In research studies, SAM-e is proven to reduce the symptoms of depression and osteoarthritis – without the troublesome side effects of prescription antidepressants and NSAIDS, respectively.
A couple of studies have shown SAM-e could be promising for fibromyalgia. According to a 1991 Danish study, fibromyalgia patients who took 800 mg of SAM-e daily reported less pain, fatigue and morning stiffness, improved mood and fewer overall symptoms after six weeks of use. A 1987 Italian study found SAM-e reduced depression and the number of trigger points in fibromyalgia patients. A short 10-day Danish study involving intravenous SAM-e did not show any benefit for fibromyalgia, but that could have been because SAM-e may need several weeks to reach full effectiveness.
All of these studies involved small numbers of patients and were not double-blind, placebo controlled. Researchers have concluded more studies are needed to determine if SAM-e is beneficial for fibromyalgia. Unfortunately, those larger, placebo-controlled studies will probably never happen because there’s little profit to be made from a $30 drugstore supplement.
My physician recommended SAM-e as a natural alternative to prescription antidepressants (like Cymbalta and Savella) for relieving my fibromyalgia pain, fatigue and low mood. I started on 200 mg and increased my dosage over several days until I felt a reduction in my symptoms.
I found my sweet spot at 800 mg daily, but dosages up to 1600 mg appear to be well tolerated based on past SAM-e studies. The most commonly reported side effects are gas, upset stomach, diarrhea/constipation, dizziness and anxiety, especially when taken at higher doses.
I experienced dizziness and anxiety while taking 1200 mg of SAM-e, but those side effects disappeared when I lowered my dose. I’ve had no other issues with it.
It’s still unclear exactly how SAM-e works, but it appears to increase levels of serotonin and dopamine, two brain neurotransmitters linked to mood, concentration, pain control and other important bodily functions. Because it affects neurotransmitters, SAM-e is not recommended for people who take prescription antidepressants or other natural antidepressants, like St. John’s Wort. It also might not be safe for those with bipolar disorder, Parkinson’s disease or diabetes.
Within a couple of weeks of starting SAM-e, I felt a noticeable improvement in my mood and energy levels. Unfortunately, it never helped my pain levels. For that, I use other tools.
But I continue to take SAM-e and tell other fibro sufferers about it because it’s nearly eliminated my fibro-related depression, and it enhances my daily stamina/energy. Anyone with fibro knows that we can go to some pretty dark places in our minds, but SAM-e stabilizes my mood so I’m better able to cope with the day-to-day struggles of living with fibromyalgia (and more recently, being diagnosed with Lyme disease).
I know others find SAM-e helpful for pain control, but that hasn’t been my personal experience.
I’m grateful my doctor was open-minded enough to try natural therapies, and SAM-e has become an important tool in my fibro-fighting arsenal.