Acarbose
Longevity Pharmaceuticals

Acarbose

An alpha-glucosidase inhibitor that slows carbohydrate digestion, blunting post-meal glucose spikes. Validated by the NIA Interventions Testing Program for lifespan extension in mice. Bryan Johnson takes 200mg daily as part of his Blueprint protocol.

50+ Studies60+ ReportsModerateOralAvailable in UAE
75
Kamura ScoreStrong
75/100
Strong
Moderate
Evidence
Immediate (per meal)
Time to Effect
AED 50-150/month (prescription)
Est. Cost
Available
UAE Access
Last reviewed: March 2025
78
Research
70
Community
72
Safety
65
Access
70
Value

How Acarbose Works

Acarbose competitively inhibits alpha-glucosidase enzymes in the small intestine, slowing the breakdown of complex carbohydrates into glucose. This delays glucose absorption, reducing post-prandial glycemic excursions and downstream insulin spikes.

📊 Evidence by Outcome

Lifespan ExtensionB

NIA ITP: Extended median lifespan in male mice by 11%. One of only a handful of ITP-validated longevity drugs.

3 studies • Consistency: Moderate • Effect: Moderate

Glucose Spike ReductionA

Reduces post-prandial glucose spikes by 20-30%. Well-established as a Type 2 diabetes medication.

20 studies • Consistency: High • Effect: Large

Cardiovascular ProtectionB

STOP-NIDDM trial: 49% relative risk reduction in cardiovascular events in IGT patients.

5 studies • Consistency: Moderate • Effect: Moderate

📄

Key Research

Peer-Reviewed Evidence • 1 Citations

[1]

Acarbose improves health and lifespan in aging HET3 mice

Harrison DE et al.Aging Cell2019PMID: 30548460

Key Finding: NIA Interventions Testing Program confirmed acarbose extends median lifespan by 11% in male mice. Effects partially mediated through reduced post-prandial glucose.

View on PubMed

Citations sourced from PubMed, Cochrane Library, and peer-reviewed journals. Study findings are summarized for accessibility. Always consult the original publication for full methodology and results.

Side Effects & Safety

Common(3)
FlatulenceBloatingDiarrhea (especially at high doses)
Rare(1)
Elevated liver enzymes
Serious(1)
Rare liver toxicity — monitor LFTs

📋 Protocol Snapshot

Bryan Johnson Protocol
200mg daily (before largest meal)
Prescription required. Start low (25-50mg) to avoid GI side effects. Increase gradually.
Conservative
50-100mg before carb-heavy meals
Lower doses still effective for glucose spike reduction with fewer GI issues.

Protocols are for informational purposes only. Always consult a qualified healthcare provider before starting any treatment protocol.

Cost Guide

AED 50-150/month (prescription)

Estimated UAE pricing. Costs vary by provider, dosage, and treatment plan.

Where to Get It (UAE)

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Medical Disclaimer: The information on this page is for educational purposes only and is not intended as medical advice. Kamura Scores reflect a combination of research evidence, community data, and other factors — they are not clinical recommendations. Research citations are provided for reference; always consult the original publications for complete study details. Consult a qualified healthcare provider before starting, stopping, or modifying any treatment. Individual results may vary.