Compound or practice · Supplement

L-Arginine

The direct nitric-oxide precursor that mostly loses to citrulline because the gut destroys it first.

Overall grade
Grade C
Last revised
3
graded outcomes
0
references listed

A structured monograph in Prometheus's bundled library. Its grades are the monograph's own reading of the evidence, not a peer-reviewed review.

3 at grade C · 1 at grade D — 4 graded rows

What is known

Each outcome with its grade (how strong the evidence is, A to D), the size of the effect where the entry records one, and how often studies agree.

  • Blood pressureEvidence grade C

    Modest reduction

    Smallmixed

  • Erectile functionEvidence grade C

    Higher doses / combined

    Smallmixed

  • Exercise pump / performanceEvidence grade D

    Poor oral absorption

    Trivialmixed

Conditions

How the entry reads its effect on diagnosed conditions: the direction first, then the grade. Never a substitute for the person who treats you.

  • Erectile dysfunction May improveHigh-dose or combinedGrade C

What is uncertain

Read off the same rows as above. Nothing here is added that the entry does not itself record.

  • Thin evidence: Blood pressure (grade C); Erectile function (grade C); Exercise pump / performance (grade D).
  • Caution with Blood-pressure medications: Additive blood-pressure lowering.

Interactions

Documented pairings with supplements and medicines. A medicine on this list is a conversation for whoever prescribes it.

  • Blood-pressure medicationsCaution

    Additive blood-pressure lowering.

  • L-CitrullineWorks together

    Citrulline raises arginine more effectively — sometimes combined.

The evidence in words

What it is

L-arginine is a conditionally-essential amino acid and nitric-oxide precursor sold for pumps, blood pressure, and erectile function.

How it works

It is a substrate for nitric-oxide synthase, promoting vasodilation — but first-pass gut and liver metabolism blunts oral absorption badly.

What the evidence shows

Oral arginine's poor bioavailability makes citrulline the better NO route for most uses. It retains modest evidence for blood pressure and, at high doses or combined with other agents, erectile function; ergogenic effects are inconsistent.

How to use it

3–6 g if used; citrulline is usually preferable for the same goals.

Safety & interactions

GI upset at higher doses; additive blood-pressure lowering; caution with erectile-dysfunction drugs. L-Citrulline — Citrulline raises arginine more effectively — sometimes combined. antihypertensives — Additive blood-pressure lowering.

Bottom line

Outclassed by citrulline for pumps and endurance. Modest for blood pressure and erectile function; the gut is the bottleneck.

How it is used

As the entry records it, from the studies it summarises. Not a recommendation for you — doses that suit a trial population may not suit you.

Standard
3–6 g; citrulline usually preferable.

Goes with

  • L-CitrullineCitrulline raises arginine more effectively — sometimes combined.Evidence grade B

Entries that share this one's tags or conditions.

Sources

This entry lists no references of its own.

Last revised . A grade is this entry's reading of the evidence, not medical advice.