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Creatine is an non-prescription dietary supplement that is being promoted for its ability to enhance muscle strength and physical endurance. It is not officially endorsed by the FDA for this use, however, some medical literature does support its use. It is not banned by either the NCAA or the USOC, but many consider the use of high doses of supplements in competitive sport unethical.
It is important for you to tell your prescriber or other health care professional that you are using creatine. Although interactions with other drugs have not been noted, it is important that your health care provider is aware you are taking this supplement.
Creatine "fruit chews" candy (PhosphaGems™) should be chewed thoroughly before swallowing.
Missing a dose is not harmful. If you miss a dose, simply resume taking it on your previous schedule. Do not take double doses to catch up.
ephedra, Ma huang
For many herbs and dietary supplements, interactions with other medications are unknown. That is why you should always be careful when mixing herbal remedies with traditional medications.
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
Creatine appears to be pretty safe. If you notice any changes in your physical health while taking creatine, you should contact your health care provider. Also, different brands of creatine might contain different amounts of active ingredient so try to use the same brand.
Side effects that you should report to your prescriber or health care professional as soon as possible:
severe muscle cramping or pain
Keep out of the reach of children.
Store at room temperature. Avoid storing in hot areas. Throw away any unused product after the expiration date.
GENERAL INFORMATION REGARDING DIETARY SUPPLEMENTS:
Dietary supplements include amino acids, vitamins, minerals, herbs, and other plant-derived substances, and extracts of these substances. Products are easy to identify as they must state "Dietary Supplement" on the label. A "Supplement Facts" panel is provided on the label for most products. Supplements are not drugs and are not regulated like pharmaceuticals. You should note that rigid quality control standards are not required for dietary supplements. Differences in the potency and purity of these products can occur. Scientific data to support the use of a dietary supplement for a certain condition may not be available. This product is not intended to diagnose, treat, cure or prevent any disease.
The Food and Drug Administration suggests the following to help consumers protect themselves:
Always read product labels and follow directions.
Look for products containing ingredients with the "USP" notation. This indicates the manufacturer followed the standards of the US Pharmacopoeia.
"Natural" doesn't mean a product is safe for humans to consume.
Supplements produced or distributed by a nationally known food or drug company are more likely to be made under tight controls as these companies have standards in place for their other products. You can write to the company or manufacturer for more information about the conditions under which the products are made.
Creatine powder should be taken orally. It should be mixed with a beverage of your choice. The beverage may be cold or hot. Do not cook or microwave the powder or beverages containing the powder. Beverages such as apple, grape, or orange juice may help the creatine work better for you. After mixing, use immediately. If you can not use it immediately, use it within 8 hours. To avoid stomach discomfort, allow at least 4 hours between doses.
Creatine is generally regarded as safe. If you notice any changes in your physical health while taking creatine, you should contact your health care provider. Also, different brands of creatine might contain different amounts of active ingredient so try to use the same brand.