Wobenzym (Systemic Enzymes)

Also known as: systemic enzymes, proteolytic enzymes, wobenzym n, bromelain-trypsin combination

Grade C — Preliminaryenzymeanti-inflammatoryjoint
36 tabletsOn empty stomach (45 min before meals or 2 hours after); typically 3 tablets 2x daily

Enteric-coated blend of proteolytic enzymes (bromelain, trypsin, rutosid) with evidence for joint pain relief comparable to NSAIDs in some studies. Must be taken on empty stomach for systemic absorption. Generally well tolerated. Avoid near surgery.

Last reviewed: 2026-03-12

Quick Facts

Evidence

Grade C

Studies

1

Interactions

2

Forms

1

Evidence Rating: Grade C — Preliminary

Limited human trials, mostly animal or in-vitro data. Promising but not yet proven in robust human studies.

Interaction Warnings

Blood thinners (warfarin, aspirin)Moderate

Proteolytic enzymes may increase bleeding risk via fibrinolytic activity.

AntibioticsLow

May increase antibiotic absorption and tissue levels — generally considered beneficial.

Important Notes

  • Must be taken on empty stomach — food neutralizes enzyme activity
  • Contains a blend of bromelain, trypsin, and rutosid (rutin)
  • Enteric coating is essential — stomach acid destroys uncoated enzymes
  • Avoid before surgery due to potential bleeding risk
  • May cause mild GI upset initially

Clinical Evidence (1 study)

Efficacy and safety of systemic enzyme therapy vs diclofenac in knee osteoarthritis

Akhtar NM et al. (2004) — Clin Rheumatol

Oral enzyme therapy was comparable to diclofenac for pain relief in knee OA with fewer GI side effects

View on PubMed

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