like Ankylosing Spondylitis (AS), the evidence remains somewhat inconclusive.
1) Can Omega-3 Improve Inflammation in Ankylosing Spondylitis?
Current research suggests that Omega-3 fatty acids may have a modest effect on reducing inflammation in various inflammatory conditions, including rheumatoid arthritis and other autoimmune diseases. However, the direct evidence supporting the use of Omega-3 specifically for Ankylosing Spondylitis is limited. While some studies indicate that Omega-3 supplementation can lead to a reduction in inflammatory markers, such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), these findings are not universally accepted or robust enough to establish Omega-3 as a primary treatment for AS.
The anti-inflammatory effects of Omega-3 are thought to stem from their ability to compete with Omega-6 fatty acids, which are pro-inflammatory. By increasing the intake of Omega-3, it is hypothesized that the balance between these fatty acids can shift, potentially leading to reduced inflammation. However, the extent of this effect can vary significantly among individuals, and it is not a substitute for conventional treatments.
2) If Omega-3 Can Improve Inflammation, Can It Reduce the Dosage of Medications Like Celebrex?
While incorporating Omega-3 supplements into your diet may provide some benefits, it is crucial to approach this with caution. Omega-3 fatty acids should be viewed as a complementary therapy rather than a replacement for prescribed medications such as Celebrex (celecoxib) or other anti-inflammatory drugs. These medications are specifically designed to manage pain and inflammation associated with Ankylosing Spondylitis and have a well-established efficacy profile.
Reducing the dosage of your prescribed medication without consulting your healthcare provider is not advisable. While Omega-3 may help in managing inflammation, it is unlikely to provide the same level of relief as your current medication regimen. Moreover, the interaction between Omega-3 supplements and your existing medications should be evaluated by your healthcare provider to avoid any potential adverse effects.
In conclusion, while Omega-3 fatty acids may offer some anti-inflammatory benefits, their role in managing Ankylosing Spondylitis specifically is not well-defined. It is essential to maintain open communication with your healthcare provider regarding any changes to your treatment plan, including the addition of Omega-3 supplements. They can help you assess the potential benefits and risks, ensuring that your overall management strategy for AS remains effective and safe. Additionally, a balanced diet rich in various nutrients, regular physical activity, and adherence to prescribed medications are critical components in managing Ankylosing Spondylitis effectively.
Similar Q&A
Can Probiotics and Omega-3 Foods Help Manage Ankylosing Spondylitis?
Hello Dr. Tseng, I am a patient with ankylosing spondylitis, and I have been experiencing symptoms for three and a half years. Currently, I take two tablets of Celebrex and one tablet of Humira daily to manage my condition. Although my pain is relatively well controlled, I still ...
Dr. Zeng Guosen reply Internal Medicine
Online users suggest that omega-3 can combat inflammation, but its effectiveness in improving the inflammatory condition of ankylosing spondylitis is limited; it should only be used as a supplement and cannot be used for treatment. Probiotics or omega-3 are not expected to have a...[Read More] Can Probiotics and Omega-3 Foods Help Manage Ankylosing Spondylitis?
Can Omega-3 Fish Oil Help Reduce Inflammation Without Raising Cholesterol?
Hello, Director Hsieh! I have rheumatoid arthritis. Can taking deep-sea fish oil help reduce inflammation? Will it increase cholesterol levels? My cholesterol level was previously high at 260, but it decreased after taking lipid-lowering medication. Is it suitable for me to take ...
Dr. Xie Peiru reply Nutrition
Dear Ms. Amin, 1. Fish oil has a mechanism for preventing inflammation in dietary supplements; however, its effectiveness in treating inflammation is relatively slow. Rheumatoid arthritis is an issue related to the immune system. Since we cannot ascertain the severity of your co...[Read More] Can Omega-3 Fish Oil Help Reduce Inflammation Without Raising Cholesterol?
Can Flaxseed Oil Help Lower Inflammation Levels in Rheumatoid Patients?
Hello, Director! Can flaxseed (oil) lower the ESR (erythrocyte sedimentation rate) inflammatory index? I am a rheumatoid arthritis patient, and unfortunately, I got infected with osteomyelitis on January 7. Before the surgery, my ESR often spiked to 9, but after the surgery, my b...
Dr. Shi Guimei reply Nutrition
Dear Sir/Madam, Hello! Although studies indicate that omega-3 fatty acids from fish oil and flaxseed can reduce inflammatory responses, currently, the fish oil products available on the market are certified for their efficacy in regulating blood lipids. Flaxseed oil has not yet ...[Read More] Can Flaxseed Oil Help Lower Inflammation Levels in Rheumatoid Patients?
Essential Blood Tests for Long-Term Fish Oil Users: What You Need to Know
Hello Dr. Liu, I am a patient with ankylosing spondylitis. Currently, I am taking only 3 fish oil capsules daily (with a total of 900 mg of EPA and 300 mg of DHA) and managing my condition with exercise and a regular routine. Before I started taking fish oil, I was taking 2 capsu...
Dr. Liu Hongxiang reply Family Medicine
Hello Mr. Zheng: The benefits of fish oil include anti-inflammatory effects, prevention of blood clots, lowering cholesterol, reducing triglycerides, and decreasing the risk of cardiovascular events. However, excessive intake of fish oil can lead to an increased tendency to bleed...[Read More] Essential Blood Tests for Long-Term Fish Oil Users: What You Need to Know
Related FAQ
(Internal Medicine)
Ankylosing Spondylitis(Orthopedics)
Dietary Consultation(Internal Medicine)
Health Supplements(Internal Medicine)
Triglycerides(Internal Medicine)
Antinuclear Antibody(Internal Medicine)
Folliculitis(Internal Medicine)
Sjögren'S Syndrome(Internal Medicine)
Hypothyroidism(Internal Medicine)
Dietary Supplements(Orthopedics)