Have any supplements been studied for pneumonia?

    Last Updated: October 25, 2023

    Many supplements have been studied for pneumonia, but there is little evidence to support their efficacy. For instance, a meta-analysis found that Vitamin C was ineffective in treating or preventing pneumonia.[1] Similarly, probiotics, specifically the strain Lactobacillus rhamnosus GG, failed to prevent ventilator-associated pneumonia.[2]

    Although there is some evidence that low levels of vitamin D (measured by plasma 25-hydroxyvitamin D3) are associated with an increased risk of bacterial pneumonia[3], it’s unclear whether supplementation reduces this risk. Lastly, a randomized controlled trial found that N-Acetylcystine (NAC) supplementation, despite lowering markers of oxidative stress and inflammation, did not improve chest imaging results in people hospitalized with pneumonia.[4]

    Conversely, zinc supplementation is associated with a reduced risk of pneumonia in children,[5] but adding zinc as an adjunct to antibiotic treatment in children who already have pneumonia does not improve time to recovery.[6][7]

    References

    1. ^Padhani ZA, Moazzam Z, Ashraf A, Bilal H, Salam RA, Das JK, Bhutta ZAVitamin C supplementation for prevention and treatment of pneumonia.Cochrane Database Syst Rev.(2021-Nov-18)
    2. ^Johnstone J, Meade M, Lauzier F, Marshall J, Duan E, Dionne J, Arabi YM, Heels-Ansdell D, Thabane L, Lamarche D, Surette M, Zytaruk N, Mehta S, Dodek P, McIntyre L, English S, Rochwerg B, Karachi T, Henderson W, Wood G, Ovakim D, Herridge M, Granton J, Wilcox ME, Goffi A, Stelfox HT, Niven D, Muscedere J, Lamontagne F, D'Aragon F, St-Arnaud C, Ball I, Nagpal D, Girard M, Aslanian P, Charbonney E, Williamson D, Sligl W, Friedrich J, Adhikari NK, Marquis F, Archambault P, Khwaja K, Kristof A, Kutsogiannis J, Zarychanski R, Paunovic B, Reeve B, Lellouche F, Hosek P, Tsang J, Binnie A, Trop S, Loubani O, Hall R, Cirone R, Reynolds S, Lysecki P, Golan E, Cartin-Ceba R, Taylor R, Cook D,Effect of Probiotics on Incident Ventilator-Associated Pneumonia in Critically Ill Patients: A Randomized Clinical Trial.JAMA.(2021-Sep-21)
    3. ^Çolak Y, Nordestgaard BG, Afzal SLow vitamin D and risk of bacterial pneumonias: Mendelian randomisation studies in two population-based cohorts.Thorax.(2021-May)
    4. ^Zhang Q, Ju Y, Ma Y, Wang TN-acetylcysteine improves oxidative stress and inflammatory response in patients with community acquired pneumonia: A randomized controlled trial.Medicine (Baltimore).(2018-Nov)
    5. ^Lassi ZS, Moin A, Bhutta ZAZinc supplementation for the prevention of pneumonia in children aged 2 months to 59 months.Cochrane Database Syst Rev.(2016-Dec-04)
    6. ^Haider BA, Lassi ZS, Ahmed A, Bhutta ZAZinc supplementation as an adjunct to antibiotics in the treatment of pneumonia in children 2 to 59 months of age.Cochrane Database Syst Rev.(2011-Oct-05)
    7. ^Brown N, Kukka AJ, Mårtensson AEfficacy of zinc as adjunctive pneumonia treatment in children aged 2 to 60 months in low-income and middle-income countries: a systematic review and meta-analysis.BMJ Paediatr Open.(2020)