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How should I take creatine?

The use of creatine in cultural and traditional settings may differ from concepts accepted by current Western medicine. When considering the use of herbal/health supplements, consultation with a primary health care professional is advisable. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial, and coordination of treatment among all health care providers involved may be advantageous.

If you choose to take creatine, use it as directed on the package or as directed by your doctor, pharmacist, or other health care provider.

One method of supplementing with creatine is called the "loading method". This consists of taking larger doses of creatine for 3 to 4 days. This method has been used by athletes when a short term rise in force is needed, such as before a football game or a weight lifting competition. Another method supplementing with creatine has been to use smaller doses over an extended training period. This method has been used by athletes who are more endurance focused or for long term training such as body building.

Different formulations of creatine may be available to be used internally (orally). Do not use different formulations (e.g., tablets, liquid, and powder) of creatine at the same time, unless specifically directed to do so by a health care professional. Using different formulations together increases the risk of an overdose of creatine.

It has been reported that creatine may be more effective if taken with carbohydrates.

Drink plenty of fluid while taking creatine. Although it has not been proven, dehydration, heat-related illnesses, muscle cramps, reduced blood volume, and electrolyte imbalances are expected to be more likely to occur while taking creatine.

Store creatine as directed on the package. In general, creatine should be protected from light and moisture and stored in a sealed container.

What happens if I miss a dose?

No information is available regarding a missed dose of creatine. Consult your doctor, pharmacist, or health care professional if you require further information.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a creatine overdose are not known. It is cautioned that long-term use of creatine may cause kidney damage.

What should I avoid while taking creatine?

There are no known restrictions on food, beverages, or activity while taking creatine, unless otherwise directed by your health care professional.

Drink plenty of fluid while taking creatine. Although it has not been proven, dehydration, heat-related illnesses, muscle cramps, reduced blood volume, and electrolyte imbalances are expected to be more likely to occur while taking creatine.

What are the possible side effects of creatine?

Although uncommon, serious side effects have been reported with the use of creatine. Stop taking creatine and seek emergency medical attention or notify your doctor immediately if you experience:
  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or

  • symptoms of kidney problems such as decreased or little urine.

Other less serious side effects of creatine have not been reported. Talk to your doctor, pharmacist, or health care professional if you experience any side effects from creatine.

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