Meat tenderizing and other uses Along with
papain, bromelain is one of the most popular proteases to use for meat
tenderizing. Bromelain is sold in a powdered form, which is combined with a
marinade, or directly sprinkled on the uncooked meat. Bromelain has not been scientifically proven to be effective in treating any other diseases, and the
U.S. Food and Drug Administration has not approved it for the treatment of any disorder. In the United States, the passage of the
Dietary Supplement Health and Education Act (DSHEA, 1994) allows the sale of bromelain-containing dietary supplements even though efficacy has not been confirmed. While there have been studies which positively correlated the use of bromelain with reduction of symptom severity in
osteoarthritis, "[t]he majority of the studies have methodological issues that make it difficult to draw definite conclusions", as none definitively established efficacy, recommended dosage, long term safety, or adverse interaction with other medications. Bromelain may be effective as an
adjunct therapy in relieving symptoms of acute
rhinosinusitis in patients not treated with
antibiotics. Bromelain is also claimed as a tooth plaque removal enhancer in toothpastes. ==See also==